| T J Samson Community Hospital | |
|
310 N L Rogers Wells Blvd Glasgow KY 42141-1300 | |
| (270) 651-1111 | |
| Not Available |
| Full Name | T J Samson Community Hospital |
|---|---|
| Speciality | Family Medicine |
| Location | 310 N L Rogers Wells Blvd, Glasgow, Kentucky |
| Authorized Official Name and Position | Neil Thornbury (CEO) |
| Authorized Official Contact | 2706514159 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| T J Samson Community Hospital Po Box 645996 Cincinnati OH 45264-5996 Ph: (270) 651-4444 | T J Samson Community Hospital 310 N L Rogers Wells Blvd Glasgow KY 42141-1300 Ph: (270) 651-1111 |
| NPI Number | 1477609865 |
|---|---|
| Provider Enumeration Date | 01/26/2007 |
| Last Update Date | 05/31/2023 |
| Medicare PECOS PAC ID | 0648182600 |
|---|---|
| Medicare Enrollment ID | O20040318001777 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477609865 | NPI | - | NPPES |
| 7100746780 | Medicaid | KY | |
| 7100747840 | Medicaid | KY | |
| 000000054533 | Other | KY | ANTHEM |
| 7100261530 | Medicaid | KY | |
| 7100275010 | Medicaid | KY | |
| 7100275030 | Medicaid | KY | |
| 7100732310 | Medicaid | KY | |
| 7100033180 | Medicaid | KY | |
| 7100261550 | Medicaid | KY | |
| 7100458590 | Medicaid | KY | |
| 7100584480 | Medicaid | KY |
| Provider Name | Betty D Sandlin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1740247758 PECOS PAC ID: 3779488994 Enrollment ID: I20031202000020 |
| Provider Name | David M Preston |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1740208461 PECOS PAC ID: 5597662015 Enrollment ID: I20031215000137 |
| Provider Name | Frank E Lee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306854500 PECOS PAC ID: 9436053964 Enrollment ID: I20040112000006 |
| Provider Name | Richard M Clouse |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720078355 PECOS PAC ID: 9638069941 Enrollment ID: I20040319000041 |
| Provider Name | Bennet Cecil |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1811909864 PECOS PAC ID: 1951396340 Enrollment ID: I20040415001143 |
| Provider Name | Hatem A Asad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326095662 PECOS PAC ID: 4587654074 Enrollment ID: I20040517000298 |
| Provider Name | Ann H Durham |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093889081 PECOS PAC ID: 1153312566 Enrollment ID: I20040524000060 |
| Provider Name | Gilbert Mallanao Mamauag |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922056464 PECOS PAC ID: 4981685278 Enrollment ID: I20040524001459 |
| Provider Name | Sanjay K Jain |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1578504817 PECOS PAC ID: 0244212926 Enrollment ID: I20040701000448 |
| Provider Name | Venkata T Reddy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1922071653 PECOS PAC ID: 9032196332 Enrollment ID: I20040706000271 |
| Provider Name | Mary Dowell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1346208246 PECOS PAC ID: 9335035203 Enrollment ID: I20040820001056 |
| Provider Name | Lee Del Carter |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003916842 PECOS PAC ID: 8224003181 Enrollment ID: I20040901001546 |
| Provider Name | Alison S Campbell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205861754 PECOS PAC ID: 6103803804 Enrollment ID: I20050322000329 |
| Provider Name | Nellie S Bell |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1770626798 PECOS PAC ID: 0941256127 Enrollment ID: I20050330001070 |
| Provider Name | John P Craddock |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184767196 PECOS PAC ID: 5799731980 Enrollment ID: I20050330001127 |
| Provider Name | Kelly Dirig |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861535874 PECOS PAC ID: 3476509662 Enrollment ID: I20050330001169 |
| Provider Name | Yoo Suh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1194713131 PECOS PAC ID: 8123056785 Enrollment ID: I20050803001045 |
| Provider Name | Cynthia L Harris |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1407808207 PECOS PAC ID: 5496785479 Enrollment ID: I20050818001012 |
| Provider Name | Dele Ogunyemi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1548257199 PECOS PAC ID: 1456377688 Enrollment ID: I20051018000350 |
| Provider Name | Todd B Oller |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1376537092 PECOS PAC ID: 4183640071 Enrollment ID: I20051020000198 |
| Provider Name | Toby R England |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548211410 PECOS PAC ID: 7810919719 Enrollment ID: I20051220000400 |
| Provider Name | Sujata Reddy |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1912122581 PECOS PAC ID: 5890700090 Enrollment ID: I20060209000046 |
| Provider Name | Melanie M Isbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720054240 PECOS PAC ID: 8628083722 Enrollment ID: I20060210000296 |
| Provider Name | David Alan Ciochetty |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1982666830 PECOS PAC ID: 2163318874 Enrollment ID: I20060314000379 |
| Provider Name | Kevin L Flowers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093766073 PECOS PAC ID: 0749186955 Enrollment ID: I20070509000035 |
| Provider Name | Stephen G Rafferty |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1447359286 PECOS PAC ID: 4688772445 Enrollment ID: I20070604000022 |
| Provider Name | David W Kendrick |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1912987892 PECOS PAC ID: 5092813683 Enrollment ID: I20070605000456 |
| Provider Name | Zaka U Khan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1205872405 PECOS PAC ID: 8325005440 Enrollment ID: I20070629000309 |
| Provider Name | Gary F Bloemer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1104884550 PECOS PAC ID: 1355441130 Enrollment ID: I20070709000427 |
| Provider Name | Aaron Medley |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1215136403 PECOS PAC ID: 1153414636 Enrollment ID: I20070830000018 |
| Provider Name | Kylend Hollie Kiser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629178462 PECOS PAC ID: 9638263882 Enrollment ID: I20070919000010 |
| Provider Name | William P Klapheke |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1184765620 PECOS PAC ID: 8628162542 Enrollment ID: I20070921000461 |
| Provider Name | Gary M Howerton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093776163 PECOS PAC ID: 7517870678 Enrollment ID: I20070926000516 |
| Provider Name | Matthew A Oconnor |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1164608147 PECOS PAC ID: 3678656527 Enrollment ID: I20080215000066 |
| Provider Name | Laura L Reed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396937827 PECOS PAC ID: 8022192756 Enrollment ID: I20080220000004 |
| Provider Name | Kenneth Gibbs |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1174506455 PECOS PAC ID: 7315926847 Enrollment ID: I20080317000009 |
| Provider Name | Nancy J Houchens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740472414 PECOS PAC ID: 0840378899 Enrollment ID: I20080416000538 |
| Provider Name | Ghazala Q Roopani |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1528026408 PECOS PAC ID: 8729996806 Enrollment ID: I20080428000500 |
| Provider Name | Amelia Kiser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982605465 PECOS PAC ID: 2365354321 Enrollment ID: I20080815000421 |
| Provider Name | Laurie B Craycroft |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922055920 PECOS PAC ID: 3779598941 Enrollment ID: I20081007000477 |
| Provider Name | Paula N West |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992734081 PECOS PAC ID: 5799723581 Enrollment ID: I20081112000126 |
| Provider Name | Tarek Dammad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457555641 PECOS PAC ID: 7113089020 Enrollment ID: I20081230000415 |
| Provider Name | Richard Parnell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1689660169 PECOS PAC ID: 6709952146 Enrollment ID: I20090330000448 |
| Provider Name | Mitchell Lee Wiatrak |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1114914900 PECOS PAC ID: 9931114295 Enrollment ID: I20090605000108 |
| Provider Name | James B Frank |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750544946 PECOS PAC ID: 5991841959 Enrollment ID: I20091005000350 |
| Provider Name | Kara B Gilkey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689846156 PECOS PAC ID: 9537064720 Enrollment ID: I20091103000616 |
| Provider Name | Ian Scott Gilson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225028855 PECOS PAC ID: 1254479389 Enrollment ID: I20091130000213 |
| Provider Name | Barret Lessenberry |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1407859630 PECOS PAC ID: 6204976566 Enrollment ID: I20091217000010 |
| Provider Name | Mitta A Reddy |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1063443356 PECOS PAC ID: 3375581663 Enrollment ID: I20091230000292 |
| Provider Name | Muralidhar Santapuram |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1194755868 PECOS PAC ID: 2860533668 Enrollment ID: I20091230000341 |
| Provider Name | Courtney Leigh Rushing |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1669704318 PECOS PAC ID: 9335284348 Enrollment ID: I20100302000581 |
| Provider Name | Rondal B Wright |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124073291 PECOS PAC ID: 2567508815 Enrollment ID: I20100313000017 |
| Provider Name | Narasimha Reddy |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1134122336 PECOS PAC ID: 8022158385 Enrollment ID: I20100323000446 |
| Provider Name | Lori A Walton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942273073 PECOS PAC ID: 6406982610 Enrollment ID: I20100326000787 |
| Provider Name | Steven A House |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730155003 PECOS PAC ID: 6507829025 Enrollment ID: I20100329000475 |
| Provider Name | Carlos Md Rotellar |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1891758439 PECOS PAC ID: 0547396194 Enrollment ID: I20100407000414 |
| Provider Name | Scott Christopher Sims |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1568425106 PECOS PAC ID: 1951437524 Enrollment ID: I20100407000612 |
| Provider Name | Danielle M Mann |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174787725 PECOS PAC ID: 6103993720 Enrollment ID: I20100621000455 |
| Provider Name | Kevin M Kelly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730116625 PECOS PAC ID: 6709918485 Enrollment ID: I20100716000356 |
| Provider Name | Michael Todd Marion |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1861542805 PECOS PAC ID: 4587559943 Enrollment ID: I20100820000124 |
| Provider Name | Patricia A Spears |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851360515 PECOS PAC ID: 4082738968 Enrollment ID: I20100830000281 |
| Provider Name | William Chase Thornbury |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417027525 PECOS PAC ID: 7214987460 Enrollment ID: I20100924000477 |
| Provider Name | Robert B Roach |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295725398 PECOS PAC ID: 7416140082 Enrollment ID: I20101015000496 |
| Provider Name | Paul M Moore |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1295734515 PECOS PAC ID: 3375739881 Enrollment ID: I20101123000797 |
| Provider Name | Steven Morey |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063475283 PECOS PAC ID: 0143301606 Enrollment ID: I20101209000369 |
| Provider Name | Victor L Zirilli |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184683112 PECOS PAC ID: 1456263417 Enrollment ID: I20101222000994 |
| Provider Name | Paul Dunn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932112042 PECOS PAC ID: 3971493537 Enrollment ID: I20101229000310 |
| Provider Name | Thomas M Braxton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578539672 PECOS PAC ID: 3870681158 Enrollment ID: I20101230000299 |
| Provider Name | Kevin Burner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477542942 PECOS PAC ID: 2264458850 Enrollment ID: I20110125000827 |
| Provider Name | Amy H Thornbury |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326340530 PECOS PAC ID: 3173703774 Enrollment ID: I20110215000464 |
| Provider Name | Steven L Woolley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831189935 PECOS PAC ID: 4082895321 Enrollment ID: I20110221000432 |
| Provider Name | Julie Isaac |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1316930647 PECOS PAC ID: 1355367897 Enrollment ID: I20110307000561 |
| Provider Name | Aijaz Yazdani |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1447222781 PECOS PAC ID: 2769407519 Enrollment ID: I20110317000285 |
| Provider Name | Harikrishnan Damodaran-nair |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1871608125 PECOS PAC ID: 3870675945 Enrollment ID: I20110407000383 |
| Provider Name | Jeffrey Boyd |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508043522 PECOS PAC ID: 8527190156 Enrollment ID: I20110712000190 |
| Provider Name | Brian S Elmlinger |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1821159849 PECOS PAC ID: 9638348527 Enrollment ID: I20110810000423 |
| Provider Name | Brad M Mallory |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417129982 PECOS PAC ID: 3577734524 Enrollment ID: I20110922000541 |
| Provider Name | Linsey Neuhaus |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427220904 PECOS PAC ID: 1254506439 Enrollment ID: I20111216000544 |
| Provider Name | Klark B Turpen |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1114124021 PECOS PAC ID: 3971779323 Enrollment ID: I20120105000862 |
| Provider Name | Shelly E Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518248699 PECOS PAC ID: 1759558315 Enrollment ID: I20120123000307 |
| Provider Name | Murali Ankem |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1467486498 PECOS PAC ID: 5799731568 Enrollment ID: I20120127000598 |
| Provider Name | Kerry L Short |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1902879901 PECOS PAC ID: 9436319407 Enrollment ID: I20120328000886 |
| Provider Name | Melenda K Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083886568 PECOS PAC ID: 9133389075 Enrollment ID: I20120329000639 |
| Provider Name | Catherine A Feese |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235422940 PECOS PAC ID: 5496902314 Enrollment ID: I20120829000222 |
| Provider Name | Kimberly Bowman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073889689 PECOS PAC ID: 0749437309 Enrollment ID: I20120904000578 |
| Provider Name | Elizabeth L Combs Royse |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053631101 PECOS PAC ID: 8325296817 Enrollment ID: I20120906000621 |
| Provider Name | Lisa A Ducoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437406964 PECOS PAC ID: 2163670340 Enrollment ID: I20120912000779 |
| Provider Name | Zakare Salifu |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1770610081 PECOS PAC ID: 6305925751 Enrollment ID: I20121011000480 |
| Provider Name | Mary Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598865347 PECOS PAC ID: 1355591926 Enrollment ID: I20121017000813 |
| Provider Name | Brandi A White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639458326 PECOS PAC ID: 5799939096 Enrollment ID: I20130214000549 |
| Provider Name | Wendell C Griffin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1518205269 PECOS PAC ID: 6800031923 Enrollment ID: I20130320000573 |
| Provider Name | Brenda Jean Jobson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1831126887 PECOS PAC ID: 2860592789 Enrollment ID: I20130326000059 |
| Provider Name | Iram Nawaz |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1992967269 PECOS PAC ID: 7012055502 Enrollment ID: I20131003000180 |
| Provider Name | Jennifer H Shuemaker |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1174784466 PECOS PAC ID: 0345486213 Enrollment ID: I20131029000581 |
| Provider Name | Michael H Deboer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780624809 PECOS PAC ID: 1052362738 Enrollment ID: I20140115000908 |
| Provider Name | Micah Jade Tracy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427392372 PECOS PAC ID: 1153552971 Enrollment ID: I20140320000734 |
| Provider Name | Jason Matthew White |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184661720 PECOS PAC ID: 2769387703 Enrollment ID: I20140505001967 |
| Provider Name | Eric L Fisher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861785974 PECOS PAC ID: 5890911457 Enrollment ID: I20140717001495 |
| Provider Name | Niall J Harty |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1205007341 PECOS PAC ID: 3375783483 Enrollment ID: I20140722001843 |
| Provider Name | Joshua A Pedigo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922391440 PECOS PAC ID: 4789828054 Enrollment ID: I20140808002168 |
| Provider Name | Yashpal Modi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1164782991 PECOS PAC ID: 2264680651 Enrollment ID: I20140814002617 |
| Provider Name | Michelle S Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427467653 PECOS PAC ID: 5890914485 Enrollment ID: I20140912001579 |
| Provider Name | Amy L. Hatcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669872362 PECOS PAC ID: 7416178330 Enrollment ID: I20141017001958 |
| Provider Name | Casey Button Sacia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669877296 PECOS PAC ID: 7810119641 Enrollment ID: I20141112000731 |
| Provider Name | Kyra Loraine Sharp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255769279 PECOS PAC ID: 3971829797 Enrollment ID: I20150312002716 |
| Provider Name | Michael Andrew Saridakis |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1407850134 PECOS PAC ID: 6406759083 Enrollment ID: I20150526001217 |
| Provider Name | Ashley Matney |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558654806 PECOS PAC ID: 1456590900 Enrollment ID: I20150619000160 |
| Provider Name | Kandace Diane Webster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427435932 PECOS PAC ID: 4587976089 Enrollment ID: I20150710001617 |
| Provider Name | Danielle Revert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962871327 PECOS PAC ID: 9032427836 Enrollment ID: I20150928002539 |
| Provider Name | Ashley L Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134590854 PECOS PAC ID: 9335459080 Enrollment ID: I20151109000671 |
| Provider Name | Todd A Bader |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1649366949 PECOS PAC ID: 1153386008 Enrollment ID: I20151112002821 |
| Provider Name | Willa Amanda Parsons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407227804 PECOS PAC ID: 2668772997 Enrollment ID: I20151118001432 |
| Provider Name | Laura D. Howard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760855407 PECOS PAC ID: 9335449370 Enrollment ID: I20151124001640 |
| Provider Name | Megan L Buntin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568821304 PECOS PAC ID: 1658678487 Enrollment ID: I20160322002599 |
| Provider Name | Daniel L Booten |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1225048259 PECOS PAC ID: 8820985526 Enrollment ID: I20160421000189 |
| Provider Name | Cory S Gearlds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275992018 PECOS PAC ID: 8123327855 Enrollment ID: I20160502002484 |
| Provider Name | Wendi L King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275910648 PECOS PAC ID: 4385959717 Enrollment ID: I20160728002347 |
| Provider Name | Tiffany Frye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720531551 PECOS PAC ID: 1759676851 Enrollment ID: I20160829002309 |
| Provider Name | Barbara J Nelson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538113352 PECOS PAC ID: 0042284119 Enrollment ID: I20161005001524 |
| Provider Name | Tracy L. Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811448673 PECOS PAC ID: 9335429885 Enrollment ID: I20161129002622 |
| Provider Name | Margaret B Stanley |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1477831006 PECOS PAC ID: 7618147588 Enrollment ID: I20161208001649 |
| Provider Name | Kevin J Buntin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730624016 PECOS PAC ID: 9133401169 Enrollment ID: I20170126001086 |
| Provider Name | Ronnie D Pridemore |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285895334 PECOS PAC ID: 6305031832 Enrollment ID: I20170224001515 |
| Provider Name | Jessica L Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174043582 PECOS PAC ID: 7012287444 Enrollment ID: I20170718002650 |
| Provider Name | Nellie S Bell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770626798 PECOS PAC ID: 0941256127 Enrollment ID: I20170725002701 |
| Provider Name | Arvind Gopal |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1346382082 PECOS PAC ID: 7416134937 Enrollment ID: I20170815004143 |
| Provider Name | David Koury |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053526293 PECOS PAC ID: 4789647272 Enrollment ID: I20170906003719 |
| Provider Name | David Harris |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780099358 PECOS PAC ID: 1759601297 Enrollment ID: I20170907002871 |
| Provider Name | Emily T Jessie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306204490 PECOS PAC ID: 7113284100 Enrollment ID: I20171129002002 |
| Provider Name | Marissa Howard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750819967 PECOS PAC ID: 2365701133 Enrollment ID: I20180124001987 |
| Provider Name | William F Alexander |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1609848738 PECOS PAC ID: 1557432705 Enrollment ID: I20180124003170 |
| Provider Name | Norman M Jacobs |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407856214 PECOS PAC ID: 8022917517 Enrollment ID: I20180316002345 |
| Provider Name | Kayleigh Rose Money |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255821807 PECOS PAC ID: 9537414800 Enrollment ID: I20180611001795 |
| Provider Name | Jonathan Michael Robertson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932693504 PECOS PAC ID: 6002162310 Enrollment ID: I20180628002001 |
| Provider Name | Lucas C Nourse |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1598171522 PECOS PAC ID: 4284981820 Enrollment ID: I20180727000846 |
| Provider Name | Osmund Ugochukwu Agbo |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1275728529 PECOS PAC ID: 6800974627 Enrollment ID: I20180920003476 |
| Provider Name | Dustin M Albert |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1689968463 PECOS PAC ID: 3072738368 Enrollment ID: I20181114003382 |
| Provider Name | James J Lee |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306933114 PECOS PAC ID: 1254231467 Enrollment ID: I20181228001630 |
| Provider Name | Ty E Bowles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316416019 PECOS PAC ID: 5799021846 Enrollment ID: I20190109003117 |
| Provider Name | Sophia D Goodridge |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1255690905 PECOS PAC ID: 6709166440 Enrollment ID: I20190211000592 |
| Provider Name | Tyler D Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124591318 PECOS PAC ID: 6709124084 Enrollment ID: I20190212001166 |
| Provider Name | Nathan D Bennington |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972777589 PECOS PAC ID: 2668641820 Enrollment ID: I20190419000414 |
| Provider Name | Scott Logan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154321867 PECOS PAC ID: 1355249319 Enrollment ID: I20190419000453 |
| Provider Name | Dustin Johnson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033439492 PECOS PAC ID: 7012104763 Enrollment ID: I20190419000465 |
| Provider Name | Daniel Weeks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952833311 PECOS PAC ID: 2365799079 Enrollment ID: I20190528001624 |
| Provider Name | Alexis N Sherfey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396305777 PECOS PAC ID: 6507192150 Enrollment ID: I20190719002438 |
| Provider Name | James Robert Herman |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1538166657 PECOS PAC ID: 8325045586 Enrollment ID: I20190826000864 |
| Provider Name | Ryan B Kerrins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366001885 PECOS PAC ID: 2365772050 Enrollment ID: I20190923002697 |
| Provider Name | Erica Lynn Courtney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013142876 PECOS PAC ID: 1759531759 Enrollment ID: I20191108001306 |
| Provider Name | Abu Taher Md. Ziaul Hasan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700171527 PECOS PAC ID: 2961622907 Enrollment ID: I20200102001842 |
| Provider Name | Lauren M Legrand |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851938807 PECOS PAC ID: 8729414073 Enrollment ID: I20200204002028 |
| Provider Name | Kristen H Gentner |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1821635913 PECOS PAC ID: 4183052962 Enrollment ID: I20200309002129 |
| Provider Name | Jessica Henry |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1861048027 PECOS PAC ID: 6002242716 Enrollment ID: I20200318000440 |
| Provider Name | Baylee Nicole Knox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245867712 PECOS PAC ID: 8820428923 Enrollment ID: I20200413002497 |
| Provider Name | Teresa Perkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831721323 PECOS PAC ID: 5698105021 Enrollment ID: I20200424002584 |
| Provider Name | Dillon Steven Pender |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639666571 PECOS PAC ID: 7810224326 Enrollment ID: I20200430002744 |
| Provider Name | Niaz Usman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1588639777 PECOS PAC ID: 7719959238 Enrollment ID: I20200702001089 |
| Provider Name | Laura Elizabeth Brooks |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245761030 PECOS PAC ID: 4183048465 Enrollment ID: I20200720001803 |
| Provider Name | Lauren Hansen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356848923 PECOS PAC ID: 0840527347 Enrollment ID: I20200812003944 |
| Provider Name | Barbara G Kelly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447783634 PECOS PAC ID: 6103173141 Enrollment ID: I20200818002278 |
| Provider Name | Michael Kottwitz |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1508204454 PECOS PAC ID: 9830331362 Enrollment ID: I20200911001504 |
| Provider Name | Katherine Elizabeth Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790398600 PECOS PAC ID: 6406274158 Enrollment ID: I20200914000865 |
| Provider Name | Adriene Elizabeth Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710505912 PECOS PAC ID: 0941620959 Enrollment ID: I20201013002256 |
| Provider Name | Mark Behnam |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992995591 PECOS PAC ID: 7416133020 Enrollment ID: I20201019000494 |
| Provider Name | Kartik Katragadda |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174047245 PECOS PAC ID: 7416370861 Enrollment ID: I20201217002133 |
| Provider Name | Mushtaq Ahmad |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1508822446 PECOS PAC ID: 1254302896 Enrollment ID: I20201221000898 |
| Provider Name | Richard H. Hsu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1679521827 PECOS PAC ID: 9335331974 Enrollment ID: I20210119001349 |
| Provider Name | Carol J Yuan Duclair |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1528221850 PECOS PAC ID: 6103072574 Enrollment ID: I20210212001028 |
| Provider Name | Maurice Barnes |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1730224320 PECOS PAC ID: 2860542867 Enrollment ID: I20210310002711 |
| Provider Name | Mohammad N Khan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1295778215 PECOS PAC ID: 3476538760 Enrollment ID: I20210318002420 |
| Provider Name | April D Humphrey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568708543 PECOS PAC ID: 2961810072 Enrollment ID: I20210408002604 |
| Provider Name | George C May |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1073561114 PECOS PAC ID: 6709835457 Enrollment ID: I20210805003499 |
| Provider Name | Traci D Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093386740 PECOS PAC ID: 1557765948 Enrollment ID: I20210806001626 |
| Provider Name | Omar H Mahmoud |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1538555339 PECOS PAC ID: 8921330531 Enrollment ID: I20210811003328 |
| Provider Name | David Stephen Heppner |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1336189695 PECOS PAC ID: 4486892767 Enrollment ID: I20210827002396 |
| Provider Name | Syed Ashfaq Hussain Najeed |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1972560662 PECOS PAC ID: 3779545694 Enrollment ID: I20210913003540 |
| Provider Name | Larry A Reece |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801559588 PECOS PAC ID: 3779971569 Enrollment ID: I20211027003298 |
| Provider Name | Christopher Robert Behringer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124521182 PECOS PAC ID: 7517355274 Enrollment ID: I20211028002833 |
| Provider Name | Taryn Alycia Conrad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043980352 PECOS PAC ID: 6800285420 Enrollment ID: I20211119000119 |
| Provider Name | Joshua Charles Ramsey |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1902260854 PECOS PAC ID: 3870891484 Enrollment ID: I20220124001225 |
| Provider Name | Kevin Michael Richardson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689136897 PECOS PAC ID: 5890107619 Enrollment ID: I20220309002434 |
| Provider Name | Tyler Evans |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538494513 PECOS PAC ID: 8921247206 Enrollment ID: I20220316000679 |
| Provider Name | Loretta A Settonni |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023011137 PECOS PAC ID: 7214824762 Enrollment ID: I20220324000634 |
| Provider Name | Kenzie Reeder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174294193 PECOS PAC ID: 2961897087 Enrollment ID: I20220328000346 |
| Provider Name | Tagore Sunkara |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1306158134 PECOS PAC ID: 8729202734 Enrollment ID: I20220520000688 |
| Provider Name | David Garcia |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1265417893 PECOS PAC ID: 0840289005 Enrollment ID: I20220601000625 |
| Provider Name | Olivia Marie Bradshaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295471365 PECOS PAC ID: 4385024777 Enrollment ID: I20220701000457 |
| Provider Name | Mary B Skipworth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518698059 PECOS PAC ID: 3577944743 Enrollment ID: I20220719002590 |
| Provider Name | Joshua B Rock |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1285165787 PECOS PAC ID: 8729469895 Enrollment ID: I20220720002711 |
| Provider Name | Candace M Dennison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366175697 PECOS PAC ID: 0345621264 Enrollment ID: I20220722001409 |
| Provider Name | Obiora Egbuche |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1164818464 PECOS PAC ID: 9335490101 Enrollment ID: I20220727003029 |
| Provider Name | Whitney Nicole Barger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760861272 PECOS PAC ID: 3274847363 Enrollment ID: I20220805002267 |
| Provider Name | Umakant M Khetan |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1841248549 PECOS PAC ID: 5597733022 Enrollment ID: I20220808000652 |
| Provider Name | Monica Juliana Chamorro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528529385 PECOS PAC ID: 6406270321 Enrollment ID: I20220812003165 |
| Provider Name | Anuradha Bommakanti |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1003265455 PECOS PAC ID: 2961884374 Enrollment ID: I20220823000287 |
| Provider Name | Dana H Woods |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1821170200 PECOS PAC ID: 3779535703 Enrollment ID: I20220830003126 |
| Provider Name | Minh Lu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841477049 PECOS PAC ID: 9436314424 Enrollment ID: I20220907003580 |
| Provider Name | Adam Evans |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053748822 PECOS PAC ID: 0446573943 Enrollment ID: I20220916000183 |
| Provider Name | Samantha Leslyn Agee |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730425927 PECOS PAC ID: 6103201389 Enrollment ID: I20220924000304 |
| Provider Name | Kelly Lynn Hale |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467985648 PECOS PAC ID: 7810265600 Enrollment ID: I20221008000166 |
| Provider Name | Kha Nguyen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1881973550 PECOS PAC ID: 4284809377 Enrollment ID: I20221011002231 |
| Provider Name | Robert D Norman |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1982020483 PECOS PAC ID: 4385918309 Enrollment ID: I20221012002373 |
| Provider Name | Andrew Rudin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265813497 PECOS PAC ID: 4981944147 Enrollment ID: I20221026000681 |
| Provider Name | Patrick Mcdonough |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558697599 PECOS PAC ID: 2365680212 Enrollment ID: I20221116000904 |
| Provider Name | Shinkai Hakimi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1477758340 PECOS PAC ID: 5991969891 Enrollment ID: I20221117000536 |
| Provider Name | Ryan D Nichols |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215378872 PECOS PAC ID: 1557582129 Enrollment ID: I20221117001481 |
| Provider Name | Susana Ho |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588196265 PECOS PAC ID: 3173947959 Enrollment ID: I20221121003194 |
| Provider Name | Mazen Sabbaq |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1457318545 PECOS PAC ID: 5496768657 Enrollment ID: I20221201001997 |
| Provider Name | Vishal Patel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144752254 PECOS PAC ID: 5991075780 Enrollment ID: I20221222000691 |
| Provider Name | Sam Sultan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265938963 PECOS PAC ID: 1951788322 Enrollment ID: I20230127000831 |
| Provider Name | Vandankumar Patel |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1043743255 PECOS PAC ID: 8628468626 Enrollment ID: I20230303000507 |
| Provider Name | Kristina Lynn Wright-gue |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235717620 PECOS PAC ID: 1850773441 Enrollment ID: I20230522002509 |
| Provider Name | Ala' Abdel Jalil |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1427267871 PECOS PAC ID: 5991868366 Enrollment ID: I20230605001405 |
| Provider Name | Jorge E Guzman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1669651881 PECOS PAC ID: 4789718024 Enrollment ID: I20230620000232 |
| Provider Name | Zhixing Yao |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649761701 PECOS PAC ID: 5395122881 Enrollment ID: I20230725003847 |
| Provider Name | Kyra J Schmidt |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1114419900 PECOS PAC ID: 1254718745 Enrollment ID: I20230815001886 |
| Provider Name | Feras Hamadeh |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1518051705 PECOS PAC ID: 4284542176 Enrollment ID: I20230830001889 |
| Provider Name | Brandon T Morris |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1639605181 PECOS PAC ID: 6002270881 Enrollment ID: I20230912003134 |
| Provider Name | Monika Varney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114700697 PECOS PAC ID: 9830543628 Enrollment ID: I20230927003367 |
| Provider Name | Andrew C Bland |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1467582775 PECOS PAC ID: 7416946009 Enrollment ID: I20231019001223 |
| Provider Name | Gerardo Kalife |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1538132030 PECOS PAC ID: 2466467055 Enrollment ID: I20231207002382 |
| Provider Name | Lori Johnson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1518211218 PECOS PAC ID: 5496105074 Enrollment ID: I20231221003873 |
| Provider Name | Michael Anton |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740284371 PECOS PAC ID: 2668450420 Enrollment ID: I20231227002807 |
| Provider Name | Christopher Schlarb |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376547927 PECOS PAC ID: 5294724563 Enrollment ID: I20240110000466 |
| Provider Name | John Joseph Anton |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508860438 PECOS PAC ID: 9537131271 Enrollment ID: I20240118004321 |
| Provider Name | Madhu Kandarpa |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1891999413 PECOS PAC ID: 0345322533 Enrollment ID: I20240118004356 |
| Provider Name | Johnsey Leef |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568466050 PECOS PAC ID: 0143292847 Enrollment ID: I20240129002976 |
| Provider Name | Ashley M Bowles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215705140 PECOS PAC ID: 6204289820 Enrollment ID: I20240131001444 |
| Provider Name | Jami Michelle Lyon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083057178 PECOS PAC ID: 8325398704 Enrollment ID: I20240201000617 |
| Provider Name | Kamal K Mubarak |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1619914108 PECOS PAC ID: 3678585080 Enrollment ID: I20240202001900 |
| Provider Name | Lawrence Macdonald |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1104868967 PECOS PAC ID: 5193869956 Enrollment ID: I20240207002878 |
| Provider Name | Paul Olorunfemi Olorunfemi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1285016956 PECOS PAC ID: 6103153291 Enrollment ID: I20240208004127 |
| Provider Name | Russell F King |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982608501 PECOS PAC ID: 0648175828 Enrollment ID: I20240215002770 |
| Provider Name | Jeffrey Tsai |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528216090 PECOS PAC ID: 2769654581 Enrollment ID: I20240306000792 |
| Provider Name | Frank A Muto |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932103579 PECOS PAC ID: 7911970090 Enrollment ID: I20240311002513 |
| Provider Name | Timothy A Vanhoose |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225296429 PECOS PAC ID: 4688899180 Enrollment ID: I20240313002952 |
Campbell Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 303 Professional Park Dr, Glasgow, KY 42141 Phone: 270-629-3772 Fax: 270-629-3774 | |
Cumberland Family Medical Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 164 Scottie Drive, Glasgow, KY 42141 Phone: 270-659-0432 Fax: 270-858-4029 | |
William F Marrs Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 511 N Race St, Glasgow, KY 42141 Phone: 270-651-6707 Fax: 270-651-1751 | |
M.a.s.k. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 211 Professional Park Dr, Glasgow, KY 42141 Phone: 276-935-2141 Fax: 276-935-2269 | |
Glasgow Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1330 N Race St, Suite 2, Glasgow, KY 42141 Phone: 270-651-6791 Fax: 270-651-3182 | |
Glasgow Pediatrics Healthcare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 Professional Park Dr, Glasgow, KY 42141 Phone: 270-651-9696 Fax: 270-651-0385 | |
T J Samson Family Medicine Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1325 N Race St, Glasgow, KY 42141 Phone: 270-651-4797 Fax: 270-651-4818 |