| Star Community Health, Inc | |
|
511 E 3rd St Ste 202 Bethlehem PA 18015-2180 | |
| (484) 526-4700 | |
| (833) 828-1813 |
| Full Name | Star Community Health, Inc |
|---|---|
| Speciality | General Practice |
| Location | 511 E 3rd St Ste 202, Bethlehem, Pennsylvania |
| Authorized Official Name and Position | Sue Chiavaroli (SUPERVISOR) |
| Authorized Official Contact | 4845263569 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Star Community Health, Inc 511 E 3rd St Ste 202 Bethlehem PA 18015-2180 Ph: (484) 526-4700 | Star Community Health, Inc 511 E 3rd St Ste 202 Bethlehem PA 18015-2180 Ph: (484) 526-4700 |
| NPI Number | 1033686159 |
|---|---|
| Provider Enumeration Date | 10/26/2018 |
| Last Update Date | 05/01/2023 |
| Medicare PECOS PAC ID | 7618215237 |
|---|---|
| Medicare Enrollment ID | O20190206002009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033686159 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Richard P. Baker |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831181262 PECOS PAC ID: 6406768506 Enrollment ID: I20031113000053 |
| Provider Name | Christopher B Gilbert |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790885119 PECOS PAC ID: 3971402173 Enrollment ID: I20040107000487 |
| Provider Name | Melissa S Shukla |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1396787743 PECOS PAC ID: 4789579467 Enrollment ID: I20040220000429 |
| Provider Name | Sheldon H Linn |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821195926 PECOS PAC ID: 1557259108 Enrollment ID: I20040306000004 |
| Provider Name | Mark S Maehrer |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1811941636 PECOS PAC ID: 0547257636 Enrollment ID: I20040429000945 |
| Provider Name | Robert Christopher Langan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235193715 PECOS PAC ID: 5092705426 Enrollment ID: I20040517000647 |
| Provider Name | Kathleen A Gray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346331048 PECOS PAC ID: 3375526858 Enrollment ID: I20040609000413 |
| Provider Name | Maryann Hartzell-sado |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1265439814 PECOS PAC ID: 8123001302 Enrollment ID: I20040609000764 |
| Provider Name | Aram Yousefi-elmi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730171653 PECOS PAC ID: 4587648621 Enrollment ID: I20040616000106 |
| Provider Name | Lane A Moskoff |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063404093 PECOS PAC ID: 2062491772 Enrollment ID: I20040719000018 |
| Provider Name | Jodi L Schucker |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518924778 PECOS PAC ID: 1052391240 Enrollment ID: I20040720000884 |
| Provider Name | Jamshid Shirani |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1508824459 PECOS PAC ID: 7810964970 Enrollment ID: I20040916000918 |
| Provider Name | David J Hanes |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164529251 PECOS PAC ID: 0244290310 Enrollment ID: I20041013000535 |
| Provider Name | Jorge E Tolosa |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699780106 PECOS PAC ID: 3072575281 Enrollment ID: I20041221000398 |
| Provider Name | Howard K Horne |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356395883 PECOS PAC ID: 0446214308 Enrollment ID: I20050125000912 |
| Provider Name | Stephanie B Eckert |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306814736 PECOS PAC ID: 6103876040 Enrollment ID: I20050127000809 |
| Provider Name | Ronald M Kriner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164528808 PECOS PAC ID: 4981654837 Enrollment ID: I20050127000842 |
| Provider Name | James N Anasti |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952456840 PECOS PAC ID: 9830149434 Enrollment ID: I20050131000673 |
| Provider Name | Joseph G Bell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104879204 PECOS PAC ID: 4385695873 Enrollment ID: I20050202000136 |
| Provider Name | Gail E Burgey |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528097151 PECOS PAC ID: 5496707622 Enrollment ID: I20050216000560 |
| Provider Name | C William Riedel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629066923 PECOS PAC ID: 3072566553 Enrollment ID: I20050224000326 |
| Provider Name | Nimish N Chokshi |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1326045956 PECOS PAC ID: 2365406642 Enrollment ID: I20050314000466 |
| Provider Name | Bankim Ashok Bhatt |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1366554578 PECOS PAC ID: 2062467459 Enrollment ID: I20050318000245 |
| Provider Name | Robert A Diamond |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1588661284 PECOS PAC ID: 5193771608 Enrollment ID: I20050329000062 |
| Provider Name | Diane Norlaine Schmidt |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1124028212 PECOS PAC ID: 6204878895 Enrollment ID: I20050524000856 |
| Provider Name | Richard Mark Boulay |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1013926922 PECOS PAC ID: 4082659446 Enrollment ID: I20050627000116 |
| Provider Name | Adam J Teichman |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1043203656 PECOS PAC ID: 3971531971 Enrollment ID: I20050801000574 |
| Provider Name | Jay Fisher |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1295779692 PECOS PAC ID: 4981691755 Enrollment ID: I20050822000112 |
| Provider Name | Paul Matthew Berger |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1225027352 PECOS PAC ID: 6709819451 Enrollment ID: I20050914000339 |
| Provider Name | George L Provost |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285620641 PECOS PAC ID: 3274567516 Enrollment ID: I20050926000456 |
| Provider Name | H Thompson Dale |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1992891485 PECOS PAC ID: 8820015860 Enrollment ID: I20051028000360 |
| Provider Name | Gregory S Domer |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1003872474 PECOS PAC ID: 3779482724 Enrollment ID: I20060110000745 |
| Provider Name | Eric Mayer |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1326054990 PECOS PAC ID: 6608890298 Enrollment ID: I20060123000448 |
| Provider Name | Kathryn Swizdor Mcallister |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558348615 PECOS PAC ID: 0648294488 Enrollment ID: I20060126000667 |
| Provider Name | John R Hratko |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659369841 PECOS PAC ID: 9335153238 Enrollment ID: I20060131000222 |
| Provider Name | James J Mcguire |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295848778 PECOS PAC ID: 1254345689 Enrollment ID: I20060206000441 |
| Provider Name | William Timothy Scharle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912959677 PECOS PAC ID: 9436164274 Enrollment ID: I20060215000143 |
| Provider Name | David W Leh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174621981 PECOS PAC ID: 3274548813 Enrollment ID: I20060217000377 |
| Provider Name | Dusty Roy Haverly |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1386608552 PECOS PAC ID: 4183631682 Enrollment ID: I20060308000475 |
| Provider Name | Michael S Patriarco |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598860850 PECOS PAC ID: 0547277956 Enrollment ID: I20060309000443 |
| Provider Name | Anthony D Dippolito |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1730134974 PECOS PAC ID: 4981624236 Enrollment ID: I20060327000788 |
| Provider Name | Joseph James Zaladonis |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1013949346 PECOS PAC ID: 1850309873 Enrollment ID: I20060331000490 |
| Provider Name | David M Yen |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1033174503 PECOS PAC ID: 8325089535 Enrollment ID: I20060403000422 |
| Provider Name | Joseph B Lennert |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1477523793 PECOS PAC ID: 7214943687 Enrollment ID: I20060406000149 |
| Provider Name | Thomas M. Rocchio |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1316902604 PECOS PAC ID: 7517978976 Enrollment ID: I20060522000177 |
| Provider Name | Daniel M Silverberg |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1245222793 PECOS PAC ID: 1153332333 Enrollment ID: I20060602000031 |
| Provider Name | Jung H Lee |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1942260849 PECOS PAC ID: 9739190877 Enrollment ID: I20060605000235 |
| Provider Name | Michael J Yeager |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396795829 PECOS PAC ID: 5991718066 Enrollment ID: I20060728000098 |
| Provider Name | Jarrod E Rosenthal |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1568478212 PECOS PAC ID: 3779587464 Enrollment ID: I20060912000243 |
| Provider Name | Yardlie Toussaint-foster |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1023033800 PECOS PAC ID: 3678548914 Enrollment ID: I20061004000456 |
| Provider Name | Jennifer A Ryan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942385141 PECOS PAC ID: 8820096456 Enrollment ID: I20061115000198 |
| Provider Name | Ashley Wilkerson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881784593 PECOS PAC ID: 8426013970 Enrollment ID: I20061117000415 |
| Provider Name | Jennifer Ann Janco |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427038405 PECOS PAC ID: 4880695816 Enrollment ID: I20070118000167 |
| Provider Name | Timothy Oskin |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1003857491 PECOS PAC ID: 9436146206 Enrollment ID: I20070124000706 |
| Provider Name | Mary P Greiss-coult |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811006646 PECOS PAC ID: 0840397170 Enrollment ID: I20070522000429 |
| Provider Name | Richard Michael Lieberman |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1841370988 PECOS PAC ID: 8123126653 Enrollment ID: I20070607000282 |
| Provider Name | Karen Taverna Miller |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679776850 PECOS PAC ID: 7911006374 Enrollment ID: I20070626000222 |
| Provider Name | Frank J Tamarkin |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1881885630 PECOS PAC ID: 7618069360 Enrollment ID: I20070825000031 |
| Provider Name | Nguyet-cam V Lam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679644132 PECOS PAC ID: 9133212996 Enrollment ID: I20070910000851 |
| Provider Name | Cynthia E Weber |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215038187 PECOS PAC ID: 5597848812 Enrollment ID: I20080211000174 |
| Provider Name | Maria V Ghetu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033303409 PECOS PAC ID: 1052494275 Enrollment ID: I20080212000177 |
| Provider Name | Jeffrey L Gevirtz |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1770583379 PECOS PAC ID: 9537243829 Enrollment ID: I20080226000199 |
| Provider Name | Mary Margaret Lang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508977307 PECOS PAC ID: 0840378949 Enrollment ID: I20080415000241 |
| Provider Name | Kristin Abbruzzi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396753331 PECOS PAC ID: 3072692409 Enrollment ID: I20080509000222 |
| Provider Name | Johnnie S Willis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679503163 PECOS PAC ID: 8921187352 Enrollment ID: I20080509000268 |
| Provider Name | Claudia Ferran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558414367 PECOS PAC ID: 4284705922 Enrollment ID: I20080624000203 |
| Provider Name | Keren Hancock |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821266628 PECOS PAC ID: 9931272820 Enrollment ID: I20080725000360 |
| Provider Name | Harsh Goel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619159472 PECOS PAC ID: 6002983616 Enrollment ID: I20080924000252 |
| Provider Name | Jose I Uribe |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1962660266 PECOS PAC ID: 2668549155 Enrollment ID: I20080925000231 |
| Provider Name | James E Phillips |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174633176 PECOS PAC ID: 2163590308 Enrollment ID: I20081001000488 |
| Provider Name | Renee Amori |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1477647568 PECOS PAC ID: 7416046594 Enrollment ID: I20081126000286 |
| Provider Name | Nandhini Veeraraghavan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184869414 PECOS PAC ID: 2365590718 Enrollment ID: I20090423000447 |
| Provider Name | Jennifer Susan Episcopio |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043402431 PECOS PAC ID: 9739230079 Enrollment ID: I20090629000029 |
| Provider Name | Elizabeth L Dierking |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104026228 PECOS PAC ID: 1557414463 Enrollment ID: I20090724000295 |
| Provider Name | Daniel Bowers |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1750551347 PECOS PAC ID: 6709939242 Enrollment ID: I20090731000409 |
| Provider Name | Sara Choudhry |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1790701092 PECOS PAC ID: 4688729619 Enrollment ID: I20090827000289 |
| Provider Name | Edward Douglas Hutson |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1851532402 PECOS PAC ID: 8921153461 Enrollment ID: I20090904000065 |
| Provider Name | Cara E Ruggeri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467644872 PECOS PAC ID: 1052467099 Enrollment ID: I20090916000682 |
| Provider Name | Suzanne L. Rajjoub Basha |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831306091 PECOS PAC ID: 9638215783 Enrollment ID: I20091005000261 |
| Provider Name | Elizabeth Kao-chich Lamb |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003846627 PECOS PAC ID: 1557409935 Enrollment ID: I20091104000454 |
| Provider Name | Mrunalini Deshmukh |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1972713709 PECOS PAC ID: 2860531407 Enrollment ID: I20091120000333 |
| Provider Name | David A Prager |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1508817636 PECOS PAC ID: 5294769428 Enrollment ID: I20100111000446 |
| Provider Name | Holli M Warholic |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851582274 PECOS PAC ID: 3971631029 Enrollment ID: I20100511000153 |
| Provider Name | Lora Baker |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1235114331 PECOS PAC ID: 7810027273 Enrollment ID: I20100610000700 |
| Provider Name | Edwin S Hart |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1124099627 PECOS PAC ID: 2062542137 Enrollment ID: I20100616000543 |
| Provider Name | Brent H Bernstein |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1003878927 PECOS PAC ID: 8921081498 Enrollment ID: I20100729000650 |
| Provider Name | Brian P Murphy |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1114916483 PECOS PAC ID: 2567400229 Enrollment ID: I20100920000565 |
| Provider Name | Mary Pagan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700884095 PECOS PAC ID: 5890732028 Enrollment ID: I20100927001163 |
| Provider Name | Esther E Brew |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558577874 PECOS PAC ID: 8921291949 Enrollment ID: I20101022000858 |
| Provider Name | Joseph Trapasso |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1912996281 PECOS PAC ID: 1557449147 Enrollment ID: I20101028000303 |
| Provider Name | Rehab G Tabchi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285815068 PECOS PAC ID: 1052505617 Enrollment ID: I20101028000312 |
| Provider Name | Martha E Metzgar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720272503 PECOS PAC ID: 5092900126 Enrollment ID: I20101115000278 |
| Provider Name | Nancy J Odonnell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134118458 PECOS PAC ID: 4789879628 Enrollment ID: I20101117000617 |
| Provider Name | Stephen C Senft |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1497751895 PECOS PAC ID: 2163328071 Enrollment ID: I20101123000428 |
| Provider Name | Hazel A Tuazon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619168440 PECOS PAC ID: 5597952341 Enrollment ID: I20101207000226 |
| Provider Name | Allison K Beck |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306955331 PECOS PAC ID: 4981649399 Enrollment ID: I20101213000345 |
| Provider Name | Alan Peter Muto |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376510164 PECOS PAC ID: 4587859582 Enrollment ID: I20110215000965 |
| Provider Name | Wendy Rush Spinosa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902824774 PECOS PAC ID: 5890976385 Enrollment ID: I20110216000439 |
| Provider Name | Ronald J Buckley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467448555 PECOS PAC ID: 7012198484 Enrollment ID: I20110218000542 |
| Provider Name | Nicholas Taylor |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1659472728 PECOS PAC ID: 0042301244 Enrollment ID: I20110321000055 |
| Provider Name | Glenn M Kaye |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1184668634 PECOS PAC ID: 5799781225 Enrollment ID: I20110524000074 |
| Provider Name | Jami Avellini |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699966424 PECOS PAC ID: 9032308614 Enrollment ID: I20110701000205 |
| Provider Name | Lisa A Culligan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326203910 PECOS PAC ID: 5395916506 Enrollment ID: I20110920000512 |
| Provider Name | David Brown |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1720246689 PECOS PAC ID: 6103098306 Enrollment ID: I20111012000534 |
| Provider Name | Kimberly G Smith |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1144416231 PECOS PAC ID: 5294908851 Enrollment ID: I20111027000527 |
| Provider Name | Karen L Altobelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699714667 PECOS PAC ID: 5395919054 Enrollment ID: I20111116000141 |
| Provider Name | Charles L Ludivico |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1750439147 PECOS PAC ID: 0446202295 Enrollment ID: I20120220000998 |
| Provider Name | Lauren E Strohm |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568606549 PECOS PAC ID: 1658527072 Enrollment ID: I20120817000049 |
| Provider Name | Daniel John Eyvazzadeh |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1932235058 PECOS PAC ID: 6709033533 Enrollment ID: I20120829000392 |
| Provider Name | Dwithiya K. Thomas |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1629217849 PECOS PAC ID: 9830242890 Enrollment ID: I20120918000332 |
| Provider Name | Israel Zighelboim |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1619907516 PECOS PAC ID: 8022189166 Enrollment ID: I20120919000090 |
| Provider Name | Tyler D Gifford |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942439963 PECOS PAC ID: 6103069927 Enrollment ID: I20130827000374 |
| Provider Name | Christopher P Wayock |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457681009 PECOS PAC ID: 8426245184 Enrollment ID: I20130830000773 |
| Provider Name | Steven Hawley |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1013228857 PECOS PAC ID: 3072756444 Enrollment ID: I20130904000438 |
| Provider Name | Ralph H Civjan |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1710945654 PECOS PAC ID: 1850528159 Enrollment ID: I20131212000263 |
| Provider Name | Thomas J Madara |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1487757472 PECOS PAC ID: 9830326164 Enrollment ID: I20131212001019 |
| Provider Name | Laura Lb Yarger |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1952666505 PECOS PAC ID: 7012145360 Enrollment ID: I20140113000010 |
| Provider Name | Vera Filipovska |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457787285 PECOS PAC ID: 7618109224 Enrollment ID: I20140415000060 |
| Provider Name | Mohammed O Qahash |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1447347307 PECOS PAC ID: 8527295823 Enrollment ID: I20140522000641 |
| Provider Name | Tecile T Andolino |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609034875 PECOS PAC ID: 9032336094 Enrollment ID: I20140814002052 |
| Provider Name | Kaveh Kousari |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1407083199 PECOS PAC ID: 0547499923 Enrollment ID: I20140819000247 |
| Provider Name | Calogero G Dimaggio |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1801929096 PECOS PAC ID: 1658699665 Enrollment ID: I20150429001918 |
| Provider Name | Siddhartha Prasad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295803633 PECOS PAC ID: 8022338136 Enrollment ID: I20150513000810 |
| Provider Name | Waleska J Cancel-kenyon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992039432 PECOS PAC ID: 3971745142 Enrollment ID: I20150618001416 |
| Provider Name | Megan Balliet |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1063776466 PECOS PAC ID: 3971814674 Enrollment ID: I20150623000219 |
| Provider Name | Kevin Short |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1053673897 PECOS PAC ID: 1456662949 Enrollment ID: I20150625000209 |
| Provider Name | Simon G Tabchi |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1366705238 PECOS PAC ID: 3971815952 Enrollment ID: I20150706000247 |
| Provider Name | Antonetta D Prelovsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417090994 PECOS PAC ID: 0840502464 Enrollment ID: I20150709002249 |
| Provider Name | Andrew J Goodbred |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457607079 PECOS PAC ID: 2567774193 Enrollment ID: I20150709002557 |
| Provider Name | Meredith L Birsner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134394695 PECOS PAC ID: 2365607017 Enrollment ID: I20150723006679 |
| Provider Name | Christin M Gillier |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790065522 PECOS PAC ID: 1456665777 Enrollment ID: I20150730013454 |
| Provider Name | Zachariah Goldsmith |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1881837904 PECOS PAC ID: 4880908847 Enrollment ID: I20150804005020 |
| Provider Name | Sharvil U Sheth |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1598900177 PECOS PAC ID: 2365756038 Enrollment ID: I20150810000492 |
| Provider Name | Aaron J Jaworek |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1124258884 PECOS PAC ID: 2466693643 Enrollment ID: I20150812007549 |
| Provider Name | Raymond A Fritz |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1881679983 PECOS PAC ID: 1557263431 Enrollment ID: I20150819006949 |
| Provider Name | Lynne M Doctor |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1528385606 PECOS PAC ID: 7911145644 Enrollment ID: I20151103000452 |
| Provider Name | John T Hippen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972583599 PECOS PAC ID: 1052470713 Enrollment ID: I20160112000161 |
| Provider Name | Eric Slavin Bronfenbrenner |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1427498773 PECOS PAC ID: 0345545794 Enrollment ID: I20160223000059 |
| Provider Name | Emily L Cisek |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518158740 PECOS PAC ID: 6204988322 Enrollment ID: I20160307000371 |
| Provider Name | Byron M Cook |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1669812475 PECOS PAC ID: 9638460959 Enrollment ID: I20160616001757 |
| Provider Name | Ingrid Paredes |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316307374 PECOS PAC ID: 7810288610 Enrollment ID: I20160627000988 |
| Provider Name | Christine Talmage |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568717288 PECOS PAC ID: 1759673387 Enrollment ID: I20160630000236 |
| Provider Name | Zachary J Piotrowski |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1508187295 PECOS PAC ID: 0840584488 Enrollment ID: I20160804002043 |
| Provider Name | Shenali D Abeysekera |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942550363 PECOS PAC ID: 6305130386 Enrollment ID: I20160815000999 |
| Provider Name | Elliot Busch |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1578903555 PECOS PAC ID: 5799076410 Enrollment ID: I20160816002388 |
| Provider Name | Hannah B Anastasio |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760749055 PECOS PAC ID: 9537319694 Enrollment ID: I20160823000058 |
| Provider Name | Jarrod A Keeler |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1194046151 PECOS PAC ID: 6709199706 Enrollment ID: I20160825002068 |
| Provider Name | Saima Ahmed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538433230 PECOS PAC ID: 6002071404 Enrollment ID: I20160826000358 |
| Provider Name | Jeffrey C Bedrosian |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1821252974 PECOS PAC ID: 9830345636 Enrollment ID: I20161205000668 |
| Provider Name | Natalie C Zack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093266611 PECOS PAC ID: 9234419995 Enrollment ID: I20161215000732 |
| Provider Name | Stephen J Roskos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447792023 PECOS PAC ID: 2668450412 Enrollment ID: I20170111000141 |
| Provider Name | Giovanna K Zana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235664509 PECOS PAC ID: 9032486485 Enrollment ID: I20170606002195 |
| Provider Name | Kenneth R Bertka |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609865823 PECOS PAC ID: 6002892460 Enrollment ID: I20170619000082 |
| Provider Name | Thomas M Gallagher |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1992068688 PECOS PAC ID: 4183993124 Enrollment ID: I20170706001485 |
| Provider Name | Shil V Cwalinski |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790112407 PECOS PAC ID: 3072883529 Enrollment ID: I20170717002649 |
| Provider Name | Jessica Ton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992061493 PECOS PAC ID: 6406152941 Enrollment ID: I20170719000651 |
| Provider Name | Daniel Paul Verges |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1467746123 PECOS PAC ID: 9335446509 Enrollment ID: I20170803002351 |
| Provider Name | Sean Patrick Larner |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1568722858 PECOS PAC ID: 5698083640 Enrollment ID: I20170808000912 |
| Provider Name | Ana Rosado |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407291651 PECOS PAC ID: 0143524322 Enrollment ID: I20171012003404 |
| Provider Name | Courtney A Humphrey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285869768 PECOS PAC ID: 5193972321 Enrollment ID: I20171017002768 |
| Provider Name | Alexandra I Sabbia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730690306 PECOS PAC ID: 1951669266 Enrollment ID: I20171214001381 |
| Provider Name | Jennifer A Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043727829 PECOS PAC ID: 4284994955 Enrollment ID: I20180129002460 |
| Provider Name | Andrea Ardite |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811076359 PECOS PAC ID: 5799881272 Enrollment ID: I20180226001901 |
| Provider Name | Regina Radogna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083122386 PECOS PAC ID: 2466714696 Enrollment ID: I20180327002664 |
| Provider Name | Ashley Melissa Quinlan |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1679986335 PECOS PAC ID: 2961776182 Enrollment ID: I20180604001263 |
| Provider Name | Alexander Newton |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1740663384 PECOS PAC ID: 4385936756 Enrollment ID: I20180620001952 |
| Provider Name | Emily J Meyers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922496058 PECOS PAC ID: 8729335948 Enrollment ID: I20180719001070 |
| Provider Name | Jessica Sosa-stanley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235558982 PECOS PAC ID: 3476773219 Enrollment ID: I20180723002614 |
| Provider Name | Emily Keeler |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1518307784 PECOS PAC ID: 5597058719 Enrollment ID: I20180815001772 |
| Provider Name | Sandra A Birnbaum |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1013327915 PECOS PAC ID: 8628385689 Enrollment ID: I20180830002985 |
| Provider Name | Alexander P Limjuco |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1679839922 PECOS PAC ID: 1951603588 Enrollment ID: I20180906003102 |
| Provider Name | Danielle Johnson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1891108718 PECOS PAC ID: 0345591145 Enrollment ID: I20180918001474 |
| Provider Name | Kristen Stone-mulhern |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104824457 PECOS PAC ID: 1850290230 Enrollment ID: I20180924002856 |
| Provider Name | Ryan P Johnson |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1417007071 PECOS PAC ID: 6709001522 Enrollment ID: I20180925001337 |
| Provider Name | Barbara Faith Eisenberg |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811191976 PECOS PAC ID: 8820180581 Enrollment ID: I20181017002098 |
| Provider Name | Khurram Rasheed |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1871869982 PECOS PAC ID: 2163711029 Enrollment ID: I20181205000027 |
| Provider Name | Andrew C Krakowski |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1962651679 PECOS PAC ID: 2961667183 Enrollment ID: I20181207000438 |
| Provider Name | Jasmine Vincent |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033529466 PECOS PAC ID: 9830493964 Enrollment ID: I20181217000741 |
| Provider Name | Ishita Singh |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1760773352 PECOS PAC ID: 6305124744 Enrollment ID: I20190211000000 |
| Provider Name | Jonida Sinani |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1770944126 PECOS PAC ID: 7719271006 Enrollment ID: I20190327000053 |
| Provider Name | Jaclyn M Davolos |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609252154 PECOS PAC ID: 6709111438 Enrollment ID: I20190717001432 |
| Provider Name | Abby Nicole Rhoads |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417309980 PECOS PAC ID: 4486937687 Enrollment ID: I20190729000707 |
| Provider Name | Ashley Graul |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538427406 PECOS PAC ID: 7416256201 Enrollment ID: I20190807002932 |
| Provider Name | Maggie Lin |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1255695409 PECOS PAC ID: 6103154729 Enrollment ID: I20190821000496 |
| Provider Name | Kelly P Copeland Hall |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1376930164 PECOS PAC ID: 9436468626 Enrollment ID: I20190913000368 |
| Provider Name | Stephanie L Lum |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518340769 PECOS PAC ID: 2264762145 Enrollment ID: I20190918002788 |
| Provider Name | Emer Lucy Colalillo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043600760 PECOS PAC ID: 1052642154 Enrollment ID: I20191003001560 |
| Provider Name | Karen Teresa Johnson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508278052 PECOS PAC ID: 7517298102 Enrollment ID: I20191014000091 |
| Provider Name | Aimee Marie Johnson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437388733 PECOS PAC ID: 5799907010 Enrollment ID: I20191014002225 |
| Provider Name | Afreen Subzposh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184862468 PECOS PAC ID: 3779814223 Enrollment ID: I20191014003094 |
| Provider Name | Jana Tribble |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700039476 PECOS PAC ID: 6305177817 Enrollment ID: I20191015002140 |
| Provider Name | Maya Z Greenberg |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871788091 PECOS PAC ID: 7719218163 Enrollment ID: I20191016000450 |
| Provider Name | Alexandra E Puente |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639538606 PECOS PAC ID: 3870889884 Enrollment ID: I20191017001376 |
| Provider Name | Farhaan Hafeez |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1720491988 PECOS PAC ID: 3375888373 Enrollment ID: I20191105001802 |
| Provider Name | Laura Huang |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1548672777 PECOS PAC ID: 1153753256 Enrollment ID: I20191111002527 |
| Provider Name | Stephanie Grace Frederick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992216758 PECOS PAC ID: 8921430745 Enrollment ID: I20191118000586 |
| Provider Name | Manuel E Puente |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891154860 PECOS PAC ID: 6709172729 Enrollment ID: I20191216002611 |
| Provider Name | Catherine B Morrow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568001758 PECOS PAC ID: 0941636971 Enrollment ID: I20200211000074 |
| Provider Name | Carla V Shiller |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1255730537 PECOS PAC ID: 7719202829 Enrollment ID: I20200221001375 |
| Provider Name | Angela Marie Latorre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467097451 PECOS PAC ID: 0941638233 Enrollment ID: I20200320000008 |
| Provider Name | Brandon Bryce Martin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508229212 PECOS PAC ID: 5092138289 Enrollment ID: I20200707000540 |
| Provider Name | Sara Jahan Baig |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255867628 PECOS PAC ID: 1759654056 Enrollment ID: I20200728003627 |
| Provider Name | Daniel Hani Sawares |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164950838 PECOS PAC ID: 2860761772 Enrollment ID: I20200803000759 |
| Provider Name | Rachel V O'connell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003262924 PECOS PAC ID: 1759620982 Enrollment ID: I20200807000703 |
| Provider Name | Nadia Yasmin Abidi |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1891180196 PECOS PAC ID: 9739504713 Enrollment ID: I20200807001618 |
| Provider Name | Mansha Sethi |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1982051942 PECOS PAC ID: 7214229004 Enrollment ID: I20201112000602 |
| Provider Name | Alyssa H Stigliano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205433471 PECOS PAC ID: 0143631945 Enrollment ID: I20201130002836 |
| Provider Name | Richa Sharma |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922534239 PECOS PAC ID: 9335412659 Enrollment ID: I20210201000086 |
| Provider Name | Justin Guiliana |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1770010514 PECOS PAC ID: 5294089884 Enrollment ID: I20210412002651 |
| Provider Name | Jason Ohlstein |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1164871505 PECOS PAC ID: 2567871783 Enrollment ID: I20210429000451 |
| Provider Name | Ahmad Abualsoud |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1235611005 PECOS PAC ID: 1456760982 Enrollment ID: I20210512002216 |
| Provider Name | Alena D Naumova |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063891265 PECOS PAC ID: 6103152640 Enrollment ID: I20210701003713 |
| Provider Name | Olga Corazon Irizarry |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316470438 PECOS PAC ID: 4082016548 Enrollment ID: I20210707002072 |
| Provider Name | Marilyn Elias Ekonomidis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578091419 PECOS PAC ID: 1153723523 Enrollment ID: I20210707002499 |
| Provider Name | Norman Lindbergh Sykes |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1184668733 PECOS PAC ID: 2264427186 Enrollment ID: I20210730001844 |
| Provider Name | Remy Wilson Mimms |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1164885877 PECOS PAC ID: 4789919572 Enrollment ID: I20210803003434 |
| Provider Name | Judy Kakra Abu-brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609366202 PECOS PAC ID: 5890043921 Enrollment ID: I20210922000515 |
| Provider Name | Nicholle Elizabeth Shannon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164094967 PECOS PAC ID: 5991199416 Enrollment ID: I20220228000990 |
| Provider Name | Rati Jessica Bal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124788658 PECOS PAC ID: 6002201274 Enrollment ID: I20220325000349 |
| Provider Name | Natalia Lapko |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538697206 PECOS PAC ID: 9032487392 Enrollment ID: I20220406001216 |
| Provider Name | Daniel Charles Fritz |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1023571346 PECOS PAC ID: 2668859067 Enrollment ID: I20220524000454 |
| Provider Name | Mary M Braden |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1922327022 PECOS PAC ID: 4385962513 Enrollment ID: I20220613002021 |
| Provider Name | Shannon Theobald |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730670159 PECOS PAC ID: 2062891021 Enrollment ID: I20220622000176 |
| Provider Name | Harry S Tam |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1235231945 PECOS PAC ID: 7719943273 Enrollment ID: I20220625000552 |
| Provider Name | Jennifer M Tymon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346735479 PECOS PAC ID: 7113307695 Enrollment ID: I20220629003371 |
| Provider Name | Shreya Yatinkumar Amin |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1407388671 PECOS PAC ID: 8820375256 Enrollment ID: I20220803004104 |
| Provider Name | Nora Mcginley Hence |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164088969 PECOS PAC ID: 7214360882 Enrollment ID: I20220810000547 |
| Provider Name | Jared T Feyko |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1518257674 PECOS PAC ID: 3870895436 Enrollment ID: I20220910000018 |
| Provider Name | Michael J Qaqish |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1548657596 PECOS PAC ID: 3173907458 Enrollment ID: I20220914002111 |
| Provider Name | Blake E Brooks |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1407340888 PECOS PAC ID: 9638427925 Enrollment ID: I20221004001256 |
| Provider Name | Ahmad Zare |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659734796 PECOS PAC ID: 1658616958 Enrollment ID: I20221114002559 |
| Provider Name | Israa Taha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801455845 PECOS PAC ID: 9638549892 Enrollment ID: I20230104000453 |
| Provider Name | Mame S Cisse |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598326795 PECOS PAC ID: 3971974676 Enrollment ID: I20230117000639 |
| Provider Name | Sinem Sakarcan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306341045 PECOS PAC ID: 8628449949 Enrollment ID: I20230125001195 |
| Provider Name | Babatunde S Sholanke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396307120 PECOS PAC ID: 9032581319 Enrollment ID: I20230215000015 |
| Provider Name | Zachary Daniel Mironov |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1306475546 PECOS PAC ID: 0446624647 Enrollment ID: I20230329000646 |
| Provider Name | Alycia Walty |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275781817 PECOS PAC ID: 3577600485 Enrollment ID: I20230331002365 |
| Provider Name | Brian F Deegan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508350984 PECOS PAC ID: 3678948056 Enrollment ID: I20230418000055 |
| Provider Name | Manuela Rosario |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871217778 PECOS PAC ID: 7416322813 Enrollment ID: I20230418000811 |
| Provider Name | Kathya Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831852318 PECOS PAC ID: 4486029790 Enrollment ID: I20230418001862 |
| Provider Name | Atira Rahman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679637409 PECOS PAC ID: 6406221738 Enrollment ID: I20230418002657 |
| Provider Name | Samantha Bilsak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225745623 PECOS PAC ID: 6507231842 Enrollment ID: I20230419000090 |
| Provider Name | Laura N Oswald |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1487970208 PECOS PAC ID: 0042437600 Enrollment ID: I20230422000313 |
| Provider Name | Stephanie Thiel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932857711 PECOS PAC ID: 4587020847 Enrollment ID: I20230512000043 |
| Provider Name | Austin J Mishko |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1871114876 PECOS PAC ID: 3678931201 Enrollment ID: I20230614001351 |
| Provider Name | Indyah Brown |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134786577 PECOS PAC ID: 4082072558 Enrollment ID: I20230615003124 |
| Provider Name | Chelsea Mary Nemeth |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457911331 PECOS PAC ID: 8123486404 Enrollment ID: I20230619000591 |
| Provider Name | Dhruvanshu R Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114542297 PECOS PAC ID: 0446619993 Enrollment ID: I20230701000075 |
| Provider Name | Rafael Marquez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790177574 PECOS PAC ID: 2860722840 Enrollment ID: I20230804001011 |
| Provider Name | Lauren Mckay |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962027664 PECOS PAC ID: 6800259524 Enrollment ID: I20230829002225 |
| Provider Name | Nicole Pepe |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750940698 PECOS PAC ID: 3072976646 Enrollment ID: I20230830000124 |
| Provider Name | Patrick Rossi |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1891474383 PECOS PAC ID: 5890159628 Enrollment ID: I20230913001189 |
| Provider Name | Oqba Memar |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1760815328 PECOS PAC ID: 0941664676 Enrollment ID: I20230914001144 |
| Provider Name | Tonya X Cook |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1467431049 PECOS PAC ID: 1557361532 Enrollment ID: I20230915002012 |
| Provider Name | Lucas Riabowol |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1295395960 PECOS PAC ID: 5092169102 Enrollment ID: I20230922002931 |
| Provider Name | Michelle Wasno |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1679634570 PECOS PAC ID: 0749578490 Enrollment ID: I20230923000004 |
| Provider Name | George Skaff |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1225170335 PECOS PAC ID: 9133250434 Enrollment ID: I20230926001944 |
| Provider Name | Natalie Christine Moursalian |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1679102156 PECOS PAC ID: 2769836592 Enrollment ID: I20230928000780 |
| Provider Name | Kourtni A Hines-smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558993741 PECOS PAC ID: 4789038274 Enrollment ID: I20231003000848 |
| Provider Name | Ruchi Bhan |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1174654180 PECOS PAC ID: 0941568638 Enrollment ID: I20231017000039 |
| Provider Name | Bret Lesavoy |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1649736430 PECOS PAC ID: 5092043539 Enrollment ID: I20231020000107 |
| Provider Name | Alexa J Giacobbo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174015721 PECOS PAC ID: 6406239805 Enrollment ID: I20231206003367 |
| Provider Name | Pankaj Shah |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1417081993 PECOS PAC ID: 0648578138 Enrollment ID: I20240214000482 |
Bethlehem Family Practice And Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3400 Bath Pike, Suite 203, Bethlehem, PA 18017 Phone: 215-826-8050 Fax: 215-826-8053 | |
Dale M Weisman Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 W Broad St, Bethlehem, PA 18018 Phone: 610-867-0772 Fax: 610-954-5333 | |
Lvpg Linden Street Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2223 Linden St, Bethlehem, PA 18017 Phone: 484-895-3510 Fax: 484-895-3515 | |
Medical Associates Of The Lehigh Valley Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3201 Highfield Dr, Bethlehem, PA 18020 Phone: 610-868-0775 Fax: 610-954-5538 | |
Medical Associates Of The Lehigh Valley Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 35 E Elizabeth Ave, Suite 37, Bethlehem, PA 18018 Phone: 610-865-3431 Fax: 610-965-6877 | |
Medical Complete Care Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 910 E 4th St, Bethlehem, PA 18015 Phone: 610-419-8088 Fax: 610-419-8088 |