| Sutton Station Internal Medicine | |
|
5832 Fayetteville Rd Suite 113 Durham NC 27713-6290 | |
| (919) 544-6644 | |
| Not Available |
| Full Name | Sutton Station Internal Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 5832 Fayetteville Rd, Durham, North Carolina |
| Authorized Official Name and Position | Jennifer Roberts (DIRECTOR FINANCE) |
| Authorized Official Contact | 9196840439 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sutton Station Internal Medicine Po Box 110566 Durham NC 27709-5566 Ph: (919) 620-4855 | Sutton Station Internal Medicine 5832 Fayetteville Rd Suite 113 Durham NC 27713-6290 Ph: (919) 544-6644 |
| NPI Number | 1316975972 |
|---|---|
| Provider Enumeration Date | 06/30/2006 |
| Last Update Date | 08/15/2024 |
| Medicare PECOS PAC ID | 3779489588 |
|---|---|
| Medicare Enrollment ID | O20031211000642 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316975972 | NPI | - | NPPES |
| 017C7 | Other | NC | BCBS GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Timothy B Thompson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578590071 PECOS PAC ID: 9234033093 Enrollment ID: I20031122000130 |
| Provider Name | Ranee Chatterjee Montgomery |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467566133 PECOS PAC ID: 6002719630 Enrollment ID: I20040130000100 |
| Provider Name | John L Morris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750464582 PECOS PAC ID: 8123912474 Enrollment ID: I20040209001117 |
| Provider Name | John J Hart |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982756847 PECOS PAC ID: 9537051826 Enrollment ID: I20040330000439 |
| Provider Name | Craig A Hoffmeier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083798144 PECOS PAC ID: 7315933132 Enrollment ID: I20040426000254 |
| Provider Name | Vickie Ann Fowler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386674083 PECOS PAC ID: 6709790637 Enrollment ID: I20040503000845 |
| Provider Name | Tracy M Black |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1700853660 PECOS PAC ID: 8820089063 Enrollment ID: I20040520001463 |
| Provider Name | Devdutta G Sangvai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174607097 PECOS PAC ID: 4587649355 Enrollment ID: I20040624000257 |
| Provider Name | Nancy J Weigle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992805634 PECOS PAC ID: 0840276283 Enrollment ID: I20040626000429 |
| Provider Name | John M Kelsch |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134129984 PECOS PAC ID: 1850383241 Enrollment ID: I20040701001424 |
| Provider Name | Monica D Barnes-durity |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639402332 PECOS PAC ID: 0749250132 Enrollment ID: I20040731000337 |
| Provider Name | Anthony J Viera |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962563866 PECOS PAC ID: 4486629037 Enrollment ID: I20040827000888 |
| Provider Name | Myra A Guzman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619001211 PECOS PAC ID: 1658347216 Enrollment ID: I20040903001011 |
| Provider Name | Michele Cerry Larson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326115171 PECOS PAC ID: 3971572249 Enrollment ID: I20041002000183 |
| Provider Name | Richard Hughes Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376523712 PECOS PAC ID: 3274432109 Enrollment ID: I20041030000236 |
| Provider Name | Samuel D Blackwell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770677635 PECOS PAC ID: 0143284349 Enrollment ID: I20041119000200 |
| Provider Name | Shelly L West |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760680698 PECOS PAC ID: 9436116530 Enrollment ID: I20041209001074 |
| Provider Name | Robert Gene Dawkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619955846 PECOS PAC ID: 9234199449 Enrollment ID: I20041215000778 |
| Provider Name | Karen J Behling |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528067204 PECOS PAC ID: 8224096425 Enrollment ID: I20041220000849 |
| Provider Name | Lisa M Ferrari |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992875736 PECOS PAC ID: 2668430794 Enrollment ID: I20041221000677 |
| Provider Name | Brian Halstater |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821101965 PECOS PAC ID: 5698733384 Enrollment ID: I20041228000708 |
| Provider Name | Laura Woodruff Murray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912944513 PECOS PAC ID: 9739147307 Enrollment ID: I20041229000387 |
| Provider Name | Melanie E Trost |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275669707 PECOS PAC ID: 9133170004 Enrollment ID: I20050208000811 |
| Provider Name | Elaine C Matheson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497804413 PECOS PAC ID: 0547211385 Enrollment ID: I20050209000243 |
| Provider Name | Laura K Hardin-lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629170873 PECOS PAC ID: 8325090129 Enrollment ID: I20050218000846 |
| Provider Name | John Mcmenemy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043250996 PECOS PAC ID: 0446204325 Enrollment ID: I20050304000303 |
| Provider Name | Jacqueline Louise Rookwood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700839941 PECOS PAC ID: 4880683598 Enrollment ID: I20050419000897 |
| Provider Name | Matthew David Mathias |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316022643 PECOS PAC ID: 2365481199 Enrollment ID: I20050429000846 |
| Provider Name | Kristi M Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750391314 PECOS PAC ID: 4880639483 Enrollment ID: I20050623000926 |
| Provider Name | Catherina M Bostelman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144397696 PECOS PAC ID: 8325083678 Enrollment ID: I20050627001004 |
| Provider Name | Richard Craig Kennedy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942384003 PECOS PAC ID: 1052348810 Enrollment ID: I20050722000712 |
| Provider Name | Firas Chazli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336110196 PECOS PAC ID: 1658309042 Enrollment ID: I20050727000812 |
| Provider Name | Julie N Lindsey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417959230 PECOS PAC ID: 0446288732 Enrollment ID: I20050728000435 |
| Provider Name | William F Uthe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891879763 PECOS PAC ID: 4385673003 Enrollment ID: I20050811000971 |
| Provider Name | Hope D Hall Wilson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720144843 PECOS PAC ID: 9537199492 Enrollment ID: I20050830000779 |
| Provider Name | Michele D Nacouzi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326024498 PECOS PAC ID: 8325071368 Enrollment ID: I20050912000488 |
| Provider Name | Anne K Glover |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720155260 PECOS PAC ID: 7113942178 Enrollment ID: I20051008000123 |
| Provider Name | Kimberly A Caulway |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336178136 PECOS PAC ID: 5991721789 Enrollment ID: I20051020000843 |
| Provider Name | Susan A Schmidt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952369951 PECOS PAC ID: 2365469822 Enrollment ID: I20051025000359 |
| Provider Name | Bruce T Peyser |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538243423 PECOS PAC ID: 2961429212 Enrollment ID: I20051026001054 |
| Provider Name | Ronald F Halbrooks |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649354796 PECOS PAC ID: 2365469376 Enrollment ID: I20051028000808 |
| Provider Name | Rebecca B Tobin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811078041 PECOS PAC ID: 3072533561 Enrollment ID: I20051129000713 |
| Provider Name | Jennifer D Sharpe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316014509 PECOS PAC ID: 6002837580 Enrollment ID: I20051212000802 |
| Provider Name | Gregory Weidner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245258284 PECOS PAC ID: 7214959758 Enrollment ID: I20051227000229 |
| Provider Name | Rushad D Shroff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982603775 PECOS PAC ID: 2365464609 Enrollment ID: I20051229000520 |
| Provider Name | Madhvi M Thakkar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346234176 PECOS PAC ID: 3971527102 Enrollment ID: I20060114000082 |
| Provider Name | Rania Y Kazan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588748495 PECOS PAC ID: 7416963970 Enrollment ID: I20060221000900 |
| Provider Name | Sara N Tabrizi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164460630 PECOS PAC ID: 2466468236 Enrollment ID: I20060302000642 |
| Provider Name | Paula Y Paradis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568409423 PECOS PAC ID: 5991711764 Enrollment ID: I20060302000654 |
| Provider Name | Isabella D Bentsen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326046145 PECOS PAC ID: 9931117124 Enrollment ID: I20060329000739 |
| Provider Name | Wagdy Abdelmonem Elmahdy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235107178 PECOS PAC ID: 3072525534 Enrollment ID: I20060627000073 |
| Provider Name | Roberts H Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679536064 PECOS PAC ID: 7810909249 Enrollment ID: I20060628000288 |
| Provider Name | Carol D Burk |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588605075 PECOS PAC ID: 1456364777 Enrollment ID: I20060802000498 |
| Provider Name | Allen T Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881612083 PECOS PAC ID: 6406898485 Enrollment ID: I20060926000480 |
| Provider Name | Patricia M Andrews |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1841232816 PECOS PAC ID: 2163427717 Enrollment ID: I20061003000596 |
| Provider Name | Raymond J Toher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710080999 PECOS PAC ID: 1850398413 Enrollment ID: I20061025000215 |
| Provider Name | Colleen P Ramsey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932202108 PECOS PAC ID: 7012914674 Enrollment ID: I20061025000221 |
| Provider Name | Michael B Shipley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952404147 PECOS PAC ID: 5890792378 Enrollment ID: I20061025000474 |
| Provider Name | Rebecca L Orendorff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427066224 PECOS PAC ID: 6608873773 Enrollment ID: I20061102000301 |
| Provider Name | Viviana Sandra Martinez Bianchi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194733980 PECOS PAC ID: 7810910213 Enrollment ID: I20061113000421 |
| Provider Name | Margaret Gradison |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447351168 PECOS PAC ID: 9133127624 Enrollment ID: I20061116000392 |
| Provider Name | Anita M Pisharody |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740389386 PECOS PAC ID: 2163409756 Enrollment ID: I20061208000215 |
| Provider Name | Gerald Arthur Grant |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1689646796 PECOS PAC ID: 1850390824 Enrollment ID: I20061220000562 |
| Provider Name | Hilary Hawkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720034309 PECOS PAC ID: 4284636853 Enrollment ID: I20070210000069 |
| Provider Name | Lindsay A Wojciechowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053499905 PECOS PAC ID: 9335241025 Enrollment ID: I20070227000448 |
| Provider Name | Richard J Schneider |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699735290 PECOS PAC ID: 8022111087 Enrollment ID: I20070312000373 |
| Provider Name | Jennifer Hyra Matthieu |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013020692 PECOS PAC ID: 1557464088 Enrollment ID: I20070321000203 |
| Provider Name | John W Ragsdale Iii |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972599603 PECOS PAC ID: 7315945359 Enrollment ID: I20070329000596 |
| Provider Name | Elizabeth B White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679627541 PECOS PAC ID: 0143326736 Enrollment ID: I20070427000181 |
| Provider Name | James Michael Troutman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083674105 PECOS PAC ID: 3971603002 Enrollment ID: I20070703000076 |
| Provider Name | Lawrence Kendall Conger |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033226253 PECOS PAC ID: 1456319987 Enrollment ID: I20070716000455 |
| Provider Name | Elizabeth O Aderoju |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811912033 PECOS PAC ID: 9335117571 Enrollment ID: I20070727000476 |
| Provider Name | Lorraine Stone Sease |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982731550 PECOS PAC ID: 3678674991 Enrollment ID: I20070730000902 |
| Provider Name | Celia S Brinker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528258852 PECOS PAC ID: 9931292703 Enrollment ID: I20070910000891 |
| Provider Name | Heather Marie Mullens |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558584193 PECOS PAC ID: 1456448265 Enrollment ID: I20071025000652 |
| Provider Name | Robert W Paterson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467536359 PECOS PAC ID: 9739279258 Enrollment ID: I20071220000092 |
| Provider Name | Michael W Meredith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588713507 PECOS PAC ID: 4789774027 Enrollment ID: I20071226000334 |
| Provider Name | Tara S Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851575930 PECOS PAC ID: 2860576022 Enrollment ID: I20080226000787 |
| Provider Name | Geeta Sushil Ramchandani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356323869 PECOS PAC ID: 3274595129 Enrollment ID: I20080306000260 |
| Provider Name | William O Griffiths |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952322406 PECOS PAC ID: 4688759814 Enrollment ID: I20080311000659 |
| Provider Name | Barbara J Stiehl |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629165030 PECOS PAC ID: 9032296033 Enrollment ID: I20080401000538 |
| Provider Name | Catherine Marie Del Buono |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720137730 PECOS PAC ID: 3476631110 Enrollment ID: I20080422000517 |
| Provider Name | Sabine M Maas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144301391 PECOS PAC ID: 3072692052 Enrollment ID: I20080501000386 |
| Provider Name | Margaret A Stetson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487738357 PECOS PAC ID: 4486733250 Enrollment ID: I20080505000629 |
| Provider Name | Brian Anthony Walker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619949617 PECOS PAC ID: 7911943881 Enrollment ID: I20080521000676 |
| Provider Name | Douglas D Schocken |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1568407781 PECOS PAC ID: 6709806268 Enrollment ID: I20080529000761 |
| Provider Name | Meredith F Barbour |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093858979 PECOS PAC ID: 6406928811 Enrollment ID: I20080630000540 |
| Provider Name | James Anderson Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497771760 PECOS PAC ID: 5496827271 Enrollment ID: I20080710000737 |
| Provider Name | Madhavi G Reddy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205041969 PECOS PAC ID: 2264505981 Enrollment ID: I20080714000423 |
| Provider Name | Kathleen A Waite |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245314111 PECOS PAC ID: 6103998968 Enrollment ID: I20080723000174 |
| Provider Name | Yvonne En-wan Berstler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053531004 PECOS PAC ID: 7719050830 Enrollment ID: I20080723000566 |
| Provider Name | Kenyon M Railey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659591618 PECOS PAC ID: 6103999008 Enrollment ID: I20080725000502 |
| Provider Name | Kelly Hill Blessing |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730126160 PECOS PAC ID: 7012082621 Enrollment ID: I20080818000433 |
| Provider Name | Mario E Olmedo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396945028 PECOS PAC ID: 1759456023 Enrollment ID: I20080820000785 |
| Provider Name | Usha Donthireddi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083660146 PECOS PAC ID: 5092721704 Enrollment ID: I20080908000526 |
| Provider Name | Alexandre W Huin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154393874 PECOS PAC ID: 1951477082 Enrollment ID: I20080913000137 |
| Provider Name | Sharon Matarlo Suson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629254685 PECOS PAC ID: 9436226297 Enrollment ID: I20080919000100 |
| Provider Name | Cari D Combs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538104625 PECOS PAC ID: 0749283950 Enrollment ID: I20081006000108 |
| Provider Name | John B Sugg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568546430 PECOS PAC ID: 5395813042 Enrollment ID: I20081007000833 |
| Provider Name | Rex D Dancel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336278886 PECOS PAC ID: 0749342871 Enrollment ID: I20081223000524 |
| Provider Name | Tracy Elizabeth Meyers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831263557 PECOS PAC ID: 6305900812 Enrollment ID: I20090128000380 |
| Provider Name | John B Anderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326094624 PECOS PAC ID: 0941399190 Enrollment ID: I20090309000649 |
| Provider Name | Lisena G Verka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578700118 PECOS PAC ID: 8022175249 Enrollment ID: I20090316000153 |
| Provider Name | Andrea Kiss |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013989094 PECOS PAC ID: 9739246646 Enrollment ID: I20090320000186 |
| Provider Name | Jennifer Ruth Turnbull |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366646747 PECOS PAC ID: 7810044997 Enrollment ID: I20090406000626 |
| Provider Name | Gerard Ronel Aime |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740395359 PECOS PAC ID: 1355498858 Enrollment ID: I20090421000473 |
| Provider Name | Barbara D Aldridge |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225087935 PECOS PAC ID: 6406904150 Enrollment ID: I20090506000442 |
| Provider Name | John T Marucheck |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326036591 PECOS PAC ID: 4880670215 Enrollment ID: I20090512000423 |
| Provider Name | Tracy W Kendrick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073723227 PECOS PAC ID: 3274682968 Enrollment ID: I20090529000314 |
| Provider Name | Alexander Borun |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083743249 PECOS PAC ID: 2264586445 Enrollment ID: I20090822000176 |
| Provider Name | Sherri Y James Surgers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861474926 PECOS PAC ID: 5991788952 Enrollment ID: I20090826000760 |
| Provider Name | Margie C Sander |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417177486 PECOS PAC ID: 6406901362 Enrollment ID: I20090831000017 |
| Provider Name | Aparna B Vaikunth |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578786919 PECOS PAC ID: 0042365322 Enrollment ID: I20090910000306 |
| Provider Name | Jennica K Ng |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780895623 PECOS PAC ID: 4385799527 Enrollment ID: I20090911000240 |
| Provider Name | Esther Seo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720071103 PECOS PAC ID: 4789720921 Enrollment ID: I20091001000551 |
| Provider Name | Anne J West |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306943295 PECOS PAC ID: 9739226820 Enrollment ID: I20091021000819 |
| Provider Name | Edward W Cooner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700985736 PECOS PAC ID: 3375580079 Enrollment ID: I20091109000281 |
| Provider Name | Cynthia B Humphrey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760435523 PECOS PAC ID: 6709925092 Enrollment ID: I20091130000021 |
| Provider Name | Deborah D Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205163045 PECOS PAC ID: 7315088978 Enrollment ID: I20100105000637 |
| Provider Name | Sarah C Ringel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063596963 PECOS PAC ID: 7214078732 Enrollment ID: I20100106000455 |
| Provider Name | Cheryl Monical |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225113558 PECOS PAC ID: 6901947449 Enrollment ID: I20100106000635 |
| Provider Name | Timothy A O Donnell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477637361 PECOS PAC ID: 9739220773 Enrollment ID: I20100112000791 |
| Provider Name | Susan P Blackford |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932258944 PECOS PAC ID: 4880735877 Enrollment ID: I20100113000407 |
| Provider Name | Elisabeth B Nadler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487738373 PECOS PAC ID: 8921149857 Enrollment ID: I20100113000914 |
| Provider Name | Todd W Shapley-quinn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861576720 PECOS PAC ID: 5698817013 Enrollment ID: I20100123000154 |
| Provider Name | David A Klein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619030483 PECOS PAC ID: 9234271651 Enrollment ID: I20100123000160 |
| Provider Name | Patrick E Kavanaugh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689758740 PECOS PAC ID: 3476695891 Enrollment ID: I20100123000195 |
| Provider Name | Arnett Coleman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497859102 PECOS PAC ID: 4183766504 Enrollment ID: I20100123000219 |
| Provider Name | Joel R Kann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780768846 PECOS PAC ID: 5991848798 Enrollment ID: I20100202000432 |
| Provider Name | Jane Nmn Satter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891879771 PECOS PAC ID: 2567505316 Enrollment ID: I20100202000945 |
| Provider Name | Daniel David Crummett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710054267 PECOS PAC ID: 6507909637 Enrollment ID: I20100212000672 |
| Provider Name | Thomas Koinis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467537852 PECOS PAC ID: 6406889393 Enrollment ID: I20100213000041 |
| Provider Name | Carlos A Sotolongo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265581284 PECOS PAC ID: 4486743630 Enrollment ID: I20100217000161 |
| Provider Name | Amrit Kaur Gill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700090057 PECOS PAC ID: 4082758313 Enrollment ID: I20100224000328 |
| Provider Name | Elaine M Hart Brothers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306940010 PECOS PAC ID: 5698810794 Enrollment ID: I20100301000368 |
| Provider Name | William A Dennis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760446892 PECOS PAC ID: 9830234947 Enrollment ID: I20100301000423 |
| Provider Name | Thomas J Ellis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326030354 PECOS PAC ID: 2567507056 Enrollment ID: I20100309000273 |
| Provider Name | Kassandra J Stoffer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225366461 PECOS PAC ID: 4486780640 Enrollment ID: I20100327000262 |
| Provider Name | Michele R Casey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053387217 PECOS PAC ID: 2365579760 Enrollment ID: I20100415000832 |
| Provider Name | Sionne Anhelicia Cid George |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225238579 PECOS PAC ID: 1557498516 Enrollment ID: I20100422000588 |
| Provider Name | Douglas Winston Clark |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710061429 PECOS PAC ID: 3678600640 Enrollment ID: I20100422000805 |
| Provider Name | Tania Lorraine Obremski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861464083 PECOS PAC ID: 6002943883 Enrollment ID: I20100427000811 |
| Provider Name | David F Lobach |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1396829446 PECOS PAC ID: 7012044761 Enrollment ID: I20100428000789 |
| Provider Name | Lawrence R Wu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215011192 PECOS PAC ID: 3476681636 Enrollment ID: I20100507000630 |
| Provider Name | Barbara L Sheline |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770667636 PECOS PAC ID: 4385773969 Enrollment ID: I20100519000630 |
| Provider Name | Heidi M Grandis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104948892 PECOS PAC ID: 2668501172 Enrollment ID: I20100521000148 |
| Provider Name | Brian E Wolf |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538147244 PECOS PAC ID: 2567436710 Enrollment ID: I20100601000213 |
| Provider Name | Gregory L Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093791709 PECOS PAC ID: 8224027032 Enrollment ID: I20100607000770 |
| Provider Name | Cecily K Peterson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447222369 PECOS PAC ID: 7214068196 Enrollment ID: I20100622000592 |
| Provider Name | Joan D Britt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487672598 PECOS PAC ID: 2769513936 Enrollment ID: I20100702000026 |
| Provider Name | Jennifer L Swanson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518018308 PECOS PAC ID: 6406995703 Enrollment ID: I20100803000578 |
| Provider Name | Joan T Jordan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538113311 PECOS PAC ID: 9830100296 Enrollment ID: I20100809000349 |
| Provider Name | Christopher Zaguirre Rayala |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013000173 PECOS PAC ID: 0749203891 Enrollment ID: I20100811001008 |
| Provider Name | Allison K Gard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518040286 PECOS PAC ID: 6608900295 Enrollment ID: I20100818000636 |
| Provider Name | David J Halpern |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922161223 PECOS PAC ID: 2668596644 Enrollment ID: I20100827000109 |
| Provider Name | Cecilia Wing Yan Wan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932414703 PECOS PAC ID: 2466577747 Enrollment ID: I20100909000744 |
| Provider Name | Anuradha Sabapathi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871631341 PECOS PAC ID: 4789757626 Enrollment ID: I20100916000088 |
| Provider Name | Jennifer Lynn King |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245381367 PECOS PAC ID: 0648396036 Enrollment ID: I20100922001051 |
| Provider Name | Ismael Tamba |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871757948 PECOS PAC ID: 7810180619 Enrollment ID: I20101026000099 |
| Provider Name | Christina Owen Beck |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588865737 PECOS PAC ID: 1557555463 Enrollment ID: I20101104000083 |
| Provider Name | Jason J Troiano |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023146677 PECOS PAC ID: 5991793234 Enrollment ID: I20101104000549 |
| Provider Name | Yvonne Luyando |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558329326 PECOS PAC ID: 7315956646 Enrollment ID: I20101207000830 |
| Provider Name | Scott C Elston |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710942016 PECOS PAC ID: 3870781735 Enrollment ID: I20101220001029 |
| Provider Name | Asghar Yamadi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245389261 PECOS PAC ID: 3779771381 Enrollment ID: I20101227000308 |
| Provider Name | Michael D Gagliardi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083770044 PECOS PAC ID: 9032308093 Enrollment ID: I20110106001063 |
| Provider Name | Anita Shivadas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972559896 PECOS PAC ID: 6204834872 Enrollment ID: I20110120000179 |
| Provider Name | Emelia Dorothy Zhu |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1114255577 PECOS PAC ID: 7517148018 Enrollment ID: I20110216000582 |
| Provider Name | Melissa Erin Judson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629014600 PECOS PAC ID: 5395759963 Enrollment ID: I20110310000650 |
| Provider Name | Ward Emerson Bennett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861457129 PECOS PAC ID: 8628251071 Enrollment ID: I20110323000527 |
| Provider Name | Betty M Masten |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619915600 PECOS PAC ID: 0547443459 Enrollment ID: I20110330000150 |
| Provider Name | Kimberly F Dorsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609166321 PECOS PAC ID: 2062680531 Enrollment ID: I20110728000111 |
| Provider Name | Caleb E Pineo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275794703 PECOS PAC ID: 9436328853 Enrollment ID: I20110801000672 |
| Provider Name | Meshia Q Waleh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447419569 PECOS PAC ID: 9032388343 Enrollment ID: I20110803000006 |
| Provider Name | Andre E Bell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457389793 PECOS PAC ID: 5799817706 Enrollment ID: I20110808000288 |
| Provider Name | Leron C Jackson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316143670 PECOS PAC ID: 4981874062 Enrollment ID: I20110829000065 |
| Provider Name | Sanjay Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376560938 PECOS PAC ID: 7214955582 Enrollment ID: I20111025000772 |
| Provider Name | Natasha S Akhter |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1992967863 PECOS PAC ID: 7517026149 Enrollment ID: I20111028000474 |
| Provider Name | Augustus Oliver Grant |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1497839302 PECOS PAC ID: 1759556541 Enrollment ID: I20111206000450 |
| Provider Name | Anelia P Rose |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609848928 PECOS PAC ID: 3072527860 Enrollment ID: I20111219000094 |
| Provider Name | Sabana S Pathan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154583326 PECOS PAC ID: 3476729203 Enrollment ID: I20111229000135 |
| Provider Name | Makeba M Felton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346305513 PECOS PAC ID: 4880861921 Enrollment ID: I20120113000005 |
| Provider Name | Ley I Barnett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174504427 PECOS PAC ID: 0941196091 Enrollment ID: I20120117000879 |
| Provider Name | Kimberly S Hawblitzel Yarnall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003929803 PECOS PAC ID: 6103093810 Enrollment ID: I20120120000645 |
| Provider Name | Aloysius E Abaya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497031553 PECOS PAC ID: 1456515006 Enrollment ID: I20120611000365 |
| Provider Name | Eugenie Komives |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194090035 PECOS PAC ID: 0446415632 Enrollment ID: I20120716000004 |
| Provider Name | Mary Notaro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154559011 PECOS PAC ID: 5890951214 Enrollment ID: I20120730000131 |
| Provider Name | Christine K Strayhorn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912224627 PECOS PAC ID: 0941456057 Enrollment ID: I20120806000493 |
| Provider Name | Soenda Norman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023001484 PECOS PAC ID: 8921051301 Enrollment ID: I20120813000604 |
| Provider Name | Khary S Carew |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134355456 PECOS PAC ID: 8628226677 Enrollment ID: I20120917000187 |
| Provider Name | Laura P Diefendorf |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588822118 PECOS PAC ID: 4082862933 Enrollment ID: I20120918000491 |
| Provider Name | John M Strittmatter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548249816 PECOS PAC ID: 6002863305 Enrollment ID: I20120921000386 |
| Provider Name | Namrata M Shidhaye |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356398432 PECOS PAC ID: 7315902251 Enrollment ID: I20121112000586 |
| Provider Name | Dana Lindsay Haake |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457584831 PECOS PAC ID: 8820249972 Enrollment ID: I20121119000288 |
| Provider Name | Deb Ashish Bhowmick |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1275696650 PECOS PAC ID: 6406013440 Enrollment ID: I20121119000545 |
| Provider Name | Nicholas H Bird |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811092935 PECOS PAC ID: 5395708879 Enrollment ID: I20130306000223 |
| Provider Name | Matthew W Payne |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568521516 PECOS PAC ID: 6709971898 Enrollment ID: I20130328000045 |
| Provider Name | Mark A Messick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437204872 PECOS PAC ID: 2961671235 Enrollment ID: I20130523000720 |
| Provider Name | Jessica Beierle Boyer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932390531 PECOS PAC ID: 8123181534 Enrollment ID: I20130607000461 |
| Provider Name | Jeff P Vista |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750339883 PECOS PAC ID: 3577456011 Enrollment ID: I20130626000328 |
| Provider Name | Kristin Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912346875 PECOS PAC ID: 7719127711 Enrollment ID: I20130716000729 |
| Provider Name | Vicky Mooring |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316258031 PECOS PAC ID: 1759521693 Enrollment ID: I20130717000286 |
| Provider Name | Krishan S Angrish |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528388543 PECOS PAC ID: 3971744186 Enrollment ID: I20130731000531 |
| Provider Name | William R Laurence |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346218534 PECOS PAC ID: 9234372194 Enrollment ID: I20130826000644 |
| Provider Name | Sean Bush |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184739872 PECOS PAC ID: 9830253525 Enrollment ID: I20130828000017 |
| Provider Name | Vaidehi Boinapally |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548227978 PECOS PAC ID: 0749271419 Enrollment ID: I20130905000840 |
| Provider Name | Lindsey Finnegan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275853954 PECOS PAC ID: 4880829274 Enrollment ID: I20131018001434 |
| Provider Name | Aleksandra Avery |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992939409 PECOS PAC ID: 8325273725 Enrollment ID: I20131018001874 |
| Provider Name | Michael Joseph Bianconi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477529907 PECOS PAC ID: 7315945706 Enrollment ID: I20131118000991 |
| Provider Name | Julie Diana Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770793085 PECOS PAC ID: 5799912929 Enrollment ID: I20131216000472 |
| Provider Name | Amy E Armstrong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750666947 PECOS PAC ID: 2567639990 Enrollment ID: I20131219001895 |
| Provider Name | Maggie A Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114112331 PECOS PAC ID: 8921197021 Enrollment ID: I20140205000748 |
| Provider Name | Martha E Gagliano |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497839146 PECOS PAC ID: 0941430540 Enrollment ID: I20140227000530 |
| Provider Name | April S Krogh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194156299 PECOS PAC ID: 9931339074 Enrollment ID: I20140311000953 |
| Provider Name | Mary Beth Ogle Helton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477524999 PECOS PAC ID: 4183854151 Enrollment ID: I20140313001527 |
| Provider Name | Zsolt P Ori |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073533352 PECOS PAC ID: 2769403096 Enrollment ID: I20140318000129 |
| Provider Name | Kathleen T Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427238658 PECOS PAC ID: 6709944580 Enrollment ID: I20140329000356 |
| Provider Name | Ashley W Brinn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184967051 PECOS PAC ID: 1850523986 Enrollment ID: I20140403002118 |
| Provider Name | Sheryl Ann Starnes |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780765677 PECOS PAC ID: 1355564659 Enrollment ID: I20140513001606 |
| Provider Name | Magdalena Cadet |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1659541860 PECOS PAC ID: 4486714425 Enrollment ID: I20140514000302 |
| Provider Name | Eric M Buenviaje |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831169291 PECOS PAC ID: 8820212228 Enrollment ID: I20140604001756 |
| Provider Name | Karl R Bernat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851317622 PECOS PAC ID: 2264476258 Enrollment ID: I20140709001757 |
| Provider Name | Joann J Liu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215995899 PECOS PAC ID: 7719872910 Enrollment ID: I20140714001121 |
| Provider Name | Teah M Bayless |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346567468 PECOS PAC ID: 2668690173 Enrollment ID: I20140825002801 |
| Provider Name | Camilo A Ortega Parra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780971853 PECOS PAC ID: 0446478655 Enrollment ID: I20140902000343 |
| Provider Name | Lindsey M Hatley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053541441 PECOS PAC ID: 1052530250 Enrollment ID: I20140922000681 |
| Provider Name | Marlo Reyleen Watson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285982124 PECOS PAC ID: 0143449207 Enrollment ID: I20140923000323 |
| Provider Name | Amy J Shipley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467402024 PECOS PAC ID: 7315167301 Enrollment ID: I20140924002561 |
| Provider Name | Meagan Wallace Puckett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851707962 PECOS PAC ID: 0749400513 Enrollment ID: I20140929001655 |
| Provider Name | Caroline M Kramer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164432381 PECOS PAC ID: 3870635683 Enrollment ID: I20141029002757 |
| Provider Name | Ann Dorsey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467709758 PECOS PAC ID: 3779705983 Enrollment ID: I20141103002103 |
| Provider Name | Kavita Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477843969 PECOS PAC ID: 3072735216 Enrollment ID: I20141104000776 |
| Provider Name | Mimi Chandler Miles |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871882142 PECOS PAC ID: 0042432825 Enrollment ID: I20141111001322 |
| Provider Name | Virginia Grae Calhoun |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1598178071 PECOS PAC ID: 3577785377 Enrollment ID: I20141111001831 |
| Provider Name | Melissa Marie Fike |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558763615 PECOS PAC ID: 1052633070 Enrollment ID: I20141202002326 |
| Provider Name | Mary E Blessing |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306245964 PECOS PAC ID: 1355663766 Enrollment ID: I20141212001573 |
| Provider Name | Julia S Evans |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063602332 PECOS PAC ID: 0244324259 Enrollment ID: I20150127000666 |
| Provider Name | Audrey Eh Metz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316237118 PECOS PAC ID: 8224353008 Enrollment ID: I20150219001441 |
| Provider Name | Jeffrey David Clough |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205002649 PECOS PAC ID: 4284805342 Enrollment ID: I20150319000974 |
| Provider Name | Jennifer J Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760888770 PECOS PAC ID: 8224355482 Enrollment ID: I20150326002248 |
| Provider Name | Jacqueline Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720339559 PECOS PAC ID: 1052560992 Enrollment ID: I20150605000955 |
| Provider Name | Margaret K Hayward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780087080 PECOS PAC ID: 5395056956 Enrollment ID: I20150623002102 |
| Provider Name | Eric Poon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396832853 PECOS PAC ID: 7416920848 Enrollment ID: I20150624001533 |
| Provider Name | Alexandra Megan Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720472400 PECOS PAC ID: 1254646078 Enrollment ID: I20150821014114 |
| Provider Name | Kevin P Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104117191 PECOS PAC ID: 9931415494 Enrollment ID: I20150828000249 |
| Provider Name | Maya J Carter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457379711 PECOS PAC ID: 8820093859 Enrollment ID: I20150828001010 |
| Provider Name | Brittney Cobb-farmer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699151852 PECOS PAC ID: 9335456052 Enrollment ID: I20150914000999 |
| Provider Name | Sujatha Soma |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1912160375 PECOS PAC ID: 2264607092 Enrollment ID: I20150915003541 |
| Provider Name | Marie S Brubacher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043530520 PECOS PAC ID: 4183849524 Enrollment ID: I20150928001685 |
| Provider Name | Cerrone A Cohen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619297579 PECOS PAC ID: 7315255163 Enrollment ID: I20150929001108 |
| Provider Name | Lisa Martinez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215345772 PECOS PAC ID: 7911215207 Enrollment ID: I20151007000125 |
| Provider Name | Ellen B Lawrence |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1780079426 PECOS PAC ID: 6406164631 Enrollment ID: I20151007002260 |
| Provider Name | Timothy A Ashley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184636789 PECOS PAC ID: 2860516952 Enrollment ID: I20151007002983 |
| Provider Name | Melissa Burleson Micol |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215011101 PECOS PAC ID: 6709195449 Enrollment ID: I20151021000627 |
| Provider Name | Tina M Ouellette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952777559 PECOS PAC ID: 8729397252 Enrollment ID: I20151022001925 |
| Provider Name | Gloria P Santayana |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710249412 PECOS PAC ID: 1355566126 Enrollment ID: I20151022002801 |
| Provider Name | Daniel B Shepherd Banigan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154522951 PECOS PAC ID: 8325125826 Enrollment ID: I20151029001981 |
| Provider Name | Jonathan Earl Crowder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467748913 PECOS PAC ID: 0143530337 Enrollment ID: I20151029002054 |
| Provider Name | Angela Chavez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114129913 PECOS PAC ID: 7517005531 Enrollment ID: I20151118000857 |
| Provider Name | Elise Patricia Michnowicz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447622295 PECOS PAC ID: 1759681349 Enrollment ID: I20151203003067 |
| Provider Name | Jaseela Illath |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174812788 PECOS PAC ID: 5193025690 Enrollment ID: I20151207001537 |
| Provider Name | Claire Mcmurrian Kappa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073879276 PECOS PAC ID: 5496056186 Enrollment ID: I20151222002596 |
| Provider Name | Chasity Hilliard Godwin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225400716 PECOS PAC ID: 3779885686 Enrollment ID: I20160111000095 |
| Provider Name | Tina Y Chang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457627762 PECOS PAC ID: 3779804083 Enrollment ID: I20160112002400 |
| Provider Name | Amy L Krebs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386017630 PECOS PAC ID: 1951603539 Enrollment ID: I20160113003107 |
| Provider Name | Alicia L Gray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679945687 PECOS PAC ID: 2365746476 Enrollment ID: I20160210002363 |
| Provider Name | Randy S Adams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295975910 PECOS PAC ID: 5193021830 Enrollment ID: I20160307002200 |
| Provider Name | Laurel Anne Giesbrecht Sisler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417373564 PECOS PAC ID: 2961709043 Enrollment ID: I20160405001356 |
| Provider Name | Isa Cheren |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801970512 PECOS PAC ID: 6103133897 Enrollment ID: I20160601001799 |
| Provider Name | Greta A Germino |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1376904664 PECOS PAC ID: 4688964216 Enrollment ID: I20160609001260 |
| Provider Name | John P Yeatts |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679830640 PECOS PAC ID: 5395037790 Enrollment ID: I20160705001880 |
| Provider Name | Jill Annette Schaeffer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508818873 PECOS PAC ID: 6103966445 Enrollment ID: I20160707001922 |
| Provider Name | Vanessa N Chetty |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710273263 PECOS PAC ID: 0648490995 Enrollment ID: I20160708001153 |
| Provider Name | Mary Beth Dowd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912322900 PECOS PAC ID: 9638392384 Enrollment ID: I20160712000560 |
| Provider Name | Joseph B Parrish |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174961221 PECOS PAC ID: 4688964968 Enrollment ID: I20160714002637 |
| Provider Name | Jennifer L Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104860642 PECOS PAC ID: 3779521711 Enrollment ID: I20160725002343 |
| Provider Name | Kelli E Tart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255789087 PECOS PAC ID: 6204120843 Enrollment ID: I20160804002055 |
| Provider Name | Neal O Roberts |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477992352 PECOS PAC ID: 3375863053 Enrollment ID: I20160824000350 |
| Provider Name | Andrea L Caplea |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104980978 PECOS PAC ID: 8123120433 Enrollment ID: I20160914002973 |
| Provider Name | Courtney A Waugaman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770933418 PECOS PAC ID: 7315235132 Enrollment ID: I20161011002593 |
| Provider Name | Stephen P Shaheen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437491628 PECOS PAC ID: 8224326608 Enrollment ID: I20161018001956 |
| Provider Name | Neha K Desai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427453364 PECOS PAC ID: 3274856471 Enrollment ID: I20161031001007 |
| Provider Name | Derrick J Hoover |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043444573 PECOS PAC ID: 1355506791 Enrollment ID: I20161103000049 |
| Provider Name | Priscila M Tomlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003361106 PECOS PAC ID: 2961781307 Enrollment ID: I20161108000952 |
| Provider Name | Fadrienne Hudson Sessions |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063465227 PECOS PAC ID: 5395024624 Enrollment ID: I20161109001495 |
| Provider Name | Michael Matela |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881795490 PECOS PAC ID: 2264515568 Enrollment ID: I20161208001524 |
| Provider Name | Christina Elizabeth Anderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669436622 PECOS PAC ID: 8224099510 Enrollment ID: I20161216001532 |
| Provider Name | Tracy Cassagnol |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295078921 PECOS PAC ID: 9335462001 Enrollment ID: I20170131000258 |
| Provider Name | Dana L Todd |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457671489 PECOS PAC ID: 4688822315 Enrollment ID: I20170202002671 |
| Provider Name | Gretchen S Iroha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598208282 PECOS PAC ID: 2365727930 Enrollment ID: I20170322000244 |
| Provider Name | Ashley Edmonston |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316182652 PECOS PAC ID: 4789969320 Enrollment ID: I20170323000266 |
| Provider Name | Rose Emeline Cesaire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720538143 PECOS PAC ID: 7618254632 Enrollment ID: I20170501000572 |
| Provider Name | Shalu Bansal |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1144531088 PECOS PAC ID: 7315195021 Enrollment ID: I20170516000727 |
| Provider Name | Sarah M Youngblood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245771344 PECOS PAC ID: 8123395787 Enrollment ID: I20170602000090 |
| Provider Name | Mark E Michaud |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588643597 PECOS PAC ID: 6406072743 Enrollment ID: I20170606002378 |
| Provider Name | Wanika Williams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891719092 PECOS PAC ID: 7012970734 Enrollment ID: I20170615000476 |
| Provider Name | Timothy L Pierson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407300510 PECOS PAC ID: 9537437041 Enrollment ID: I20170623001462 |
| Provider Name | Basem Mourad Labib Mishriky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326486465 PECOS PAC ID: 1951609536 Enrollment ID: I20170627000580 |
| Provider Name | Margaret Hillman Shanley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346245909 PECOS PAC ID: 7113967571 Enrollment ID: I20170807001367 |
| Provider Name | Kimberly Dawn Slawson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710376587 PECOS PAC ID: 0749552313 Enrollment ID: I20170816002283 |
| Provider Name | Joel A Weant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346775509 PECOS PAC ID: 1456623073 Enrollment ID: I20170816004276 |
| Provider Name | Kaitlin Mize Ruffin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144741794 PECOS PAC ID: 6709158637 Enrollment ID: I20170828000642 |
| Provider Name | Muirat O Keshinro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932465473 PECOS PAC ID: 4880983923 Enrollment ID: I20170918001143 |
| Provider Name | Nastassia J Schenkel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316383243 PECOS PAC ID: 9234457276 Enrollment ID: I20170919001397 |
| Provider Name | Bindi U Shukla |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245542034 PECOS PAC ID: 7113140401 Enrollment ID: I20170925000915 |
| Provider Name | Brittany Larson Mcgrady |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558775379 PECOS PAC ID: 7214232958 Enrollment ID: I20170926001365 |
| Provider Name | William E Bynum |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134431810 PECOS PAC ID: 3971803719 Enrollment ID: I20171005002926 |
| Provider Name | Jason W Crockett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922543131 PECOS PAC ID: 6103191614 Enrollment ID: I20171010001760 |
| Provider Name | Divya Vodikad Jaiprakash |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861653552 PECOS PAC ID: 1355669656 Enrollment ID: I20171011000568 |
| Provider Name | Amna Shabbir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932512829 PECOS PAC ID: 8022384650 Enrollment ID: I20171025002585 |
| Provider Name | Alyssa R Krueger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043639917 PECOS PAC ID: 9739485962 Enrollment ID: I20171107002605 |
| Provider Name | Hanna Tesfaye |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477964930 PECOS PAC ID: 4082908066 Enrollment ID: I20171115000191 |
| Provider Name | Kumar Ilangovan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487827101 PECOS PAC ID: 3072761410 Enrollment ID: I20171115003181 |
| Provider Name | Mary A Alexander |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043570294 PECOS PAC ID: 4183935307 Enrollment ID: I20171115003760 |
| Provider Name | Sarah S Hartung |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154507978 PECOS PAC ID: 8325119266 Enrollment ID: I20171115004012 |
| Provider Name | Manuel C Guerrero |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508286816 PECOS PAC ID: 7719105121 Enrollment ID: I20171127000035 |
| Provider Name | Senait F Efrem |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730593898 PECOS PAC ID: 3072812692 Enrollment ID: I20180102000861 |
| Provider Name | Tiffany L Covas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528487279 PECOS PAC ID: 7618235235 Enrollment ID: I20180102002795 |
| Provider Name | Jeni L Carrico |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205135787 PECOS PAC ID: 3375788714 Enrollment ID: I20180103002782 |
| Provider Name | Victoria A Dalalau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669993721 PECOS PAC ID: 5991064446 Enrollment ID: I20180109002073 |
| Provider Name | Mari-jane Shaffer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356718308 PECOS PAC ID: 6204123987 Enrollment ID: I20180110000564 |
| Provider Name | Katelyn Elizabeth Ashley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841703469 PECOS PAC ID: 7618237389 Enrollment ID: I20180129002579 |
| Provider Name | Naomi Christine Askew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902325418 PECOS PAC ID: 9133489677 Enrollment ID: I20180201001576 |
| Provider Name | Ashley Anna Cyr |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699919274 PECOS PAC ID: 4688934714 Enrollment ID: I20180208002824 |
| Provider Name | Robert Lewis Stuckey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831564079 PECOS PAC ID: 3870853781 Enrollment ID: I20180213002614 |
| Provider Name | Lorven Michael Edralin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316385982 PECOS PAC ID: 5597054999 Enrollment ID: I20180305002594 |
| Provider Name | Amanda P Isbell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528215910 PECOS PAC ID: 4789907411 Enrollment ID: I20180327000940 |
| Provider Name | Catherine P Isaac |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376700070 PECOS PAC ID: 8820112840 Enrollment ID: I20180501000952 |
| Provider Name | Keith A Strulowitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932452703 PECOS PAC ID: 8426364100 Enrollment ID: I20180611001358 |
| Provider Name | Heidi Schoeppner |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1528488806 PECOS PAC ID: 7315292315 Enrollment ID: I20180614003088 |
| Provider Name | Michelle Howard Bae |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427181502 PECOS PAC ID: 2264787696 Enrollment ID: I20180626001185 |
| Provider Name | Krishna Paul Reichel Aluri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447681572 PECOS PAC ID: 7517181720 Enrollment ID: I20180718002265 |
| Provider Name | Fatimah Zahra Ahmed |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598159469 PECOS PAC ID: 1759639263 Enrollment ID: I20180731002114 |
| Provider Name | Virginia B Mclean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417141052 PECOS PAC ID: 9739437195 Enrollment ID: I20180801004026 |
| Provider Name | Malinda Teague |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568654903 PECOS PAC ID: 9234194648 Enrollment ID: I20180815002579 |
| Provider Name | Andrea Blaire Dotson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205222080 PECOS PAC ID: 3375857295 Enrollment ID: I20180821002365 |
| Provider Name | Morgan Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336639483 PECOS PAC ID: 4789933979 Enrollment ID: I20180821003654 |
| Provider Name | Serena Shunan Zhou-talbert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942689674 PECOS PAC ID: 8527371988 Enrollment ID: I20180824000136 |
| Provider Name | Brandi B Hernandez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669714366 PECOS PAC ID: 4789980939 Enrollment ID: I20180905000757 |
| Provider Name | Jacob Lundorf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598251175 PECOS PAC ID: 3173873528 Enrollment ID: I20180905001362 |
| Provider Name | Leah Marie Blaney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689166712 PECOS PAC ID: 5991055014 Enrollment ID: I20180911000009 |
| Provider Name | Nathan Peter Sison |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295121671 PECOS PAC ID: 7416277744 Enrollment ID: I20180918004444 |
| Provider Name | Christianna D Karr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356867576 PECOS PAC ID: 8921359563 Enrollment ID: I20180921000023 |
| Provider Name | David Mendez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669853818 PECOS PAC ID: 9739430257 Enrollment ID: I20180924000174 |
| Provider Name | Lindsey Wright Goeres |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366836298 PECOS PAC ID: 1951619808 Enrollment ID: I20180925001097 |
| Provider Name | Danielle S Saikali |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750873709 PECOS PAC ID: 4082965363 Enrollment ID: I20180926000307 |
| Provider Name | Sydney M Clark |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669868956 PECOS PAC ID: 8921317702 Enrollment ID: I20181002003563 |
| Provider Name | Shyam E Balakrishnan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780996736 PECOS PAC ID: 0143459966 Enrollment ID: I20181002003812 |
| Provider Name | Mony Surbhi Mehrotra |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376596882 PECOS PAC ID: 4385739275 Enrollment ID: I20181004000519 |
| Provider Name | Juliana M Dial |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427444819 PECOS PAC ID: 1355693177 Enrollment ID: I20181005001701 |
| Provider Name | Lauren D Irizarry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518301571 PECOS PAC ID: 6709172463 Enrollment ID: I20181011001836 |
| Provider Name | Sandra Rose Picone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760413934 PECOS PAC ID: 6002712601 Enrollment ID: I20181017002981 |
| Provider Name | Kenzie Jane Bowen Johnston |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518387992 PECOS PAC ID: 9638393507 Enrollment ID: I20181017003429 |
| Provider Name | Elena T Beidler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164840781 PECOS PAC ID: 7810295177 Enrollment ID: I20181017003705 |
| Provider Name | Anna E Lemahieu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902284441 PECOS PAC ID: 3274886791 Enrollment ID: I20181031001856 |
| Provider Name | Lamercie Marie Wynee Saint Hilaire |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649617549 PECOS PAC ID: 8820387061 Enrollment ID: I20181106002526 |
| Provider Name | Kristen Ann Benninger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770960072 PECOS PAC ID: 3779896576 Enrollment ID: I20181126001590 |
| Provider Name | Barry Justin Belcher |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619167228 PECOS PAC ID: 6204991458 Enrollment ID: I20181203001921 |
| Provider Name | Hillary Houghton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033667621 PECOS PAC ID: 7517201049 Enrollment ID: I20181210002381 |
| Provider Name | Elizabeth J Malcolm |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700838877 PECOS PAC ID: 3375559487 Enrollment ID: I20181211001412 |
| Provider Name | Jeffrey Mark Keil |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124070529 PECOS PAC ID: 1456495167 Enrollment ID: I20181214001540 |
| Provider Name | Jenna Mclean Fowlkes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982124822 PECOS PAC ID: 1153694286 Enrollment ID: I20181227002317 |
| Provider Name | Megan T Chang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285995936 PECOS PAC ID: 6103139662 Enrollment ID: I20190103000741 |
| Provider Name | Tricia Lynn Nielsen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750510608 PECOS PAC ID: 4587815790 Enrollment ID: I20190110003516 |
| Provider Name | Courtney R Canos |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679541858 PECOS PAC ID: 0143254714 Enrollment ID: I20190114000983 |
| Provider Name | Adrian G Ionescu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295227817 PECOS PAC ID: 3779829619 Enrollment ID: I20190114001387 |
| Provider Name | Kristin Nicole Boddu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245735018 PECOS PAC ID: 8820348485 Enrollment ID: I20190123004295 |
| Provider Name | Frances Catherine O'hare |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982760450 PECOS PAC ID: 0143385120 Enrollment ID: I20190201000612 |
| Provider Name | Michael H Deprospero |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801251525 PECOS PAC ID: 0143527911 Enrollment ID: I20190205002410 |
| Provider Name | Fatima Z Syed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053754325 PECOS PAC ID: 6901185867 Enrollment ID: I20190219001753 |
| Provider Name | Kristen C Shrum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699240937 PECOS PAC ID: 9436498714 Enrollment ID: I20190304002343 |
| Provider Name | Michelle Vernier |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1891741161 PECOS PAC ID: 2860400314 Enrollment ID: I20190306002669 |
| Provider Name | Cristina Dora Mendez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831538826 PECOS PAC ID: 4183912033 Enrollment ID: I20190313001422 |
| Provider Name | Barbara Paszkowiak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851365431 PECOS PAC ID: 0244297877 Enrollment ID: I20190320001204 |
| Provider Name | Clinton Michael Walters |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700354156 PECOS PAC ID: 9830430792 Enrollment ID: I20190403001413 |
| Provider Name | Anne D Cooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427434562 PECOS PAC ID: 2769723550 Enrollment ID: I20190404000002 |
| Provider Name | Shawna Michelle Reshard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225272677 PECOS PAC ID: 7618114430 Enrollment ID: I20190406000057 |
| Provider Name | Lindsey Levinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396095923 PECOS PAC ID: 1850632589 Enrollment ID: I20190408000609 |
| Provider Name | Betsy A Dickerson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336603075 PECOS PAC ID: 9234470832 Enrollment ID: I20190409001125 |
| Provider Name | Audey Veach |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801059357 PECOS PAC ID: 3476774985 Enrollment ID: I20190507003275 |
| Provider Name | Catherine A Mims |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659766368 PECOS PAC ID: 0648585588 Enrollment ID: I20190611001579 |
| Provider Name | Jing Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336367424 PECOS PAC ID: 3274627658 Enrollment ID: I20190626000271 |
| Provider Name | Christian Bernard Mikesell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669982039 PECOS PAC ID: 1658605423 Enrollment ID: I20190627002046 |
| Provider Name | Kevin Edelen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780155291 PECOS PAC ID: 0244566941 Enrollment ID: I20190801000801 |
| Provider Name | Marianne C Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528367406 PECOS PAC ID: 7416131743 Enrollment ID: I20190806000941 |
| Provider Name | Andrew Todd Freeman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356745590 PECOS PAC ID: 1557698107 Enrollment ID: I20190806001411 |
| Provider Name | Abigail Joseph Lancaster |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467807271 PECOS PAC ID: 2769719830 Enrollment ID: I20190812004075 |
| Provider Name | Asiyah Zahra Mikell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588018550 PECOS PAC ID: 4284961301 Enrollment ID: I20190813001913 |
| Provider Name | Alicen Mary Gillis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649550302 PECOS PAC ID: 0244404150 Enrollment ID: I20190816002174 |
| Provider Name | Alexa Kathleen Namba |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770946394 PECOS PAC ID: 3678865763 Enrollment ID: I20190821000430 |
| Provider Name | Kanishka Gunadasa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710340419 PECOS PAC ID: 6608104179 Enrollment ID: I20190821002684 |
| Provider Name | Ashley Marie Hill |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245794999 PECOS PAC ID: 0042548570 Enrollment ID: I20190822000439 |
| Provider Name | Lindsey Boxxe Fiacco |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447587423 PECOS PAC ID: 5799063798 Enrollment ID: I20190826000876 |
| Provider Name | Marionette Sujitha Jayaprakash |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760655187 PECOS PAC ID: 1658535620 Enrollment ID: I20190830001110 |
| Provider Name | Li Wang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295132785 PECOS PAC ID: 1951624451 Enrollment ID: I20190904000551 |
| Provider Name | Christina Gambino |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336502475 PECOS PAC ID: 0840529459 Enrollment ID: I20190906002591 |
| Provider Name | Latonya P Mangum |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780125211 PECOS PAC ID: 6800125238 Enrollment ID: I20190911000936 |
| Provider Name | Michael J Fedewa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881956530 PECOS PAC ID: 0941439269 Enrollment ID: I20190911001157 |
| Provider Name | Corey Coles |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255794152 PECOS PAC ID: 7012208259 Enrollment ID: I20190916002211 |
| Provider Name | Alexa Maureen Mieses Malchuk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114380797 PECOS PAC ID: 6002145000 Enrollment ID: I20190916002966 |
| Provider Name | Emily Legault Mauller |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144683566 PECOS PAC ID: 8628360708 Enrollment ID: I20190917002488 |
| Provider Name | Denise Di Pong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275981938 PECOS PAC ID: 0840584728 Enrollment ID: I20190917003208 |
| Provider Name | Robert Renjel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922461599 PECOS PAC ID: 8022309459 Enrollment ID: I20190926001357 |
| Provider Name | Jason A Gonzalez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720473473 PECOS PAC ID: 2264749688 Enrollment ID: I20190926002740 |
| Provider Name | Jasmine Marie Cross |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285154971 PECOS PAC ID: 1355671488 Enrollment ID: I20191002002430 |
| Provider Name | Robin D Collin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255710315 PECOS PAC ID: 0345539474 Enrollment ID: I20191007001640 |
| Provider Name | Rohan Dang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497276844 PECOS PAC ID: 7214294735 Enrollment ID: I20191007003650 |
| Provider Name | Michael Ryder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720439607 PECOS PAC ID: 2163715558 Enrollment ID: I20191008001105 |
| Provider Name | Rita Mikhail-vaswani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740642651 PECOS PAC ID: 0042542003 Enrollment ID: I20191024002755 |
| Provider Name | Joshua D Dloomy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730533480 PECOS PAC ID: 3577856889 Enrollment ID: I20191107001273 |
| Provider Name | Adrienne M Sievert Rombach |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962943845 PECOS PAC ID: 6406288042 Enrollment ID: I20191119003196 |
| Provider Name | Erin C Peck |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033529219 PECOS PAC ID: 3870806805 Enrollment ID: I20191123000207 |
| Provider Name | Fine Song |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093000556 PECOS PAC ID: 8628201548 Enrollment ID: I20191126002981 |
| Provider Name | Jennifer R Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154975795 PECOS PAC ID: 4981037603 Enrollment ID: I20191210001563 |
| Provider Name | Allex N Granger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326694944 PECOS PAC ID: 1052745544 Enrollment ID: I20191216000991 |
| Provider Name | Minal P Desai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659649663 PECOS PAC ID: 8123255825 Enrollment ID: I20191220002246 |
| Provider Name | Courtney L Ohlinger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043500135 PECOS PAC ID: 2567782048 Enrollment ID: I20200108000425 |
| Provider Name | Christopher Daniel Fink |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588603658 PECOS PAC ID: 3274663083 Enrollment ID: I20200110001895 |
| Provider Name | Paul David Hankenson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366558801 PECOS PAC ID: 6002801461 Enrollment ID: I20200113001392 |
| Provider Name | Hannah Fenn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124679204 PECOS PAC ID: 0446685580 Enrollment ID: I20200116002918 |
| Provider Name | Joseph S Benjamin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578639779 PECOS PAC ID: 1355361676 Enrollment ID: I20200127001392 |
| Provider Name | Hanna Kim Rizk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801233028 PECOS PAC ID: 7214251586 Enrollment ID: I20200217001304 |
| Provider Name | Gregory E Sawin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699844225 PECOS PAC ID: 5193753051 Enrollment ID: I20200219002336 |
| Provider Name | Jillian Lee Wilford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699063750 PECOS PAC ID: 6901128917 Enrollment ID: I20200325000582 |
| Provider Name | Ursula Tomika White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912224726 PECOS PAC ID: 5395174759 Enrollment ID: I20200406002182 |
| Provider Name | Erica Fiona Shelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215570882 PECOS PAC ID: 7911336052 Enrollment ID: I20200410001375 |
| Provider Name | Shubham Tyagi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265065015 PECOS PAC ID: 2264862499 Enrollment ID: I20200430001087 |
| Provider Name | Elizabeth Parker Sulentic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720618812 PECOS PAC ID: 1456772607 Enrollment ID: I20200527000298 |
| Provider Name | Jessica Parker May |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477082311 PECOS PAC ID: 2961773775 Enrollment ID: I20200723003669 |
| Provider Name | Melissa Amy Gillen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700231578 PECOS PAC ID: 0244523082 Enrollment ID: I20200803000322 |
| Provider Name | Rebecca Anne Kyle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417566613 PECOS PAC ID: 1153746318 Enrollment ID: I20200805000101 |
| Provider Name | Rim Amare Gebremariam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326575002 PECOS PAC ID: 5193141471 Enrollment ID: I20200818000004 |
| Provider Name | Fatima Iqbal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881127249 PECOS PAC ID: 3375969207 Enrollment ID: I20200821001647 |
| Provider Name | Phillip Deal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467984039 PECOS PAC ID: 0143598680 Enrollment ID: I20200821001910 |
| Provider Name | Junzhi Lin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437564788 PECOS PAC ID: 8022233642 Enrollment ID: I20200827000142 |
| Provider Name | Elliott John Sally |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538432018 PECOS PAC ID: 2466797162 Enrollment ID: I20200827001821 |
| Provider Name | Bryce Kerr |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962932830 PECOS PAC ID: 6901172873 Enrollment ID: I20200827002280 |
| Provider Name | Melissa Suzanne Babb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093084410 PECOS PAC ID: 4486071099 Enrollment ID: I20200827002407 |
| Provider Name | Brian Timothy Antono |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669834206 PECOS PAC ID: 8527352517 Enrollment ID: I20200901001904 |
| Provider Name | Cheryl Fehr-banks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316559610 PECOS PAC ID: 5496172611 Enrollment ID: I20200902000235 |
| Provider Name | Taryn Baer-shalev |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306004163 PECOS PAC ID: 8729249875 Enrollment ID: I20200909002930 |
| Provider Name | Nicole Elizabeth Kremer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043663743 PECOS PAC ID: 2466746052 Enrollment ID: I20200910000073 |
| Provider Name | Melissa Nicole Burnside |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821447871 PECOS PAC ID: 4587904222 Enrollment ID: I20200910002334 |
| Provider Name | Margaret Anne Lynch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881670875 PECOS PAC ID: 0840489290 Enrollment ID: I20200917002229 |
| Provider Name | Jessica Colleen Garcia Bitencourt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619400744 PECOS PAC ID: 9335416098 Enrollment ID: I20200921001891 |
| Provider Name | Kenneth Wade Herring |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679005003 PECOS PAC ID: 2961771316 Enrollment ID: I20200922000520 |
| Provider Name | Sarita Lavani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841727872 PECOS PAC ID: 1951671254 Enrollment ID: I20201012000509 |
| Provider Name | Carly Jo Bebyn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174985402 PECOS PAC ID: 0749574085 Enrollment ID: I20201012002387 |
| Provider Name | Clayton Brett Templeton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891228805 PECOS PAC ID: 3476973546 Enrollment ID: I20201013000055 |
| Provider Name | Kimberly Betts Sigman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548790017 PECOS PAC ID: 8224307913 Enrollment ID: I20201016000015 |
| Provider Name | Susan Joyce Knowles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952573057 PECOS PAC ID: 4183702285 Enrollment ID: I20201023000686 |
| Provider Name | Khuram Ashraf Bhutta |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740609049 PECOS PAC ID: 1850693821 Enrollment ID: I20201030002468 |
| Provider Name | Berlondrika Jertoria Mcneal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205369915 PECOS PAC ID: 2961812961 Enrollment ID: I20201103001061 |
| Provider Name | Markesha Rena Jones-woods |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912436841 PECOS PAC ID: 3577832310 Enrollment ID: I20201109000678 |
| Provider Name | Bruce Edward Gerberg |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215980487 PECOS PAC ID: 9537320890 Enrollment ID: I20201113000010 |
| Provider Name | Nicole Dora Licato |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710598644 PECOS PAC ID: 3971914177 Enrollment ID: I20201119000399 |
| Provider Name | Nandini Rajee Kumar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114450103 PECOS PAC ID: 2961813191 Enrollment ID: I20201119001981 |
| Provider Name | Shazia Obaid |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386718690 PECOS PAC ID: 5991715963 Enrollment ID: I20201123002019 |
| Provider Name | Sandra Renee Leggott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396356085 PECOS PAC ID: 0840601688 Enrollment ID: I20201130000774 |
| Provider Name | Swetapadma Pattanaik |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427581883 PECOS PAC ID: 0840561718 Enrollment ID: I20201203000084 |
| Provider Name | Jessica Mattox |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790148427 PECOS PAC ID: 7214348747 Enrollment ID: I20201204000727 |
| Provider Name | Milele Likivu Kudumu Bynum |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952755043 PECOS PAC ID: 0446530752 Enrollment ID: I20201211001992 |
| Provider Name | Nimra Khan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073926838 PECOS PAC ID: 3375822869 Enrollment ID: I20201216000583 |
| Provider Name | Beverly A. Huang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275069817 PECOS PAC ID: 7618200064 Enrollment ID: I20201216001556 |
| Provider Name | Amrita Ramji |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407461601 PECOS PAC ID: 8628480639 Enrollment ID: I20201216001838 |
| Provider Name | Amol Ramesh Yajnik |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134218449 PECOS PAC ID: 4183792781 Enrollment ID: I20201216002819 |
| Provider Name | Whitney Rains Taheri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245830215 PECOS PAC ID: 5890107742 Enrollment ID: I20201217000284 |
| Provider Name | Sean Scott Harper |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316068919 PECOS PAC ID: 5890886089 Enrollment ID: I20201218001219 |
| Provider Name | Erika Collins Cravanas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629369079 PECOS PAC ID: 2163647967 Enrollment ID: I20201221000877 |
| Provider Name | Ann Elizabeth Symonds |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447791629 PECOS PAC ID: 9335485432 Enrollment ID: I20201221001456 |
| Provider Name | Matthew Jan Ingrassia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700142122 PECOS PAC ID: 5294050258 Enrollment ID: I20201221001617 |
| Provider Name | Adeola Oluwase |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962934307 PECOS PAC ID: 0143632760 Enrollment ID: I20201223000958 |
| Provider Name | James Scott Gemmill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942737671 PECOS PAC ID: 0446662084 Enrollment ID: I20201223001786 |
| Provider Name | Yusuf Miraloglu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497375315 PECOS PAC ID: 7517370984 Enrollment ID: I20201231000803 |
| Provider Name | Monica Dhulia Fields |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861931347 PECOS PAC ID: 8123431582 Enrollment ID: I20210105000543 |
| Provider Name | Stephen Chipman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992734057 PECOS PAC ID: 7315973120 Enrollment ID: I20210125000107 |
| Provider Name | Roy Joseph Seikali |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730618687 PECOS PAC ID: 8123399946 Enrollment ID: I20210203000673 |
| Provider Name | Arka Chaudhury |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033659180 PECOS PAC ID: 4385059070 Enrollment ID: I20210210000867 |
| Provider Name | Christie Ton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366974180 PECOS PAC ID: 9739423377 Enrollment ID: I20210222000193 |
| Provider Name | Donald Tait |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568718674 PECOS PAC ID: 7113166083 Enrollment ID: I20210224000588 |
| Provider Name | Anne Schlafke May |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316931488 PECOS PAC ID: 0042124166 Enrollment ID: I20210310000050 |
| Provider Name | Anne Berry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508020280 PECOS PAC ID: 9436396637 Enrollment ID: I20210317001354 |
| Provider Name | Nilaben Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487256087 PECOS PAC ID: 5294142857 Enrollment ID: I20210326000017 |
| Provider Name | Jenna Lee Hendrickson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669875811 PECOS PAC ID: 9638586266 Enrollment ID: I20210329000485 |
| Provider Name | Caitlin Marie Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790380988 PECOS PAC ID: 6103233408 Enrollment ID: I20210405000786 |
| Provider Name | Jacqueline Renee Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063957009 PECOS PAC ID: 3971886185 Enrollment ID: I20210413000401 |
| Provider Name | Molly Anne Morgan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174928774 PECOS PAC ID: 0042629131 Enrollment ID: I20210430001031 |
| Provider Name | Jasmine Westbrooks |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1669917019 PECOS PAC ID: 2264844455 Enrollment ID: I20210505002558 |
| Provider Name | Matthew Geisz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649777319 PECOS PAC ID: 0749699429 Enrollment ID: I20210510001537 |
| Provider Name | Qiong Qiu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134701964 PECOS PAC ID: 6002225653 Enrollment ID: I20210511001808 |
| Provider Name | Nicole Renee King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871183483 PECOS PAC ID: 8224447875 Enrollment ID: I20210511002027 |
| Provider Name | Joseph M Imseis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932195344 PECOS PAC ID: 8527191097 Enrollment ID: I20210622000036 |
| Provider Name | Ashley Marie Dougherty |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760988265 PECOS PAC ID: 5597166934 Enrollment ID: I20210623001821 |
| Provider Name | Amera Gaballa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356566350 PECOS PAC ID: 4789784372 Enrollment ID: I20210623003936 |
| Provider Name | Muhammad Ahmad Ghazi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073830725 PECOS PAC ID: 2062662521 Enrollment ID: I20210624002064 |
| Provider Name | Molly M. Banfield |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336633593 PECOS PAC ID: 6507112620 Enrollment ID: I20210625000273 |
| Provider Name | Megan Kristine Macgregor |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699271387 PECOS PAC ID: 0941559199 Enrollment ID: I20210625001664 |
| Provider Name | Raleigh Rumley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871971168 PECOS PAC ID: 4789936006 Enrollment ID: I20210702000495 |
| Provider Name | Raman Nohria |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184005100 PECOS PAC ID: 2567775414 Enrollment ID: I20210713001603 |
| Provider Name | Joseph Andrew May |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548791981 PECOS PAC ID: 5597042333 Enrollment ID: I20210715001811 |
| Provider Name | Daniel Vincent S Lacambacal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831764885 PECOS PAC ID: 4082016704 Enrollment ID: I20210716001416 |
| Provider Name | Sara Elizabeth De Lima |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891386165 PECOS PAC ID: 3476956608 Enrollment ID: I20210727000327 |
| Provider Name | Ben-hwa Hu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205835840 PECOS PAC ID: 1456456326 Enrollment ID: I20210728001437 |
| Provider Name | Kelissa Stacy Shillingford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427545508 PECOS PAC ID: 8921402637 Enrollment ID: I20210803001091 |
| Provider Name | Robert Joseph Eckensweiler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891287934 PECOS PAC ID: 1052715398 Enrollment ID: I20210809000746 |
| Provider Name | Rashaud Anthony Senior |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467956656 PECOS PAC ID: 6103166004 Enrollment ID: I20210810003051 |
| Provider Name | Linh Ngoc Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902302037 PECOS PAC ID: 7214331206 Enrollment ID: I20210812003853 |
| Provider Name | Sarah Haley Gross |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003313818 PECOS PAC ID: 5799180972 Enrollment ID: I20210826001011 |
| Provider Name | Hunter Thomas Holloway |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114467446 PECOS PAC ID: 1850714478 Enrollment ID: I20210826001782 |
| Provider Name | Manisha Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275553315 PECOS PAC ID: 9537172804 Enrollment ID: I20210827002172 |
| Provider Name | Natalia Vasilyevna Ghidora |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720654213 PECOS PAC ID: 5092110031 Enrollment ID: I20210830000490 |
| Provider Name | Jonathan S Hedrick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417342106 PECOS PAC ID: 7012200793 Enrollment ID: I20210831000885 |
| Provider Name | So Chung |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225423254 PECOS PAC ID: 7214269992 Enrollment ID: I20210901000497 |
| Provider Name | Jeremy Stephen Walker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679991830 PECOS PAC ID: 3375839012 Enrollment ID: I20210902000746 |
| Provider Name | Jessnie Jose-mathews |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992292841 PECOS PAC ID: 6507262342 Enrollment ID: I20210902002039 |
| Provider Name | Boris Nikolaevich Getman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295149672 PECOS PAC ID: 5496009953 Enrollment ID: I20210910001842 |
| Provider Name | Zachary Michael Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871096651 PECOS PAC ID: 1557618212 Enrollment ID: I20210923000565 |
| Provider Name | Ashley Greer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174048854 PECOS PAC ID: 1951668961 Enrollment ID: I20211006001743 |
| Provider Name | Amina Joyce Egwiekhor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548617020 PECOS PAC ID: 4880932441 Enrollment ID: I20211008001384 |
| Provider Name | Anne Elizabeth Robinson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982197968 PECOS PAC ID: 6406102029 Enrollment ID: I20211013000388 |
| Provider Name | Kelsey Elizabeth Caffy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760914410 PECOS PAC ID: 6204234644 Enrollment ID: I20211014003105 |
| Provider Name | Karen Alicia Boston |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699035048 PECOS PAC ID: 2668796319 Enrollment ID: I20211015002679 |
| Provider Name | Ava Helen Maritato |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326616368 PECOS PAC ID: 7911305263 Enrollment ID: I20211018001359 |
| Provider Name | Terry Howland Knowles |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790943918 PECOS PAC ID: 7618009788 Enrollment ID: I20211018001823 |
| Provider Name | Jamie Elizabeth Mancuso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811560303 PECOS PAC ID: 2769870880 Enrollment ID: I20211022000326 |
| Provider Name | Kennedy Ukoriyobhe Onori |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407465651 PECOS PAC ID: 3375931967 Enrollment ID: I20211101002837 |
| Provider Name | James Harrison Grunwald |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225529498 PECOS PAC ID: 1850648395 Enrollment ID: I20211102000463 |
| Provider Name | Mary Margaret Rockers Tyni |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295409035 PECOS PAC ID: 7911303177 Enrollment ID: I20211122000798 |
| Provider Name | Mirian Hanime Thiruchendru |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861044026 PECOS PAC ID: 0244569093 Enrollment ID: I20211124002179 |
| Provider Name | Cindy Brown Quinn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669137626 PECOS PAC ID: 0749670065 Enrollment ID: I20211201000011 |
| Provider Name | Neeta Mudlagiri Goli |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821431396 PECOS PAC ID: 3476894635 Enrollment ID: I20211209000882 |
| Provider Name | Karen Amanda Scherr |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174020101 PECOS PAC ID: 5597168971 Enrollment ID: I20211210001691 |
| Provider Name | Idil Musa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588327506 PECOS PAC ID: 0648661017 Enrollment ID: I20211217001842 |
| Provider Name | James Michael Liang |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043263387 PECOS PAC ID: 6709277015 Enrollment ID: I20211221002142 |
| Provider Name | Nicole Lois Cameron |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720239247 PECOS PAC ID: 7416349014 Enrollment ID: I20220111001303 |
| Provider Name | Elizabeth Wardwell Christy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982056222 PECOS PAC ID: 3971995473 Enrollment ID: I20220112002982 |
| Provider Name | Kristine Joyce Langcauon Asuncion |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306332697 PECOS PAC ID: 9436406014 Enrollment ID: I20220125001252 |
| Provider Name | Mya Deboer Sendak |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043743958 PECOS PAC ID: 8123411865 Enrollment ID: I20220202000344 |
| Provider Name | Cristina Alcaraz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679920714 PECOS PAC ID: 6204128762 Enrollment ID: I20220308002370 |
| Provider Name | Ralph Albert Monteagudo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194768283 PECOS PAC ID: 3375582281 Enrollment ID: I20220405001728 |
| Provider Name | Sophia Felisha Francis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164818712 PECOS PAC ID: 4789928854 Enrollment ID: I20220425002163 |
| Provider Name | Maura Jean Matney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144709478 PECOS PAC ID: 4385031004 Enrollment ID: I20220428000362 |
| Provider Name | Melissa Dawn Fox |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326266776 PECOS PAC ID: 2163522731 Enrollment ID: I20220504002522 |
| Provider Name | Jaimie Devine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003350943 PECOS PAC ID: 1153608781 Enrollment ID: I20220601000392 |
| Provider Name | Seenamma Machireddy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881901916 PECOS PAC ID: 0244472652 Enrollment ID: I20220701000640 |
| Provider Name | Prayrana Chhabra Joseph |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215953807 PECOS PAC ID: 2466520036 Enrollment ID: I20220706000445 |
| Provider Name | Christian Alexander Nechyba |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083624704 PECOS PAC ID: 5799165874 Enrollment ID: I20220707000558 |
| Provider Name | Elzia Rena Broussard |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376006254 PECOS PAC ID: 0547640575 Enrollment ID: I20220707002525 |
| Provider Name | Racheal Tushabe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255767273 PECOS PAC ID: 0749401370 Enrollment ID: I20220712002239 |
| Provider Name | Laura Wright Begin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881008381 PECOS PAC ID: 0749661361 Enrollment ID: I20220713003697 |
| Provider Name | Emily Keough Doster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952054629 PECOS PAC ID: 2860873718 Enrollment ID: I20220722002840 |
| Provider Name | Jordan Emily Reasor |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255994315 PECOS PAC ID: 3577897909 Enrollment ID: I20220722002910 |
| Provider Name | Caitlin May Carlsson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366902314 PECOS PAC ID: 5395070973 Enrollment ID: I20220728000089 |
| Provider Name | Evodie Versulien |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376004465 PECOS PAC ID: 7113254434 Enrollment ID: I20220801002511 |
| Provider Name | Catherine Shumaker Whitman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366001489 PECOS PAC ID: 2466834890 Enrollment ID: I20220802002626 |
| Provider Name | Spoorthi Kiran Sankineni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730574724 PECOS PAC ID: 0042513632 Enrollment ID: I20220802003811 |
| Provider Name | Dana Deneen Cage |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578898540 PECOS PAC ID: 8921382680 Enrollment ID: I20220805002849 |
| Provider Name | Kara Potter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124772702 PECOS PAC ID: 0446633283 Enrollment ID: I20220811002627 |
| Provider Name | Cara Neufeld Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699268524 PECOS PAC ID: 6305198292 Enrollment ID: I20220811003528 |
| Provider Name | Marquise Eloi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154893485 PECOS PAC ID: 8921340936 Enrollment ID: I20220812001420 |
| Provider Name | Kennedy Cook Wolfe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508398058 PECOS PAC ID: 2668742495 Enrollment ID: I20220822001797 |
| Provider Name | Gabryel Lorena Garcia-sampson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811550510 PECOS PAC ID: 8325422751 Enrollment ID: I20220901003017 |
| Provider Name | Max Flint Hockenbury |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760971725 PECOS PAC ID: 5092060921 Enrollment ID: I20220907003075 |
| Provider Name | Gabriela Marie Plasencia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720540842 PECOS PAC ID: 9830574839 Enrollment ID: I20220912001932 |
| Provider Name | Lauren Jean Scott |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700059342 PECOS PAC ID: 1456525427 Enrollment ID: I20220915001463 |
| Provider Name | Michael John Mclean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063144418 PECOS PAC ID: 6204211980 Enrollment ID: I20220915003672 |
| Provider Name | Arian Sedghi Nasab |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699201657 PECOS PAC ID: 9931479524 Enrollment ID: I20220919000115 |
| Provider Name | Christopher James Rezzonico |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528527389 PECOS PAC ID: 5890170385 Enrollment ID: I20220920001704 |
| Provider Name | Christine Baker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205861093 PECOS PAC ID: 7315048097 Enrollment ID: I20220930000178 |
| Provider Name | Noa Avita Borkan |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1285258962 PECOS PAC ID: 5294111613 Enrollment ID: I20221007000980 |
| Provider Name | Colleen Michelle Ford |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821317959 PECOS PAC ID: 4587898044 Enrollment ID: I20221009000019 |
| Provider Name | Daniel Douglas Hoffman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629537402 PECOS PAC ID: 0941530570 Enrollment ID: I20221025000923 |
| Provider Name | Gloria Melisa Sierra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770918856 PECOS PAC ID: 0749410744 Enrollment ID: I20221025003453 |
| Provider Name | Arjun Sadagopan Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023513769 PECOS PAC ID: 5496004442 Enrollment ID: I20221026001375 |
| Provider Name | Emile Gerard Vandermeer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366569311 PECOS PAC ID: 0749371433 Enrollment ID: I20221129002941 |
| Provider Name | Pauline Elise Meekins |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619184983 PECOS PAC ID: 2860583515 Enrollment ID: I20221130000294 |
| Provider Name | Anam Fatima |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366903916 PECOS PAC ID: 0941627798 Enrollment ID: I20221205002113 |
| Provider Name | Santha Kolli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659866705 PECOS PAC ID: 3971852211 Enrollment ID: I20221209001548 |
| Provider Name | Lawanna Marie Starks |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457433690 PECOS PAC ID: 8921341637 Enrollment ID: I20221209001859 |
| Provider Name | Alexa Elizabeth Roseman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548730989 PECOS PAC ID: 1951770155 Enrollment ID: I20221209002793 |
| Provider Name | Breanne Marie Vandevrede |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437878196 PECOS PAC ID: 2163891870 Enrollment ID: I20221219001940 |
| Provider Name | Emma Jean Par |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851735062 PECOS PAC ID: 3870721863 Enrollment ID: I20221222000297 |
| Provider Name | Maria Paula Warren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073235529 PECOS PAC ID: 7911377577 Enrollment ID: I20221224000100 |
| Provider Name | Brayden Bradley Mortensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568187169 PECOS PAC ID: 6709256282 Enrollment ID: I20221227000819 |
| Provider Name | Rosemary Catherine Zelenyak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396492385 PECOS PAC ID: 4082084967 Enrollment ID: I20230111000365 |
| Provider Name | Christine Elizabeth Lipske |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487322574 PECOS PAC ID: 0345611711 Enrollment ID: I20230123000245 |
| Provider Name | Megan Alexandra Fulden |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336797356 PECOS PAC ID: 8325419401 Enrollment ID: I20230127002355 |
| Provider Name | Sufanna Bernarduci |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255064051 PECOS PAC ID: 6507237690 Enrollment ID: I20230127002417 |
| Provider Name | Nicole Louise Nisly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659354959 PECOS PAC ID: 1951441427 Enrollment ID: I20230127002550 |
| Provider Name | Hiteshri Suresh Bhavsar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326201443 PECOS PAC ID: 4688849094 Enrollment ID: I20230131000064 |
| Provider Name | Wana Michelle Gulledge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295468221 PECOS PAC ID: 3072985837 Enrollment ID: I20230206000754 |
| Provider Name | Samuel Wade Everette |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629242219 PECOS PAC ID: 2062884257 Enrollment ID: I20230216002453 |
| Provider Name | Stacey Kathryn Prudich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831806017 PECOS PAC ID: 1850763970 Enrollment ID: I20230217001012 |
| Provider Name | Maria Alejandra Rodriguez Contreras |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972874410 PECOS PAC ID: 9931421724 Enrollment ID: I20230302002834 |
| Provider Name | Elham Alsadat Masoudi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457917635 PECOS PAC ID: 5890122626 Enrollment ID: I20230306001033 |
| Provider Name | Catherine Nyambura Gitau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326750811 PECOS PAC ID: 4183098577 Enrollment ID: I20230327001625 |
| Provider Name | Jorge Luis Sanchez Zelaya |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396152500 PECOS PAC ID: 2365816774 Enrollment ID: I20230327002588 |
| Provider Name | Suzanne Lambert Masters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043934284 PECOS PAC ID: 1951775162 Enrollment ID: I20230329001470 |
| Provider Name | Jenita Jovonne Partridge |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255726709 PECOS PAC ID: 7719352418 Enrollment ID: I20230411002757 |
| Provider Name | Anita Clarke Glymph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821405267 PECOS PAC ID: 9830403021 Enrollment ID: I20230412003145 |
| Provider Name | Seth Mitchell Cox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023721503 PECOS PAC ID: 9032574330 Enrollment ID: I20230420000014 |
| Provider Name | Logan Day Hills |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427672443 PECOS PAC ID: 7012373459 Enrollment ID: I20230510000534 |
| Provider Name | Hayat Jihad Shawwa |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497231393 PECOS PAC ID: 6608232566 Enrollment ID: I20230518001579 |
| Provider Name | Hannah Carroll Driscoll |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326676727 PECOS PAC ID: 4587022587 Enrollment ID: I20230623001095 |
| Provider Name | Chethana Kamath Ojha |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255995817 PECOS PAC ID: 1355678715 Enrollment ID: I20230629003209 |
| Provider Name | Kirsten Leano Dowling |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700374089 PECOS PAC ID: 7315306610 Enrollment ID: I20230705002078 |
| Provider Name | Sarah Carney Dillon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255894192 PECOS PAC ID: 5890154082 Enrollment ID: I20230706001969 |
| Provider Name | Danielle Marino Woody |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356979314 PECOS PAC ID: 1254761737 Enrollment ID: I20230706003777 |
| Provider Name | Laura Fox Landon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104345180 PECOS PAC ID: 0547629321 Enrollment ID: I20230711004480 |
| Provider Name | Danielle Joyner Piekaar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770285496 PECOS PAC ID: 3274993050 Enrollment ID: I20230712003845 |
| Provider Name | Zhe Liu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427685296 PECOS PAC ID: 8426457144 Enrollment ID: I20230717002419 |
| Provider Name | Nikita Sijapati |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295294072 PECOS PAC ID: 0749640159 Enrollment ID: I20230717003766 |
| Provider Name | Abigail Nicole Hulbert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245933472 PECOS PAC ID: 2062872971 Enrollment ID: I20230724001233 |
| Provider Name | Tanya Luke Reddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225492689 PECOS PAC ID: 3274825534 Enrollment ID: I20230802003933 |
| Provider Name | Alexa Michelle Waters |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467959833 PECOS PAC ID: 8426313602 Enrollment ID: I20230803001317 |
| Provider Name | Umaru Barrie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710515879 PECOS PAC ID: 8527429794 Enrollment ID: I20230803003413 |
| Provider Name | Natalie Lucinda Blake |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669092193 PECOS PAC ID: 7113343393 Enrollment ID: I20230807000566 |
| Provider Name | Franklin Trent Beeninga |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033747316 PECOS PAC ID: 5597127282 Enrollment ID: I20230811002096 |
| Provider Name | Anthony Dominic Sorrentino |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265069710 PECOS PAC ID: 8729401278 Enrollment ID: I20230818001657 |
| Provider Name | Juliana Molosky |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083234496 PECOS PAC ID: 0143644799 Enrollment ID: I20230823002009 |
| Provider Name | Anita Elizabeth Mason-kennedy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720637275 PECOS PAC ID: 1951764968 Enrollment ID: I20230823004072 |
| Provider Name | Daniela Delgado |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891229613 PECOS PAC ID: 9537581608 Enrollment ID: I20230824002146 |
| Provider Name | Megan Lauren Salter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043675341 PECOS PAC ID: 4789917105 Enrollment ID: I20230828001586 |
| Provider Name | Veronica Broton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831506559 PECOS PAC ID: 8921306903 Enrollment ID: I20230830003941 |
| Provider Name | Colin Neils Chao |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053948083 PECOS PAC ID: 3678995677 Enrollment ID: I20230831001783 |
| Provider Name | Chukwunwike Paul Okafor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417584962 PECOS PAC ID: 9133582364 Enrollment ID: I20230905003899 |
| Provider Name | Shawheen Robert James |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821627902 PECOS PAC ID: 3577917863 Enrollment ID: I20230920001421 |
| Provider Name | Joanna Marie Norton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992333298 PECOS PAC ID: 0143649582 Enrollment ID: I20230921001404 |
| Provider Name | Joel Fuller Vaughan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457305104 PECOS PAC ID: 3072516079 Enrollment ID: I20230921003448 |
| Provider Name | Paige Elizabeth Romer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699468843 PECOS PAC ID: 3072967223 Enrollment ID: I20230921004328 |
| Provider Name | Brett Winters Jordan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316623572 PECOS PAC ID: 9436503547 Enrollment ID: I20230922003001 |
| Provider Name | Einat Kadar-kricheli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851853881 PECOS PAC ID: 8820329626 Enrollment ID: I20230927000000 |
| Provider Name | Rebecca Jean Horn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750075198 PECOS PAC ID: 5991159717 Enrollment ID: I20230928000553 |
| Provider Name | Claudia Lucia Gomez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073291233 PECOS PAC ID: 7416301890 Enrollment ID: I20231004000981 |
| Provider Name | Ashley Len Mohlhenrich |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053977330 PECOS PAC ID: 0648625350 Enrollment ID: I20231016003562 |
| Provider Name | Benjamin Genesuk Seo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922117027 PECOS PAC ID: 3274606199 Enrollment ID: I20231016003746 |
| Provider Name | Kaitlyn Ann Coyle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114604246 PECOS PAC ID: 0244686483 Enrollment ID: I20231025000609 |
| Provider Name | Yangmei Deng |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417635210 PECOS PAC ID: 0547617789 Enrollment ID: I20231109003472 |
| Provider Name | Jamie Estelle Mills |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104492081 PECOS PAC ID: 1759743354 Enrollment ID: I20231109003835 |
| Provider Name | Molly Pearlstein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467132662 PECOS PAC ID: 0042667016 Enrollment ID: I20231113002650 |
| Provider Name | Brooke Anne Colligan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245918762 PECOS PAC ID: 3577910579 Enrollment ID: I20231113003662 |
| Provider Name | Makenze Miller Caldwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972170116 PECOS PAC ID: 1557719440 Enrollment ID: I20231204001385 |
| Provider Name | Haley Marie Burton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649952722 PECOS PAC ID: 9436508025 Enrollment ID: I20231207002485 |
| Provider Name | Vivian Gail Fischer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487639472 PECOS PAC ID: 4981705829 Enrollment ID: I20231211001180 |
| Provider Name | Uma Bhargavi Pendem |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083279541 PECOS PAC ID: 6800121013 Enrollment ID: I20240110001261 |
| Provider Name | Lena Jooyeon Kang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245013150 PECOS PAC ID: 4880047547 Enrollment ID: I20240129004210 |
| Provider Name | Kristin Carpenter Johansen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164764239 PECOS PAC ID: 3072815307 Enrollment ID: I20240213001376 |
| Provider Name | Leigh Ann Carr Vojticek |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477673861 PECOS PAC ID: 5092159657 Enrollment ID: I20240222000997 |
| Provider Name | Meaghan Elizabeth Paluck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922875038 PECOS PAC ID: 9436594819 Enrollment ID: I20240226000102 |
| Provider Name | Jasmine Pettiford |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447602685 PECOS PAC ID: 6800127929 Enrollment ID: I20240227001791 |
| Provider Name | Brynnan Elizabeth Sauls |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144096496 PECOS PAC ID: 1951748680 Enrollment ID: I20240318001851 |
| Provider Name | Lara Jordan Peterson Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972378099 PECOS PAC ID: 7012354343 Enrollment ID: I20240322001232 |
| Provider Name | Amanda Rose Assante |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639931074 PECOS PAC ID: 5395182299 Enrollment ID: I20240327003504 |
| Provider Name | John Thomas Fraser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164299202 PECOS PAC ID: 0143660902 Enrollment ID: I20240427001957 |
Durham Recovery Response Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 309 Crutchfield St, Durham, NC 27704 Phone: 919-797-1943 Fax: 919-560-0302 | |
Durham Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4220 N Roxboro St, Durham, NC 27704 Phone: 919-471-1518 | |
Triangle Geriatrics & Palliative Medicine, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1010 Rosehill Ave, Durham, NC 27705 Phone: 540-447-6614 | |
Duke Student Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 Trent Dr, Sub-basement, Orange Zone, Durham, NC 27710 Phone: 919-681-9355 | |
Novant Health Durham Internal Medicine Southpoint Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5107 Southpark Dr, Suite 104, Durham, NC 27713 Phone: 919-477-6900 Fax: 919-544-6210 | |
American Current Care Of North Carolina Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4104 Surles Court, Suite 11, Durham, NC 27703 Phone: 919-941-1911 Fax: 919-941-1901 | |
Shae Medical, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5306 Nc Highway 55, Suite 105, Durham, NC 27713 Phone: 919-646-4858 Fax: 919-679-7112 |