| St Vincents Ambulatory Care Inc | |
|
2 Shircliff Way Suite 600 Jacksonville FL 32204-4742 | |
| (904) 308-6769 | |
| (904) 308-4072 |
| Full Name | St Vincents Ambulatory Care Inc |
|---|---|
| Speciality | Neurological Surgery |
| Location | 2 Shircliff Way, Jacksonville, Florida |
| Authorized Official Name and Position | Miranda Hemm (ENROLLMENT MANAGER) |
| Authorized Official Contact | 9044506004 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| St Vincents Ambulatory Care Inc 4500 Salisbury Rd Ste 210 Jacksonville FL 32216-0968 Ph: (904) 308-7959 | St Vincents Ambulatory Care Inc 2 Shircliff Way Suite 600 Jacksonville FL 32204-4742 Ph: (904) 308-6769 |
| NPI Number | 1417987124 |
|---|---|
| Provider Enumeration Date | 07/05/2006 |
| Last Update Date | 10/17/2022 |
| Medicare PECOS PAC ID | 2860411188 |
|---|---|
| Medicare Enrollment ID | O20051116000430 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417987124 | NPI | - | NPPES |
| 276587000 | Medicaid | FL |
| Provider Name | Tonya N Hollinger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053366906 PECOS PAC ID: 7517870892 Enrollment ID: I20031112000199 |
| Provider Name | Wesley C Mills |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902847445 PECOS PAC ID: 4789570862 Enrollment ID: I20040225000748 |
| Provider Name | Mark A Hayes |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1912905977 PECOS PAC ID: 2264327238 Enrollment ID: I20040308000808 |
| Provider Name | Annabelle M Matias |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194709725 PECOS PAC ID: 0648160754 Enrollment ID: I20040319000962 |
| Provider Name | Mica Bestic |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1609858927 PECOS PAC ID: 5092605139 Enrollment ID: I20040319001144 |
| Provider Name | Jose A Silva |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225081359 PECOS PAC ID: 4284525304 Enrollment ID: I20040320000025 |
| Provider Name | Ramona P Burns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518951268 PECOS PAC ID: 4880687227 Enrollment ID: I20040403000121 |
| Provider Name | Brenda J Luna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376814483 PECOS PAC ID: 2961498993 Enrollment ID: I20040423000644 |
| Provider Name | Monica Joset Cox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467432351 PECOS PAC ID: 8022090968 Enrollment ID: I20040603001018 |
| Provider Name | Leslie B Beadling |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548247182 PECOS PAC ID: 6002892445 Enrollment ID: I20040626000436 |
| Provider Name | Aaron J West |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1568456077 PECOS PAC ID: 0345228672 Enrollment ID: I20040712001399 |
| Provider Name | Leif A Lohrbauer |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1427021591 PECOS PAC ID: 9638157191 Enrollment ID: I20040713001197 |
| Provider Name | Albert A Seals |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1568466159 PECOS PAC ID: 1759351653 Enrollment ID: I20040728001041 |
| Provider Name | Omar Figueroa |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1568468122 PECOS PAC ID: 7618940958 Enrollment ID: I20040816000932 |
| Provider Name | Sonya L Lefever |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1538162664 PECOS PAC ID: 5193799534 Enrollment ID: I20040823000610 |
| Provider Name | Natasha Eliz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053334375 PECOS PAC ID: 0244207108 Enrollment ID: I20040916000327 |
| Provider Name | Sonal B Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740381888 PECOS PAC ID: 1557339843 Enrollment ID: I20040923001072 |
| Provider Name | Michael B Till |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184665630 PECOS PAC ID: 0941279996 Enrollment ID: I20040928000137 |
| Provider Name | Kimberly M Petragnani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124093828 PECOS PAC ID: 5597727156 Enrollment ID: I20041027000576 |
| Provider Name | Andrew J Weinstein |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1508829862 PECOS PAC ID: 2062473770 Enrollment ID: I20041027000595 |
| Provider Name | Omar F Dajani |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1861458663 PECOS PAC ID: 7618939877 Enrollment ID: I20041029000742 |
| Provider Name | Robert A Luke |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1992707327 PECOS PAC ID: 1658334602 Enrollment ID: I20041110000487 |
| Provider Name | Sylvia Ratliff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043293152 PECOS PAC ID: 0840255535 Enrollment ID: I20041122000917 |
| Provider Name | Martha Sanchez Silva |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851482681 PECOS PAC ID: 5799740007 Enrollment ID: I20041129000660 |
| Provider Name | John R Lunde |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710989348 PECOS PAC ID: 4981599743 Enrollment ID: I20041220000267 |
| Provider Name | Susan J Barrow |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184929432 PECOS PAC ID: 7911965462 Enrollment ID: I20041229000993 |
| Provider Name | Jossie Mccloud |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033161799 PECOS PAC ID: 0941250120 Enrollment ID: I20050125001088 |
| Provider Name | Charles L Bryner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205894300 PECOS PAC ID: 3577513688 Enrollment ID: I20050126000940 |
| Provider Name | Bruce P Krieger |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1194802538 PECOS PAC ID: 2365495744 Enrollment ID: I20050225000109 |
| Provider Name | Nagamanikkam Ravichandran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871585521 PECOS PAC ID: 6305892274 Enrollment ID: I20050323001047 |
| Provider Name | Eduardo F Safille |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1376594622 PECOS PAC ID: 2567436512 Enrollment ID: I20050405000355 |
| Provider Name | Kevin R Long |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992759740 PECOS PAC ID: 5890730618 Enrollment ID: I20050622001040 |
| Provider Name | Jairo A De La Hoz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972528545 PECOS PAC ID: 7911967971 Enrollment ID: I20050706001117 |
| Provider Name | Melinda A Benedict |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1942392493 PECOS PAC ID: 0749216406 Enrollment ID: I20050713000958 |
| Provider Name | Shiva Mahinrad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922093095 PECOS PAC ID: 1759317472 Enrollment ID: I20050714000234 |
| Provider Name | Jose C Yataco |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1346299104 PECOS PAC ID: 8921035718 Enrollment ID: I20050723000015 |
| Provider Name | Willie A Pennick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568426302 PECOS PAC ID: 2365471711 Enrollment ID: I20050806000017 |
| Provider Name | Markus K Sonntag |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942216031 PECOS PAC ID: 6103802822 Enrollment ID: I20050823000409 |
| Provider Name | Smita Malhotra |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1174511018 PECOS PAC ID: 9133150782 Enrollment ID: I20050824000309 |
| Provider Name | Kent C New |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1952390312 PECOS PAC ID: 9032140546 Enrollment ID: I20050824000886 |
| Provider Name | Arthur Schueler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114991833 PECOS PAC ID: 4183656937 Enrollment ID: I20050901000383 |
| Provider Name | Lucy M Messana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376747758 PECOS PAC ID: 3072546688 Enrollment ID: I20050914000916 |
| Provider Name | Eric M Gabriel |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1609821545 PECOS PAC ID: 2163465832 Enrollment ID: I20050930000070 |
| Provider Name | Julius Dean |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1083607436 PECOS PAC ID: 6406741966 Enrollment ID: I20051008000027 |
| Provider Name | Chris B Rathburn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548244403 PECOS PAC ID: 8123076148 Enrollment ID: I20051015000005 |
| Provider Name | Nicole Zaffino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336167253 PECOS PAC ID: 2860418225 Enrollment ID: I20051015000038 |
| Provider Name | Michael S Cunningham |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1548253461 PECOS PAC ID: 9830118868 Enrollment ID: I20051118000101 |
| Provider Name | Richard J Flynn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053322289 PECOS PAC ID: 9234143876 Enrollment ID: I20060202000536 |
| Provider Name | Thomas L Wolford |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1669439071 PECOS PAC ID: 8426063322 Enrollment ID: I20060214000549 |
| Provider Name | Abubakr A Bajwa |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1467442392 PECOS PAC ID: 1052357688 Enrollment ID: I20060302000617 |
| Provider Name | Anthony Magnano |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1164494563 PECOS PAC ID: 9739091083 Enrollment ID: I20060427000590 |
| Provider Name | Kimberly Jo Bravo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447270400 PECOS PAC ID: 1456362037 Enrollment ID: I20060510000405 |
| Provider Name | Carlos A Leon |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1679576870 PECOS PAC ID: 8820990104 Enrollment ID: I20060526000039 |
| Provider Name | Paul A Bednarzyk |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1194728303 PECOS PAC ID: 1254342504 Enrollment ID: I20060526000046 |
| Provider Name | Lisa J Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275583122 PECOS PAC ID: 3375556335 Enrollment ID: I20060718000056 |
| Provider Name | Ali Chahlavi |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1336198209 PECOS PAC ID: 6507879111 Enrollment ID: I20060727000314 |
| Provider Name | Kenneth Hentschel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1164405460 PECOS PAC ID: 7416950563 Enrollment ID: I20060810000425 |
| Provider Name | Ashutosh A Pradhan |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1982648432 PECOS PAC ID: 7719980861 Enrollment ID: I20060810000479 |
| Provider Name | Arne Sippens Groenewegen |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1316990997 PECOS PAC ID: 4981508702 Enrollment ID: I20060929000489 |
| Provider Name | Jesus A Diaz |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1326009515 PECOS PAC ID: 7416954144 Enrollment ID: I20061023000187 |
| Provider Name | Deborah A Weyer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871524181 PECOS PAC ID: 9931109386 Enrollment ID: I20070131000607 |
| Provider Name | John M Fitzgibbon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982795613 PECOS PAC ID: 7810091253 Enrollment ID: I20070326000003 |
| Provider Name | Kelly W Segars |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477677276 PECOS PAC ID: 3971608886 Enrollment ID: I20070423000229 |
| Provider Name | John T Madonna |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1912933870 PECOS PAC ID: 4981507175 Enrollment ID: I20070423000581 |
| Provider Name | Audrey M Wooten |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962466805 PECOS PAC ID: 2860590148 Enrollment ID: I20070611000293 |
| Provider Name | Vickie A Prince |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528081510 PECOS PAC ID: 2466550751 Enrollment ID: I20070611000329 |
| Provider Name | Mark A Zoller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558399469 PECOS PAC ID: 5193823359 Enrollment ID: I20070612000214 |
| Provider Name | Zwinda S Ortiz-roldan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609838127 PECOS PAC ID: 7517065709 Enrollment ID: I20070612000571 |
| Provider Name | Alexander G Moore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619062155 PECOS PAC ID: 3476651670 Enrollment ID: I20070612000627 |
| Provider Name | Ulises M Caraballo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962464461 PECOS PAC ID: 5597731505 Enrollment ID: I20070719000104 |
| Provider Name | Gerald Giurato |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205837028 PECOS PAC ID: 3870694953 Enrollment ID: I20070719000142 |
| Provider Name | Michael V Sharpe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750382669 PECOS PAC ID: 7214846526 Enrollment ID: I20070719000176 |
| Provider Name | Barbara Cruikshank |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053463075 PECOS PAC ID: 6406957547 Enrollment ID: I20070719000547 |
| Provider Name | George E Platt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700881158 PECOS PAC ID: 3971604018 Enrollment ID: I20070719000601 |
| Provider Name | Willa J Price |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427198530 PECOS PAC ID: 2365543998 Enrollment ID: I20070725000733 |
| Provider Name | Harish Bhaskar |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1750506705 PECOS PAC ID: 5698867240 Enrollment ID: I20070827000916 |
| Provider Name | Marilyn Margarita Rodriguez Ballard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902970007 PECOS PAC ID: 8527151224 Enrollment ID: I20070911000985 |
| Provider Name | Steven Khalil |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1245452606 PECOS PAC ID: 1052406345 Enrollment ID: I20071002000223 |
| Provider Name | Angelina D Morales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104029107 PECOS PAC ID: 0143316604 Enrollment ID: I20071012000670 |
| Provider Name | Glenda A Phillips |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1982628798 PECOS PAC ID: 7719074178 Enrollment ID: I20071101000051 |
| Provider Name | Michael E Menefee |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1760598601 PECOS PAC ID: 1557306685 Enrollment ID: I20071109000503 |
| Provider Name | Subashini Anand |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043370752 PECOS PAC ID: 7719077395 Enrollment ID: I20071219000655 |
| Provider Name | Satya S Davuluri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821294182 PECOS PAC ID: 8022191493 Enrollment ID: I20080207000511 |
| Provider Name | Marcia Schmidt |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1386607307 PECOS PAC ID: 9335142330 Enrollment ID: I20080318000686 |
| Provider Name | Peter D. Kuhlman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1891789228 PECOS PAC ID: 4385539840 Enrollment ID: I20080324000484 |
| Provider Name | Lori Magyar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346262243 PECOS PAC ID: 3678650793 Enrollment ID: I20080414000240 |
| Provider Name | Mary L Blade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184724544 PECOS PAC ID: 4789762345 Enrollment ID: I20080422000770 |
| Provider Name | Michel R Hartley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265532626 PECOS PAC ID: 0547349813 Enrollment ID: I20080512000554 |
| Provider Name | Amanda Kristen Klipa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881863652 PECOS PAC ID: 2567531692 Enrollment ID: I20080515000461 |
| Provider Name | Cheryl Grumbach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831292770 PECOS PAC ID: 0143399907 Enrollment ID: I20080520000183 |
| Provider Name | David R Chabolla |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245229319 PECOS PAC ID: 8123199262 Enrollment ID: I20080618000242 |
| Provider Name | Kenneth W Jones |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1659331635 PECOS PAC ID: 6709866643 Enrollment ID: I20080619000657 |
| Provider Name | George S Pilcher |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1306849583 PECOS PAC ID: 8123920402 Enrollment ID: I20080630000448 |
| Provider Name | Jay R Patterson |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1104829399 PECOS PAC ID: 3072685361 Enrollment ID: I20080701000560 |
| Provider Name | William C Pilcher |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1588667638 PECOS PAC ID: 4183796493 Enrollment ID: I20080702000080 |
| Provider Name | James T Walsh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1437152600 PECOS PAC ID: 0749182020 Enrollment ID: I20080702000333 |
| Provider Name | Mariano B Mikulic |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1639172836 PECOS PAC ID: 5092888735 Enrollment ID: I20080714000600 |
| Provider Name | Samer M Garas |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1669475778 PECOS PAC ID: 2163595802 Enrollment ID: I20080715000107 |
| Provider Name | Jean Paul Montoya |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1619081403 PECOS PAC ID: 8628154085 Enrollment ID: I20080723000777 |
| Provider Name | William I Schwartz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659479764 PECOS PAC ID: 2264328525 Enrollment ID: I20080731000554 |
| Provider Name | Julianna A Raymaker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295707255 PECOS PAC ID: 7810893906 Enrollment ID: I20080801000108 |
| Provider Name | Prakash Vishnu |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1356515001 PECOS PAC ID: 6800960816 Enrollment ID: I20080808000064 |
| Provider Name | Angela H Perrin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538120266 PECOS PAC ID: 3678647534 Enrollment ID: I20080811000554 |
| Provider Name | Farid Ahmed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205018843 PECOS PAC ID: 0749355295 Enrollment ID: I20080818000440 |
| Provider Name | Germina R Rio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356350235 PECOS PAC ID: 0749357762 Enrollment ID: I20080917000304 |
| Provider Name | Douglas M Tew |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1568429769 PECOS PAC ID: 0941368377 Enrollment ID: I20081029000108 |
| Provider Name | William J Davila |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346214277 PECOS PAC ID: 3173684685 Enrollment ID: I20081202000754 |
| Provider Name | Saumil R. Oza |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1962587014 PECOS PAC ID: 5597826792 Enrollment ID: I20081205000737 |
| Provider Name | Neirouz B Joseph |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275686081 PECOS PAC ID: 1456414804 Enrollment ID: I20090110000186 |
| Provider Name | Cynthia K Schneider |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962682799 PECOS PAC ID: 7214092477 Enrollment ID: I20090223000313 |
| Provider Name | Paula Salas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558528026 PECOS PAC ID: 0143377333 Enrollment ID: I20090403000305 |
| Provider Name | Garry L Taylor |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1982661484 PECOS PAC ID: 6204983273 Enrollment ID: I20090408000306 |
| Provider Name | Vasco Geer |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1710980834 PECOS PAC ID: 9638181100 Enrollment ID: I20090505000521 |
| Provider Name | Daniyel H. Macomber |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1255378618 PECOS PAC ID: 3971653262 Enrollment ID: I20090608000465 |
| Provider Name | Cheryl J Marie |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1174770911 PECOS PAC ID: 3072664689 Enrollment ID: I20090622000360 |
| Provider Name | Ricardo F Izurieta |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1275559098 PECOS PAC ID: 0547311870 Enrollment ID: I20090626000565 |
| Provider Name | Stephen Pirris |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1558568279 PECOS PAC ID: 8123171808 Enrollment ID: I20090728000449 |
| Provider Name | Amy E Shuler |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1447493234 PECOS PAC ID: 8426102179 Enrollment ID: I20090815000030 |
| Provider Name | Georgia Gianakakos |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1528229184 PECOS PAC ID: 0648317180 Enrollment ID: I20091102000355 |
| Provider Name | Patricia P Mcardle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457582199 PECOS PAC ID: 3173661618 Enrollment ID: I20091103000692 |
| Provider Name | Asmita R Patel |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1619098746 PECOS PAC ID: 7315088929 Enrollment ID: I20100105000273 |
| Provider Name | Dennis D Dewey |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1538140371 PECOS PAC ID: 1153373006 Enrollment ID: I20100201000076 |
| Provider Name | Thomas W. Szwed |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1790712933 PECOS PAC ID: 2163571357 Enrollment ID: I20100218000509 |
| Provider Name | Gerardo Colon-otero |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1598754228 PECOS PAC ID: 0345316709 Enrollment ID: I20100303000893 |
| Provider Name | Steven S Nauman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881697084 PECOS PAC ID: 2567412539 Enrollment ID: I20100315000935 |
| Provider Name | Elizabeth A Johnson |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1407845134 PECOS PAC ID: 0345375119 Enrollment ID: I20100318000274 |
| Provider Name | Stuart Z Millstone |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1568481224 PECOS PAC ID: 6305742669 Enrollment ID: I20100325000735 |
| Provider Name | Candido E Rivera-linares |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1497744122 PECOS PAC ID: 8921134982 Enrollment ID: I20100329000894 |
| Provider Name | Alvaro Moreno-aspitia |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1952390684 PECOS PAC ID: 0648306522 Enrollment ID: I20100330000925 |
| Provider Name | Lynn M Waters |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487840633 PECOS PAC ID: 5395871958 Enrollment ID: I20100407000510 |
| Provider Name | Joseph M Millan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609829456 PECOS PAC ID: 9133256183 Enrollment ID: I20100422000524 |
| Provider Name | Brooke Mcduffie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346563129 PECOS PAC ID: 3274661152 Enrollment ID: I20100513000787 |
| Provider Name | Daniel S Wyzan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1598781643 PECOS PAC ID: 7810026366 Enrollment ID: I20100521000742 |
| Provider Name | Lielanie Aguilar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356553945 PECOS PAC ID: 8325114010 Enrollment ID: I20100526000371 |
| Provider Name | Han Tun |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1760471494 PECOS PAC ID: 1850421645 Enrollment ID: I20100604000333 |
| Provider Name | Vivek Roy |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1215926944 PECOS PAC ID: 0840320057 Enrollment ID: I20100615000599 |
| Provider Name | Winston Tan |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1245229772 PECOS PAC ID: 7911038054 Enrollment ID: I20100706000380 |
| Provider Name | Mark Anthony Stawara |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033168539 PECOS PAC ID: 5698807147 Enrollment ID: I20100719000443 |
| Provider Name | Patricia Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124083464 PECOS PAC ID: 2062545015 Enrollment ID: I20100728000764 |
| Provider Name | Jennifer G Katsolis |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528222411 PECOS PAC ID: 5799818050 Enrollment ID: I20100806000481 |
| Provider Name | John-paul Pham |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1841491503 PECOS PAC ID: 6103950076 Enrollment ID: I20100813000448 |
| Provider Name | Hussain Syed Imam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891722385 PECOS PAC ID: 2163556960 Enrollment ID: I20100816000753 |
| Provider Name | Jose M Soto Soto |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1275797177 PECOS PAC ID: 9335273978 Enrollment ID: I20100817001610 |
| Provider Name | William M Mentz |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1043248461 PECOS PAC ID: 0345399531 Enrollment ID: I20100818000929 |
| Provider Name | Estrellita H Redmon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023076056 PECOS PAC ID: 9032243530 Enrollment ID: I20100819000677 |
| Provider Name | Gina M Mele |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467772780 PECOS PAC ID: 6406970557 Enrollment ID: I20100826000791 |
| Provider Name | Talat Imam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710912654 PECOS PAC ID: 2668439001 Enrollment ID: I20100831000033 |
| Provider Name | Nosshey Fawzi Hanna |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1699877647 PECOS PAC ID: 8820112493 Enrollment ID: I20100902001148 |
| Provider Name | Nicholas Alexander Herrero |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1396834701 PECOS PAC ID: 4587789524 Enrollment ID: I20100915000313 |
| Provider Name | Michele L Vicari Christensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932118833 PECOS PAC ID: 5991820581 Enrollment ID: I20100920000975 |
| Provider Name | John Paul Arnold |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477511574 PECOS PAC ID: 9830215912 Enrollment ID: I20100927000210 |
| Provider Name | Diana I Mercado |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1255543849 PECOS PAC ID: 5597957951 Enrollment ID: I20101005000122 |
| Provider Name | Alex Brown |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1700902434 PECOS PAC ID: 0749472900 Enrollment ID: I20101006000265 |
| Provider Name | Heber J Rosa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952306607 PECOS PAC ID: 8123210309 Enrollment ID: I20101006000521 |
| Provider Name | Mary Yoder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891901674 PECOS PAC ID: 7719041839 Enrollment ID: I20101006000957 |
| Provider Name | Jonathan M Divine |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710173968 PECOS PAC ID: 9133311368 Enrollment ID: I20101006001053 |
| Provider Name | Stephen S Scibelli |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1790965325 PECOS PAC ID: 9032301916 Enrollment ID: I20101011000533 |
| Provider Name | Omer R Zuberi |
|---|---|
| Provider Type | Practitioner - Peripheral Vascular Disease |
| Provider Identifiers | NPI Number: 1144438482 PECOS PAC ID: 9133312432 Enrollment ID: I20101019001137 |
| Provider Name | Sandra J Schellhorn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497928089 PECOS PAC ID: 4789877945 Enrollment ID: I20101020000314 |
| Provider Name | Kimberly A Simon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053553974 PECOS PAC ID: 7911190988 Enrollment ID: I20101022000210 |
| Provider Name | David Mosborg |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1649236332 PECOS PAC ID: 7911009493 Enrollment ID: I20101028000153 |
| Provider Name | Grace Collupy |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1417140344 PECOS PAC ID: 4385728328 Enrollment ID: I20101028000607 |
| Provider Name | Rafael A Garcia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801068135 PECOS PAC ID: 7517155377 Enrollment ID: I20101220001139 |
| Provider Name | Raguveer Murthy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1316152911 PECOS PAC ID: 2365621281 Enrollment ID: I20110125000539 |
| Provider Name | Praful Balkrishna Patel |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1396760575 PECOS PAC ID: 5698955938 Enrollment ID: I20110203000939 |
| Provider Name | Lauren M Harrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508180480 PECOS PAC ID: 7810170271 Enrollment ID: I20110322000652 |
| Provider Name | Julie A Cronauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871733642 PECOS PAC ID: 4082898663 Enrollment ID: I20110405001033 |
| Provider Name | Barbara A Austin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396041547 PECOS PAC ID: 4880879725 Enrollment ID: I20110419000869 |
| Provider Name | Melissa S Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104124064 PECOS PAC ID: 8921283052 Enrollment ID: I20110504000650 |
| Provider Name | Kevin W Peterson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790754877 PECOS PAC ID: 3375720329 Enrollment ID: I20110531000727 |
| Provider Name | Steven Nabil Attia |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1417912585 PECOS PAC ID: 9739259458 Enrollment ID: I20110606000110 |
| Provider Name | Shavondra C Huggins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124263256 PECOS PAC ID: 2264619790 Enrollment ID: I20110608000748 |
| Provider Name | Tera D Maple |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043518756 PECOS PAC ID: 3577731066 Enrollment ID: I20110728000306 |
| Provider Name | Jason S Starr |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1205090107 PECOS PAC ID: 6507035698 Enrollment ID: I20110805000565 |
| Provider Name | Richard Joseph |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1841407715 PECOS PAC ID: 4183707037 Enrollment ID: I20110815000902 |
| Provider Name | Caitlin G Sargent |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689994865 PECOS PAC ID: 0840460341 Enrollment ID: I20110818000686 |
| Provider Name | Jeannine V Mauney |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609077247 PECOS PAC ID: 8325219496 Enrollment ID: I20110921000364 |
| Provider Name | Allison H Mabus |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578727970 PECOS PAC ID: 9234300120 Enrollment ID: I20110926000733 |
| Provider Name | Manish Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346404761 PECOS PAC ID: 1759552649 Enrollment ID: I20110926000771 |
| Provider Name | Brenda J Pinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356621866 PECOS PAC ID: 5092987495 Enrollment ID: I20111006000753 |
| Provider Name | Sourial M Sourial |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205148376 PECOS PAC ID: 5597937938 Enrollment ID: I20111007000381 |
| Provider Name | Michael J Sorna |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932100492 PECOS PAC ID: 4284806324 Enrollment ID: I20111013000346 |
| Provider Name | Raja Sawhney |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1962612184 PECOS PAC ID: 0749312023 Enrollment ID: I20111101000439 |
| Provider Name | Thomas A Tomlin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427073907 PECOS PAC ID: 6103090329 Enrollment ID: I20111123000660 |
| Provider Name | Raymond M Pumarejo |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1104806892 PECOS PAC ID: 7911174164 Enrollment ID: I20120111000787 |
| Provider Name | Taimur Sher |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1306171871 PECOS PAC ID: 9537283742 Enrollment ID: I20120126000642 |
| Provider Name | Allison L Chan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841458668 PECOS PAC ID: 6800053174 Enrollment ID: I20120130000600 |
| Provider Name | Asher A Chanan Khan |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1194722462 PECOS PAC ID: 1456313436 Enrollment ID: I20120131000719 |
| Provider Name | Michael A Illovsky |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1023097441 PECOS PAC ID: 4880773100 Enrollment ID: I20120213000286 |
| Provider Name | Casey S Adams |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1801897186 PECOS PAC ID: 7416939137 Enrollment ID: I20120216000095 |
| Provider Name | Amber Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861790404 PECOS PAC ID: 7214195007 Enrollment ID: I20120224000560 |
| Provider Name | Michelle Anne Mclanahan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245221605 PECOS PAC ID: 2466611595 Enrollment ID: I20120309000292 |
| Provider Name | Stephen R Parker |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1285808063 PECOS PAC ID: 6800055815 Enrollment ID: I20120312000381 |
| Provider Name | Jennifer L Stone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003010307 PECOS PAC ID: 6305993254 Enrollment ID: I20120430000259 |
| Provider Name | Lauren P Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992026967 PECOS PAC ID: 8628240751 Enrollment ID: I20120523000583 |
| Provider Name | Jo Ann M Bolante |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235407289 PECOS PAC ID: 8123281284 Enrollment ID: I20120530000076 |
| Provider Name | Amalie F Eid |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1467612671 PECOS PAC ID: 1557527694 Enrollment ID: I20120718000404 |
| Provider Name | Lydia J Lowder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275889099 PECOS PAC ID: 9133375876 Enrollment ID: I20120810000671 |
| Provider Name | Matthew T Braddock |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417180886 PECOS PAC ID: 8224284922 Enrollment ID: I20120813000457 |
| Provider Name | Pooja P Advani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386876928 PECOS PAC ID: 4880840586 Enrollment ID: I20120813000550 |
| Provider Name | Rachel A Ditrapani |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548425788 PECOS PAC ID: 7012164486 Enrollment ID: I20120821000347 |
| Provider Name | Jimmy Arturo Malaver-reyes |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1992802342 PECOS PAC ID: 0648278184 Enrollment ID: I20120830000179 |
| Provider Name | Robert P Martin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437116464 PECOS PAC ID: 8628226156 Enrollment ID: I20120907000146 |
| Provider Name | Melanie S Lehmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033466750 PECOS PAC ID: 7719135573 Enrollment ID: I20120919000834 |
| Provider Name | Mary Ann Kenneson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1790011062 PECOS PAC ID: 5092980615 Enrollment ID: I20121005000313 |
| Provider Name | Kelvin James Wiley |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1194810481 PECOS PAC ID: 3971604638 Enrollment ID: I20121011000564 |
| Provider Name | Elizabeth A Campbell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215283536 PECOS PAC ID: 3476703588 Enrollment ID: I20121026000291 |
| Provider Name | Bharani Pinisetty |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1376703777 PECOS PAC ID: 6406929181 Enrollment ID: I20121108000399 |
| Provider Name | Kristen L Gillander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912283599 PECOS PAC ID: 8325212533 Enrollment ID: I20121119000591 |
| Provider Name | Jennifer A Mccrea |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578736815 PECOS PAC ID: 8729230537 Enrollment ID: I20121130000115 |
| Provider Name | Amanda B Peacock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669721155 PECOS PAC ID: 2466604137 Enrollment ID: I20121203000246 |
| Provider Name | Angelique M Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518201300 PECOS PAC ID: 8123270329 Enrollment ID: I20121217000236 |
| Provider Name | Danielle A Weaver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477807444 PECOS PAC ID: 4688827488 Enrollment ID: I20130103000145 |
| Provider Name | Lauren W Bell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144564170 PECOS PAC ID: 0941454599 Enrollment ID: I20130206000411 |
| Provider Name | Lynn Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952649642 PECOS PAC ID: 7911152764 Enrollment ID: I20130227000347 |
| Provider Name | Abdallah Kafrouni |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1831284645 PECOS PAC ID: 9335245570 Enrollment ID: I20130228000334 |
| Provider Name | Debora C Gay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932134673 PECOS PAC ID: 9436394186 Enrollment ID: I20130328000363 |
| Provider Name | Christina N Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629314943 PECOS PAC ID: 6800032111 Enrollment ID: I20130411000083 |
| Provider Name | Kristen M Kelley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154483956 PECOS PAC ID: 1355580176 Enrollment ID: I20130626000589 |
| Provider Name | Julio Ventura |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1164659546 PECOS PAC ID: 2163662495 Enrollment ID: I20130723000638 |
| Provider Name | Catherine L Smith |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1386847903 PECOS PAC ID: 4587856125 Enrollment ID: I20130729001040 |
| Provider Name | Ambar M Patel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1366649758 PECOS PAC ID: 3779725569 Enrollment ID: I20130807000313 |
| Provider Name | Manoj M Pulicottil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306877972 PECOS PAC ID: 7416995055 Enrollment ID: I20130813000923 |
| Provider Name | Quincy A Scarborough |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003137852 PECOS PAC ID: 0345482774 Enrollment ID: I20130814000017 |
| Provider Name | Kayela Faye Borisade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104160217 PECOS PAC ID: 0143462465 Enrollment ID: I20130815000190 |
| Provider Name | Pauline J Rolle |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306899711 PECOS PAC ID: 1951543032 Enrollment ID: I20130820000799 |
| Provider Name | Shannon K Burns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003258898 PECOS PAC ID: 6103069703 Enrollment ID: I20130829000702 |
| Provider Name | Erin Brook Alban |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255773883 PECOS PAC ID: 4688817026 Enrollment ID: I20130904000072 |
| Provider Name | Bethany J Bell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699117408 PECOS PAC ID: 2961646518 Enrollment ID: I20130920000323 |
| Provider Name | Aino E Mueller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962720763 PECOS PAC ID: 8820222623 Enrollment ID: I20131010000755 |
| Provider Name | Ava Phoenix |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205898517 PECOS PAC ID: 7315019205 Enrollment ID: I20131023002326 |
| Provider Name | Heather D Thorpe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942536719 PECOS PAC ID: 6800021742 Enrollment ID: I20131030000439 |
| Provider Name | William Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467693358 PECOS PAC ID: 4789810771 Enrollment ID: I20131121001467 |
| Provider Name | Lindsey E Ray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861824815 PECOS PAC ID: 8426286626 Enrollment ID: I20140115001391 |
| Provider Name | Sikander Ailawadhi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1063670339 PECOS PAC ID: 9830258201 Enrollment ID: I20140206000996 |
| Provider Name | Betty K Panampally |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467758193 PECOS PAC ID: 3173752300 Enrollment ID: I20140210000347 |
| Provider Name | Sheri L Combs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811239882 PECOS PAC ID: 2769611706 Enrollment ID: I20140214001313 |
| Provider Name | Marybeth Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497975072 PECOS PAC ID: 6800025792 Enrollment ID: I20140219001596 |
| Provider Name | Yvonne M Tyson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013353143 PECOS PAC ID: 8224260286 Enrollment ID: I20140407001262 |
| Provider Name | Kathryn H Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528484318 PECOS PAC ID: 3173756640 Enrollment ID: I20140507002144 |
| Provider Name | Patrick S Antoun |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1184884850 PECOS PAC ID: 9931322062 Enrollment ID: I20140519001048 |
| Provider Name | Victoria Udongwo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962820738 PECOS PAC ID: 2769606177 Enrollment ID: I20140604002091 |
| Provider Name | Concepcion Agnila |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104118686 PECOS PAC ID: 4486879707 Enrollment ID: I20140630001412 |
| Provider Name | Sunwook Kim-ashchi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255474359 PECOS PAC ID: 6507825403 Enrollment ID: I20140724000586 |
| Provider Name | Trevanne R Matthews Hew |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1912292178 PECOS PAC ID: 6305062142 Enrollment ID: I20140731000016 |
| Provider Name | James Augustus Joyner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265526602 PECOS PAC ID: 0244457448 Enrollment ID: I20140812002007 |
| Provider Name | Jenny C Brooks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598170805 PECOS PAC ID: 4284852476 Enrollment ID: I20140829002034 |
| Provider Name | Lynne Conderman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346656709 PECOS PAC ID: 0840418851 Enrollment ID: I20140903001922 |
| Provider Name | Kabir Mody |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1902096860 PECOS PAC ID: 1951477264 Enrollment ID: I20140908001358 |
| Provider Name | Monique Y Gray-jefferson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861788085 PECOS PAC ID: 3274752456 Enrollment ID: I20140922000192 |
| Provider Name | Benjamin T O'connell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386930493 PECOS PAC ID: 3173742285 Enrollment ID: I20140922001361 |
| Provider Name | Amanda Lee West |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063706026 PECOS PAC ID: 5193996122 Enrollment ID: I20140924001873 |
| Provider Name | Cara C Prier |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639463029 PECOS PAC ID: 5890934400 Enrollment ID: I20140925000663 |
| Provider Name | Saranya Chumsri |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1508908328 PECOS PAC ID: 0840353439 Enrollment ID: I20140925001155 |
| Provider Name | Katie Kerlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366859373 PECOS PAC ID: 7719107523 Enrollment ID: I20140930000301 |
| Provider Name | Kimberly A Parrott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437562915 PECOS PAC ID: 9436379146 Enrollment ID: I20141001000801 |
| Provider Name | Angela Kathleen Stalvey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386887560 PECOS PAC ID: 0244450443 Enrollment ID: I20141010001693 |
| Provider Name | Sena Durakovic |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497041701 PECOS PAC ID: 0446471148 Enrollment ID: I20141022000789 |
| Provider Name | Kathryn D Dalton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396147013 PECOS PAC ID: 5294957213 Enrollment ID: I20141106001845 |
| Provider Name | Cesar Ian K Aguirre |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528367117 PECOS PAC ID: 5597987248 Enrollment ID: I20141112001760 |
| Provider Name | Kelly Marie Obrien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275937179 PECOS PAC ID: 9739401035 Enrollment ID: I20141121002107 |
| Provider Name | Margaret Davis Hovda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376744581 PECOS PAC ID: 8325360126 Enrollment ID: I20141205001402 |
| Provider Name | Indrani Mukherjee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609078385 PECOS PAC ID: 8921107194 Enrollment ID: I20141220000090 |
| Provider Name | Nkemdilim Ngozi Nwosa |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1376525162 PECOS PAC ID: 0143217299 Enrollment ID: I20150106002158 |
| Provider Name | Amber Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336548619 PECOS PAC ID: 4486978970 Enrollment ID: I20150109000535 |
| Provider Name | Allison M Wood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134458862 PECOS PAC ID: 9638353196 Enrollment ID: I20150113001030 |
| Provider Name | Cassandra E Andrews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871993287 PECOS PAC ID: 8123343886 Enrollment ID: I20150220002326 |
| Provider Name | Charmaine A Aguirre |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841599438 PECOS PAC ID: 4486876323 Enrollment ID: I20150223000905 |
| Provider Name | Larry D Mastrogianakis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023090800 PECOS PAC ID: 6204158678 Enrollment ID: I20150226000582 |
| Provider Name | Rachel S Schare |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144273293 PECOS PAC ID: 9739405655 Enrollment ID: I20150311001421 |
| Provider Name | Gustava T Zimmer |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1912325333 PECOS PAC ID: 8022335652 Enrollment ID: I20150319001703 |
| Provider Name | Kimberly Greenawalt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578831954 PECOS PAC ID: 6709103260 Enrollment ID: I20150320000507 |
| Provider Name | Lashandia King May |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992193684 PECOS PAC ID: 5698094902 Enrollment ID: I20150508000987 |
| Provider Name | Dianne Larson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497148225 PECOS PAC ID: 2062731136 Enrollment ID: I20150512002262 |
| Provider Name | Denys Shapovalov |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1528385150 PECOS PAC ID: 1456672021 Enrollment ID: I20150608001842 |
| Provider Name | Laura A Mclauchlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538549944 PECOS PAC ID: 8527370279 Enrollment ID: I20150708003113 |
| Provider Name | Richard J Moore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902167232 PECOS PAC ID: 3779896642 Enrollment ID: I20150721002162 |
| Provider Name | John J Mcgetrick |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1497071047 PECOS PAC ID: 1658503032 Enrollment ID: I20150727001457 |
| Provider Name | Jason R Sebesto |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1861786246 PECOS PAC ID: 0749416238 Enrollment ID: I20150810001005 |
| Provider Name | Lucien Naji Abboud |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1609055870 PECOS PAC ID: 3173675717 Enrollment ID: I20150819009523 |
| Provider Name | Leighanne Michelle Meade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992189245 PECOS PAC ID: 2668788621 Enrollment ID: I20150904002145 |
| Provider Name | Martin J Hallam |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568769180 PECOS PAC ID: 8527374461 Enrollment ID: I20150908002709 |
| Provider Name | Sharon Schwartz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639557572 PECOS PAC ID: 4587971213 Enrollment ID: I20150914001147 |
| Provider Name | Katherine Olliff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891176657 PECOS PAC ID: 7214244680 Enrollment ID: I20150917000250 |
| Provider Name | John W Yokitis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659361939 PECOS PAC ID: 3779655964 Enrollment ID: I20150929001205 |
| Provider Name | Lindsay S Mason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275916769 PECOS PAC ID: 3072822667 Enrollment ID: I20151022000012 |
| Provider Name | Angela Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992173173 PECOS PAC ID: 5395054654 Enrollment ID: I20151027003097 |
| Provider Name | Nitika Malhotra |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1164742144 PECOS PAC ID: 5597904656 Enrollment ID: I20151028000818 |
| Provider Name | Urian Kim |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851487292 PECOS PAC ID: 8022328285 Enrollment ID: I20151030001746 |
| Provider Name | Heather Ledford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811367618 PECOS PAC ID: 1951601236 Enrollment ID: I20151119000161 |
| Provider Name | Christine Sacre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548631872 PECOS PAC ID: 0446550420 Enrollment ID: I20151123002264 |
| Provider Name | Yanyan Lou |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1659505915 PECOS PAC ID: 2567602071 Enrollment ID: I20151130001374 |
| Provider Name | Monica Eve Major-harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912163288 PECOS PAC ID: 6901108893 Enrollment ID: I20160108002331 |
| Provider Name | David Brian Remias |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316258759 PECOS PAC ID: 0143547711 Enrollment ID: I20160122001073 |
| Provider Name | Rebecca Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063882264 PECOS PAC ID: 8426352915 Enrollment ID: I20160203001255 |
| Provider Name | Stacy Quinn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275894529 PECOS PAC ID: 5799089942 Enrollment ID: I20160208002023 |
| Provider Name | Joseph Krainin |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1386792307 PECOS PAC ID: 2567557176 Enrollment ID: I20160217001624 |
| Provider Name | Simi Kumar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1215199179 PECOS PAC ID: 4284875444 Enrollment ID: I20160222000745 |
| Provider Name | Monica Tran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184856155 PECOS PAC ID: 6901051952 Enrollment ID: I20160222001787 |
| Provider Name | Tiffany Florence |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538526157 PECOS PAC ID: 0446555676 Enrollment ID: I20160225000423 |
| Provider Name | Carrie Ann Santos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730554494 PECOS PAC ID: 8325340490 Enrollment ID: I20160226000530 |
| Provider Name | Carolyn Mascho |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376941799 PECOS PAC ID: 5991029985 Enrollment ID: I20160323001743 |
| Provider Name | Michael Peterson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184037020 PECOS PAC ID: 9537467329 Enrollment ID: I20160412000272 |
| Provider Name | Jason Siegel |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1851658538 PECOS PAC ID: 3173760345 Enrollment ID: I20160621002664 |
| Provider Name | Janet Speer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922498765 PECOS PAC ID: 7315238375 Enrollment ID: I20160622000655 |
| Provider Name | Umair Majeed |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1972933125 PECOS PAC ID: 1254622921 Enrollment ID: I20160628001005 |
| Provider Name | Pashtoon M Kasi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1215167648 PECOS PAC ID: 5395987259 Enrollment ID: I20160812002292 |
| Provider Name | Raid G Ossi |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1477829299 PECOS PAC ID: 2466763537 Enrollment ID: I20160825001641 |
| Provider Name | Aneesa Krishnamurthy |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1386891604 PECOS PAC ID: 7214114693 Enrollment ID: I20160829000787 |
| Provider Name | Maithili Harinanda Shenoy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1447563408 PECOS PAC ID: 5092001503 Enrollment ID: I20160909001220 |
| Provider Name | Melissa L Decker |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578738415 PECOS PAC ID: 7618264185 Enrollment ID: I20160927001753 |
| Provider Name | Timothy Ryan Owens |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1962645382 PECOS PAC ID: 5799006045 Enrollment ID: I20160929002824 |
| Provider Name | Douglas W Roane |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1659478220 PECOS PAC ID: 8527099266 Enrollment ID: I20161011001721 |
| Provider Name | Malhar Agarwal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942690193 PECOS PAC ID: 3779862891 Enrollment ID: I20161114000773 |
| Provider Name | Adil Mohammad Zia |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1790072684 PECOS PAC ID: 6608097506 Enrollment ID: I20161115002095 |
| Provider Name | James Downey |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821438037 PECOS PAC ID: 7113223546 Enrollment ID: I20161115002738 |
| Provider Name | Kevin M Holdread |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942646625 PECOS PAC ID: 8426297441 Enrollment ID: I20161202000081 |
| Provider Name | Zain A Barnouti |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1528441904 PECOS PAC ID: 4284931247 Enrollment ID: I20161203000060 |
| Provider Name | Shayne Lynne Luyan Mangalindan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073061214 PECOS PAC ID: 8426338401 Enrollment ID: I20161208001681 |
| Provider Name | Khaled R Magdy |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1346232691 PECOS PAC ID: 3577843184 Enrollment ID: I20161216000594 |
| Provider Name | Allison H Courson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295285781 PECOS PAC ID: 5799066056 Enrollment ID: I20161227001969 |
| Provider Name | Jean E Sheridan-young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285177832 PECOS PAC ID: 2365723624 Enrollment ID: I20161228000105 |
| Provider Name | Rami Manochakian |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1619112034 PECOS PAC ID: 1658515937 Enrollment ID: I20161229000133 |
| Provider Name | Laura Lynn Mccord |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346201738 PECOS PAC ID: 5890886808 Enrollment ID: I20170110001128 |
| Provider Name | Kristen Leino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346792587 PECOS PAC ID: 4587946488 Enrollment ID: I20170130002317 |
| Provider Name | Nicholas Skiadas |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1043436140 PECOS PAC ID: 9133314008 Enrollment ID: I20170203001895 |
| Provider Name | Craig A Cherrin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194267625 PECOS PAC ID: 1557645405 Enrollment ID: I20170221002459 |
| Provider Name | Maria Filipinas Duenas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437692993 PECOS PAC ID: 5092099853 Enrollment ID: I20170223001151 |
| Provider Name | Jeffrey D Schnur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801202494 PECOS PAC ID: 4587982061 Enrollment ID: I20170302001328 |
| Provider Name | Shanna Korsah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679925911 PECOS PAC ID: 1254616246 Enrollment ID: I20170313001641 |
| Provider Name | Marie M Weber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164886123 PECOS PAC ID: 7113202730 Enrollment ID: I20170322002330 |
| Provider Name | Annie L Inman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992242846 PECOS PAC ID: 8820373194 Enrollment ID: I20170329000491 |
| Provider Name | Jimmy Suvatne |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1568542116 PECOS PAC ID: 5294973251 Enrollment ID: I20170417001285 |
| Provider Name | David Jalal El Hassan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750794699 PECOS PAC ID: 6305124058 Enrollment ID: I20170425002512 |
| Provider Name | Kathryn Melko |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1003171463 PECOS PAC ID: 4981981917 Enrollment ID: I20170501001021 |
| Provider Name | John R Wilson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093955775 PECOS PAC ID: 5890072276 Enrollment ID: I20170512001239 |
| Provider Name | Bonnie K. White |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336146653 PECOS PAC ID: 4880971118 Enrollment ID: I20170515001278 |
| Provider Name | Timothy J Flynn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205850765 PECOS PAC ID: 7810068343 Enrollment ID: I20170526002060 |
| Provider Name | Elizabeth T Zellner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386183804 PECOS PAC ID: 8426325028 Enrollment ID: I20170602001082 |
| Provider Name | Jeremy Clifton Jones |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1851681076 PECOS PAC ID: 7214151984 Enrollment ID: I20170612001568 |
| Provider Name | Madhura Butala |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962657577 PECOS PAC ID: 0345518494 Enrollment ID: I20170614002198 |
| Provider Name | Autumn M Hancock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508398181 PECOS PAC ID: 0042588923 Enrollment ID: I20170619000092 |
| Provider Name | Elvira Samardzic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700265840 PECOS PAC ID: 9032487624 Enrollment ID: I20170623000403 |
| Provider Name | Denise Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922465897 PECOS PAC ID: 2961771027 Enrollment ID: I20170705000867 |
| Provider Name | Ruqin Chen |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1851702930 PECOS PAC ID: 2062782220 Enrollment ID: I20170720000661 |
| Provider Name | Lamont Smith |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1205816899 PECOS PAC ID: 6800987975 Enrollment ID: I20170728001012 |
| Provider Name | Robert Mannel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093073181 PECOS PAC ID: 1658683073 Enrollment ID: I20170804002628 |
| Provider Name | Latoya D Holton - Perez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821523713 PECOS PAC ID: 1759652746 Enrollment ID: I20170809003351 |
| Provider Name | Angela L Karulak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477914646 PECOS PAC ID: 0941580260 Enrollment ID: I20170815003698 |
| Provider Name | Mary E Ostroska |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285959940 PECOS PAC ID: 9335376540 Enrollment ID: I20170817002627 |
| Provider Name | Shari Calicker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962815522 PECOS PAC ID: 3274812094 Enrollment ID: I20170830003405 |
| Provider Name | Bradley Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508388240 PECOS PAC ID: 7416221353 Enrollment ID: I20170915003027 |
| Provider Name | Paul A Busse |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740520741 PECOS PAC ID: 5597996124 Enrollment ID: I20170921000382 |
| Provider Name | Hani Issa |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1619144045 PECOS PAC ID: 2668621236 Enrollment ID: I20170928001398 |
| Provider Name | Allen R Todd |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851739825 PECOS PAC ID: 9133354780 Enrollment ID: I20170929001881 |
| Provider Name | Kasey E Treger |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1316238496 PECOS PAC ID: 5698991727 Enrollment ID: I20170929002015 |
| Provider Name | Carol Abbott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629427240 PECOS PAC ID: 1557636594 Enrollment ID: I20171002001779 |
| Provider Name | Ilana D Hiller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295278521 PECOS PAC ID: 4082989025 Enrollment ID: I20171002001879 |
| Provider Name | Sara C Largen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629497516 PECOS PAC ID: 5799050365 Enrollment ID: I20171006002133 |
| Provider Name | Eyad Kawar |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1205038296 PECOS PAC ID: 1557502168 Enrollment ID: I20171013002886 |
| Provider Name | Alicia M Deboe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417475369 PECOS PAC ID: 9830465947 Enrollment ID: I20171017002818 |
| Provider Name | Samantha R Inabinett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306369640 PECOS PAC ID: 1951677822 Enrollment ID: I20171019002835 |
| Provider Name | Cecilia House |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891108171 PECOS PAC ID: 9739309089 Enrollment ID: I20171107000578 |
| Provider Name | Laura Fernandez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1659880060 PECOS PAC ID: 7911263835 Enrollment ID: I20171109001680 |
| Provider Name | Adam Oneil Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376074682 PECOS PAC ID: 6305102740 Enrollment ID: I20171117001281 |
| Provider Name | Alex M Arce |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487061271 PECOS PAC ID: 1759687106 Enrollment ID: I20171120002025 |
| Provider Name | Edward Orshansky |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285054460 PECOS PAC ID: 8820218548 Enrollment ID: I20171120003394 |
| Provider Name | Sarah Curtis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215461512 PECOS PAC ID: 2668739665 Enrollment ID: I20171129002355 |
| Provider Name | Lauren N Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326567546 PECOS PAC ID: 0345507349 Enrollment ID: I20171129002623 |
| Provider Name | Elizabeth G Mutz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043735160 PECOS PAC ID: 0446518716 Enrollment ID: I20171213002779 |
| Provider Name | Joseph P Orallo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306379847 PECOS PAC ID: 4880952043 Enrollment ID: I20171215000576 |
| Provider Name | Nandita Gatla |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1306166632 PECOS PAC ID: 8325321797 Enrollment ID: I20171229001196 |
| Provider Name | Jametria Qwanice Howard-jones |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487064317 PECOS PAC ID: 7810256435 Enrollment ID: I20180104001968 |
| Provider Name | Angela Burnett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427334820 PECOS PAC ID: 2365600541 Enrollment ID: I20180110002253 |
| Provider Name | Roxana S Dronca |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1982657052 PECOS PAC ID: 4183637945 Enrollment ID: I20180125000894 |
| Provider Name | Sunitha Menon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487013645 PECOS PAC ID: 7416219399 Enrollment ID: I20180313002549 |
| Provider Name | Brenda J Ernst |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1134449416 PECOS PAC ID: 5193960177 Enrollment ID: I20180316001187 |
| Provider Name | Samuel Palmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326584434 PECOS PAC ID: 0345503223 Enrollment ID: I20180405001015 |
| Provider Name | Lloyd Ernest Dahlen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407126998 PECOS PAC ID: 9537422605 Enrollment ID: I20180424002710 |
| Provider Name | Sheila Gonzalez |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1215040894 PECOS PAC ID: 0648231688 Enrollment ID: I20180618000991 |
| Provider Name | Caroline R Price |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467832121 PECOS PAC ID: 4981950656 Enrollment ID: I20180711000509 |
| Provider Name | Jaime Maurer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932618485 PECOS PAC ID: 2264789312 Enrollment ID: I20180719002378 |
| Provider Name | Andrea L Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659860492 PECOS PAC ID: 7012265564 Enrollment ID: I20180731003457 |
| Provider Name | Katie Longo Cantrell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538541768 PECOS PAC ID: 9537463377 Enrollment ID: I20180801001262 |
| Provider Name | Samantha J Barry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023515418 PECOS PAC ID: 2062760846 Enrollment ID: I20180810001095 |
| Provider Name | Wally Jamie Plante |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558772061 PECOS PAC ID: 3971801499 Enrollment ID: I20180815001637 |
| Provider Name | Austin J Chaput |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124408034 PECOS PAC ID: 1658620174 Enrollment ID: I20180816002047 |
| Provider Name | Luther Quarles |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215352703 PECOS PAC ID: 2668721861 Enrollment ID: I20180821003879 |
| Provider Name | Tanielle B Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043690894 PECOS PAC ID: 4981970605 Enrollment ID: I20180827001847 |
| Provider Name | Troy F Borema |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144217308 PECOS PAC ID: 9739328634 Enrollment ID: I20180827003061 |
| Provider Name | Tanisha Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124526025 PECOS PAC ID: 3173872918 Enrollment ID: I20180828000477 |
| Provider Name | Vicki Teal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518457357 PECOS PAC ID: 4284984865 Enrollment ID: I20180830003692 |
| Provider Name | Joel L Cohen |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1841265717 PECOS PAC ID: 2264480334 Enrollment ID: I20180907002056 |
| Provider Name | Veronica Marian Romanow |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578956876 PECOS PAC ID: 9032410477 Enrollment ID: I20180918000627 |
| Provider Name | Christa W Lehman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124534268 PECOS PAC ID: 6800147406 Enrollment ID: I20180920002006 |
| Provider Name | Ravi Prasad Avati Nanjundappa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679780373 PECOS PAC ID: 2264594373 Enrollment ID: I20180921002812 |
| Provider Name | Ivorique O Turner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922077437 PECOS PAC ID: 1355518200 Enrollment ID: I20181005001172 |
| Provider Name | Bashar Hanooshi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750781647 PECOS PAC ID: 0749532562 Enrollment ID: I20181005001581 |
| Provider Name | Coral Gaffney |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1457786915 PECOS PAC ID: 8729331889 Enrollment ID: I20181019001532 |
| Provider Name | Harry T Madhanagopal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740568278 PECOS PAC ID: 5890928899 Enrollment ID: I20181019002151 |
| Provider Name | Salman Farhat |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1356780274 PECOS PAC ID: 3072755073 Enrollment ID: I20181106002265 |
| Provider Name | George Dibu |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1598992059 PECOS PAC ID: 4082854237 Enrollment ID: I20181113001692 |
| Provider Name | Zalika T Nisbeth |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902256027 PECOS PAC ID: 9436438280 Enrollment ID: I20181128002429 |
| Provider Name | Karisa S Torres |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104331602 PECOS PAC ID: 3173867017 Enrollment ID: I20181204003410 |
| Provider Name | Ronnesia Austin Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184139271 PECOS PAC ID: 9133463565 Enrollment ID: I20181211003603 |
| Provider Name | Amanda Caroline Tippitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053704346 PECOS PAC ID: 7719206531 Enrollment ID: I20190102001212 |
| Provider Name | Vivian F Paskowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376851915 PECOS PAC ID: 2668651837 Enrollment ID: I20190107002312 |
| Provider Name | Nicole Parr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639649841 PECOS PAC ID: 3476899725 Enrollment ID: I20190108002700 |
| Provider Name | Deogracias Remandaban Agnila |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154827798 PECOS PAC ID: 8224273271 Enrollment ID: I20190108003740 |
| Provider Name | Ewa M Wysokinska |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1548426703 PECOS PAC ID: 2567594781 Enrollment ID: I20190116000655 |
| Provider Name | Stephanie Digirolamo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073094314 PECOS PAC ID: 0941547590 Enrollment ID: I20190122000065 |
| Provider Name | Darwish Ibrahim Naji |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164711909 PECOS PAC ID: 0749407617 Enrollment ID: I20190207000998 |
| Provider Name | Kristin A. Lothman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700350881 PECOS PAC ID: 6709124126 Enrollment ID: I20190211001555 |
| Provider Name | Erin Fletcher Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285106344 PECOS PAC ID: 0042558488 Enrollment ID: I20190211002177 |
| Provider Name | Jack William Mounce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154898666 PECOS PAC ID: 0749529352 Enrollment ID: I20190226001883 |
| Provider Name | Anissa Brisbane-mcfadden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033609789 PECOS PAC ID: 1456692011 Enrollment ID: I20190408002183 |
| Provider Name | Eniye L Odigie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518328426 PECOS PAC ID: 0749549103 Enrollment ID: I20190626003371 |
| Provider Name | Clara M Antoury |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1669715389 PECOS PAC ID: 4587951165 Enrollment ID: I20190711001170 |
| Provider Name | Benjamin James Dionne |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194119214 PECOS PAC ID: 0749516912 Enrollment ID: I20190725001499 |
| Provider Name | Felipe Velazquez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033569165 PECOS PAC ID: 4688952104 Enrollment ID: I20190725003370 |
| Provider Name | Jessica L Askew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619536174 PECOS PAC ID: 6608102744 Enrollment ID: I20190726000056 |
| Provider Name | Mohamed Omballi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1184867996 PECOS PAC ID: 3577791433 Enrollment ID: I20190730004030 |
| Provider Name | Samuel Stephen Giles |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1427430370 PECOS PAC ID: 1355629288 Enrollment ID: I20190731001495 |
| Provider Name | Kapil Vyas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447690987 PECOS PAC ID: 2961645205 Enrollment ID: I20190731003498 |
| Provider Name | John Keith Evans |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1194043125 PECOS PAC ID: 8820381403 Enrollment ID: I20190801001745 |
| Provider Name | Taylor Lane Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598115610 PECOS PAC ID: 8921387648 Enrollment ID: I20190911000847 |
| Provider Name | Johnique Corta Bennett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538519640 PECOS PAC ID: 7810277936 Enrollment ID: I20190911003373 |
| Provider Name | Abdulaziz Alburaih |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1033340906 PECOS PAC ID: 2567603665 Enrollment ID: I20190924003624 |
| Provider Name | Max Aaron Horovitz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1629406400 PECOS PAC ID: 2668702010 Enrollment ID: I20190926003335 |
| Provider Name | Nilesh Verma |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1346685526 PECOS PAC ID: 2365732096 Enrollment ID: I20191002003485 |
| Provider Name | Victoria Cate |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699271809 PECOS PAC ID: 3274886528 Enrollment ID: I20191007001295 |
| Provider Name | Andrew Rahaman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992190664 PECOS PAC ID: 9032422647 Enrollment ID: I20191021000056 |
| Provider Name | Jessica Bowden |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609426352 PECOS PAC ID: 8921430091 Enrollment ID: I20191111001375 |
| Provider Name | Ellen Cooperrider |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215579990 PECOS PAC ID: 1759714082 Enrollment ID: I20191127001031 |
| Provider Name | Adam Andrew Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659913531 PECOS PAC ID: 0840623054 Enrollment ID: I20191202001524 |
| Provider Name | Samuel F Livingston |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336435643 PECOS PAC ID: 2466673710 Enrollment ID: I20191206000520 |
| Provider Name | Alexandra Victoria Perry |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1063733855 PECOS PAC ID: 3971735663 Enrollment ID: I20191217000408 |
| Provider Name | April Cobreiro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619538170 PECOS PAC ID: 1355775479 Enrollment ID: I20191226001361 |
| Provider Name | Lauren Juliette Hassan Nelson |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1245680834 PECOS PAC ID: 4587959259 Enrollment ID: I20200103001974 |
| Provider Name | Barbara Anne Mcswigan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831733385 PECOS PAC ID: 3173954203 Enrollment ID: I20200505002776 |
| Provider Name | Ana Maria R Fishbein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164991758 PECOS PAC ID: 0941631097 Enrollment ID: I20200506000226 |
| Provider Name | Cassaundra Thompson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124569215 PECOS PAC ID: 2163853474 Enrollment ID: I20200520000997 |
| Provider Name | Payal Paresh Patel Shooliz |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1003343633 PECOS PAC ID: 8820368913 Enrollment ID: I20200528002877 |
| Provider Name | Janet Marie Goodson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114557162 PECOS PAC ID: 0547681009 Enrollment ID: I20200609001626 |
| Provider Name | Salma Makhoul Ahwach |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1467683524 PECOS PAC ID: 8921231309 Enrollment ID: I20200617001551 |
| Provider Name | Zachery Williams Rohm |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1619362068 PECOS PAC ID: 8224363882 Enrollment ID: I20200617002078 |
| Provider Name | Christopher R Murphy |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1659787430 PECOS PAC ID: 5092931105 Enrollment ID: I20200622001589 |
| Provider Name | Rohit Rao |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1922386085 PECOS PAC ID: 4789973496 Enrollment ID: I20200702001232 |
| Provider Name | Daniel Ryan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1316391949 PECOS PAC ID: 9436441607 Enrollment ID: I20200710000942 |
| Provider Name | Jacqueline Pasco |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558436576 PECOS PAC ID: 6507848090 Enrollment ID: I20200714002443 |
| Provider Name | Amy Michelle Brannon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306463914 PECOS PAC ID: 7618390253 Enrollment ID: I20200715000113 |
| Provider Name | Maya Schueller Cantu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679008098 PECOS PAC ID: 8325311996 Enrollment ID: I20200715001043 |
| Provider Name | Alexander Javier Bolanos |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1578900619 PECOS PAC ID: 1052554417 Enrollment ID: I20200715001712 |
| Provider Name | Ashik Shrestha |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265811152 PECOS PAC ID: 3870823933 Enrollment ID: I20200715003304 |
| Provider Name | Andrea S Silva Curet |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366963068 PECOS PAC ID: 6002175361 Enrollment ID: I20200716002569 |
| Provider Name | Mallory Whitley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861913592 PECOS PAC ID: 0345509618 Enrollment ID: I20200717001389 |
| Provider Name | Darby R Martin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073052148 PECOS PAC ID: 1951641174 Enrollment ID: I20200717002789 |
| Provider Name | Adrianne C Gasper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386965085 PECOS PAC ID: 1355466178 Enrollment ID: I20200721004354 |
| Provider Name | Paul Lascuna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124396957 PECOS PAC ID: 5193966588 Enrollment ID: I20200727001187 |
| Provider Name | Heather Tramel Sharp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053769463 PECOS PAC ID: 8123442852 Enrollment ID: I20200728000827 |
| Provider Name | Shanthi Dhaduvai |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1740448695 PECOS PAC ID: 4082858774 Enrollment ID: I20200729002160 |
| Provider Name | Weston Dean Mann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366069239 PECOS PAC ID: 1254756737 Enrollment ID: I20200730002421 |
| Provider Name | Kristen Marquardt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720602535 PECOS PAC ID: 1850716143 Enrollment ID: I20200804000848 |
| Provider Name | Rukma Parthvi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1720474216 PECOS PAC ID: 4183961212 Enrollment ID: I20200817003810 |
| Provider Name | Kristina Rijo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093339467 PECOS PAC ID: 0345666525 Enrollment ID: I20200818004017 |
| Provider Name | Meena Demetrios |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720342900 PECOS PAC ID: 6800179961 Enrollment ID: I20200825000191 |
| Provider Name | Brandy Milliner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124008115 PECOS PAC ID: 3375886716 Enrollment ID: I20200825002533 |
| Provider Name | Melody Karycki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457975427 PECOS PAC ID: 2769809441 Enrollment ID: I20200826001199 |
| Provider Name | Nima Taghipour |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1508271941 PECOS PAC ID: 0345586418 Enrollment ID: I20200826001357 |
| Provider Name | Yu-chun Li |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003442005 PECOS PAC ID: 9133546575 Enrollment ID: I20200831000609 |
| Provider Name | Navid Shams Javani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790104800 PECOS PAC ID: 5799079364 Enrollment ID: I20200901000285 |
| Provider Name | Alana Campbell |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1598119257 PECOS PAC ID: 4183918816 Enrollment ID: I20200908002288 |
| Provider Name | Eralene Manangan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720691843 PECOS PAC ID: 2961821244 Enrollment ID: I20201006002365 |
| Provider Name | Gregory Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053964395 PECOS PAC ID: 4688093826 Enrollment ID: I20201007002261 |
| Provider Name | Akram Shibani |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1477784247 PECOS PAC ID: 9335380773 Enrollment ID: I20201009000614 |
| Provider Name | Nicole Marie Zisman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245846468 PECOS PAC ID: 0143640953 Enrollment ID: I20201016001364 |
| Provider Name | Tara Lee Larkin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316552714 PECOS PAC ID: 0143630996 Enrollment ID: I20201105001140 |
| Provider Name | Rosangelly Colon-torres |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568097129 PECOS PAC ID: 6002226883 Enrollment ID: I20201105002422 |
| Provider Name | Brianna Ashley Sauerbrei |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1740881010 PECOS PAC ID: 4981014487 Enrollment ID: I20201112001850 |
| Provider Name | Memorie Caldwell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194245159 PECOS PAC ID: 3274808126 Enrollment ID: I20201207002883 |
| Provider Name | Priyanka Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164028601 PECOS PAC ID: 4587076211 Enrollment ID: I20201222000211 |
| Provider Name | Jason J Bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023621596 PECOS PAC ID: 5092128587 Enrollment ID: I20201229002789 |
| Provider Name | Anesha Ann-marie Maxwell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831455682 PECOS PAC ID: 8325268501 Enrollment ID: I20210108001238 |
| Provider Name | Rachel Ann Mariano |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1063020832 PECOS PAC ID: 8820402159 Enrollment ID: I20210128001232 |
| Provider Name | Angela Simone Goodman |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1346846060 PECOS PAC ID: 7113332933 Enrollment ID: I20210209000448 |
| Provider Name | Jessica Lyn Glosson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1972136398 PECOS PAC ID: 6305251778 Enrollment ID: I20210217000221 |
| Provider Name | Brittany Cabler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366039208 PECOS PAC ID: 8022423227 Enrollment ID: I20210222001433 |
| Provider Name | Mayshan Ghiassi |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1376736819 PECOS PAC ID: 0244457182 Enrollment ID: I20210226000112 |
| Provider Name | Katherine Shibani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447712716 PECOS PAC ID: 4880923309 Enrollment ID: I20210304002414 |
| Provider Name | Amr Ibrahim El Maghraby |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1639517949 PECOS PAC ID: 1254553605 Enrollment ID: I20210305000684 |
| Provider Name | Rachael Evans |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225479983 PECOS PAC ID: 5193018901 Enrollment ID: I20210309001156 |
| Provider Name | Jenna Danielle Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447845847 PECOS PAC ID: 6406263086 Enrollment ID: I20210326000795 |
| Provider Name | Thomas Hart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417474180 PECOS PAC ID: 6507109477 Enrollment ID: I20210427000805 |
| Provider Name | Stephanie Marie Myers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922683887 PECOS PAC ID: 7618386061 Enrollment ID: I20210514001240 |
| Provider Name | Heather Hemphill Stewart |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427288653 PECOS PAC ID: 2365851672 Enrollment ID: I20210517000857 |
| Provider Name | Stuart Shah |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1700271343 PECOS PAC ID: 8921312968 Enrollment ID: I20210518000362 |
| Provider Name | Joshua Neal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639467376 PECOS PAC ID: 2062646037 Enrollment ID: I20210601001596 |
| Provider Name | Scott Richard Steinberg |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1326433624 PECOS PAC ID: 9032426853 Enrollment ID: I20210610000949 |
| Provider Name | Shahab Khazanehdari |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1790172179 PECOS PAC ID: 7113347246 Enrollment ID: I20210610001107 |
| Provider Name | Martin Martino |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1629087549 PECOS PAC ID: 5991720427 Enrollment ID: I20210624000799 |
| Provider Name | Gabrielle Julia Garbade |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346779204 PECOS PAC ID: 9234530171 Enrollment ID: I20210629001935 |
| Provider Name | Mohamed Barakat Fouda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104302934 PECOS PAC ID: 0547513632 Enrollment ID: I20210708001794 |
| Provider Name | Meghan Bowser |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104314368 PECOS PAC ID: 7911259064 Enrollment ID: I20210804002909 |
| Provider Name | Daniel Vergara |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316444045 PECOS PAC ID: 4486905676 Enrollment ID: I20210805001380 |
| Provider Name | Endrit Ziu |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1225370869 PECOS PAC ID: 7517246127 Enrollment ID: I20210809000541 |
| Provider Name | Stephanie Vazquez Hill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982199121 PECOS PAC ID: 3870920739 Enrollment ID: I20210809001425 |
| Provider Name | Sarah-ashley Ferencz |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1679816961 PECOS PAC ID: 5496984197 Enrollment ID: I20210810001685 |
| Provider Name | James Phillip Smith |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1376517789 PECOS PAC ID: 2769810522 Enrollment ID: I20210818003401 |
| Provider Name | Aaron T Sharp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215432935 PECOS PAC ID: 4789934597 Enrollment ID: I20210819000441 |
| Provider Name | Rachel A Fee |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1285054981 PECOS PAC ID: 1759667264 Enrollment ID: I20210823002981 |
| Provider Name | Cody C Tripp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760051106 PECOS PAC ID: 0143625459 Enrollment ID: I20210825001722 |
| Provider Name | Constance Grace Compton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750954046 PECOS PAC ID: 3779988795 Enrollment ID: I20210828000376 |
| Provider Name | Jonathan Michael Melzer |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1295056273 PECOS PAC ID: 3971900960 Enrollment ID: I20210917000391 |
| Provider Name | Amie Bozeman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265001762 PECOS PAC ID: 9931506557 Enrollment ID: I20210924001265 |
| Provider Name | Kelsey Mckinney |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1649943523 PECOS PAC ID: 3577961242 Enrollment ID: I20211011001188 |
| Provider Name | Shannon Chappell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033888193 PECOS PAC ID: 6305236498 Enrollment ID: I20211203001682 |
| Provider Name | Neysa Alexandra Serra Valentin |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1609362854 PECOS PAC ID: 8527459130 Enrollment ID: I20211215000892 |
| Provider Name | Lauren Day Norton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184388373 PECOS PAC ID: 3476945825 Enrollment ID: I20220118000468 |
| Provider Name | Jami S Webster |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902049182 PECOS PAC ID: 9537551890 Enrollment ID: I20220118001036 |
| Provider Name | Alysia Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477091338 PECOS PAC ID: 9537446596 Enrollment ID: I20220125001826 |
| Provider Name | Hanie Abdel Masih |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003202458 PECOS PAC ID: 1153675236 Enrollment ID: I20220201002076 |
| Provider Name | Kimberlee Nicole Leek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013325943 PECOS PAC ID: 1153618863 Enrollment ID: I20220201002737 |
| Provider Name | Tina Michelle Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679237333 PECOS PAC ID: 1153714407 Enrollment ID: I20220209000118 |
| Provider Name | Sabareesh Natarajan |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1912190083 PECOS PAC ID: 1658655386 Enrollment ID: I20220209002088 |
| Provider Name | Jana Revels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336791425 PECOS PAC ID: 6103258611 Enrollment ID: I20220303000730 |
| Provider Name | Zachary Burden |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1962864405 PECOS PAC ID: 1951699198 Enrollment ID: I20220303000861 |
| Provider Name | Michael Hanna |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1679823645 PECOS PAC ID: 0840585972 Enrollment ID: I20220316004102 |
| Provider Name | Caroline Perkowski |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962852277 PECOS PAC ID: 7911299201 Enrollment ID: I20220322003187 |
| Provider Name | Nicholas Rossi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1952561953 PECOS PAC ID: 6103051438 Enrollment ID: I20220401001256 |
| Provider Name | John K Lambrix |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740576933 PECOS PAC ID: 4688953318 Enrollment ID: I20220425002669 |
| Provider Name | Tyler Hansen |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1447644356 PECOS PAC ID: 3577862796 Enrollment ID: I20220608000679 |
| Provider Name | Andrew Steven Brown |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1366805723 PECOS PAC ID: 8123441607 Enrollment ID: I20220608001509 |
| Provider Name | Candice C O'connell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104565936 PECOS PAC ID: 2264812205 Enrollment ID: I20220707002614 |
| Provider Name | Chelsea Horne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881342954 PECOS PAC ID: 9739560251 Enrollment ID: I20220714003646 |
| Provider Name | James Devin Stephenson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942795182 PECOS PAC ID: 0345678025 Enrollment ID: I20220729002944 |
| Provider Name | Katherine D Moore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669033775 PECOS PAC ID: 4880022615 Enrollment ID: I20220809000427 |
| Provider Name | Shantell Polidor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770233579 PECOS PAC ID: 9739561689 Enrollment ID: I20220809001973 |
| Provider Name | Amr Fouad Mohamed Ahmed Barakat |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1508270448 PECOS PAC ID: 6002126315 Enrollment ID: I20220818002238 |
| Provider Name | Maged Abdelmalik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770558470 PECOS PAC ID: 5496724858 Enrollment ID: I20220819002959 |
| Provider Name | Gordon Fifer |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1497729933 PECOS PAC ID: 2769639343 Enrollment ID: I20220826001801 |
| Provider Name | Andjie Cassandre Louis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184354011 PECOS PAC ID: 1456735000 Enrollment ID: I20220830004379 |
| Provider Name | Sherwat Abdelrahman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801249636 PECOS PAC ID: 5890129035 Enrollment ID: I20220912001892 |
| Provider Name | Shailee Shah |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1568857852 PECOS PAC ID: 0840592960 Enrollment ID: I20220920002058 |
| Provider Name | Valerie Christine Lorbis |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1346999505 PECOS PAC ID: 5092190264 Enrollment ID: I20220923003045 |
| Provider Name | Candice Negrete |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700127313 PECOS PAC ID: 1153553656 Enrollment ID: I20220926002795 |
| Provider Name | Addison Erin Mckendree |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801528575 PECOS PAC ID: 4789050048 Enrollment ID: I20221012001302 |
| Provider Name | William Robert Mickle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942803861 PECOS PAC ID: 5294104923 Enrollment ID: I20221219002598 |
| Provider Name | Daniele Natchgela Telfort |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881308781 PECOS PAC ID: 7810361961 Enrollment ID: I20230313002512 |
| Provider Name | Cristina Zamora |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386313070 PECOS PAC ID: 4385042902 Enrollment ID: I20230419000804 |
| Provider Name | Rachel Dawn Browning-cofield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568153971 PECOS PAC ID: 9830559350 Enrollment ID: I20230717000017 |
| Provider Name | Davis Brent Hart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447951199 PECOS PAC ID: 3476915901 Enrollment ID: I20230816001500 |
| Provider Name | Leonardo Enrique Diez Perez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861275984 PECOS PAC ID: 9032573316 Enrollment ID: I20230920000362 |
| Provider Name | Gloryve Padilla |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1023881323 PECOS PAC ID: 5698122331 Enrollment ID: I20231116003809 |
| Provider Name | Shannon Dayton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538860168 PECOS PAC ID: 9931557758 Enrollment ID: I20231204003024 |
| Provider Name | Kayla Ann Gaughan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497285639 PECOS PAC ID: 7810347770 Enrollment ID: I20231219002384 |
| Provider Name | Lajosha Miller |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104138338 PECOS PAC ID: 5890153555 Enrollment ID: I20231220001423 |
| Provider Name | Kathleen Patneau |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1477715068 PECOS PAC ID: 9830359611 Enrollment ID: I20240103004795 |
Lem Turner Family Medical Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9390 Lem Turner Rd, Jacksonville, FL 32208 Phone: 904-766-2953 Fax: 904-766-2993 | |
C. Surgery Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 532 Riverside Ave, Jacksonville, FL 32202 Phone: 904-791-6632 | |
Id Associates Of Jacksonville Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2 Shircliff Way, Ste 610, Jacksonville, FL 32204 Phone: 904-387-5027 Fax: 904-387-2208 | |
Hong Tek Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4123 University Blvd S, Jacksonville, FL 32216 Phone: 904-388-3351 | |
Baptist Primary Care Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 532 Riverside Ave Ste 103, Jacksonville, FL 32202 Phone: 904-353-5696 Fax: 904-390-7483 | |
Reginald L. Sykes, Sr, M.d., P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3160 Edgewood Ave W, Jacksonville, FL 32209 Phone: 904-768-8222 Fax: 904-482-0373 | |
Tdewellness Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8075 Gate Pkwy W Ste 306, Jacksonville, FL 32216 Phone: 904-862-2070 Fax: 904-508-0228 |