| St Vincent Healthcare | |
|
1233 N 30th St Billings MT 59101-0127 | |
| (406) 237-7700 | |
| Not Available |
| Full Name | St Vincent Healthcare |
|---|---|
| Speciality | Clinic/Center |
| Location | 1233 N 30th St, Billings, Montana |
| Authorized Official Name and Position | Jon Mcdaniel (VP FINANCE) |
| Authorized Official Contact | 3032720231 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| St Vincent Healthcare 1233 N 30th St Billings MT 59101-0127 Ph: (406) 237-7700 | St Vincent Healthcare 1233 N 30th St Billings MT 59101-0127 Ph: (406) 237-7700 |
| NPI Number | 1508289703 |
|---|---|
| Provider Enumeration Date | 01/24/2014 |
| Last Update Date | 03/01/2023 |
| Certification Date | 03/01/2023 |
| Medicare PECOS PAC ID | 9638491574 |
|---|---|
| Medicare Enrollment ID | O20141204001495 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508289703 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | () | Secondary |
| 261Q00000X | Clinic/center | 13258 (Montana) | Primary |
| Provider Name | Arturo Echeverri |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1932169232 PECOS PAC ID: 4587568340 Enrollment ID: I20031122000139 |
| Provider Name | Annette C Comes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346247087 PECOS PAC ID: 4789581190 Enrollment ID: I20031217001094 |
| Provider Name | Aimee E Avison |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1912952292 PECOS PAC ID: 8224925656 Enrollment ID: I20040301001260 |
| Provider Name | Corby C Freitag |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376576504 PECOS PAC ID: 0042107989 Enrollment ID: I20040303001301 |
| Provider Name | Thomas R James |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831183482 PECOS PAC ID: 4082506860 Enrollment ID: I20040326000556 |
| Provider Name | Douglas a Whitehead |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1912002221 PECOS PAC ID: 2769475664 Enrollment ID: I20040406001393 |
| Provider Name | Grace E Kim |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1891745899 PECOS PAC ID: 6507849916 Enrollment ID: I20040611001227 |
| Provider Name | Marjorie T Tevlin |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1790734382 PECOS PAC ID: 9133103773 Enrollment ID: I20040616001011 |
| Provider Name | Stephen E Baum |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083650485 PECOS PAC ID: 9234117490 Enrollment ID: I20040715000959 |
| Provider Name | Michael L Kouwenhoven |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447285663 PECOS PAC ID: 3476525510 Enrollment ID: I20041008001156 |
| Provider Name | Timothy a Dernbach |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1962440800 PECOS PAC ID: 5092780874 Enrollment ID: I20041214001219 |
| Provider Name | Erica L Seas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558410100 PECOS PAC ID: 4587612890 Enrollment ID: I20050104000267 |
| Provider Name | Trent D Mihalick |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1942306063 PECOS PAC ID: 6103876990 Enrollment ID: I20050128000886 |
| Provider Name | Christopher K Schreiber |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1689614695 PECOS PAC ID: 9739131350 Enrollment ID: I20050211000343 |
| Provider Name | James M Bentler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962435198 PECOS PAC ID: 8820040744 Enrollment ID: I20050218000218 |
| Provider Name | Thomas B Fouts |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760425995 PECOS PAC ID: 9739134214 Enrollment ID: I20050317000366 |
| Provider Name | Kari L Barrett |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114963485 PECOS PAC ID: 5193766640 Enrollment ID: I20050516000519 |
| Provider Name | Michael R Butz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1497795694 PECOS PAC ID: 6002850070 Enrollment ID: I20050614000543 |
| Provider Name | Laurie a Mcnew |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1861430423 PECOS PAC ID: 0446275317 Enrollment ID: I20051010000796 |
| Provider Name | Stuart G Goodman |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1154432425 PECOS PAC ID: 4486668217 Enrollment ID: I20060201000415 |
| Provider Name | Charles Scott Needham |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1063435899 PECOS PAC ID: 5597796383 Enrollment ID: I20060323000796 |
| Provider Name | Keri L Hill |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1528095155 PECOS PAC ID: 1456364470 Enrollment ID: I20060717000110 |
| Provider Name | Joseph C Apostol |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1497781512 PECOS PAC ID: 8224076971 Enrollment ID: I20060725000400 |
| Provider Name | Justen W Rudolph |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780609610 PECOS PAC ID: 5890731194 Enrollment ID: I20060725000407 |
| Provider Name | Mary E Tucker |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750492021 PECOS PAC ID: 1456303379 Enrollment ID: I20060911000546 |
| Provider Name | Edwin J Rodriguez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538162003 PECOS PAC ID: 1254318710 Enrollment ID: I20061019000633 |
| Provider Name | Samuel J Reck |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1790832756 PECOS PAC ID: 3375545023 Enrollment ID: I20070208000349 |
| Provider Name | Monica L Maher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548314107 PECOS PAC ID: 8921101932 Enrollment ID: I20070313000146 |
| Provider Name | Alison Craib Rentz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356332621 PECOS PAC ID: 2860423613 Enrollment ID: I20070326000049 |
| Provider Name | Samuel L Paczkowski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124139597 PECOS PAC ID: 8022017250 Enrollment ID: I20070628000623 |
| Provider Name | Frederick William Kahn |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1942295134 PECOS PAC ID: 7113027954 Enrollment ID: I20070710000435 |
| Provider Name | Daniel J Lewis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346442753 PECOS PAC ID: 3577654326 Enrollment ID: I20070808000208 |
| Provider Name | Michael D Geurin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073726048 PECOS PAC ID: 8729179437 Enrollment ID: I20070809000750 |
| Provider Name | Dianne M Nagy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366551087 PECOS PAC ID: 3072607183 Enrollment ID: I20070920000353 |
| Provider Name | Deirdre K Mcnamer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801081559 PECOS PAC ID: 5294820791 Enrollment ID: I20070928000113 |
| Provider Name | Adam R Mattingly |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1295836831 PECOS PAC ID: 5092731059 Enrollment ID: I20071018000410 |
| Provider Name | Wendy K Ruggles |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1265620827 PECOS PAC ID: 4082701198 Enrollment ID: I20071106000141 |
| Provider Name | Lisa a Malody |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134224967 PECOS PAC ID: 1254317092 Enrollment ID: I20080131000377 |
| Provider Name | Carlin L Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811008089 PECOS PAC ID: 2264515857 Enrollment ID: I20080205000419 |
| Provider Name | Mark D. Winton |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1316943673 PECOS PAC ID: 2163418765 Enrollment ID: I20080325000662 |
| Provider Name | Mary K Mccormick |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477724060 PECOS PAC ID: 8628155520 Enrollment ID: I20080402000527 |
| Provider Name | John L Swanson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1487646949 PECOS PAC ID: 5890874960 Enrollment ID: I20080501000189 |
| Provider Name | Carla Marie Kingsley |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1174523849 PECOS PAC ID: 9032160544 Enrollment ID: I20080707000139 |
| Provider Name | Sarah M Stewart |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932372943 PECOS PAC ID: 8921166414 Enrollment ID: I20081028000521 |
| Provider Name | Brooke Yates |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1215921838 PECOS PAC ID: 3577528033 Enrollment ID: I20081103000305 |
| Provider Name | Mohan Nandalur |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1447295324 PECOS PAC ID: 0143223305 Enrollment ID: I20090408000258 |
| Provider Name | Douglas a Woerner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649437328 PECOS PAC ID: 8325112493 Enrollment ID: I20090803000045 |
| Provider Name | Cynthia K Brewer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063625416 PECOS PAC ID: 3678645108 Enrollment ID: I20090812000786 |
| Provider Name | Benjamin E Beasley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952450280 PECOS PAC ID: 7618070491 Enrollment ID: I20090819000078 |
| Provider Name | Lisa B Bland |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1427279546 PECOS PAC ID: 0143375972 Enrollment ID: I20090831000662 |
| Provider Name | Robert T Terry |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1588669071 PECOS PAC ID: 8022033059 Enrollment ID: I20100118000120 |
| Provider Name | Roy Kohler |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1215933676 PECOS PAC ID: 0749259042 Enrollment ID: I20100216000752 |
| Provider Name | Dennis W Maier |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1497787725 PECOS PAC ID: 6709801913 Enrollment ID: I20100315000426 |
| Provider Name | Jeffrey S Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841232766 PECOS PAC ID: 2062547029 Enrollment ID: I20100316000241 |
| Provider Name | Robert J Nichols |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538102983 PECOS PAC ID: 1153456165 Enrollment ID: I20100316000767 |
| Provider Name | Frank C Michels |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215971155 PECOS PAC ID: 7517093560 Enrollment ID: I20100329000771 |
| Provider Name | Jon M Bullman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255373411 PECOS PAC ID: 8022144070 Enrollment ID: I20100329000810 |
| Provider Name | Susan J Petersen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861434037 PECOS PAC ID: 8729114772 Enrollment ID: I20100329000833 |
| Provider Name | Edward C Malters |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841237237 PECOS PAC ID: 0749317394 Enrollment ID: I20100429001157 |
| Provider Name | William L Phillips |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831190685 PECOS PAC ID: 7113069535 Enrollment ID: I20100818000737 |
| Provider Name | Kevin Bruen |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1427221886 PECOS PAC ID: 3072637792 Enrollment ID: I20100902000337 |
| Provider Name | Jordan B Teller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851603294 PECOS PAC ID: 7618093501 Enrollment ID: I20100928001676 |
| Provider Name | John M Kominsky |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275566416 PECOS PAC ID: 3678766201 Enrollment ID: I20101015000085 |
| Provider Name | Douglas J Parker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134137045 PECOS PAC ID: 0648465393 Enrollment ID: I20101108001429 |
| Provider Name | Sheldon R Nelson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932125630 PECOS PAC ID: 0446445894 Enrollment ID: I20101110001120 |
| Provider Name | Penny Denning |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1710064274 PECOS PAC ID: 5395932818 Enrollment ID: I20101209001181 |
| Provider Name | Robert C Ulrich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730120718 PECOS PAC ID: 7719175330 Enrollment ID: I20101227000528 |
| Provider Name | Gary a Ostahowski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316994692 PECOS PAC ID: 3274531751 Enrollment ID: I20110127000236 |
| Provider Name | Erica R Bruen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689891806 PECOS PAC ID: 6103991948 Enrollment ID: I20110204000762 |
| Provider Name | Christopher J Cancro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275796997 PECOS PAC ID: 9537340732 Enrollment ID: I20110222000150 |
| Provider Name | Sheila R Horton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659439065 PECOS PAC ID: 0648457945 Enrollment ID: I20110615000068 |
| Provider Name | Tisha K Fujii |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1720092596 PECOS PAC ID: 4880675339 Enrollment ID: I20111012000854 |
| Provider Name | Helen L Laferriere |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215225990 PECOS PAC ID: 2567634546 Enrollment ID: I20111017000789 |
| Provider Name | Bryce T Doak |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1558647792 PECOS PAC ID: 8224202700 Enrollment ID: I20111118000195 |
| Provider Name | Kristine M Lippert |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1144528258 PECOS PAC ID: 9638339583 Enrollment ID: I20120329000720 |
| Provider Name | Kimberly K Larue |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1538432398 PECOS PAC ID: 2860652583 Enrollment ID: I20120404000293 |
| Provider Name | David N Trickey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881718666 PECOS PAC ID: 1759432628 Enrollment ID: I20120809000569 |
| Provider Name | Tish a Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023371929 PECOS PAC ID: 6800042698 Enrollment ID: I20120810000029 |
| Provider Name | Alana C Carlisle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114282498 PECOS PAC ID: 4789834763 Enrollment ID: I20121029000519 |
| Provider Name | Kenneth F May |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1376695064 PECOS PAC ID: 0143488742 Enrollment ID: I20121110000112 |
| Provider Name | Kathleen S Miller |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1366798126 PECOS PAC ID: 3072765833 Enrollment ID: I20121201000081 |
| Provider Name | Kellan S Harris |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629328885 PECOS PAC ID: 8123271053 Enrollment ID: I20121231000073 |
| Provider Name | Lori G Byron |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992731566 PECOS PAC ID: 2769538818 Enrollment ID: I20130313000547 |
| Provider Name | Kerry Strike |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1326394685 PECOS PAC ID: 1456597509 Enrollment ID: I20130417000135 |
| Provider Name | Kristian F French |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1841433034 PECOS PAC ID: 6406095207 Enrollment ID: I20130626000406 |
| Provider Name | Michael B Ganz |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1356399257 PECOS PAC ID: 3173506698 Enrollment ID: I20130719000384 |
| Provider Name | Lisa G Stricker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558515650 PECOS PAC ID: 8123180379 Enrollment ID: I20130814000196 |
| Provider Name | Janice M Fordham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609197433 PECOS PAC ID: 4183867120 Enrollment ID: I20130823000673 |
| Provider Name | Adam M Zelka |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528388873 PECOS PAC ID: 4284878406 Enrollment ID: I20130910000114 |
| Provider Name | Hans E Bone |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1265734214 PECOS PAC ID: 7618156431 Enrollment ID: I20130917000262 |
| Provider Name | Andrew B Gentry |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1922072560 PECOS PAC ID: 4789822206 Enrollment ID: I20131025001489 |
| Provider Name | Ronald G Snyder |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093726259 PECOS PAC ID: 0143259432 Enrollment ID: I20131031000602 |
| Provider Name | Christian J Caruso |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1508139916 PECOS PAC ID: 2769618750 Enrollment ID: I20131121001183 |
| Provider Name | Shawn PA Coleman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1942583703 PECOS PAC ID: 7618138272 Enrollment ID: I20140322000251 |
| Provider Name | Elizabeth Ann Seifert Brakebush |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1780005074 PECOS PAC ID: 5799918900 Enrollment ID: I20140423001610 |
| Provider Name | Renee M Lance |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1639379167 PECOS PAC ID: 7012003593 Enrollment ID: I20140606000147 |
| Provider Name | Matt T Furber |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1194924621 PECOS PAC ID: 0143311654 Enrollment ID: I20140613002217 |
| Provider Name | Garett R Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982866687 PECOS PAC ID: 2264578392 Enrollment ID: I20140805002806 |
| Provider Name | Jared R Heaton |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1457666562 PECOS PAC ID: 9234357997 Enrollment ID: I20140821002843 |
| Provider Name | Molly E Biehl |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902079965 PECOS PAC ID: 1254501521 Enrollment ID: I20141003002307 |
| Provider Name | Christopher Nathan Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467744797 PECOS PAC ID: 7810127768 Enrollment ID: I20141016001837 |
| Provider Name | Tracy L Hylland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225447477 PECOS PAC ID: 9739300252 Enrollment ID: I20141027002635 |
| Provider Name | Robert Wagenaar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841287570 PECOS PAC ID: 3173559085 Enrollment ID: I20141117001502 |
| Provider Name | Janice L Ostermiller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386059509 PECOS PAC ID: 1254557895 Enrollment ID: I20141203002078 |
| Provider Name | Chad J Holgard |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1366843914 PECOS PAC ID: 7719200054 Enrollment ID: I20141218000105 |
| Provider Name | Susan E Ivankovich |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396799524 PECOS PAC ID: 0941281174 Enrollment ID: I20150207000058 |
| Provider Name | Diana L Anders |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1225292303 PECOS PAC ID: 7618043100 Enrollment ID: I20150324000937 |
| Provider Name | Jon M Carling |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932484151 PECOS PAC ID: 6709107816 Enrollment ID: I20150601002921 |
| Provider Name | Kami E Doak |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336491026 PECOS PAC ID: 9830341841 Enrollment ID: I20150617000658 |
| Provider Name | James M Wiesner |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1528451358 PECOS PAC ID: 1456663236 Enrollment ID: I20150708000644 |
| Provider Name | Victor P Yapuncich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881664191 PECOS PAC ID: 4880590744 Enrollment ID: I20150717002563 |
| Provider Name | Kyle Debenham |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225067325 PECOS PAC ID: 1759341183 Enrollment ID: I20150721001284 |
| Provider Name | Dale C Stapler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306136494 PECOS PAC ID: 5698907608 Enrollment ID: I20150722003699 |
| Provider Name | Bradley M Burger |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821389172 PECOS PAC ID: 1557674199 Enrollment ID: I20150724011713 |
| Provider Name | Stephanie K Thomas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093071789 PECOS PAC ID: 1658500533 Enrollment ID: I20150724012043 |
| Provider Name | Colin Brett Fitterer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538424684 PECOS PAC ID: 1557599602 Enrollment ID: I20150804006153 |
| Provider Name | Daniel Adam Dernbach |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1477757458 PECOS PAC ID: 8729393012 Enrollment ID: I20150814014803 |
| Provider Name | Anne Cahill |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1326066036 PECOS PAC ID: 5092711465 Enrollment ID: I20150903002009 |
| Provider Name | Katarine V Egressy |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1871760736 PECOS PAC ID: 7214167865 Enrollment ID: I20151020002148 |
| Provider Name | Kaley Bradshaw |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1518338086 PECOS PAC ID: 1951611953 Enrollment ID: I20151103002250 |
| Provider Name | Stefanie Streeter-sedillos |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1760854434 PECOS PAC ID: 0244540029 Enrollment ID: I20151106000634 |
| Provider Name | Polly Davidson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1780052696 PECOS PAC ID: 8921318627 Enrollment ID: I20151110000024 |
| Provider Name | Jodi L Peterson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1831575745 PECOS PAC ID: 6608186044 Enrollment ID: I20151113002129 |
| Provider Name | Riley Paris |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1366814964 PECOS PAC ID: 4981905221 Enrollment ID: I20151210002372 |
| Provider Name | Emily Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417397548 PECOS PAC ID: 0042454910 Enrollment ID: I20151211001859 |
| Provider Name | Kaitlyn M Leenheers |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477924470 PECOS PAC ID: 3274835871 Enrollment ID: I20160113000739 |
| Provider Name | Susan E Cerovski |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891771622 PECOS PAC ID: 0143240705 Enrollment ID: I20160121002429 |
| Provider Name | Don R Dickerson |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1194825935 PECOS PAC ID: 0749261006 Enrollment ID: I20160201002373 |
| Provider Name | Gregory Hubbs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568798973 PECOS PAC ID: 2264737394 Enrollment ID: I20160226000818 |
| Provider Name | Richard Lammers |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063771814 PECOS PAC ID: 7214153758 Enrollment ID: I20160715001028 |
| Provider Name | Kevin Koch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437451168 PECOS PAC ID: 2860785151 Enrollment ID: I20160725001279 |
| Provider Name | Anne M Stevens |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1376842567 PECOS PAC ID: 6507089596 Enrollment ID: I20160815002134 |
| Provider Name | Michelle Trost |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770936031 PECOS PAC ID: 1456646140 Enrollment ID: I20160819000345 |
| Provider Name | Chelsi Hayter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790137974 PECOS PAC ID: 7416243217 Enrollment ID: I20160902001178 |
| Provider Name | Anastasios Saliaris |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1982673885 PECOS PAC ID: 8022915040 Enrollment ID: I20160914002272 |
| Provider Name | Ericca Berry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659374130 PECOS PAC ID: 6002709516 Enrollment ID: I20160921001920 |
| Provider Name | Megan Marie Clute Petersen |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1215181029 PECOS PAC ID: 7113167842 Enrollment ID: I20161013000665 |
| Provider Name | Holly Brehm |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447708227 PECOS PAC ID: 6002194966 Enrollment ID: I20161027000587 |
| Provider Name | Gage F Henderson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1043769847 PECOS PAC ID: 1658650577 Enrollment ID: I20161117001026 |
| Provider Name | Meagan L Henderson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1972052777 PECOS PAC ID: 7012296817 Enrollment ID: I20161118001380 |
| Provider Name | Andrew Taylor |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1366994691 PECOS PAC ID: 5395024962 Enrollment ID: I20161123000033 |
| Provider Name | Jonathan Binger |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1720521990 PECOS PAC ID: 3678853512 Enrollment ID: I20161209001675 |
| Provider Name | Randi M Rath |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1215478615 PECOS PAC ID: 8123305976 Enrollment ID: I20170503001175 |
| Provider Name | Brittany Silvers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659810026 PECOS PAC ID: 0143507616 Enrollment ID: I20170510002071 |
| Provider Name | Michael Gordon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609842053 PECOS PAC ID: 9638173446 Enrollment ID: I20170519001673 |
| Provider Name | Ronald B Henckel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1750510624 PECOS PAC ID: 6901035807 Enrollment ID: I20170720001330 |
| Provider Name | Kristin Bell Hartman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1962937920 PECOS PAC ID: 7810267663 Enrollment ID: I20170726003994 |
| Provider Name | Trevor Mccotter |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851528517 PECOS PAC ID: 5395057830 Enrollment ID: I20170801003306 |
| Provider Name | Kristen Beck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154846798 PECOS PAC ID: 8729351267 Enrollment ID: I20170906001324 |
| Provider Name | Daniel Loren Faaborg |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1265724470 PECOS PAC ID: 2860764115 Enrollment ID: I20170915002215 |
| Provider Name | Kellie Depuydt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801314075 PECOS PAC ID: 4284908518 Enrollment ID: I20170925002668 |
| Provider Name | Lauren Labar |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285144204 PECOS PAC ID: 7315213402 Enrollment ID: I20171017002208 |
| Provider Name | Patricia Andrew Rubin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1942244520 PECOS PAC ID: 9638061765 Enrollment ID: I20171120001223 |
| Provider Name | Desiree Cavan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386161966 PECOS PAC ID: 8022376102 Enrollment ID: I20171219000846 |
| Provider Name | Frank R Lamm |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1417949033 PECOS PAC ID: 3072575323 Enrollment ID: I20180126000750 |
| Provider Name | Kevin K Davis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1972019925 PECOS PAC ID: 3577823046 Enrollment ID: I20180131002049 |
| Provider Name | James Cameron |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669524732 PECOS PAC ID: 9931099082 Enrollment ID: I20180319002060 |
| Provider Name | Francis M Filloux |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942389515 PECOS PAC ID: 6608819107 Enrollment ID: I20180523002856 |
| Provider Name | Adriane Haragan |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1679868558 PECOS PAC ID: 0749501377 Enrollment ID: I20180618001199 |
| Provider Name | David Paul Sims |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1528013778 PECOS PAC ID: 3577512383 Enrollment ID: I20180712003305 |
| Provider Name | Michael J Bradshaw |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1255774105 PECOS PAC ID: 3173825106 Enrollment ID: I20180719002107 |
| Provider Name | Amanda M Abrams-buerkley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710471495 PECOS PAC ID: 2264781145 Enrollment ID: I20180827001590 |
| Provider Name | Jodi Gilligan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164913307 PECOS PAC ID: 6507116258 Enrollment ID: I20180830001592 |
| Provider Name | Kyle R Brekke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063891059 PECOS PAC ID: 1850605379 Enrollment ID: I20180907001135 |
| Provider Name | Zachary Arthurs |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1912974023 PECOS PAC ID: 0244384261 Enrollment ID: I20180907001736 |
| Provider Name | Marcus Nicola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730672866 PECOS PAC ID: 8325941149 Enrollment ID: I20181017001258 |
| Provider Name | Eric a Sadler |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629423041 PECOS PAC ID: 5698063204 Enrollment ID: I20181022002203 |
| Provider Name | Kayleigh Huss |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902371693 PECOS PAC ID: 9739423153 Enrollment ID: I20181211002901 |
| Provider Name | Tyson N Vanderby |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1083192025 PECOS PAC ID: 7719222520 Enrollment ID: I20181226001750 |
| Provider Name | Claire Buckingham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598230724 PECOS PAC ID: 1456697440 Enrollment ID: I20190111002186 |
| Provider Name | Melissa K Walton-shirley |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1245203355 PECOS PAC ID: 0042297343 Enrollment ID: I20190201001814 |
| Provider Name | Katie Mischke |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1457828238 PECOS PAC ID: 7810235504 Enrollment ID: I20190205000159 |
| Provider Name | Andrew H Lin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1639140502 PECOS PAC ID: 9537397237 Enrollment ID: I20190306001216 |
| Provider Name | Jeffrey S Horn |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1487864666 PECOS PAC ID: 7911158738 Enrollment ID: I20190306001332 |
| Provider Name | Katherine Zimmerman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679045603 PECOS PAC ID: 8022358498 Enrollment ID: I20190321000976 |
| Provider Name | Matthew M Grinsell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346364429 PECOS PAC ID: 3870678469 Enrollment ID: I20190422000970 |
| Provider Name | Stephanie Maughan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356808356 PECOS PAC ID: 2668714510 Enrollment ID: I20190425001653 |
| Provider Name | Jaclyn Schreiner |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1295296069 PECOS PAC ID: 8820331135 Enrollment ID: I20190529002378 |
| Provider Name | David Y Gaitonde |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1902964638 PECOS PAC ID: 9638309479 Enrollment ID: I20190606001609 |
| Provider Name | Bethany Doran |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1619261641 PECOS PAC ID: 6709006026 Enrollment ID: I20190628002127 |
| Provider Name | Laura Forcella |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093372963 PECOS PAC ID: 4385979285 Enrollment ID: I20190715003220 |
| Provider Name | Elizabeth Connor |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1003179581 PECOS PAC ID: 2668778218 Enrollment ID: I20190726001330 |
| Provider Name | Taylor Pohle |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1255844668 PECOS PAC ID: 9133455108 Enrollment ID: I20190729002898 |
| Provider Name | Ashley Nicole Jones |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1255992830 PECOS PAC ID: 8628304565 Enrollment ID: I20190730002113 |
| Provider Name | John Cameron King |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528044831 PECOS PAC ID: 7113254244 Enrollment ID: I20190812002134 |
| Provider Name | Jennifer a Terrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386206936 PECOS PAC ID: 7214264357 Enrollment ID: I20190812002561 |
| Provider Name | Mark David Schaefer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043664022 PECOS PAC ID: 1153658232 Enrollment ID: I20190813000226 |
| Provider Name | Eden Woodward Jones |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326468851 PECOS PAC ID: 2466673793 Enrollment ID: I20190813003131 |
| Provider Name | Tyler Slyngstad |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1134495104 PECOS PAC ID: 5597054494 Enrollment ID: I20190814000284 |
| Provider Name | Thomas Joseph Desmarais |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1972918639 PECOS PAC ID: 5496976912 Enrollment ID: I20190814002041 |
| Provider Name | Alexis Hokenstad |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1174818819 PECOS PAC ID: 0446408694 Enrollment ID: I20190913002018 |
| Provider Name | Dekrisha Lew |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437544657 PECOS PAC ID: 0244534220 Enrollment ID: I20190918001289 |
| Provider Name | Kyanne Wear |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083910772 PECOS PAC ID: 4486985421 Enrollment ID: I20191007000664 |
| Provider Name | Pamela Julianna Barr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487151320 PECOS PAC ID: 7911238100 Enrollment ID: I20191021001177 |
| Provider Name | Jenna Olds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699325746 PECOS PAC ID: 4385976653 Enrollment ID: I20191106001385 |
| Provider Name | Ashley Novakovich |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346882677 PECOS PAC ID: 6305278268 Enrollment ID: I20191114000567 |
| Provider Name | Jacqueline F Barton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073156956 PECOS PAC ID: 7517390875 Enrollment ID: I20191127002238 |
| Provider Name | Stefanie Rickhoff |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1518509298 PECOS PAC ID: 0345673513 Enrollment ID: I20191202000046 |
| Provider Name | Kaycee Schriber |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306488093 PECOS PAC ID: 0244663219 Enrollment ID: I20191204002998 |
| Provider Name | Jodie Mcilvain |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1720623861 PECOS PAC ID: 3173957909 Enrollment ID: I20200102001027 |
| Provider Name | Abigail N Weight |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144866948 PECOS PAC ID: 7719312610 Enrollment ID: I20200123001488 |
| Provider Name | Anita Azam |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437367398 PECOS PAC ID: 4688810476 Enrollment ID: I20200312000231 |
| Provider Name | Ronald Chin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1538451539 PECOS PAC ID: 4486952124 Enrollment ID: I20200626002004 |
| Provider Name | Evan Romrell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861853822 PECOS PAC ID: 2769720069 Enrollment ID: I20200707002370 |
| Provider Name | Tiffany Chaloux |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164954038 PECOS PAC ID: 7911276506 Enrollment ID: I20200708002018 |
| Provider Name | Courtney Dean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295258507 PECOS PAC ID: 8921370594 Enrollment ID: I20200807001986 |
| Provider Name | Trudi K Paulson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922507946 PECOS PAC ID: 7315362142 Enrollment ID: I20200810003467 |
| Provider Name | Pamela Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144834599 PECOS PAC ID: 7719305028 Enrollment ID: I20200918001601 |
| Provider Name | Christopher Sickel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790186799 PECOS PAC ID: 4284856766 Enrollment ID: I20201022003987 |
| Provider Name | Callie Puls |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962981068 PECOS PAC ID: 8022438464 Enrollment ID: I20201023000794 |
| Provider Name | Douglas M Guy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1508827692 PECOS PAC ID: 9830094135 Enrollment ID: I20201023003000 |
| Provider Name | Anissa Avanesyan |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1184227431 PECOS PAC ID: 0648681593 Enrollment ID: I20201124002947 |
| Provider Name | Thomas Bates |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629675988 PECOS PAC ID: 2264844380 Enrollment ID: I20201215001125 |
| Provider Name | Alexander Garner |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1942806153 PECOS PAC ID: 8729491394 Enrollment ID: I20201229001757 |
| Provider Name | Joshua Leek |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1508245911 PECOS PAC ID: 0840509345 Enrollment ID: I20210114002614 |
| Provider Name | Nazmul Huda |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1609076777 PECOS PAC ID: 4981786175 Enrollment ID: I20210119002145 |
| Provider Name | Matthew Haugen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1467930073 PECOS PAC ID: 2961817309 Enrollment ID: I20210217003042 |
| Provider Name | Blair Wagner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518509777 PECOS PAC ID: 1153755632 Enrollment ID: I20210225001021 |
| Provider Name | Santa J Bartholomew |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316925787 PECOS PAC ID: 6103831557 Enrollment ID: I20210225002016 |
| Provider Name | Caitlin Marie Re |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568055085 PECOS PAC ID: 3779991617 Enrollment ID: I20210414001751 |
| Provider Name | Leslie Glen Massoglia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992780712 PECOS PAC ID: 1254379159 Enrollment ID: I20210630003748 |
| Provider Name | Yevgeniy Arefiev |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1609290253 PECOS PAC ID: 9739442377 Enrollment ID: I20210706003259 |
| Provider Name | Daniel Edward Hillman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184100299 PECOS PAC ID: 9537561949 Enrollment ID: I20210707003963 |
| Provider Name | Jason E Sarisky |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1083102255 PECOS PAC ID: 2365799392 Enrollment ID: I20210708001627 |
| Provider Name | Carine Basmadjian |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1477937241 PECOS PAC ID: 6608278908 Enrollment ID: I20210708003304 |
| Provider Name | Justin Severance |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1518413244 PECOS PAC ID: 6800183237 Enrollment ID: I20210713002314 |
| Provider Name | Menard D Barruga |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477546414 PECOS PAC ID: 2062461973 Enrollment ID: I20210721004271 |
| Provider Name | Julia Robison |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477057982 PECOS PAC ID: 9638425630 Enrollment ID: I20210727001286 |
| Provider Name | Kristen M. Scaff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811258007 PECOS PAC ID: 3173762929 Enrollment ID: I20210914002500 |
| Provider Name | Nicholas Alexander Anzalone |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982192019 PECOS PAC ID: 5890128128 Enrollment ID: I20210923001475 |
| Provider Name | Sydney Malone Hanson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336714997 PECOS PAC ID: 3870990310 Enrollment ID: I20210924002759 |
| Provider Name | Emily Hall |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1427727965 PECOS PAC ID: 3072901099 Enrollment ID: I20211025002214 |
| Provider Name | Ashley Kirby |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1265107015 PECOS PAC ID: 8123416799 Enrollment ID: I20211101001809 |
| Provider Name | Mildred Garcia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750464673 PECOS PAC ID: 1850302589 Enrollment ID: I20211111000138 |
| Provider Name | Richard Bayer |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1336346527 PECOS PAC ID: 4789717554 Enrollment ID: I20211206001881 |
| Provider Name | Francis J Kaszuba |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1710940275 PECOS PAC ID: 2264431311 Enrollment ID: I20211208001323 |
| Provider Name | Katelyn Dawn Gaskin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699365619 PECOS PAC ID: 6103216965 Enrollment ID: I20211209001693 |
| Provider Name | Baylee Baldwin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447913439 PECOS PAC ID: 5890185540 Enrollment ID: I20211213000123 |
| Provider Name | Joy Samantha Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255093522 PECOS PAC ID: 6608266234 Enrollment ID: I20211214000708 |
| Provider Name | Jessica Rose Samples |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1124782792 PECOS PAC ID: 7911398565 Enrollment ID: I20211215002536 |
| Provider Name | Lauren D Hinkle |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1184194011 PECOS PAC ID: 7517206733 Enrollment ID: I20220429000249 |
| Provider Name | Dirk S Sypherd |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1073593638 PECOS PAC ID: 8729176151 Enrollment ID: I20220504001929 |
| Provider Name | Theresa Marie Shelton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013689488 PECOS PAC ID: 5193103943 Enrollment ID: I20220607000647 |
| Provider Name | Duane E Teerink |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043255441 PECOS PAC ID: 6002829348 Enrollment ID: I20220609002002 |
| Provider Name | Kim M Almodovar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1831160316 PECOS PAC ID: 7618031782 Enrollment ID: I20220613000793 |
| Provider Name | Alyssa M Seidel |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1689334955 PECOS PAC ID: 9032504782 Enrollment ID: I20220615002609 |
| Provider Name | Kevyn Stroebe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740623248 PECOS PAC ID: 5890011522 Enrollment ID: I20220707001760 |
| Provider Name | Anne Marie Teerink |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942211941 PECOS PAC ID: 7012913957 Enrollment ID: I20220708000652 |
| Provider Name | Christopher M Anzalone |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1346604865 PECOS PAC ID: 6204164403 Enrollment ID: I20220715001625 |
| Provider Name | Paige Woods |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962063263 PECOS PAC ID: 6002141231 Enrollment ID: I20220720002232 |
| Provider Name | Shana Mccracken |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013246545 PECOS PAC ID: 3779610209 Enrollment ID: I20220802001636 |
| Provider Name | Sara Mitchell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487150595 PECOS PAC ID: 4385032069 Enrollment ID: I20220804000361 |
| Provider Name | Kristina E Jackson |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1689010738 PECOS PAC ID: 1153644299 Enrollment ID: I20220901002981 |
| Provider Name | Laurel Roberta Oberg |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750450136 PECOS PAC ID: 8527443340 Enrollment ID: I20220915000540 |
| Provider Name | Benjamin Wilde |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295997013 PECOS PAC ID: 4981891371 Enrollment ID: I20221020001939 |
| Provider Name | Bryan Blumell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376926543 PECOS PAC ID: 5991040750 Enrollment ID: I20221021000428 |
| Provider Name | Thomas North |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932762275 PECOS PAC ID: 4284962887 Enrollment ID: I20221027002598 |
| Provider Name | Shayla C Daschle |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1841605169 PECOS PAC ID: 9638416779 Enrollment ID: I20221108002042 |
| Provider Name | Sawyer Kesselheim |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1528792264 PECOS PAC ID: 1355719436 Enrollment ID: I20221121002092 |
| Provider Name | Ibrahim Hammad |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811263866 PECOS PAC ID: 8729388731 Enrollment ID: I20221122002836 |
| Provider Name | Carole Ruth Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255617742 PECOS PAC ID: 8729456389 Enrollment ID: I20221201002968 |
| Provider Name | Juliann Lazzaro |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1841512688 PECOS PAC ID: 6204974033 Enrollment ID: I20221222002214 |
| Provider Name | J Turner |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1114948528 PECOS PAC ID: 3072502491 Enrollment ID: I20221223000277 |
| Provider Name | Claudia Tellier |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1336879360 PECOS PAC ID: 7012387244 Enrollment ID: I20230105000703 |
| Provider Name | Amelia Jo Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073244596 PECOS PAC ID: 2264803618 Enrollment ID: I20230120002330 |
| Provider Name | Kelsie Craighead |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1760193437 PECOS PAC ID: 0244601318 Enrollment ID: I20230127001818 |
| Provider Name | Alex Swanson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013554526 PECOS PAC ID: 6901232560 Enrollment ID: I20230127001929 |
| Provider Name | Jennifer Vance |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376291831 PECOS PAC ID: 3678944659 Enrollment ID: I20230131000327 |
| Provider Name | Debby Chuang |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1518100460 PECOS PAC ID: 9133431315 Enrollment ID: I20230203001626 |
| Provider Name | Erin Anzalone |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902261795 PECOS PAC ID: 0648545343 Enrollment ID: I20230209001538 |
| Provider Name | Dena Lheureux |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1033320437 PECOS PAC ID: 6608960232 Enrollment ID: I20230213001454 |
| Provider Name | Tyler Eugene Boucher |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1508571498 PECOS PAC ID: 3971976556 Enrollment ID: I20230301001784 |
| Provider Name | Gwynn Marie Pehler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093412249 PECOS PAC ID: 7113390758 Enrollment ID: I20230302001196 |
| Provider Name | Meeri Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467081513 PECOS PAC ID: 9739590068 Enrollment ID: I20230303000276 |
| Provider Name | Shane C Dangerfield |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1457685919 PECOS PAC ID: 2466612486 Enrollment ID: I20230309000480 |
| Provider Name | Dylan Jon Wiebe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295435840 PECOS PAC ID: 7416322102 Enrollment ID: I20230411002403 |
| Provider Name | Lloyd Tani |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326127994 PECOS PAC ID: 2860436714 Enrollment ID: I20230417000647 |
| Provider Name | John Colquitt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912226721 PECOS PAC ID: 3476968124 Enrollment ID: I20230420002355 |
| Provider Name | Kelsie Catherine Groff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194426759 PECOS PAC ID: 2860857273 Enrollment ID: I20230508000543 |
| Provider Name | Benedict Painter |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1154314839 PECOS PAC ID: 6305831769 Enrollment ID: I20230519001904 |
| Provider Name | Chan M Ma |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1487642120 PECOS PAC ID: 8325026917 Enrollment ID: I20230523001758 |
| Provider Name | Jason Kopstein |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1871143834 PECOS PAC ID: 4981016714 Enrollment ID: I20230630001614 |
| Provider Name | Aimee Ogden Hersh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497960900 PECOS PAC ID: 4688746001 Enrollment ID: I20230630002902 |
| Provider Name | Taylor Klein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508594078 PECOS PAC ID: 2365801461 Enrollment ID: I20230707001938 |
| Provider Name | Nimrit Mann |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861886822 PECOS PAC ID: 9931413929 Enrollment ID: I20230721000776 |
| Provider Name | Mackenzie Nicole Zier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639641806 PECOS PAC ID: 4183085988 Enrollment ID: I20230726001665 |
| Provider Name | Anjelika Patton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649923509 PECOS PAC ID: 5991167686 Enrollment ID: I20230811001864 |
| Provider Name | Alexa Mcnall |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1730574708 PECOS PAC ID: 2860797255 Enrollment ID: I20230815001037 |
| Provider Name | Robert Swendiman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1457765919 PECOS PAC ID: 1456643006 Enrollment ID: I20230823003383 |
| Provider Name | Hugh F Bigg |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164795381 PECOS PAC ID: 3779704440 Enrollment ID: I20230824002161 |
| Provider Name | Michael Lloyd |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497753354 PECOS PAC ID: 2062440738 Enrollment ID: I20230825001911 |
| Provider Name | John Konow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033731161 PECOS PAC ID: 5698195857 Enrollment ID: I20230828001334 |
| Provider Name | Heidi Scherr |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841989670 PECOS PAC ID: 1052775145 Enrollment ID: I20230907002404 |
| Provider Name | Katherine Kinser |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1326586926 PECOS PAC ID: 1456690205 Enrollment ID: I20230921001347 |
| Provider Name | Hannah Owens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386358968 PECOS PAC ID: 0345695763 Enrollment ID: I20231004003239 |
| Provider Name | Regina Ommen |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1699200451 PECOS PAC ID: 9638443690 Enrollment ID: I20231009001356 |
| Provider Name | Erika Mendoza Plaut |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346452729 PECOS PAC ID: 1456523067 Enrollment ID: I20231009002109 |
| Provider Name | Rebekah Lee Brady |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003566142 PECOS PAC ID: 9335594498 Enrollment ID: I20231009003345 |
| Provider Name | Lauren Baumann |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1891113254 PECOS PAC ID: 9335366798 Enrollment ID: I20231011004261 |
| Provider Name | Kayla Anne Schweigert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134906449 PECOS PAC ID: 8022463785 Enrollment ID: I20231016002398 |
| Provider Name | Krystle Lowrance |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255927612 PECOS PAC ID: 8426442211 Enrollment ID: I20231017003063 |
| Provider Name | Michelle Kline |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043095391 PECOS PAC ID: 6800242298 Enrollment ID: I20231020001213 |
| Provider Name | Anthony C. De Mory |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1316944572 PECOS PAC ID: 0042117673 Enrollment ID: I20231101002803 |
| Provider Name | Andrei Gasic |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1184623407 PECOS PAC ID: 3779550009 Enrollment ID: I20231103001096 |
| Provider Name | Wendy Michelle Gomendi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366196446 PECOS PAC ID: 3678920105 Enrollment ID: I20231106001401 |
| Provider Name | Elijah Sutherin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1528846904 PECOS PAC ID: 0547617938 Enrollment ID: I20231107000502 |
| Provider Name | Robert M. Simonds |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1952806317 PECOS PAC ID: 0749536456 Enrollment ID: I20231107000759 |
| Provider Name | Barbara Ferdman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457308652 PECOS PAC ID: 3577513381 Enrollment ID: I20231114000656 |
| Provider Name | Lauren Ryley Larson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1679353122 PECOS PAC ID: 4880041680 Enrollment ID: I20231116001326 |
| Provider Name | Kortney Ann Gaughan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013780402 PECOS PAC ID: 6507216181 Enrollment ID: I20231221003791 |
| Provider Name | Cheryl Lyson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770522104 PECOS PAC ID: 9638520604 Enrollment ID: I20240104001329 |
| Provider Name | Christie Mannino |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1740611177 PECOS PAC ID: 7315295300 Enrollment ID: I20240105002577 |
| Provider Name | Rami Alharethi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1851306369 PECOS PAC ID: 3779504931 Enrollment ID: I20240108004697 |
| Provider Name | Henry C Quevedo Diaz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1679708374 PECOS PAC ID: 8325337686 Enrollment ID: I20240116003670 |
| Provider Name | Keven Vernon Kailey |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1245016104 PECOS PAC ID: 9638521297 Enrollment ID: I20240118003633 |
| Provider Name | Mackenzie Tate Hansen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1033989280 PECOS PAC ID: 8527401686 Enrollment ID: I20240206003354 |
| Provider Name | Amina Adil |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1336482314 PECOS PAC ID: 7911206461 Enrollment ID: I20240216003723 |
| Provider Name | Astghik Poghosyan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992280416 PECOS PAC ID: 6406290287 Enrollment ID: I20240220003593 |
| Provider Name | Delaina Hooks |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396151536 PECOS PAC ID: 4880814029 Enrollment ID: I20240228002174 |
| Provider Name | Alicia Sharon Hettel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013778893 PECOS PAC ID: 8022453661 Enrollment ID: I20240305001852 |
| Provider Name | Wilfredo Vergara |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366435398 PECOS PAC ID: 7416926910 Enrollment ID: I20240305004241 |
| Provider Name | Jason Eric Edling |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1912983206 PECOS PAC ID: 3971565052 Enrollment ID: I20240306002392 |
| Provider Name | Kimberly Dawn Dyckman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598009557 PECOS PAC ID: 8022388354 Enrollment ID: I20240311001751 |
| Provider Name | Kaylee Finchum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922765288 PECOS PAC ID: 7214321058 Enrollment ID: I20240326000985 |
| Provider Name | Robert Piotrowski |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1134382898 PECOS PAC ID: 0547442212 Enrollment ID: I20240403002738 |
| Provider Name | Elizabeth Buisker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922262450 PECOS PAC ID: 8325174006 Enrollment ID: I20240510000726 |
| Provider Name | Megan Ringle |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508271990 PECOS PAC ID: 3577912724 Enrollment ID: I20240513001501 |
| Provider Name | Rakesh Suri |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1952373003 PECOS PAC ID: 5890798789 Enrollment ID: I20240516002014 |
| Provider Name | Joel Ament |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861425456 PECOS PAC ID: 0446351118 Enrollment ID: I20240522002115 |
| Provider Name | Kalpana Hughes |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063455624 PECOS PAC ID: 2163548348 Enrollment ID: I20240523002010 |
| Provider Name | Irina Ten |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477675932 PECOS PAC ID: 2961582754 Enrollment ID: I20240523002388 |
| Provider Name | Stephanie E Freeman |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1497732135 PECOS PAC ID: 8729989918 Enrollment ID: I20240610001389 |
| Provider Name | Jeffrey Lobas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043206162 PECOS PAC ID: 5799760583 Enrollment ID: I20240621002118 |
| Provider Name | Richard Leone |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1821058850 PECOS PAC ID: 1254322142 Enrollment ID: I20240624000297 |
| Provider Name | Jennie Champion |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114965498 PECOS PAC ID: 1254406473 Enrollment ID: I20240716003648 |
| Provider Name | Ty E Anderson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043889033 PECOS PAC ID: 3870982812 Enrollment ID: I20240722003369 |
| Provider Name | Maureen Petersen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467911784 PECOS PAC ID: 7315306636 Enrollment ID: I20240723003134 |
| Provider Name | Abdullah Al-shahrani |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1033598297 PECOS PAC ID: 5294137410 Enrollment ID: I20240801003295 |
| Provider Name | Luis Dibos |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1679577639 PECOS PAC ID: 7618032269 Enrollment ID: I20240802003831 |
| Provider Name | John Maxwell White |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1689601379 PECOS PAC ID: 0446219828 Enrollment ID: I20240814003257 |
| Provider Name | Ryan Bibler |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1417181207 PECOS PAC ID: 5092947614 Enrollment ID: I20240815001481 |
| Provider Name | Samuel Ward |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881129021 PECOS PAC ID: 0648543140 Enrollment ID: I20240816002210 |
| Provider Name | Erica L Smith |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932355468 PECOS PAC ID: 2264680008 Enrollment ID: I20240820001944 |
| Provider Name | Jalyn Walker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063088318 PECOS PAC ID: 2567867997 Enrollment ID: I20240822002775 |
| Provider Name | Kirk Shaw Thorpe |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1821676289 PECOS PAC ID: 1759820152 Enrollment ID: I20240829001913 |
| Provider Name | Mark Ensio Baker |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538665187 PECOS PAC ID: 6901345305 Enrollment ID: I20240829002032 |
| Provider Name | Martin Alswang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215981881 PECOS PAC ID: 4688766280 Enrollment ID: I20240916003221 |
| Provider Name | Douglas Burns |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1225650690 PECOS PAC ID: 9638599749 Enrollment ID: I20240918004759 |
| Provider Name | Remberto J Bitar |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1386609899 PECOS PAC ID: 7618020538 Enrollment ID: I20240926003085 |
| Provider Name | Stefan Chimoskey |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1023102498 PECOS PAC ID: 1658412648 Enrollment ID: I20240926003885 |
| Provider Name | Maren Shipe |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861744526 PECOS PAC ID: 7618279589 Enrollment ID: I20240927002087 |
| Provider Name | Taylor Christine Chaffin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073229787 PECOS PAC ID: 7315478468 Enrollment ID: I20241001001407 |
| Provider Name | Robert Bennetto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528849064 PECOS PAC ID: 9234660929 Enrollment ID: I20241004003358 |
| Provider Name | Jessica Leintz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346595022 PECOS PAC ID: 8022540186 Enrollment ID: I20241014002974 |
| Provider Name | Travis John Loy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891361002 PECOS PAC ID: 0941604599 Enrollment ID: I20241015002753 |
| Provider Name | Alyssa Worcester |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629805544 PECOS PAC ID: 2961934732 Enrollment ID: I20241017002722 |
| Provider Name | Dusit Adstamongkonkul |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1619382645 PECOS PAC ID: 1951691617 Enrollment ID: I20241017004095 |
| Provider Name | Qaiser Toqeer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093079048 PECOS PAC ID: 3173764446 Enrollment ID: I20241018001658 |
| Provider Name | Michelle Hintz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477139046 PECOS PAC ID: 9133538663 Enrollment ID: I20241030001707 |
| Provider Name | Pavan Tummala |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1407111313 PECOS PAC ID: 9234431610 Enrollment ID: I20241104003144 |
| Provider Name | Poornachand Veerapaneni |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1619408259 PECOS PAC ID: 4587931001 Enrollment ID: I20241105001055 |
| Provider Name | Patricia Ruggeri-weigel |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1366404527 PECOS PAC ID: 1658532304 Enrollment ID: I20241112004137 |
| Provider Name | Sydney Clark |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1871313353 PECOS PAC ID: 1850825878 Enrollment ID: I20241113004628 |
| Provider Name | John Daymond Mckee |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1972503456 PECOS PAC ID: 5395632673 Enrollment ID: I20241122001347 |
| Provider Name | Ashley Menne |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740500081 PECOS PAC ID: 0941509889 Enrollment ID: I20241125002465 |
| Provider Name | Brittany Bertsch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457872863 PECOS PAC ID: 7618246273 Enrollment ID: I20241211001570 |
| Provider Name | Haley Frieling |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063231306 PECOS PAC ID: 3375070618 Enrollment ID: I20241226002399 |
| Provider Name | Mark Ippolito |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1720042179 PECOS PAC ID: 0648249805 Enrollment ID: I20241226002426 |
| Provider Name | Cory Miller |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396222675 PECOS PAC ID: 1850824228 Enrollment ID: I20241227002044 |
| Provider Name | Tegan E Ake |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1477181808 PECOS PAC ID: 9436555356 Enrollment ID: I20250106000898 |
| Provider Name | Emmanuel Reyes Ramos |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1326332743 PECOS PAC ID: 4183997950 Enrollment ID: I20250114001859 |
| Provider Name | Kellsie Jo Quinn |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1942012323 PECOS PAC ID: 2860921038 Enrollment ID: I20250203000902 |
| Provider Name | Erin Mabey |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1467262162 PECOS PAC ID: 4183154370 Enrollment ID: I20250203002498 |
| Provider Name | Kacie Chatwood |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1760842017 PECOS PAC ID: 3274063441 Enrollment ID: I20250204002089 |
| Provider Name | Malary Maude Cotnoir |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1114600624 PECOS PAC ID: 9133659311 Enrollment ID: I20250204002305 |
| Provider Name | Jeanwan Kang |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1134242258 PECOS PAC ID: 6709052699 Enrollment ID: I20250210003512 |
| Provider Name | Nicole Southwick |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013736040 PECOS PAC ID: 5799215232 Enrollment ID: I20250212002953 |
| Provider Name | Michelle Korson |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1255822987 PECOS PAC ID: 7517201585 Enrollment ID: I20250218002416 |
| Provider Name | Sue Ming |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1346314507 PECOS PAC ID: 2062600992 Enrollment ID: I20250218003869 |
| Provider Name | Jeffrey Marvel |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1740285063 PECOS PAC ID: 7911191275 Enrollment ID: I20250220003654 |
| Provider Name | Kelly Ann Bennetto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417738956 PECOS PAC ID: 5092236216 Enrollment ID: I20250304003597 |
| Provider Name | Hatem Desoky |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1558636860 PECOS PAC ID: 2466720578 Enrollment ID: I20250305004300 |
| Provider Name | Alex J Rugino |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1730458316 PECOS PAC ID: 7315114113 Enrollment ID: I20250312003007 |
| Provider Name | John Peck |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1891895538 PECOS PAC ID: 4183523194 Enrollment ID: I20250318003437 |
| Provider Name | Eric Norman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467730986 PECOS PAC ID: 6204156557 Enrollment ID: I20250331002072 |
| Provider Name | Rebecca Kochner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669815684 PECOS PAC ID: 4688812894 Enrollment ID: I20250407001566 |
| Provider Name | Mukul Sehgal |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932596913 PECOS PAC ID: 5991033961 Enrollment ID: I20250417002445 |
| Provider Name | Quinton V Cancel |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1083885644 PECOS PAC ID: 3173698131 Enrollment ID: I20250424001574 |
| Provider Name | Muhammad Janjua |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1265474068 PECOS PAC ID: 9931154325 Enrollment ID: I20250424001598 |
| Provider Name | Joshua Dee Burks |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1093244964 PECOS PAC ID: 6002359643 Enrollment ID: I20250428003744 |
| Provider Name | Rajeev S Sudhakar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1629215371 PECOS PAC ID: 4486822830 Enrollment ID: I20250508003563 |
| Provider Name | Demetrius Rizos |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1063491397 PECOS PAC ID: 0648379180 Enrollment ID: I20250513002067 |
| Provider Name | Aja Greer |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1942727086 PECOS PAC ID: 5597039412 Enrollment ID: I20250530001217 |
| Provider Name | Robert H Thompson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1992782775 PECOS PAC ID: 9436203973 Enrollment ID: I20250602002419 |
| Provider Name | Alexander Ksendzovsky |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1326305095 PECOS PAC ID: 1557590387 Enrollment ID: I20250609002370 |
| Provider Name | Imran Afridi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1861459927 PECOS PAC ID: 3971506247 Enrollment ID: I20250612003896 |
| Provider Name | Rachel Shenker |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1518429133 PECOS PAC ID: 4183169121 Enrollment ID: I20250624002468 |
| Provider Name | Jonathan Grant |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1861738189 PECOS PAC ID: 1951616374 Enrollment ID: I20250701002572 |
| Provider Name | Lana Maryellen Nelson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982134466 PECOS PAC ID: 5991218000 Enrollment ID: I20250701004620 |
| Provider Name | Rachel Mcmorris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942923610 PECOS PAC ID: 0143734764 Enrollment ID: I20250707003667 |
| Provider Name | Prashant Jha |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396131819 PECOS PAC ID: 6204125685 Enrollment ID: I20250718000456 |
| Provider Name | Grant Kirton Hunter |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1972776342 PECOS PAC ID: 2062661150 Enrollment ID: I20250722003506 |
| Provider Name | Jeffrey Cabot Clevenger |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1801876909 PECOS PAC ID: 6507830544 Enrollment ID: I20250728001064 |
| Provider Name | Holly Llobet |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851597785 PECOS PAC ID: 2860562386 Enrollment ID: I20250731003483 |
| Provider Name | Christian Barney |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1538504436 PECOS PAC ID: 0446489769 Enrollment ID: I20250811004013 |
| Provider Name | Jacob L Khurgin |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1104053065 PECOS PAC ID: 1254556863 Enrollment ID: I20250812004672 |
| Provider Name | Joel R Barnett |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1972581429 PECOS PAC ID: 4880622240 Enrollment ID: I20250820001729 |
| Provider Name | Aaron B Fowler |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1346582053 PECOS PAC ID: 5092136960 Enrollment ID: I20250828002620 |
| Provider Name | Spencer Bruce Hegerhorst |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093465692 PECOS PAC ID: 4385024710 Enrollment ID: I20250903001111 |
| Provider Name | Karen Thompson |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1861423691 PECOS PAC ID: 4587611181 Enrollment ID: I20250905004547 |
| Provider Name | Nessa E Miller |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1477715118 PECOS PAC ID: 0941511059 Enrollment ID: I20250924001797 |
| Provider Name | Kenneth Hawkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215316831 PECOS PAC ID: 3678886728 Enrollment ID: I20250924003481 |
| Provider Name | Margaret Elizabeth Arzaga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700777679 PECOS PAC ID: 3173029071 Enrollment ID: I20250930003057 |
| Provider Name | Nancy Anderson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1104937317 PECOS PAC ID: 1850433145 Enrollment ID: I20251006003297 |
| Provider Name | Molly T Ries |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1992129811 PECOS PAC ID: 6103049861 Enrollment ID: I20251007000793 |
| Provider Name | Aaron Gustin |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1730536129 PECOS PAC ID: 9436420551 Enrollment ID: I20251014003393 |
| Provider Name | Joel Ross |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235874942 PECOS PAC ID: 0446627772 Enrollment ID: I20251015001612 |
| Provider Name | Hayley Grover |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1396468641 PECOS PAC ID: 4385164409 Enrollment ID: I20251017001783 |
| Provider Name | Eiad Sabia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760796734 PECOS PAC ID: 7416190525 Enrollment ID: I20251022002662 |
| Provider Name | Allycia Schmitt |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1134091242 PECOS PAC ID: 2860980778 Enrollment ID: I20251022004333 |
| Provider Name | Allie Grant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518831460 PECOS PAC ID: 3971091778 Enrollment ID: I20251023001394 |
| Provider Name | Bradley Dayton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790126035 PECOS PAC ID: 3173987948 Enrollment ID: I20251025000535 |
| Provider Name | Lane Looka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003047325 PECOS PAC ID: 9234275223 Enrollment ID: I20251029001003 |
| Provider Name | Kirstyn Kroll |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1427922632 PECOS PAC ID: 9335638949 Enrollment ID: I20251031003972 |
| Provider Name | Iona Einset |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1649037789 PECOS PAC ID: 5092153130 Enrollment ID: I20251106003571 |
| Provider Name | Maryglen V. Stanich |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285261594 PECOS PAC ID: 7517363534 Enrollment ID: I20251107004529 |
| Provider Name | Aye Mar Aung |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598259913 PECOS PAC ID: 7911301676 Enrollment ID: I20251110001349 |
| Provider Name | Melanie Ellis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457816050 PECOS PAC ID: 9830504844 Enrollment ID: I20251112001474 |
| Provider Name | Paul Spring |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1356431845 PECOS PAC ID: 5092747998 Enrollment ID: I20251115000271 |
| Provider Name | Gretchen Winter |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1235498049 PECOS PAC ID: 2769622844 Enrollment ID: I20251124004308 |
| Provider Name | Cole Wootton |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1881828556 PECOS PAC ID: 7618291576 Enrollment ID: I20251205002726 |
| Provider Name | Stephanie N Erickson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497627681 PECOS PAC ID: 7911491253 Enrollment ID: I20251212003689 |
| Provider Name | Mori Krantz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1922016088 PECOS PAC ID: 6103876966 Enrollment ID: I20251213000008 |
| Provider Name | Wen Huan Ho |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1548469281 PECOS PAC ID: 7416102504 Enrollment ID: I20251218003077 |
| Provider Name | Susan K. Griffeth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366508780 PECOS PAC ID: 7618871013 Enrollment ID: I20251223000779 |
| Provider Name | Michael D. Traynor |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235593625 PECOS PAC ID: 3072806413 Enrollment ID: I20260106001774 |
| Provider Name | Deniane John |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881256014 PECOS PAC ID: 4981933439 Enrollment ID: I20260115002162 |
| Provider Name | Mikaya Bass |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1699403931 PECOS PAC ID: 3274909239 Enrollment ID: I20260117000290 |
| Provider Name | Steven G Mock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689566267 PECOS PAC ID: 8224516711 Enrollment ID: I20260127002763 |
| Provider Name | Katherine Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740557693 PECOS PAC ID: 8022301043 Enrollment ID: I20260209002299 |
| Provider Name | Lukas L Seelye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386995496 PECOS PAC ID: 0345495404 Enrollment ID: I20260210000880 |
| Provider Name | Ramadevi Pullela |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215974423 PECOS PAC ID: 0648238196 Enrollment ID: I20260211003922 |
| Provider Name | Jeremy Myers |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1346396959 PECOS PAC ID: 2466512926 Enrollment ID: I20260212002002 |
| Provider Name | Kimberly Thayer |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1851478713 PECOS PAC ID: 3870655046 Enrollment ID: I20260214000292 |
| Provider Name | Anette Kunig |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780691535 PECOS PAC ID: 8022013267 Enrollment ID: I20260217001637 |
| Provider Name | Quinn Halverson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1790190643 PECOS PAC ID: 6709169303 Enrollment ID: I20260220002375 |
| Provider Name | Catherine Brignoni |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1114982048 PECOS PAC ID: 6406894716 Enrollment ID: I20260226001861 |
| Provider Name | Michael Chad Wallis |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1558384388 PECOS PAC ID: 6406856046 Enrollment ID: I20260302003204 |
| Provider Name | Debanshu D. Roy |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1992125751 PECOS PAC ID: 6507156510 Enrollment ID: I20260310000526 |
| Provider Name | Oghenefejiro Okifo |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1588293922 PECOS PAC ID: 9436639911 Enrollment ID: I20260319003760 |
| Provider Name | Glen Lau |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1982994042 PECOS PAC ID: 2567608136 Enrollment ID: I20260320003102 |
| Provider Name | Alan Pinto |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619978525 PECOS PAC ID: 6002861044 Enrollment ID: I20260326001627 |
| Provider Name | Roni Jacobsen |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1700047131 PECOS PAC ID: 3274798095 Enrollment ID: I20260331003732 |
| Provider Name | Abigail Christine Etter |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1326994070 PECOS PAC ID: 1759857147 Enrollment ID: I20260414001226 |
| Provider Name | Craig Porter Cook |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1902347198 PECOS PAC ID: 1759651623 Enrollment ID: I20260504007613 |
| Provider Name | Larry Gerard Ferachi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1881958262 PECOS PAC ID: 1557679933 Enrollment ID: I20260506003675 |
| Provider Name | Erin Blackstock |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1790123339 PECOS PAC ID: 7012144173 Enrollment ID: I20260507001624 |
| Provider Name | Phoebe King |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1760630321 PECOS PAC ID: 5496932618 Enrollment ID: I20260507003848 |
| Provider Name | Sarah Stern |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1194171942 PECOS PAC ID: 4688965262 Enrollment ID: I20260508003196 |
| Provider Name | Joel Pittman |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1871675132 PECOS PAC ID: 5395721872 Enrollment ID: I20260511003525 |
| Provider Name | Peter Crossno |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1083761936 PECOS PAC ID: 2264586361 Enrollment ID: I20260513004393 |
| Provider Name | Christopher Danford |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1790123321 PECOS PAC ID: 3678701406 Enrollment ID: I20260601001643 |
| Provider Name | Kevin Shilling |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1144233214 PECOS PAC ID: 9830183847 Enrollment ID: I20260608001844 |
| Provider Name | Sun Kim |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992094759 PECOS PAC ID: 3779853346 Enrollment ID: I20260613000395 |
| Provider Name | Jordan Reichman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1235392747 PECOS PAC ID: 9537285408 Enrollment ID: I20260618004655 |
| Provider Name | Mengjing Huan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1447459151 PECOS PAC ID: 1052482817 Enrollment ID: I20260620000019 |
| Provider Name | Whitney Wright |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1417416249 PECOS PAC ID: 9436577004 Enrollment ID: I20260620000025 |
| Provider Name | Seanna Thompson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1073554614 PECOS PAC ID: 8426142480 Enrollment ID: I20260622002626 |
| Provider Name | Paul Johnson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245596410 PECOS PAC ID: 0345511127 Enrollment ID: I20260625000882 |
| Provider Name | Katherine Thomas |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831236314 PECOS PAC ID: 5193909190 Enrollment ID: I20260625002045 |
| Provider Name | Kevin Meier |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1104143825 PECOS PAC ID: 7517199193 Enrollment ID: I20260625003515 |
| Provider Name | Connie Chung |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1427611789 PECOS PAC ID: 9133584394 Enrollment ID: I20260625004792 |
| Provider Name | Tina Burton |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1356631642 PECOS PAC ID: 8426280595 Enrollment ID: I20260626000422 |
| Provider Name | Robert Eugene Hoesch |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1295889699 PECOS PAC ID: 4688741929 Enrollment ID: I20260626001462 |
| Provider Name | Holly Huang |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063972412 PECOS PAC ID: 4284052747 Enrollment ID: I20260626002116 |
| Provider Name | Dean Edwards Roller |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770638124 PECOS PAC ID: 8820984974 Enrollment ID: I20260626002535 |
| Provider Name | Sara Lugonjic |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1457918021 PECOS PAC ID: 1153832027 Enrollment ID: I20260626003427 |
Riverstone Health Lil Anderson Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2626 1st Ave S, Billings, MT 59101 Phone: 406-247-3200 Fax: 406-247-3202 |
St Vincent Healthcare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2900 12th Ave N, Suite 130w, Billings, MT 59101 Phone: 406-237-3620 |
Pediatric Therapy Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1610 Poly Dr, Billings, MT 59102 Phone: 406-259-1680 |
Circle 7 Solutions Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3737 Grand Ave Ste 2, Billings, MT 59102 Phone: 406-861-5517 |
Yellostone Neurosurgery Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2900 12th Ave N, Suite 340w, Billings, MT 59101 Phone: 406-237-4050 Fax: 406-237-4004 |
Intensivist Program Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1233 N 30th St, Billings, MT 59101 Phone: 406-237-7250 |