| St. Peter's Inpatient Speech Pathology | |
|
315 South Manning Blvd Albany NY 12208-1707 | |
| (518) 525-1550 | |
| (518) 275-4090 |
| Full Name | St. Peter's Inpatient Speech Pathology |
|---|---|
| Speciality | General Acute Care Hospital |
| Location | 315 South Manning Blvd, Albany, New York |
| Authorized Official Name and Position | Courtney Knowles (CREDENTIALING & ENROLLMENT MANAGER) |
| Authorized Official Contact | 5185255634 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Peter's Inpatient Speech Pathology Po Box 14890 Albany NY 12212-4890 Ph: () - | St. Peter's Inpatient Speech Pathology 315 South Manning Blvd Albany NY 12208-1707 Ph: (518) 525-1550 |
| NPI Number | 1518042357 |
|---|---|
| Provider Enumeration Date | 10/26/2006 |
| Last Update Date | 08/23/2023 |
| Medicare PECOS PAC ID | 2668460072 |
|---|---|
| Medicare Enrollment ID | O20040504001301 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518042357 | NPI | - | NPPES |
| 03011194 | Medicaid | NY |
| Provider Name | Victor G Laregina |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477665024 PECOS PAC ID: 8921994799 Enrollment ID: I20040227000020 |
| Provider Name | Kim P Gendron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053404061 PECOS PAC ID: 0042108920 Enrollment ID: I20040310001109 |
| Provider Name | Debra C Zimring |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437194966 PECOS PAC ID: 3971494873 Enrollment ID: I20040322000717 |
| Provider Name | Sunita Rayudu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134137292 PECOS PAC ID: 5193718989 Enrollment ID: I20040407000236 |
| Provider Name | Ethel B Duncan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528127909 PECOS PAC ID: 9739172529 Enrollment ID: I20040407000241 |
| Provider Name | Joseph M Di Lullo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710915889 PECOS PAC ID: 6002802584 Enrollment ID: I20040421000788 |
| Provider Name | Pamela Anne Platis |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1962469577 PECOS PAC ID: 9032107578 Enrollment ID: I20040504000741 |
| Provider Name | Souheil H. Samaha |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1508863721 PECOS PAC ID: 1658360029 Enrollment ID: I20040511000060 |
| Provider Name | Leah R Berkery |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073509691 PECOS PAC ID: 1557352440 Enrollment ID: I20040519001567 |
| Provider Name | Lech Dabrowski |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1780798553 PECOS PAC ID: 7618959917 Enrollment ID: I20040602000006 |
| Provider Name | Thomas J Lovely |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1114982105 PECOS PAC ID: 0547243388 Enrollment ID: I20040611000527 |
| Provider Name | Thomas M Mccormack |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1508821596 PECOS PAC ID: 1759364599 Enrollment ID: I20040615000632 |
| Provider Name | Patricia M Dorney |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700887908 PECOS PAC ID: 1153301890 Enrollment ID: I20040722000888 |
| Provider Name | Asim Yousuf |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972532976 PECOS PAC ID: 4880664770 Enrollment ID: I20040728000995 |
| Provider Name | John R Powell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699777029 PECOS PAC ID: 6800860164 Enrollment ID: I20040823000776 |
| Provider Name | Karen J Koutsourades |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154310258 PECOS PAC ID: 5799759643 Enrollment ID: I20040825000786 |
| Provider Name | John B Taggert |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1457340085 PECOS PAC ID: 3072588656 Enrollment ID: I20040827000344 |
| Provider Name | Yaron Sternbach |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1205826088 PECOS PAC ID: 4284609488 Enrollment ID: I20040831001204 |
| Provider Name | Bruce E Coplin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1558369983 PECOS PAC ID: 9638071566 Enrollment ID: I20040831001480 |
| Provider Name | Wendy Van Bellingham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366434581 PECOS PAC ID: 7214902154 Enrollment ID: I20040901001474 |
| Provider Name | Alicia A Beardsley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245286053 PECOS PAC ID: 1355317850 Enrollment ID: I20040907000709 |
| Provider Name | Ki Tae Mok |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366436230 PECOS PAC ID: 6204803604 Enrollment ID: I20040915000205 |
| Provider Name | Raymonda D Tompkins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083616411 PECOS PAC ID: 7315915600 Enrollment ID: I20040923001035 |
| Provider Name | Edwin R Windle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497751010 PECOS PAC ID: 8628047941 Enrollment ID: I20041001000883 |
| Provider Name | Joshua D Zamer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144222597 PECOS PAC ID: 2860452950 Enrollment ID: I20041013000712 |
| Provider Name | Michael K Burke |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1639219744 PECOS PAC ID: 0244290948 Enrollment ID: I20041018000198 |
| Provider Name | William A. Vanhorn |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588620058 PECOS PAC ID: 9830153881 Enrollment ID: I20041118000645 |
| Provider Name | Constance A Stalker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225140684 PECOS PAC ID: 2668438326 Enrollment ID: I20041203000785 |
| Provider Name | Franz Margono |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1326080987 PECOS PAC ID: 3072579689 Enrollment ID: I20041206000765 |
| Provider Name | Phillip D Pan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972525202 PECOS PAC ID: 1759332208 Enrollment ID: I20050202000535 |
| Provider Name | Dennis Mckevitt |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1073585303 PECOS PAC ID: 5193770899 Enrollment ID: I20050315001077 |
| Provider Name | Kenneth L Shapiro |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1477540375 PECOS PAC ID: 8921053315 Enrollment ID: I20050318000196 |
| Provider Name | Barbara J Tashjian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770688772 PECOS PAC ID: 4385690536 Enrollment ID: I20050330000802 |
| Provider Name | Ghulam A Akbari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639155153 PECOS PAC ID: 6204883291 Enrollment ID: I20050401000334 |
| Provider Name | Mark Thompson |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1427043454 PECOS PAC ID: 6204875669 Enrollment ID: I20050426001006 |
| Provider Name | Denise C Clark |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891760633 PECOS PAC ID: 7012956378 Enrollment ID: I20050427000464 |
| Provider Name | Craig R Goldberg |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1811951387 PECOS PAC ID: 8123069770 Enrollment ID: I20050513000531 |
| Provider Name | Robert U Ezeifedi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710027610 PECOS PAC ID: 5395787014 Enrollment ID: I20050524000161 |
| Provider Name | Anne N Nafziger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215010624 PECOS PAC ID: 3678516135 Enrollment ID: I20050606000694 |
| Provider Name | Susan Ferrary |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245217009 PECOS PAC ID: 7214964550 Enrollment ID: I20050719000689 |
| Provider Name | Evangelos N Pallis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447249198 PECOS PAC ID: 2961439617 Enrollment ID: I20050726000219 |
| Provider Name | Robert S Wang |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1679565808 PECOS PAC ID: 4981634078 Enrollment ID: I20050818000267 |
| Provider Name | Alan L Cruz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386734713 PECOS PAC ID: 7012942964 Enrollment ID: I20050929000739 |
| Provider Name | Cheryl Syta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982691481 PECOS PAC ID: 5597790881 Enrollment ID: I20051005000981 |
| Provider Name | Brian M Gordon |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1982694014 PECOS PAC ID: 8022034388 Enrollment ID: I20051017000793 |
| Provider Name | Parvez Jafri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043381296 PECOS PAC ID: 5294752762 Enrollment ID: I20051025000431 |
| Provider Name | Jitka L Zobal Ratner |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1720043383 PECOS PAC ID: 0749200822 Enrollment ID: I20051205000287 |
| Provider Name | David R Arveladze |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417990086 PECOS PAC ID: 8123048022 Enrollment ID: I20051206000624 |
| Provider Name | Dottie L Watson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598723454 PECOS PAC ID: 7618990847 Enrollment ID: I20060117000097 |
| Provider Name | Glorimar Atiles |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1295778025 PECOS PAC ID: 6507872975 Enrollment ID: I20060224000203 |
| Provider Name | Maureen Strichman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407943004 PECOS PAC ID: 0244247773 Enrollment ID: I20060308000652 |
| Provider Name | Thea M Dalfino |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447228929 PECOS PAC ID: 1759391675 Enrollment ID: I20060421000503 |
| Provider Name | Cristina Pruzan-ilinca |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1912966862 PECOS PAC ID: 6709896392 Enrollment ID: I20060426000830 |
| Provider Name | Christopher Andrew Bloss |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518909209 PECOS PAC ID: 1153331780 Enrollment ID: I20060428000555 |
| Provider Name | Jeena Theresa Madden |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053387100 PECOS PAC ID: 3870504418 Enrollment ID: I20060523000130 |
| Provider Name | Shravan R Saxena |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578501623 PECOS PAC ID: 4183636046 Enrollment ID: I20060621000261 |
| Provider Name | Padmapriya Menakuru |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588609895 PECOS PAC ID: 4183627821 Enrollment ID: I20060817000452 |
| Provider Name | Edwin A Cowen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235195645 PECOS PAC ID: 9032118922 Enrollment ID: I20061202000151 |
| Provider Name | Howard Scott Weiss |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811917909 PECOS PAC ID: 1759383953 Enrollment ID: I20070131000586 |
| Provider Name | Svetlana V Kovtunova |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033226899 PECOS PAC ID: 9931201191 Enrollment ID: I20070220000032 |
| Provider Name | Sean Y Lee |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457383838 PECOS PAC ID: 2466557053 Enrollment ID: I20070410000178 |
| Provider Name | Namrata Patel |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1548294283 PECOS PAC ID: 3577590512 Enrollment ID: I20070524000191 |
| Provider Name | Ilona Belinskaya |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1376691949 PECOS PAC ID: 4880792860 Enrollment ID: I20070614000609 |
| Provider Name | Marion C Mcpadden |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1801997556 PECOS PAC ID: 7012016074 Enrollment ID: I20070616000035 |
| Provider Name | Lisa A Kappes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326042383 PECOS PAC ID: 8325147739 Enrollment ID: I20070626000660 |
| Provider Name | Nicholas J Montalto |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942291646 PECOS PAC ID: 2961502711 Enrollment ID: I20070710000495 |
| Provider Name | Elizabeth Helen Sandel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265636203 PECOS PAC ID: 2668566407 Enrollment ID: I20070924000537 |
| Provider Name | Linda A Balles |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1346442670 PECOS PAC ID: 2466547609 Enrollment ID: I20071002000784 |
| Provider Name | Andrew J Black |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659318020 PECOS PAC ID: 0840259008 Enrollment ID: I20071120000250 |
| Provider Name | Noel Varghese |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386842508 PECOS PAC ID: 7911095021 Enrollment ID: I20071126000505 |
| Provider Name | Luiz C Coelho |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164564514 PECOS PAC ID: 6800985466 Enrollment ID: I20071204000632 |
| Provider Name | Andre P El-hajj |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1013106426 PECOS PAC ID: 3971683988 Enrollment ID: I20080103000396 |
| Provider Name | Arthur L Sunkin |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1063512531 PECOS PAC ID: 4880777051 Enrollment ID: I20080211000674 |
| Provider Name | Anthony R Iannuccillo |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1235322785 PECOS PAC ID: 1658458328 Enrollment ID: I20080404000381 |
| Provider Name | Robert Kelty |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619937174 PECOS PAC ID: 4183702988 Enrollment ID: I20080418000486 |
| Provider Name | Carrie J Barber |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1508036849 PECOS PAC ID: 4981783388 Enrollment ID: I20080510000032 |
| Provider Name | Jason Todd Heckman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1487755732 PECOS PAC ID: 6002915410 Enrollment ID: I20080707000440 |
| Provider Name | Samuel O Anameze |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003070749 PECOS PAC ID: 2668546037 Enrollment ID: I20080801000613 |
| Provider Name | Bobby Mathew |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831359207 PECOS PAC ID: 7810062015 Enrollment ID: I20080822000557 |
| Provider Name | Anthony P Posca |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235306739 PECOS PAC ID: 0547328759 Enrollment ID: I20081016000326 |
| Provider Name | Dilara Z Khandaker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770686248 PECOS PAC ID: 7214096122 Enrollment ID: I20081106000880 |
| Provider Name | Yun Jeong Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841466356 PECOS PAC ID: 7719047539 Enrollment ID: I20081124000049 |
| Provider Name | Rebecca Lawrence |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144248360 PECOS PAC ID: 4880691476 Enrollment ID: I20081202000052 |
| Provider Name | Jill P Sullivan-keating |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851413983 PECOS PAC ID: 5597826958 Enrollment ID: I20081204000411 |
| Provider Name | Afroza S Liton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639358682 PECOS PAC ID: 8325109556 Enrollment ID: I20081206000080 |
| Provider Name | Mark Edward Osborn |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689671117 PECOS PAC ID: 5991866014 Enrollment ID: I20081209000054 |
| Provider Name | Paul B Donovan |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1326003195 PECOS PAC ID: 8022170570 Enrollment ID: I20081218000026 |
| Provider Name | Catherine C Yunker |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1952571630 PECOS PAC ID: 9133282098 Enrollment ID: I20090120000566 |
| Provider Name | Abul K. Azad |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1003979121 PECOS PAC ID: 6507812971 Enrollment ID: I20090428000000 |
| Provider Name | Noghama Airhienbuwa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235326356 PECOS PAC ID: 0345320420 Enrollment ID: I20090429000006 |
| Provider Name | Timothy C Delrusso |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700089422 PECOS PAC ID: 5092863670 Enrollment ID: I20090508000498 |
| Provider Name | Paul B Glovinsky |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1821169921 PECOS PAC ID: 8426103417 Enrollment ID: I20090826000778 |
| Provider Name | Kristoffer P Neu |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1578755054 PECOS PAC ID: 0840337234 Enrollment ID: I20091016000013 |
| Provider Name | Cezary Borawski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861656951 PECOS PAC ID: 4587703483 Enrollment ID: I20091207000386 |
| Provider Name | Annabi I Djalo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437311289 PECOS PAC ID: 6204900186 Enrollment ID: I20100108000547 |
| Provider Name | Frederick C Garbrecht |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457350134 PECOS PAC ID: 1052461332 Enrollment ID: I20100203000332 |
| Provider Name | Inez L Pagnotta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801881396 PECOS PAC ID: 1153465406 Enrollment ID: I20100224000546 |
| Provider Name | Ji Ma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497953020 PECOS PAC ID: 0446346787 Enrollment ID: I20100317000009 |
| Provider Name | Barbara J Fleck |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1356381396 PECOS PAC ID: 7517092463 Enrollment ID: I20100317000121 |
| Provider Name | Michelle N Gallant |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1619077765 PECOS PAC ID: 2264454743 Enrollment ID: I20100519000256 |
| Provider Name | Lisa G Preller |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1013240290 PECOS PAC ID: 2961531363 Enrollment ID: I20100524000434 |
| Provider Name | Sahar Amery |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013172485 PECOS PAC ID: 1254491293 Enrollment ID: I20100525001026 |
| Provider Name | Kenneth Joseph Baker |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760489157 PECOS PAC ID: 1254462278 Enrollment ID: I20100708000090 |
| Provider Name | Richard Goyer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558325043 PECOS PAC ID: 2466510185 Enrollment ID: I20100712000063 |
| Provider Name | Jay Doshi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1255596649 PECOS PAC ID: 5496889529 Enrollment ID: I20100811000739 |
| Provider Name | Cheryl Bromberg Burack |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1013977123 PECOS PAC ID: 3577642412 Enrollment ID: I20100825001019 |
| Provider Name | Adrian P Karatnycky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801857628 PECOS PAC ID: 1153445226 Enrollment ID: I20100825001027 |
| Provider Name | Gerard P Barry |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1124289632 PECOS PAC ID: 7315061074 Enrollment ID: I20100901000677 |
| Provider Name | Aref Sobhani Mahdabi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164610820 PECOS PAC ID: 1850471145 Enrollment ID: I20100902001081 |
| Provider Name | Katherine Tanner Cultrara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902852742 PECOS PAC ID: 4183749146 Enrollment ID: I20100914000611 |
| Provider Name | Janet M Tiberia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679512396 PECOS PAC ID: 7618092677 Enrollment ID: I20100914000635 |
| Provider Name | Stephen R Pratt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316905284 PECOS PAC ID: 5799800769 Enrollment ID: I20100914000787 |
| Provider Name | Lisa Kamerling |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023015559 PECOS PAC ID: 1355466285 Enrollment ID: I20100916000246 |
| Provider Name | Mamoon Daas |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1053318576 PECOS PAC ID: 9931224797 Enrollment ID: I20100916000749 |
| Provider Name | Erica Ann Fish-merrill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265689798 PECOS PAC ID: 5395860860 Enrollment ID: I20100921000837 |
| Provider Name | Adam D Stallmer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356501480 PECOS PAC ID: 1153446620 Enrollment ID: I20100921000908 |
| Provider Name | Karen J Narkewicz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710944129 PECOS PAC ID: 3779609748 Enrollment ID: I20100928000018 |
| Provider Name | Lisa R Bevilacqua |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336231844 PECOS PAC ID: 1153513577 Enrollment ID: I20101004001221 |
| Provider Name | Cynthia R Renauld Lansing |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477550929 PECOS PAC ID: 8527250414 Enrollment ID: I20101011000729 |
| Provider Name | Refat Assad |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1033377627 PECOS PAC ID: 1658565312 Enrollment ID: I20101027000649 |
| Provider Name | Margaret Oconnell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912237355 PECOS PAC ID: 6305031402 Enrollment ID: I20101115001189 |
| Provider Name | George P Forrest |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1235121351 PECOS PAC ID: 1557557436 Enrollment ID: I20101118000780 |
| Provider Name | Alan Edward Schaffer |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1255310678 PECOS PAC ID: 4183538218 Enrollment ID: I20101129000823 |
| Provider Name | Keriann Gray |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1023215670 PECOS PAC ID: 3577750561 Enrollment ID: I20101202000947 |
| Provider Name | Lawrence R Donovan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1518097674 PECOS PAC ID: 5193914992 Enrollment ID: I20110110000627 |
| Provider Name | Neelima Pamidimukala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689870115 PECOS PAC ID: 4385833821 Enrollment ID: I20110113000977 |
| Provider Name | Julie A Huss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548591043 PECOS PAC ID: 4486833647 Enrollment ID: I20110120000814 |
| Provider Name | Nalini Ramanathan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841458130 PECOS PAC ID: 6305025412 Enrollment ID: I20110121000290 |
| Provider Name | Lawrence Duda |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1710910625 PECOS PAC ID: 2769661578 Enrollment ID: I20110126000383 |
| Provider Name | Nicholas Morra |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1730389677 PECOS PAC ID: 8527247337 Enrollment ID: I20110126000451 |
| Provider Name | Shailini Singh |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831159177 PECOS PAC ID: 0648291435 Enrollment ID: I20110207000623 |
| Provider Name | Jennifer Lefner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750304739 PECOS PAC ID: 0749460236 Enrollment ID: I20110216000384 |
| Provider Name | John R Weinhold |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1265417737 PECOS PAC ID: 3173578663 Enrollment ID: I20110228000325 |
| Provider Name | Yaw Owusu Baah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477710408 PECOS PAC ID: 4183805823 Enrollment ID: I20110301000036 |
| Provider Name | Ho K Chan |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1619947967 PECOS PAC ID: 9133302516 Enrollment ID: I20110322000861 |
| Provider Name | Rene Kerner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316175367 PECOS PAC ID: 7416982046 Enrollment ID: I20110324000428 |
| Provider Name | Colleen M Murtagh |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1831488576 PECOS PAC ID: 3870778806 Enrollment ID: I20110506000103 |
| Provider Name | Deborah A Hirt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992896716 PECOS PAC ID: 9931385218 Enrollment ID: I20110523000067 |
| Provider Name | Abdul W Rahman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326137746 PECOS PAC ID: 9931206893 Enrollment ID: I20110525000197 |
| Provider Name | Jeremy Barnett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427297738 PECOS PAC ID: 3072790138 Enrollment ID: I20110527000318 |
| Provider Name | Tamara Jennifer Wrzesinski |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003804360 PECOS PAC ID: 5698746022 Enrollment ID: I20110613000210 |
| Provider Name | Maureen Lynch-rinaldi |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1538162698 PECOS PAC ID: 2567640717 Enrollment ID: I20110617000247 |
| Provider Name | Mary E Fay |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437311677 PECOS PAC ID: 3375711625 Enrollment ID: I20110713000081 |
| Provider Name | Teofilo J Arazi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922266634 PECOS PAC ID: 2466510359 Enrollment ID: I20110721000251 |
| Provider Name | Sarika Sharma |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770744682 PECOS PAC ID: 9739357377 Enrollment ID: I20110726000178 |
| Provider Name | Shail Maingi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1114183795 PECOS PAC ID: 2264601350 Enrollment ID: I20110805000518 |
| Provider Name | Sashi Wettimuny |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609021005 PECOS PAC ID: 0547430373 Enrollment ID: I20110902000147 |
| Provider Name | Rebecca Keim |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1851476444 PECOS PAC ID: 8527113745 Enrollment ID: I20111021000068 |
| Provider Name | Gaetano M Cristalli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740593094 PECOS PAC ID: 8820261597 Enrollment ID: I20111026000274 |
| Provider Name | Jonathan P Teubl |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063673960 PECOS PAC ID: 3274706825 Enrollment ID: I20111027000416 |
| Provider Name | Curlane M Jones Brown |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588785406 PECOS PAC ID: 8224202056 Enrollment ID: I20111114000324 |
| Provider Name | Judith Marion Vanwoert |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851494470 PECOS PAC ID: 1658546908 Enrollment ID: I20111214000825 |
| Provider Name | Farah Fatima |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598926438 PECOS PAC ID: 6305004730 Enrollment ID: I20120215000052 |
| Provider Name | Debra E Trees |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1811068315 PECOS PAC ID: 7113188830 Enrollment ID: I20120405000372 |
| Provider Name | Tanveer A Sultan |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1093812505 PECOS PAC ID: 9537320072 Enrollment ID: I20120411000106 |
| Provider Name | Christopher C Medina |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518030402 PECOS PAC ID: 2769646496 Enrollment ID: I20120611000031 |
| Provider Name | Richard Eric Kittle |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881616217 PECOS PAC ID: 2264698331 Enrollment ID: I20120718000690 |
| Provider Name | Mary Ann C Rifenberick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518230051 PECOS PAC ID: 9436305596 Enrollment ID: I20120807000003 |
| Provider Name | Beth L Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740541598 PECOS PAC ID: 6800042870 Enrollment ID: I20120807000252 |
| Provider Name | Sinda K Tomy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033348610 PECOS PAC ID: 4385891621 Enrollment ID: I20120822000048 |
| Provider Name | Rakhee L Ippili |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215192653 PECOS PAC ID: 4183895246 Enrollment ID: I20120912000039 |
| Provider Name | David L Colman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487889994 PECOS PAC ID: 3476701517 Enrollment ID: I20120917000011 |
| Provider Name | Shoaib Arif |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801035985 PECOS PAC ID: 6709910466 Enrollment ID: I20120928000667 |
| Provider Name | Brigid C Mccarthy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912260753 PECOS PAC ID: 4981853165 Enrollment ID: I20121003000390 |
| Provider Name | Melissa A Breault |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083971493 PECOS PAC ID: 1052562311 Enrollment ID: I20121114000066 |
| Provider Name | Anthony Cavanagh |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1518255207 PECOS PAC ID: 0345493235 Enrollment ID: I20121228000179 |
| Provider Name | David T Khot |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619101698 PECOS PAC ID: 6608021571 Enrollment ID: I20130226000074 |
| Provider Name | Amelia A Ciccarelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831443027 PECOS PAC ID: 5092950782 Enrollment ID: I20130329000165 |
| Provider Name | John Harry Lagonikos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598052557 PECOS PAC ID: 4981841228 Enrollment ID: I20130506000381 |
| Provider Name | Christopher D. Sakal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407068141 PECOS PAC ID: 7416040043 Enrollment ID: I20130528000250 |
| Provider Name | Lan Le Adams |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750405601 PECOS PAC ID: 1052458221 Enrollment ID: I20130607000219 |
| Provider Name | Mara L Zink |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780922948 PECOS PAC ID: 4789824699 Enrollment ID: I20130717000010 |
| Provider Name | Naeem Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396059366 PECOS PAC ID: 1557504255 Enrollment ID: I20130828000469 |
| Provider Name | Allison S Liss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396086815 PECOS PAC ID: 0042453391 Enrollment ID: I20130905000549 |
| Provider Name | John Laldin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467766352 PECOS PAC ID: 6709010796 Enrollment ID: I20131007000110 |
| Provider Name | Abimbola Olowo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295990588 PECOS PAC ID: 7517034614 Enrollment ID: I20131024002026 |
| Provider Name | Allison Anne Ceci |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790118883 PECOS PAC ID: 9537395967 Enrollment ID: I20131113001379 |
| Provider Name | Siham Elkouachi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568773570 PECOS PAC ID: 7416183405 Enrollment ID: I20131121001451 |
| Provider Name | Mustafain Meghani |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1053540351 PECOS PAC ID: 8325087778 Enrollment ID: I20131218000253 |
| Provider Name | Shean L Barrett |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568780922 PECOS PAC ID: 2264669001 Enrollment ID: I20131226000400 |
| Provider Name | Rabin Rai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326335761 PECOS PAC ID: 8022274927 Enrollment ID: I20140128001307 |
| Provider Name | Kelly Irwin Pagnotti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013359629 PECOS PAC ID: 3173752615 Enrollment ID: I20140204001011 |
| Provider Name | Dipti L Bhoiwala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750515961 PECOS PAC ID: 8921237355 Enrollment ID: I20140206000657 |
| Provider Name | Jodi L Falardeau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811254667 PECOS PAC ID: 2668601980 Enrollment ID: I20140208000288 |
| Provider Name | Diana M Stulc |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225002165 PECOS PAC ID: 9133162860 Enrollment ID: I20140212001157 |
| Provider Name | Ned Okarter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457679037 PECOS PAC ID: 0345470894 Enrollment ID: I20140228000190 |
| Provider Name | Sesha Patel Berman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265738017 PECOS PAC ID: 6507026762 Enrollment ID: I20140326002284 |
| Provider Name | Mahalakshmi Devarakonda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508190307 PECOS PAC ID: 4486803244 Enrollment ID: I20140416000907 |
| Provider Name | Robert L Oksenholt |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1548208929 PECOS PAC ID: 1052214368 Enrollment ID: I20140418000124 |
| Provider Name | Carlos A Navarro |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1528373198 PECOS PAC ID: 9739302563 Enrollment ID: I20140527000020 |
| Provider Name | Hope G Raggs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932536356 PECOS PAC ID: 4183849466 Enrollment ID: I20140630000035 |
| Provider Name | Larry Joe Maturani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750597019 PECOS PAC ID: 9436231735 Enrollment ID: I20140708001905 |
| Provider Name | Jessica A Halse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194081489 PECOS PAC ID: 6305062373 Enrollment ID: I20140728002191 |
| Provider Name | Johnson Pereira |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396064341 PECOS PAC ID: 6103078670 Enrollment ID: I20140731002837 |
| Provider Name | Amanda J Crosier-riffle |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033345004 PECOS PAC ID: 5597982017 Enrollment ID: I20140807000221 |
| Provider Name | Maday C Gonzalez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841599388 PECOS PAC ID: 7810115557 Enrollment ID: I20140821002306 |
| Provider Name | Anne S Renteria |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1306008701 PECOS PAC ID: 4082857321 Enrollment ID: I20140827001973 |
| Provider Name | Mark Levin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912932765 PECOS PAC ID: 5496789943 Enrollment ID: I20140915001638 |
| Provider Name | Tarekul Haque Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306924303 PECOS PAC ID: 5496703415 Enrollment ID: I20141211000670 |
| Provider Name | Chrystal D Price |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811281587 PECOS PAC ID: 3678895174 Enrollment ID: I20141212000919 |
| Provider Name | Pooja M Kayi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407018393 PECOS PAC ID: 7315187648 Enrollment ID: I20141212001629 |
| Provider Name | Max M Benson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093009425 PECOS PAC ID: 8123340650 Enrollment ID: I20141224000779 |
| Provider Name | Kevin L King |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528464070 PECOS PAC ID: 5092038828 Enrollment ID: I20141230002054 |
| Provider Name | Rachel Baerga Duperoy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508167628 PECOS PAC ID: 7719120237 Enrollment ID: I20150114000870 |
| Provider Name | Kerry M Wickert |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083919369 PECOS PAC ID: 5597089813 Enrollment ID: I20150115000631 |
| Provider Name | Daniel A Marra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801202858 PECOS PAC ID: 0547584716 Enrollment ID: I20150116000121 |
| Provider Name | Ronald H Sumter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922260058 PECOS PAC ID: 9234314923 Enrollment ID: I20150123000098 |
| Provider Name | Bridget Patterson-marshall |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1043208739 PECOS PAC ID: 5698842755 Enrollment ID: I20150211000230 |
| Provider Name | Racheal M Paige |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780099192 PECOS PAC ID: 8022334846 Enrollment ID: I20150313000063 |
| Provider Name | Annie C Ya Winkler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508275413 PECOS PAC ID: 9537487632 Enrollment ID: I20150422001224 |
| Provider Name | Allison J Drake |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760799985 PECOS PAC ID: 3072831072 Enrollment ID: I20150422001344 |
| Provider Name | Reena Mohindra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811955594 PECOS PAC ID: 7315122280 Enrollment ID: I20150425000432 |
| Provider Name | Bhavna Sehgal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548583412 PECOS PAC ID: 3375783228 Enrollment ID: I20150522001156 |
| Provider Name | Michal Kaczor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710148614 PECOS PAC ID: 8224205109 Enrollment ID: I20150610000428 |
| Provider Name | Vanessa Calderon |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1023007226 PECOS PAC ID: 2567773286 Enrollment ID: I20150623000777 |
| Provider Name | Saadat A Khan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548585805 PECOS PAC ID: 7416198171 Enrollment ID: I20150903001965 |
| Provider Name | Michelle L Eastman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518047273 PECOS PAC ID: 2860615960 Enrollment ID: I20150908002270 |
| Provider Name | Ronnie F Luyun |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1346291960 PECOS PAC ID: 8820039779 Enrollment ID: I20150925002080 |
| Provider Name | Carol Hennessy |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508892993 PECOS PAC ID: 4587972294 Enrollment ID: I20150930000182 |
| Provider Name | Arien J Smith |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1023277829 PECOS PAC ID: 5991994642 Enrollment ID: I20151123001453 |
| Provider Name | Muhammad Ihsan |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1114210309 PECOS PAC ID: 7810297801 Enrollment ID: I20151123002674 |
| Provider Name | Latif A Salam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174883755 PECOS PAC ID: 1658671417 Enrollment ID: I20151130001471 |
| Provider Name | Dan Liu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093145658 PECOS PAC ID: 0345470001 Enrollment ID: I20151214001723 |
| Provider Name | Timothy R Waters |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083813885 PECOS PAC ID: 9638326556 Enrollment ID: I20160107002485 |
| Provider Name | Steven Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679833305 PECOS PAC ID: 2264734011 Enrollment ID: I20160111001538 |
| Provider Name | Elizabeth M Wyman |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1285999649 PECOS PAC ID: 8628371119 Enrollment ID: I20160115000941 |
| Provider Name | Nadine Kalavazoff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881941441 PECOS PAC ID: 0840422903 Enrollment ID: I20160126001790 |
| Provider Name | Erin K Clausi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306273875 PECOS PAC ID: 0648573360 Enrollment ID: I20160129000188 |
| Provider Name | Brigitte Edwige Bekan-homawoo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871858787 PECOS PAC ID: 2668775388 Enrollment ID: I20160203000091 |
| Provider Name | Rajmayur P Brahmbhatt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629156153 PECOS PAC ID: 0244534295 Enrollment ID: I20160211000882 |
| Provider Name | Shyam M Amin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1487914891 PECOS PAC ID: 2860796638 Enrollment ID: I20160215002716 |
| Provider Name | Annmarie Cavone-banks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427090612 PECOS PAC ID: 4284930777 Enrollment ID: I20160309001493 |
| Provider Name | Rushin Nalin Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033531546 PECOS PAC ID: 6406078187 Enrollment ID: I20160316000834 |
| Provider Name | Biana Volfinzon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952664351 PECOS PAC ID: 5092011007 Enrollment ID: I20160316001794 |
| Provider Name | Mark S Goldman |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1144398298 PECOS PAC ID: 3375856628 Enrollment ID: I20160317000777 |
| Provider Name | Catherine Ann Lesson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568846806 PECOS PAC ID: 4789982950 Enrollment ID: I20160421000812 |
| Provider Name | Jennifer B Cerone |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942462205 PECOS PAC ID: 1557660826 Enrollment ID: I20160509001662 |
| Provider Name | Seth Gordon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922038363 PECOS PAC ID: 5496785990 Enrollment ID: I20160708000102 |
| Provider Name | Frank Farrell Garcia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053674994 PECOS PAC ID: 3870885833 Enrollment ID: I20160712001468 |
| Provider Name | Donald Bringley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851735146 PECOS PAC ID: 0042503021 Enrollment ID: I20160728000922 |
| Provider Name | Arindam Ghatak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699047621 PECOS PAC ID: 3971896713 Enrollment ID: I20160801001663 |
| Provider Name | Angel Peng |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013354208 PECOS PAC ID: 5193011716 Enrollment ID: I20160908001069 |
| Provider Name | Maureen Ann Wroblewski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215480751 PECOS PAC ID: 4284921255 Enrollment ID: I20160920001632 |
| Provider Name | Sarah Shihadeh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922442235 PECOS PAC ID: 0244527901 Enrollment ID: I20160922002473 |
| Provider Name | Chaithanya Pamidimukala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023459633 PECOS PAC ID: 8123316072 Enrollment ID: I20161010002180 |
| Provider Name | Frederick Griffiths |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215373600 PECOS PAC ID: 5991021669 Enrollment ID: I20161014001547 |
| Provider Name | Faiyaz Ahmed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447542832 PECOS PAC ID: 8628356714 Enrollment ID: I20161024002736 |
| Provider Name | Armaghan Y Soomro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003256157 PECOS PAC ID: 3375821473 Enrollment ID: I20161025000144 |
| Provider Name | Bushra Iftikhar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376941757 PECOS PAC ID: 9830477512 Enrollment ID: I20161101000124 |
| Provider Name | Sarah Naeem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326487638 PECOS PAC ID: 3678851078 Enrollment ID: I20161104000743 |
| Provider Name | Tristan D Petrie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548604507 PECOS PAC ID: 5395024798 Enrollment ID: I20161107002179 |
| Provider Name | Rebekah Harrington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386198133 PECOS PAC ID: 1456630896 Enrollment ID: I20161108000817 |
| Provider Name | Junaid Nasir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972850055 PECOS PAC ID: 2062630809 Enrollment ID: I20161109000415 |
| Provider Name | Garrick A Applebee |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1114934080 PECOS PAC ID: 0547299026 Enrollment ID: I20161109000732 |
| Provider Name | Jolanta J Libura |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205190535 PECOS PAC ID: 3375795255 Enrollment ID: I20161111000994 |
| Provider Name | Mark C Watts |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1700913738 PECOS PAC ID: 5890858492 Enrollment ID: I20161117000778 |
| Provider Name | Michelle Dana Marella |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215290176 PECOS PAC ID: 0143509836 Enrollment ID: I20161121001889 |
| Provider Name | Khaled Al Alwani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558701524 PECOS PAC ID: 8325335177 Enrollment ID: I20161122001548 |
| Provider Name | Meaghan A Sanderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245789783 PECOS PAC ID: 3274813548 Enrollment ID: I20161201002046 |
| Provider Name | Ronnie Tom Oommen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548581887 PECOS PAC ID: 8325289077 Enrollment ID: I20161216001599 |
| Provider Name | Jonathan Daich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518306505 PECOS PAC ID: 5193006591 Enrollment ID: I20161222001423 |
| Provider Name | Mohammed A Makkiya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679916605 PECOS PAC ID: 0345521167 Enrollment ID: I20170110000008 |
| Provider Name | Sarah Jane Tyner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174075774 PECOS PAC ID: 5890076566 Enrollment ID: I20170112000005 |
| Provider Name | Melissa Brandon Weimer |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1972708675 PECOS PAC ID: 8022162726 Enrollment ID: I20170119002733 |
| Provider Name | Gulvahid Shaikh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225287329 PECOS PAC ID: 0244478022 Enrollment ID: I20170124000941 |
| Provider Name | Aleta Cabuhat |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386069060 PECOS PAC ID: 7719100718 Enrollment ID: I20170220000894 |
| Provider Name | Haroon Kamran |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1083971816 PECOS PAC ID: 7517241128 Enrollment ID: I20170227002440 |
| Provider Name | Rehman Chowdhry |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639339435 PECOS PAC ID: 3173749538 Enrollment ID: I20170313001474 |
| Provider Name | Amanda Michelle Stahl |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942479019 PECOS PAC ID: 8628353620 Enrollment ID: I20170313002054 |
| Provider Name | Nikhil Nalluri |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1518245935 PECOS PAC ID: 3779868435 Enrollment ID: I20170320000919 |
| Provider Name | Matthew B Sonagere |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1295174548 PECOS PAC ID: 7214150804 Enrollment ID: I20170321001858 |
| Provider Name | Christina Rawana |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376986760 PECOS PAC ID: 1153636246 Enrollment ID: I20170327001809 |
| Provider Name | Marcella Antoniewicz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538551197 PECOS PAC ID: 5698051605 Enrollment ID: I20170405001903 |
| Provider Name | Nora Kate Callinan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356760342 PECOS PAC ID: 9032486964 Enrollment ID: I20170525000949 |
| Provider Name | Jennifer N. Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407275076 PECOS PAC ID: 2163799933 Enrollment ID: I20170526000427 |
| Provider Name | William Kostun |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457320061 PECOS PAC ID: 0345517918 Enrollment ID: I20170602000298 |
| Provider Name | Sarah A Slader-waldorf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528508892 PECOS PAC ID: 1456628866 Enrollment ID: I20170606000479 |
| Provider Name | Richard Akin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770933806 PECOS PAC ID: 0143598953 Enrollment ID: I20170620002838 |
| Provider Name | Fei Xu |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1851648927 PECOS PAC ID: 7618269622 Enrollment ID: I20170626000142 |
| Provider Name | Shelby Robertson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1508302522 PECOS PAC ID: 0143599647 Enrollment ID: I20170626002821 |
| Provider Name | Gregory Vallecorsa |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1174957641 PECOS PAC ID: 5193094407 Enrollment ID: I20170629002177 |
| Provider Name | Anwarul Haq |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1437131042 PECOS PAC ID: 3870650252 Enrollment ID: I20170712003008 |
| Provider Name | Uroosa Ibrahim |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1235494204 PECOS PAC ID: 7618247156 Enrollment ID: I20170717002192 |
| Provider Name | Amy K Bartlett-palmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841609393 PECOS PAC ID: 8628390218 Enrollment ID: I20170724002308 |
| Provider Name | Disha C Spath |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760743777 PECOS PAC ID: 6709028418 Enrollment ID: I20170814002409 |
| Provider Name | Chrysothemis Nesbitt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558707802 PECOS PAC ID: 2264704907 Enrollment ID: I20170816000546 |
| Provider Name | Heather Denise Lydecker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992124440 PECOS PAC ID: 1951673185 Enrollment ID: I20170822003256 |
| Provider Name | Abdul Siddiqui |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912331323 PECOS PAC ID: 4486926334 Enrollment ID: I20170828001357 |
| Provider Name | Helen Mcdonald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952821118 PECOS PAC ID: 5496028383 Enrollment ID: I20170828003801 |
| Provider Name | Brittany Quinn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518408624 PECOS PAC ID: 4688947229 Enrollment ID: I20170905000025 |
| Provider Name | Georges Junior Joseph |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548555956 PECOS PAC ID: 2668692336 Enrollment ID: I20170907000084 |
| Provider Name | Apurva Patel |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1821355074 PECOS PAC ID: 1355614488 Enrollment ID: I20170912000207 |
| Provider Name | Elena Theodosiou |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1891730982 PECOS PAC ID: 5092788216 Enrollment ID: I20170913001180 |
| Provider Name | Kelly E Cavanaugh |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1740705326 PECOS PAC ID: 6507130226 Enrollment ID: I20170919004002 |
| Provider Name | Pierre J Gonsalves |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275793101 PECOS PAC ID: 0345437976 Enrollment ID: I20170920001707 |
| Provider Name | Richa Sharma |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710291562 PECOS PAC ID: 6103190665 Enrollment ID: I20170921002063 |
| Provider Name | Chul So Moon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316999055 PECOS PAC ID: 0042352148 Enrollment ID: I20170922002381 |
| Provider Name | Carl Frederic Bastien |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649692849 PECOS PAC ID: 1951676683 Enrollment ID: I20171005003579 |
| Provider Name | Keerthi Patlolla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881001006 PECOS PAC ID: 6800192790 Enrollment ID: I20171006001394 |
| Provider Name | Lane Zhang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316359508 PECOS PAC ID: 7517224736 Enrollment ID: I20171127001006 |
| Provider Name | Christine Denison Roe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205206174 PECOS PAC ID: 4385944370 Enrollment ID: I20171206001764 |
| Provider Name | Michael S Steinberg |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1902801566 PECOS PAC ID: 7517927791 Enrollment ID: I20171214002005 |
| Provider Name | Selma Kerri Crump |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760994156 PECOS PAC ID: 9739449778 Enrollment ID: I20180212001704 |
| Provider Name | Lynn Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578016333 PECOS PAC ID: 1456611292 Enrollment ID: I20180215002761 |
| Provider Name | Jason D Goldstein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598185522 PECOS PAC ID: 5991066656 Enrollment ID: I20180221001938 |
| Provider Name | Geethapriya Rajasekaran Rathnakumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255738258 PECOS PAC ID: 0749541753 Enrollment ID: I20180307001140 |
| Provider Name | Melanie Connell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972001170 PECOS PAC ID: 3375805591 Enrollment ID: I20180327002127 |
| Provider Name | David Steck |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558452979 PECOS PAC ID: 8628331683 Enrollment ID: I20180405000057 |
| Provider Name | Katherine Robertson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881766996 PECOS PAC ID: 5092078725 Enrollment ID: I20180411001897 |
| Provider Name | Veronica Schmidt |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1255627956 PECOS PAC ID: 0547523292 Enrollment ID: I20180411002805 |
| Provider Name | Christina Conigliaro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477060648 PECOS PAC ID: 9032472600 Enrollment ID: I20180412001029 |
| Provider Name | John F Morrison |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1447489620 PECOS PAC ID: 5496973679 Enrollment ID: I20180423002701 |
| Provider Name | Richard Peralta Hernandez |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1154690972 PECOS PAC ID: 0345504312 Enrollment ID: I20180430001049 |
| Provider Name | Julia Marie Leroux |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689026908 PECOS PAC ID: 9830479468 Enrollment ID: I20180430001374 |
| Provider Name | Jeanne Marie Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619477171 PECOS PAC ID: 4981968781 Enrollment ID: I20180502002231 |
| Provider Name | Melissa Seaman Feltman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366956906 PECOS PAC ID: 4183988504 Enrollment ID: I20180510000773 |
| Provider Name | Robert T Adrah |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1629499785 PECOS PAC ID: 5294081691 Enrollment ID: I20180627001016 |
| Provider Name | Caitlin Watchorn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114431020 PECOS PAC ID: 1658627963 Enrollment ID: I20180628001950 |
| Provider Name | James Richard Winston Cozens |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487048740 PECOS PAC ID: 3173870581 Enrollment ID: I20180717001036 |
| Provider Name | John Peter O'laughlin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356761894 PECOS PAC ID: 4183971435 Enrollment ID: I20180718002424 |
| Provider Name | Patricia Bradt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548755440 PECOS PAC ID: 3779831276 Enrollment ID: I20180731001645 |
| Provider Name | Steve J. Herrin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427007426 PECOS PAC ID: 5991697369 Enrollment ID: I20180731002708 |
| Provider Name | Kyla Rae Garand |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558856278 PECOS PAC ID: 3577811363 Enrollment ID: I20180810001325 |
| Provider Name | Lulu Zhang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396003562 PECOS PAC ID: 2769771591 Enrollment ID: I20180815004007 |
| Provider Name | Jijin Thomas Chacko |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952695421 PECOS PAC ID: 7315260445 Enrollment ID: I20180904003064 |
| Provider Name | Nancy Sue Salisbury |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1366531469 PECOS PAC ID: 7810292059 Enrollment ID: I20180907000928 |
| Provider Name | Ryan K Dean |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1679960751 PECOS PAC ID: 0244580264 Enrollment ID: I20180912000785 |
| Provider Name | Najiib Azad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396186433 PECOS PAC ID: 2567751068 Enrollment ID: I20180912003676 |
| Provider Name | Jessica Leigh Mccoy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962896449 PECOS PAC ID: 4082965082 Enrollment ID: I20181001000669 |
| Provider Name | Faraj Kargoli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295122638 PECOS PAC ID: 9032461611 Enrollment ID: I20181009003058 |
| Provider Name | Oliver Patrick Archibald |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174508105 PECOS PAC ID: 8022197169 Enrollment ID: I20181010001591 |
| Provider Name | Kayode Odutayo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790118875 PECOS PAC ID: 2567756992 Enrollment ID: I20181114000931 |
| Provider Name | Nitin Verma |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1598872731 PECOS PAC ID: 2264439256 Enrollment ID: I20181114002767 |
| Provider Name | Akanibo Da-wariboko |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902144736 PECOS PAC ID: 3274887997 Enrollment ID: I20181116000371 |
| Provider Name | Mian Mansoor Javaid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184960452 PECOS PAC ID: 3173757101 Enrollment ID: I20181121000684 |
| Provider Name | Randolph Eamonn Brown |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902127228 PECOS PAC ID: 7012133341 Enrollment ID: I20181129002832 |
| Provider Name | Mohammad Yunus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861796153 PECOS PAC ID: 9436322963 Enrollment ID: I20181206002635 |
| Provider Name | Shakil A Shaikh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932527058 PECOS PAC ID: 0749408524 Enrollment ID: I20181211002711 |
| Provider Name | Usman Siddiqui |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356774491 PECOS PAC ID: 2769727106 Enrollment ID: I20181213000425 |
| Provider Name | Kleanthis Theodoropoulos |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1710394325 PECOS PAC ID: 5092059998 Enrollment ID: I20190108002511 |
| Provider Name | Mary Virginia Nimmer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780744359 PECOS PAC ID: 9436495421 Enrollment ID: I20190111002242 |
| Provider Name | Andrew Lee |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770893877 PECOS PAC ID: 3274870829 Enrollment ID: I20190122000205 |
| Provider Name | Elizabeth Clark |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033200605 PECOS PAC ID: 1759628209 Enrollment ID: I20190123000301 |
| Provider Name | Steven Lau |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619350303 PECOS PAC ID: 9739426057 Enrollment ID: I20190124002370 |
| Provider Name | Stephanie Anne Golinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578685590 PECOS PAC ID: 2961740634 Enrollment ID: I20190205003209 |
| Provider Name | Rachel Michelle Easterwood |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285052613 PECOS PAC ID: 1456699867 Enrollment ID: I20190211000992 |
| Provider Name | Janet H Guilfoyle-case |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366555443 PECOS PAC ID: 0547509275 Enrollment ID: I20190225001714 |
| Provider Name | Darian Rose Morley |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245704568 PECOS PAC ID: 3476892886 Enrollment ID: I20190301001702 |
| Provider Name | Kristen M Carrierfenster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285820449 PECOS PAC ID: 8123243540 Enrollment ID: I20190314002223 |
| Provider Name | Jessica Logozzo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578029153 PECOS PAC ID: 7719227495 Enrollment ID: I20190315000057 |
| Provider Name | Sherri L Mcmullen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679616486 PECOS PAC ID: 2769723659 Enrollment ID: I20190402001490 |
| Provider Name | Korey Marshall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902362627 PECOS PAC ID: 1557602406 Enrollment ID: I20190403001069 |
| Provider Name | Alexis Erin Michele Lane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326506122 PECOS PAC ID: 6204177942 Enrollment ID: I20190408001221 |
| Provider Name | Riju Banerjee |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1417343674 PECOS PAC ID: 1850638107 Enrollment ID: I20190603001570 |
| Provider Name | Behrouz Ferdosiannajafabadi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992183446 PECOS PAC ID: 0547506594 Enrollment ID: I20190612000468 |
| Provider Name | Margaret Iris Worden |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1861974677 PECOS PAC ID: 4486988821 Enrollment ID: I20190619000455 |
| Provider Name | Suchet Kumar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285012211 PECOS PAC ID: 6002140084 Enrollment ID: I20190625001944 |
| Provider Name | Valerie Ann Keville |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1437636156 PECOS PAC ID: 8527393958 Enrollment ID: I20190708002324 |
| Provider Name | Dongwoo John Chang |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1962485037 PECOS PAC ID: 6709779853 Enrollment ID: I20190711002648 |
| Provider Name | Amanda Jane Bylsma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053976993 PECOS PAC ID: 4385979277 Enrollment ID: I20190715002866 |
| Provider Name | Nicole Anderson Aguirre |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538455480 PECOS PAC ID: 8527395292 Enrollment ID: I20190805001248 |
| Provider Name | Sanjay Sekar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1417310772 PECOS PAC ID: 0446594808 Enrollment ID: I20190806001211 |
| Provider Name | Stephen Franco |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487018024 PECOS PAC ID: 6709121288 Enrollment ID: I20190808003417 |
| Provider Name | Ajaz M Khan |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1043484736 PECOS PAC ID: 8628136124 Enrollment ID: I20190814001076 |
| Provider Name | Catherine S Pfeiffer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649664970 PECOS PAC ID: 3274871561 Enrollment ID: I20190816000068 |
| Provider Name | Paulina D Kitcher |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710962089 PECOS PAC ID: 6709778335 Enrollment ID: I20190823002044 |
| Provider Name | Sherrie J Hunter Kelly |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1598327876 PECOS PAC ID: 5890023055 Enrollment ID: I20190826002603 |
| Provider Name | Evan R Kraus |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699718221 PECOS PAC ID: 2668422262 Enrollment ID: I20190830002726 |
| Provider Name | Amina Mookshah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1174928758 PECOS PAC ID: 9931466554 Enrollment ID: I20190917002681 |
| Provider Name | David Kotlyar |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1245527670 PECOS PAC ID: 8325327950 Enrollment ID: I20191004000101 |
| Provider Name | Nathan Bryce Mahany |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861735854 PECOS PAC ID: 0143461012 Enrollment ID: I20191010000701 |
| Provider Name | Tara A Burke-muscatello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316599863 PECOS PAC ID: 1951632595 Enrollment ID: I20191011000753 |
| Provider Name | Brian M Salata |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1174919559 PECOS PAC ID: 3375875404 Enrollment ID: I20191023000213 |
| Provider Name | Andrew Joseph Castellano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457709578 PECOS PAC ID: 4789976143 Enrollment ID: I20191025000176 |
| Provider Name | Heather Marie Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497306526 PECOS PAC ID: 3678805579 Enrollment ID: I20191025001815 |
| Provider Name | Marguerite A Sein Ohn Saith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497702534 PECOS PAC ID: 0244288546 Enrollment ID: I20191030002615 |
| Provider Name | Gregory James Cunn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154715183 PECOS PAC ID: 3375875875 Enrollment ID: I20191104000594 |
| Provider Name | Ashok A Ramani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619330396 PECOS PAC ID: 2668710609 Enrollment ID: I20191111000240 |
| Provider Name | Melanie Ecung Deyss |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720379803 PECOS PAC ID: 8921309204 Enrollment ID: I20191115001063 |
| Provider Name | Tai Ho Shin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932546082 PECOS PAC ID: 8628315181 Enrollment ID: I20191118001654 |
| Provider Name | Kelly Lynne Hearne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003468273 PECOS PAC ID: 9335571967 Enrollment ID: I20191119002580 |
| Provider Name | Evan Joye |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1407242696 PECOS PAC ID: 9133466329 Enrollment ID: I20191120002954 |
| Provider Name | Muhammad Kafeel Sarwar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013389030 PECOS PAC ID: 5496092512 Enrollment ID: I20191125000816 |
| Provider Name | Mukund Das |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831552397 PECOS PAC ID: 1254764665 Enrollment ID: I20191125002061 |
| Provider Name | Maya Rajendra Velhankar |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1689027815 PECOS PAC ID: 3577996941 Enrollment ID: I20191126001625 |
| Provider Name | Joan Marie Killeen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164064275 PECOS PAC ID: 0042643249 Enrollment ID: I20191202001376 |
| Provider Name | Priyadarshan Gupta |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104947662 PECOS PAC ID: 8527128594 Enrollment ID: I20191202001447 |
| Provider Name | Jerry Noel |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1235334038 PECOS PAC ID: 3678858701 Enrollment ID: I20191204000816 |
| Provider Name | Natacha Rigual Wood |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902272099 PECOS PAC ID: 1456697358 Enrollment ID: I20191205001490 |
| Provider Name | Alexander Scott Weller |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295120848 PECOS PAC ID: 6002171030 Enrollment ID: I20191209001389 |
| Provider Name | Luay Mrad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922449115 PECOS PAC ID: 8123262888 Enrollment ID: I20191218002192 |
| Provider Name | Ahmad Alkhalil |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1629355904 PECOS PAC ID: 1254653710 Enrollment ID: I20200116001702 |
| Provider Name | Chiedozie Nwagwu |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1669552808 PECOS PAC ID: 9032147616 Enrollment ID: I20200128002513 |
| Provider Name | Marco Nagy Kamel Kaldas |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962891051 PECOS PAC ID: 7012295793 Enrollment ID: I20200129002929 |
| Provider Name | Casey William White |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1841677333 PECOS PAC ID: 3476890757 Enrollment ID: I20200302002089 |
| Provider Name | Parham Yashar |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1215100805 PECOS PAC ID: 5799948394 Enrollment ID: I20200310002033 |
| Provider Name | Lauren A Plante |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033111596 PECOS PAC ID: 2163484312 Enrollment ID: I20200324001955 |
| Provider Name | Heather Lynn Maggio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922634757 PECOS PAC ID: 5294164158 Enrollment ID: I20200330000493 |
| Provider Name | Emily Plews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407263882 PECOS PAC ID: 6709005895 Enrollment ID: I20200417001749 |
| Provider Name | Priyanka Chopra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164954244 PECOS PAC ID: 4789928102 Enrollment ID: I20200501001708 |
| Provider Name | Jeffrey M Dembner |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1356423271 PECOS PAC ID: 2961396718 Enrollment ID: I20200505000092 |
| Provider Name | Sedat M Surmeli |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457306029 PECOS PAC ID: 6002706892 Enrollment ID: I20200506001615 |
| Provider Name | Alexis Joanna Disilvestro |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033439690 PECOS PAC ID: 6709027279 Enrollment ID: I20200506002502 |
| Provider Name | Adnan Syed Raza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124414479 PECOS PAC ID: 8426489436 Enrollment ID: I20200507000519 |
| Provider Name | Matthew Budway |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1760412100 PECOS PAC ID: 3577506344 Enrollment ID: I20200605000871 |
| Provider Name | Benjamin Frank Villarreal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841722774 PECOS PAC ID: 0840535050 Enrollment ID: I20200608000224 |
| Provider Name | Susan Koller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841212305 PECOS PAC ID: 2365755352 Enrollment ID: I20200610002281 |
| Provider Name | Issa H. Kutkut |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528449220 PECOS PAC ID: 6406168525 Enrollment ID: I20200611000585 |
| Provider Name | Tonusri Nag |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235587551 PECOS PAC ID: 3870915218 Enrollment ID: I20200612000811 |
| Provider Name | Krista N Morales |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679005326 PECOS PAC ID: 7810239092 Enrollment ID: I20200709002613 |
| Provider Name | Cristina Calderon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205368594 PECOS PAC ID: 6204175896 Enrollment ID: I20200714001219 |
| Provider Name | Vikram Verma |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427346204 PECOS PAC ID: 4284058579 Enrollment ID: I20200720002113 |
| Provider Name | Md Rezaul Hoque |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316467723 PECOS PAC ID: 4082039680 Enrollment ID: I20200729003335 |
| Provider Name | Usman K Naqvi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225483092 PECOS PAC ID: 2860737079 Enrollment ID: I20200812001478 |
| Provider Name | Nazia Rais Alam Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881116895 PECOS PAC ID: 2365868593 Enrollment ID: I20200818002339 |
| Provider Name | Hau Chan Chieng |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902290315 PECOS PAC ID: 2860739281 Enrollment ID: I20200827003656 |
| Provider Name | Amanda Marie Benacquisto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902424443 PECOS PAC ID: 8224455415 Enrollment ID: I20200902002200 |
| Provider Name | Amy Van Amburgh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972111854 PECOS PAC ID: 7911325592 Enrollment ID: I20200914001909 |
| Provider Name | Joshua A Malone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235765843 PECOS PAC ID: 6103244744 Enrollment ID: I20200915001244 |
| Provider Name | Albin Mammen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1871029777 PECOS PAC ID: 4183042534 Enrollment ID: I20200916001855 |
| Provider Name | Brittany Nora Center |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194346718 PECOS PAC ID: 9335567544 Enrollment ID: I20200918001718 |
| Provider Name | Kelsey Ann Martin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700249414 PECOS PAC ID: 0446598999 Enrollment ID: I20200918002456 |
| Provider Name | Tracy J Salisbury |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497380786 PECOS PAC ID: 8628497690 Enrollment ID: I20200925000442 |
| Provider Name | Oksana Better |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558841668 PECOS PAC ID: 7113346586 Enrollment ID: I20201005000499 |
| Provider Name | Arnold Joseph Rossi |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1720071178 PECOS PAC ID: 4486629011 Enrollment ID: I20201009001414 |
| Provider Name | Stephanie Kathleen Dulay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669099750 PECOS PAC ID: 1951721695 Enrollment ID: I20201019000190 |
| Provider Name | Steven Gu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861927493 PECOS PAC ID: 6608286539 Enrollment ID: I20201104002954 |
| Provider Name | Helen Cha |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760913461 PECOS PAC ID: 4284044827 Enrollment ID: I20201110000940 |
| Provider Name | Virginie Auguste |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164832614 PECOS PAC ID: 4981979309 Enrollment ID: I20201118001696 |
| Provider Name | Audrey Kate Bonk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619575172 PECOS PAC ID: 3870904006 Enrollment ID: I20201119001984 |
| Provider Name | Joseph Friedrich Emrich |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1649262858 PECOS PAC ID: 0143356626 Enrollment ID: I20201210001559 |
| Provider Name | Darryl Lau |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1801138060 PECOS PAC ID: 1254623325 Enrollment ID: I20201214002852 |
| Provider Name | Sarah L Prior |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1790242410 PECOS PAC ID: 6305258294 Enrollment ID: I20201217002015 |
| Provider Name | Katherine R Hiles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790306579 PECOS PAC ID: 0244642908 Enrollment ID: I20201222001448 |
| Provider Name | Olanrewaju Adedokun |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912341058 PECOS PAC ID: 0345652905 Enrollment ID: I20201224000127 |
| Provider Name | Laura Nicole Sicke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396361911 PECOS PAC ID: 6800201765 Enrollment ID: I20210226002137 |
| Provider Name | Brian Donald Conway |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699209106 PECOS PAC ID: 5698012029 Enrollment ID: I20210311001545 |
| Provider Name | Sarah G Cagino |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356735716 PECOS PAC ID: 1658617402 Enrollment ID: I20210312002198 |
| Provider Name | Pankil Desai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518311984 PECOS PAC ID: 7517374580 Enrollment ID: I20210318003013 |
| Provider Name | Marshall Carpenter |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730144353 PECOS PAC ID: 6002856366 Enrollment ID: I20210319000334 |
| Provider Name | Elizabeth Hyde |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245346972 PECOS PAC ID: 7517374283 Enrollment ID: I20210324001832 |
| Provider Name | Roberto Joaquin Reyes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508461179 PECOS PAC ID: 0840608022 Enrollment ID: I20210428001767 |
| Provider Name | Muhammed S Saif |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396276697 PECOS PAC ID: 5698005502 Enrollment ID: I20210519002311 |
| Provider Name | Sarah Morgan Fealey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366026692 PECOS PAC ID: 7719386218 Enrollment ID: I20210603002678 |
| Provider Name | Jaime Lynne Bickford |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1558898346 PECOS PAC ID: 5890195697 Enrollment ID: I20210616001479 |
| Provider Name | Matthew Allen Erby |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1427581081 PECOS PAC ID: 6800132572 Enrollment ID: I20210708001326 |
| Provider Name | William S Douglas |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1881049153 PECOS PAC ID: 2769728476 Enrollment ID: I20210730000630 |
| Provider Name | Angad Madan |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1205217924 PECOS PAC ID: 9537461801 Enrollment ID: I20210806001195 |
| Provider Name | Kamal Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962866756 PECOS PAC ID: 8527301431 Enrollment ID: I20210809001681 |
| Provider Name | Yashuda Gurung |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558854349 PECOS PAC ID: 8022412204 Enrollment ID: I20210810002780 |
| Provider Name | Sohail Imran Alvi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124137393 PECOS PAC ID: 1658388335 Enrollment ID: I20210902002662 |
| Provider Name | Ravi Jyotindra Upadhyay |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720515547 PECOS PAC ID: 3072910405 Enrollment ID: I20210927003029 |
| Provider Name | Ashraf Al-tarifi |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1932714169 PECOS PAC ID: 8527048214 Enrollment ID: I20210928003513 |
| Provider Name | Mfon Bassey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275131583 PECOS PAC ID: 6507264595 Enrollment ID: I20211005002776 |
| Provider Name | Amit Sharma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477221208 PECOS PAC ID: 6507254646 Enrollment ID: I20211022001078 |
| Provider Name | Josephine Pineda Dela Cruz |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1437410099 PECOS PAC ID: 2769753474 Enrollment ID: I20211025000389 |
| Provider Name | Chandler Countryman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215509104 PECOS PAC ID: 4688062508 Enrollment ID: I20211026003131 |
| Provider Name | Gurpreet Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700311743 PECOS PAC ID: 1254678212 Enrollment ID: I20211028002499 |
| Provider Name | Roberto Christian Cerrud Rodriguez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811346919 PECOS PAC ID: 4385032721 Enrollment ID: I20211103003081 |
| Provider Name | Anish Y Desai |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104321140 PECOS PAC ID: 8820332281 Enrollment ID: I20211108001706 |
| Provider Name | Bryson L Sherman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215693148 PECOS PAC ID: 8921498718 Enrollment ID: I20211210000101 |
| Provider Name | Gregory Daniel House |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851895023 PECOS PAC ID: 7113257023 Enrollment ID: I20211213000136 |
| Provider Name | Hannah Mccarthy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568928372 PECOS PAC ID: 3476943077 Enrollment ID: I20211213002549 |
| Provider Name | Arismendy E Perez Tavera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215441225 PECOS PAC ID: 9133526098 Enrollment ID: I20211214003075 |
| Provider Name | Yousuf Gandapur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790126753 PECOS PAC ID: 6305142712 Enrollment ID: I20220111000288 |
| Provider Name | Victor Manuel Santana |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1013331289 PECOS PAC ID: 4183016561 Enrollment ID: I20220114000685 |
| Provider Name | Bethany Lynne Grimes |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1508524232 PECOS PAC ID: 8123410529 Enrollment ID: I20220114001905 |
| Provider Name | Alex Mathew |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306310644 PECOS PAC ID: 5597002220 Enrollment ID: I20220129000051 |
| Provider Name | Sarah Beth Eldredge |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972134005 PECOS PAC ID: 7012300411 Enrollment ID: I20220208000355 |
| Provider Name | Steven Donald Hanks |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033160072 PECOS PAC ID: 3173574423 Enrollment ID: I20220211000018 |
| Provider Name | Raheel Anwar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932605375 PECOS PAC ID: 4082951256 Enrollment ID: I20220221000185 |
| Provider Name | Colleen Marie Smith |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891856092 PECOS PAC ID: 9830583673 Enrollment ID: I20220222000508 |
| Provider Name | Ajay Mitter |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1174587307 PECOS PAC ID: 2264434158 Enrollment ID: I20220307002107 |
| Provider Name | Nalini Kalanadhabhatta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346746609 PECOS PAC ID: 4880931187 Enrollment ID: I20220309001834 |
| Provider Name | Emamuzo O Otobo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932601580 PECOS PAC ID: 9638564305 Enrollment ID: I20220315002230 |
| Provider Name | Munir Ahmed Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033548839 PECOS PAC ID: 9830487370 Enrollment ID: I20220330001204 |
| Provider Name | Katelyn Rose Stack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588329502 PECOS PAC ID: 3678969383 Enrollment ID: I20220406000622 |
| Provider Name | Aleksandra Braun |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598257032 PECOS PAC ID: 2769878966 Enrollment ID: I20220414001264 |
| Provider Name | Justine Marie Greene |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770237513 PECOS PAC ID: 9537556618 Enrollment ID: I20220419001576 |
| Provider Name | Maria Seabaugh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649768490 PECOS PAC ID: 4082959333 Enrollment ID: I20220421000244 |
| Provider Name | Laura Leigh Milless |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881214633 PECOS PAC ID: 6406243187 Enrollment ID: I20220427002219 |
| Provider Name | Jodi Lynn Carson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609521145 PECOS PAC ID: 6002293040 Enrollment ID: I20220513000921 |
| Provider Name | Abdel Azim Bayoumy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942402243 PECOS PAC ID: 4183706609 Enrollment ID: I20220526000330 |
| Provider Name | Eric Horowitz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992996177 PECOS PAC ID: 8123170578 Enrollment ID: I20220603000454 |
| Provider Name | Sahar Bilal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235667940 PECOS PAC ID: 8022349471 Enrollment ID: I20220607002687 |
| Provider Name | Lucas First |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1558892893 PECOS PAC ID: 6305182049 Enrollment ID: I20220614001872 |
| Provider Name | Alexander Benjamin Kenton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679521454 PECOS PAC ID: 5597933689 Enrollment ID: I20220615001031 |
| Provider Name | Victoria Shim |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750886347 PECOS PAC ID: 5799021341 Enrollment ID: I20220622001258 |
| Provider Name | Achuta K Guddati |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1457639312 PECOS PAC ID: 2860664307 Enrollment ID: I20220629000498 |
| Provider Name | Laura Planche |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659800969 PECOS PAC ID: 2668852344 Enrollment ID: I20220712002550 |
| Provider Name | Abu B Choudhary |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871026112 PECOS PAC ID: 6305227364 Enrollment ID: I20220721003016 |
| Provider Name | Ahad Abid |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316500176 PECOS PAC ID: 0042543340 Enrollment ID: I20220801001500 |
| Provider Name | Brooke Lamparello |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992199392 PECOS PAC ID: 9739425604 Enrollment ID: I20220804001677 |
| Provider Name | Sukant Gupta |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588639454 PECOS PAC ID: 6608890751 Enrollment ID: I20220808000133 |
| Provider Name | Elena Louie |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114589090 PECOS PAC ID: 6709269509 Enrollment ID: I20220811000889 |
| Provider Name | Caitlin Wood Parrott |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083006936 PECOS PAC ID: 0941546840 Enrollment ID: I20220811001137 |
| Provider Name | Jillian Haley Kearney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255077558 PECOS PAC ID: 5890178479 Enrollment ID: I20220815001127 |
| Provider Name | Ravi J Shah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386175305 PECOS PAC ID: 1355670324 Enrollment ID: I20220815002774 |
| Provider Name | Kerry Ira Weiss |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477518306 PECOS PAC ID: 2668482415 Enrollment ID: I20220816000706 |
| Provider Name | Farrukh Javed |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902526692 PECOS PAC ID: 8123403441 Enrollment ID: I20220922000268 |
| Provider Name | Andrew J Seier |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528529807 PECOS PAC ID: 9931436375 Enrollment ID: I20220928001686 |
| Provider Name | Shaliz Pourkaviani |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467895474 PECOS PAC ID: 4183951114 Enrollment ID: I20221003001802 |
| Provider Name | Karen Y Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861435018 PECOS PAC ID: 8123013810 Enrollment ID: I20221004002977 |
| Provider Name | Amy Iris Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194463398 PECOS PAC ID: 3971989542 Enrollment ID: I20221005001069 |
| Provider Name | Kazi Shamima Afrin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679035059 PECOS PAC ID: 8820474364 Enrollment ID: I20221006000392 |
| Provider Name | Christina M Dinnall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831632843 PECOS PAC ID: 2264824259 Enrollment ID: I20221018000448 |
| Provider Name | Zachary Paul Reilly |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255876082 PECOS PAC ID: 7315272705 Enrollment ID: I20221020003391 |
| Provider Name | Yaritza Serrano Gomez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376030015 PECOS PAC ID: 6507192531 Enrollment ID: I20221025001846 |
| Provider Name | Anaquel Raquel Mwapaga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255061420 PECOS PAC ID: 8820464308 Enrollment ID: I20221025002214 |
| Provider Name | Amy J Nistico |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043948151 PECOS PAC ID: 4082080411 Enrollment ID: I20221026000866 |
| Provider Name | Farhan Qayyum |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578126322 PECOS PAC ID: 0840525499 Enrollment ID: I20221031001861 |
| Provider Name | Ronda Aurigemma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891716080 PECOS PAC ID: 8527025923 Enrollment ID: I20221121001297 |
| Provider Name | Laurie Ann Hepler |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053874156 PECOS PAC ID: 3274928288 Enrollment ID: I20221209000652 |
| Provider Name | Divis Khaira |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1285637298 PECOS PAC ID: 7810981727 Enrollment ID: I20221214000745 |
| Provider Name | Ashika Singh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306554324 PECOS PAC ID: 2062881774 Enrollment ID: I20221219001978 |
| Provider Name | Zarish Umar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699150839 PECOS PAC ID: 2860743432 Enrollment ID: I20221228001061 |
| Provider Name | Shaina Iraida Pierre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386354785 PECOS PAC ID: 9638549017 Enrollment ID: I20221229000242 |
| Provider Name | Rose Beery Mitchell |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1063882629 PECOS PAC ID: 2062882459 Enrollment ID: I20221229000825 |
| Provider Name | Tarek A. Radwan |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1750484200 PECOS PAC ID: 7113175928 Enrollment ID: I20230110001671 |
| Provider Name | Chenoa Newbey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083704373 PECOS PAC ID: 1052350386 Enrollment ID: I20230110002456 |
| Provider Name | Joanne Arlene Sabater |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063148609 PECOS PAC ID: 9830562339 Enrollment ID: I20230303000871 |
| Provider Name | Alvin Anand Krishna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669905717 PECOS PAC ID: 5890112551 Enrollment ID: I20230418000150 |
| Provider Name | Mary Lynn Dohner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972571222 PECOS PAC ID: 2062770308 Enrollment ID: I20230516001760 |
| Provider Name | Mazin Shaikhoun |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144780214 PECOS PAC ID: 5395074934 Enrollment ID: I20230607002724 |
| Provider Name | James William Dreer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952938631 PECOS PAC ID: 4082036884 Enrollment ID: I20230714001470 |
| Provider Name | Shantanu Baghel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134610983 PECOS PAC ID: 5092058636 Enrollment ID: I20230719001688 |
| Provider Name | Brendan Patrick Ruddy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346945656 PECOS PAC ID: 5890156087 Enrollment ID: I20230803004349 |
| Provider Name | Rebecca Emery Lytle |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1831875566 PECOS PAC ID: 2860853850 Enrollment ID: I20230808000505 |
| Provider Name | Nicola A Spence |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174308225 PECOS PAC ID: 4385099092 Enrollment ID: I20231016003527 |
| Provider Name | Kaikei Cho |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528142924 PECOS PAC ID: 6406758952 Enrollment ID: I20231101000329 |
| Provider Name | Usamah Faisal Simjee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841750783 PECOS PAC ID: 1850621780 Enrollment ID: I20231103000158 |
| Provider Name | Cheyenne Alicia Serra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780254649 PECOS PAC ID: 7719334358 Enrollment ID: I20231103001665 |
| Provider Name | Brandon Murguia |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1821325770 PECOS PAC ID: 0941422828 Enrollment ID: I20231108002521 |
| Provider Name | Julio A Miranda |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1063552008 PECOS PAC ID: 1759697857 Enrollment ID: I20231116001206 |
| Provider Name | Hany Eskarous |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790285203 PECOS PAC ID: 3375946023 Enrollment ID: I20231122000802 |
| Provider Name | Abdullah Alsakka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326567629 PECOS PAC ID: 4284045618 Enrollment ID: I20231130000807 |
| Provider Name | Hannah Lynn Hulett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942083142 PECOS PAC ID: 3173973344 Enrollment ID: I20231229002316 |
| Provider Name | Kelly Esosa Uwoghiren |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306200159 PECOS PAC ID: 1557789765 Enrollment ID: I20240129000571 |
Sheridan Preparatory Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 400 Sheridan Ave, Albany, NY 12206 Phone: 518-465-4771 | |
Koinonia Primary Care Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 553 Clinton Ave, Albany, NY 12206 Phone: 518-689-0282 Fax: 518-689-0283 | |
Jose M David The Practice Of Family Medcine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1 Alton Rd, Albany, NY 12203 Phone: 518-456-4634 | |
Prime Care Physicians, P.l.l.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5 Palisades Dr, Suite 200, Albany, NY 12205 Phone: 518-438-0019 Fax: 518-438-0299 | |
Prime Care Physicians, P.l.l.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4 Palisades Dr, Suite 100, Albany, NY 12205 Phone: 518-446-9545 Fax: 518-446-9551 | |
Concentra Urgent Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1971 Western Ave, Albany, NY 12203 Phone: 518-452-2597 | |
Memorial Hospital, Albany, N.y. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 63 Shaker Rd Ste G02, Albany, NY 12204 Phone: 518-449-5352 |