| Texas Digestive Disease Consultants, Pllc | |
|
701 Tuscan Dr Ste 110 Irving TX 75039-4133 | |
| (214) 496-1100 | |
| (214) 402-8645 |
| Full Name | Texas Digestive Disease Consultants, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 701 Tuscan Dr, Irving, Texas |
| Authorized Official Name and Position | Stephanie Summerall (SVP, PAYER RELATIONS) |
| Authorized Official Contact | 2144242200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Texas Digestive Disease Consultants, Pllc Po Box 35629 Dallas TX 75235-0629 Ph: (214) 424-2200 | Texas Digestive Disease Consultants, Pllc 701 Tuscan Dr Ste 110 Irving TX 75039-4133 Ph: (214) 496-1100 |
| NPI Number | 1053397331 |
|---|---|
| Provider Enumeration Date | 12/19/2005 |
| Last Update Date | 06/21/2022 |
| Medicare PECOS PAC ID | 3375531379 |
|---|---|
| Medicare Enrollment ID | O20040505001844 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053397331 | NPI | - | NPPES |
| 081585401 | Medicaid | TX | |
| 00A85W | Other | TX | BCBS GRP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Joseph H Shelton |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1811972300 PECOS PAC ID: 2163335217 Enrollment ID: I20031106000206 |
| Provider Name | Alfredo A Espinoza |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1629185616 PECOS PAC ID: 0345133617 Enrollment ID: I20040203000151 |
| Provider Name | Syed F Jafri |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1124039839 PECOS PAC ID: 5698669893 Enrollment ID: I20040210000157 |
| Provider Name | Ravi S Mani |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1225046360 PECOS PAC ID: 7315833845 Enrollment ID: I20040223001038 |
| Provider Name | Rajesh V Putcha |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1043296353 PECOS PAC ID: 0345234548 Enrollment ID: I20040412000682 |
| Provider Name | Michael Joseph Guirl |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1962496711 PECOS PAC ID: 7315932902 Enrollment ID: I20040414001633 |
| Provider Name | Cherian Abraham |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1134188311 PECOS PAC ID: 7618964404 Enrollment ID: I20040426000817 |
| Provider Name | Shailesh N Mehta |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1184600041 PECOS PAC ID: 2466440466 Enrollment ID: I20040505001849 |
| Provider Name | David Garcia |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1265417893 PECOS PAC ID: 0840289005 Enrollment ID: I20040511001575 |
| Provider Name | Phyllis Kim Stowe |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1578535415 PECOS PAC ID: 6507856564 Enrollment ID: I20040513000420 |
| Provider Name | Kamal A Syed |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1487645644 PECOS PAC ID: 9436149358 Enrollment ID: I20040513000917 |
| Provider Name | Sohaib A Faruqi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1720039209 PECOS PAC ID: 6800886540 Enrollment ID: I20040514000945 |
| Provider Name | William L Eddy |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1164521902 PECOS PAC ID: 0840271102 Enrollment ID: I20040525000374 |
| Provider Name | Anita C Steephen |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1396721783 PECOS PAC ID: 0840273330 Enrollment ID: I20040607001453 |
| Provider Name | Karen M Smith |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1841252632 PECOS PAC ID: 6901889468 Enrollment ID: I20040608000331 |
| Provider Name | Kumara S Peddamatham |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1659377547 PECOS PAC ID: 5890603179 Enrollment ID: I20040615001137 |
| Provider Name | Kenneth J Han Yang |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1649200460 PECOS PAC ID: 9931183068 Enrollment ID: I20040616000760 |
| Provider Name | Ravi L Ganeshappa |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1457459695 PECOS PAC ID: 7719962968 Enrollment ID: I20040622000295 |
| Provider Name | Kendall Ole Brown |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407815228 PECOS PAC ID: 2163407263 Enrollment ID: I20040622001622 |
| Provider Name | Mario Alberto Garza |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1194719666 PECOS PAC ID: 1658359286 Enrollment ID: I20040710000120 |
| Provider Name | Kenneth Joseph Brown |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1043279870 PECOS PAC ID: 2365420841 Enrollment ID: I20040712000103 |
| Provider Name | Boyd S Fenton |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1174564694 PECOS PAC ID: 2466430871 Enrollment ID: I20040712001215 |
| Provider Name | Shailesh C Kadakia |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1295767861 PECOS PAC ID: 8820078231 Enrollment ID: I20040724000185 |
| Provider Name | Michael A Russo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043272958 PECOS PAC ID: 8325018088 Enrollment ID: I20040729000616 |
| Provider Name | Mark Dewayne Murray |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1205896214 PECOS PAC ID: 0547231763 Enrollment ID: I20040803000120 |
| Provider Name | Murali Alloju |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1194794495 PECOS PAC ID: 3779554498 Enrollment ID: I20040804001578 |
| Provider Name | Belinda V Trevino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548316581 PECOS PAC ID: 2365413077 Enrollment ID: I20040805000286 |
| Provider Name | Adnan Nadir |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1275588394 PECOS PAC ID: 5799750352 Enrollment ID: I20040830000193 |
| Provider Name | Manish Rungta |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1205847944 PECOS PAC ID: 0143299248 Enrollment ID: I20040927000298 |
| Provider Name | Kim R Gentry |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1396736187 PECOS PAC ID: 2264401025 Enrollment ID: I20040930000350 |
| Provider Name | Waldo Parden Bracy |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1003807744 PECOS PAC ID: 8628047487 Enrollment ID: I20040930000384 |
| Provider Name | Michael Mendelson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1376545061 PECOS PAC ID: 7810966678 Enrollment ID: I20040930000410 |
| Provider Name | Kanthi Nmi Yalamanchili |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1821290651 PECOS PAC ID: 5698734853 Enrollment ID: I20041005000399 |
| Provider Name | Jyoti Rao |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1841283389 PECOS PAC ID: 1254392749 Enrollment ID: I20041019000544 |
| Provider Name | Rafael Amaro |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1942313218 PECOS PAC ID: 2961463039 Enrollment ID: I20041021000881 |
| Provider Name | Jason Edling |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1912983206 PECOS PAC ID: 3971565052 Enrollment ID: I20041101000618 |
| Provider Name | Scott A Zela |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326044306 PECOS PAC ID: 8325004757 Enrollment ID: I20041207000641 |
| Provider Name | Clinton D Polhamus |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1497749790 PECOS PAC ID: 5597722215 Enrollment ID: I20041214001122 |
| Provider Name | Srinivas Pathapati |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1124025374 PECOS PAC ID: 4486647625 Enrollment ID: I20041222000199 |
| Provider Name | Roy Joseph |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1205864667 PECOS PAC ID: 9032177605 Enrollment ID: I20041229000436 |
| Provider Name | Mohammad T Al Assi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1578554333 PECOS PAC ID: 9537127949 Enrollment ID: I20041230000409 |
| Provider Name | Reem H Ghalib |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1558337782 PECOS PAC ID: 9032162268 Enrollment ID: I20050228000416 |
| Provider Name | Catherine Yaussy |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1487614749 PECOS PAC ID: 8325093388 Enrollment ID: I20050314000325 |
| Provider Name | Yolanda L De La Rosa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457363020 PECOS PAC ID: 8527014919 Enrollment ID: I20050329000877 |
| Provider Name | Clifton L Cox |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1811956899 PECOS PAC ID: 0143266981 Enrollment ID: I20050701000739 |
| Provider Name | Angela A Carollo |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1306805585 PECOS PAC ID: 9537195425 Enrollment ID: I20050712000872 |
| Provider Name | Andrew Chao Yu Shea |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1356300891 PECOS PAC ID: 6204862105 Enrollment ID: I20050712000926 |
| Provider Name | Sunil K Dwivedi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1003854076 PECOS PAC ID: 2062440605 Enrollment ID: I20050803000900 |
| Provider Name | Sezen Ayten Altug |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1710998463 PECOS PAC ID: 8820027204 Enrollment ID: I20050805000481 |
| Provider Name | Christopher J. Vesy |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1033292123 PECOS PAC ID: 1850322587 Enrollment ID: I20050823000492 |
| Provider Name | Mai F Sharaf |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598716805 PECOS PAC ID: 6204868508 Enrollment ID: I20050907001225 |
| Provider Name | Richard T Shaffer |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1134158736 PECOS PAC ID: 0547293342 Enrollment ID: I20050913000522 |
| Provider Name | Kelly E Felps |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205804366 PECOS PAC ID: 7911930342 Enrollment ID: I20050915000488 |
| Provider Name | Son T Do |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1871552224 PECOS PAC ID: 3274558440 Enrollment ID: I20051007000243 |
| Provider Name | Craig Edward Litz |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1770509952 PECOS PAC ID: 7911925631 Enrollment ID: I20051110000417 |
| Provider Name | Donna M Mcmyler |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1861599524 PECOS PAC ID: 0547283269 Enrollment ID: I20060109000939 |
| Provider Name | James J Weber |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1740266196 PECOS PAC ID: 5799799292 Enrollment ID: I20060206000100 |
| Provider Name | Walter Young |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1356301055 PECOS PAC ID: 1254347040 Enrollment ID: I20060303000130 |
| Provider Name | David Awyn Hall |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1275598757 PECOS PAC ID: 7810908910 Enrollment ID: I20060602000215 |
| Provider Name | Carol E Mallette |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1558300756 PECOS PAC ID: 4284647785 Enrollment ID: I20060731000314 |
| Provider Name | Steven R Luttrell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1174567713 PECOS PAC ID: 0749293025 Enrollment ID: I20060803000485 |
| Provider Name | Virat R Dave |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1679512370 PECOS PAC ID: 5395748586 Enrollment ID: I20060808000271 |
| Provider Name | Jody W Houston |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1891724100 PECOS PAC ID: 0941204143 Enrollment ID: I20060830000497 |
| Provider Name | Alejandro Pruitt |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1568447118 PECOS PAC ID: 4183629884 Enrollment ID: I20061003000135 |
| Provider Name | Andrew F Holt |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1275579799 PECOS PAC ID: 9133124787 Enrollment ID: I20061003000625 |
| Provider Name | Youngmi Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659317329 PECOS PAC ID: 8224034053 Enrollment ID: I20061018000259 |
| Provider Name | Noel L Snowberger |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1396788162 PECOS PAC ID: 1254338171 Enrollment ID: I20061106000515 |
| Provider Name | Paul R Tarnasky |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1083674832 PECOS PAC ID: 4880693613 Enrollment ID: I20061205000508 |
| Provider Name | Sindhu A Abraham |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1033178223 PECOS PAC ID: 9537168158 Enrollment ID: I20061208000482 |
| Provider Name | Michael J Nunez |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1669413019 PECOS PAC ID: 2365467404 Enrollment ID: I20070205000397 |
| Provider Name | Kimberly M Persley |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1255375770 PECOS PAC ID: 7719902857 Enrollment ID: I20070212000697 |
| Provider Name | Rajeev Jain |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1770527301 PECOS PAC ID: 4082639125 Enrollment ID: I20070212000705 |
| Provider Name | Ariwan Rakvit |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1669424735 PECOS PAC ID: 2062514714 Enrollment ID: I20070227000066 |
| Provider Name | Yamini K Maddala |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1023050812 PECOS PAC ID: 6204836067 Enrollment ID: I20070301000438 |
| Provider Name | Suwebatu T Odunsi Shiyanbade |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1427141746 PECOS PAC ID: 8123120540 Enrollment ID: I20070302000321 |
| Provider Name | William E Stevens |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1811931298 PECOS PAC ID: 0547285686 Enrollment ID: I20070323000332 |
| Provider Name | Matthew W Eidem |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1376650366 PECOS PAC ID: 0345347720 Enrollment ID: I20070518000419 |
| Provider Name | Sami N Arslanlar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1033235684 PECOS PAC ID: 1153428537 Enrollment ID: I20070518000428 |
| Provider Name | Ilyas M Memon |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1992762033 PECOS PAC ID: 1759314412 Enrollment ID: I20070615000490 |
| Provider Name | Robert D Anderson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1861514929 PECOS PAC ID: 1658471826 Enrollment ID: I20070717000630 |
| Provider Name | Daniel A Friedman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1447335666 PECOS PAC ID: 7214038470 Enrollment ID: I20070718000703 |
| Provider Name | Sripathi R Kethu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1801840111 PECOS PAC ID: 2365355526 Enrollment ID: I20070801000763 |
| Provider Name | Candice P Jantz |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1023227717 PECOS PAC ID: 8628160967 Enrollment ID: I20070816000569 |
| Provider Name | Bhavani Nmi Moparty |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1811023542 PECOS PAC ID: 2567554090 Enrollment ID: I20070828000750 |
| Provider Name | Khanh N Le |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1073638656 PECOS PAC ID: 5294829743 Enrollment ID: I20070914000557 |
| Provider Name | James Jackson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1730115528 PECOS PAC ID: 6709889488 Enrollment ID: I20071106000303 |
| Provider Name | Kristie L Blank |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1962606566 PECOS PAC ID: 2062500184 Enrollment ID: I20071126000548 |
| Provider Name | Nancy W Brookshire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134338916 PECOS PAC ID: 0941399950 Enrollment ID: I20071128000675 |
| Provider Name | Juan G Martinez |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1154525723 PECOS PAC ID: 9436231321 Enrollment ID: I20080131000127 |
| Provider Name | James J Nackley |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1669432571 PECOS PAC ID: 8628078474 Enrollment ID: I20080204000305 |
| Provider Name | Farshid Y Araghizadeh |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1336236819 PECOS PAC ID: 4587666201 Enrollment ID: I20080311000751 |
| Provider Name | Atif Shahzad |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1538361241 PECOS PAC ID: 0840382065 Enrollment ID: I20080314000296 |
| Provider Name | Josh Oommen George |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1558375634 PECOS PAC ID: 2062418494 Enrollment ID: I20080324000385 |
| Provider Name | Keith H Fiman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1578564506 PECOS PAC ID: 8729167440 Enrollment ID: I20080507000184 |
| Provider Name | J Guillermo Trabanino |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1669473690 PECOS PAC ID: 6608955331 Enrollment ID: I20080507000211 |
| Provider Name | Michel Kafrouni |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1073581773 PECOS PAC ID: 2769403484 Enrollment ID: I20080612000087 |
| Provider Name | Gabriel H Lee |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1265636831 PECOS PAC ID: 1456422393 Enrollment ID: I20080619000441 |
| Provider Name | Oscar G Ramirez |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1962497420 PECOS PAC ID: 9739250564 Enrollment ID: I20080620000567 |
| Provider Name | Sanjeeb Shrestha |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1356384473 PECOS PAC ID: 0244224319 Enrollment ID: I20080805000736 |
| Provider Name | Antonio Serna |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1538208541 PECOS PAC ID: 1557435534 Enrollment ID: I20080808000705 |
| Provider Name | Jay N Yepuri |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1811007883 PECOS PAC ID: 2264531094 Enrollment ID: I20080819000028 |
| Provider Name | Junaid Siddiqui |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1093750770 PECOS PAC ID: 7315030434 Enrollment ID: I20080905000558 |
| Provider Name | Daniel Lee Howell |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1235393612 PECOS PAC ID: 1153497623 Enrollment ID: I20080906000168 |
| Provider Name | Viralkumar V Patel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1699898981 PECOS PAC ID: 4486720786 Enrollment ID: I20080911000072 |
| Provider Name | Chase R Herdman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1457446064 PECOS PAC ID: 4981771748 Enrollment ID: I20080919000095 |
| Provider Name | William K Deschner |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1023003563 PECOS PAC ID: 0840367256 Enrollment ID: I20081125000794 |
| Provider Name | Edward F Coles |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1912991621 PECOS PAC ID: 0840366175 Enrollment ID: I20081125000803 |
| Provider Name | Thomas Kepczyk |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1629062344 PECOS PAC ID: 7911073242 Enrollment ID: I20081125000809 |
| Provider Name | Miled A Jabor |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1518908714 PECOS PAC ID: 3072676949 Enrollment ID: I20090120000710 |
| Provider Name | Matthew Lewin |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1669450441 PECOS PAC ID: 0042276446 Enrollment ID: I20090122000127 |
| Provider Name | Carlos A Neghme |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1215921937 PECOS PAC ID: 9931276342 Enrollment ID: I20090130000482 |
| Provider Name | Tanya H Evans |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1306012356 PECOS PAC ID: 4183789027 Enrollment ID: I20090210000410 |
| Provider Name | Fayez G Seif |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1861591604 PECOS PAC ID: 1153408968 Enrollment ID: I20090223000366 |
| Provider Name | Paul H Wright |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1932208758 PECOS PAC ID: 6002999810 Enrollment ID: I20090226000081 |
| Provider Name | German A Oliver |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1518066372 PECOS PAC ID: 3870690977 Enrollment ID: I20090327000537 |
| Provider Name | Nitesh B Vachhani |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1093854010 PECOS PAC ID: 3173670254 Enrollment ID: I20090406000633 |
| Provider Name | Timothy D Miller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346419355 PECOS PAC ID: 2264589357 Enrollment ID: I20090407000084 |
| Provider Name | Reenu Malhotra |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1295991198 PECOS PAC ID: 7911056064 Enrollment ID: I20090519000609 |
| Provider Name | Jason R Morningstar |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1053554386 PECOS PAC ID: 5395894042 Enrollment ID: I20090528000556 |
| Provider Name | Dustin Gene Kiker |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1730362807 PECOS PAC ID: 9234289190 Enrollment ID: I20090615000612 |
| Provider Name | Donna J Lager |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1942270178 PECOS PAC ID: 8628129061 Enrollment ID: I20090625000371 |
| Provider Name | Ramesh Srinivasan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1861696452 PECOS PAC ID: 1052465960 Enrollment ID: I20090812000130 |
| Provider Name | Robert E Davis |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1629079652 PECOS PAC ID: 9638235054 Enrollment ID: I20090818000744 |
| Provider Name | Sangeethapriya Duraiswamy |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1578754750 PECOS PAC ID: 7911053921 Enrollment ID: I20090916000412 |
| Provider Name | Elizabeth A Odstrcil |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1164623351 PECOS PAC ID: 9133265093 Enrollment ID: I20091006000622 |
| Provider Name | Amit Goyal |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1225003676 PECOS PAC ID: 3072415942 Enrollment ID: I20091110000662 |
| Provider Name | Dennis M Toland |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1215939939 PECOS PAC ID: 9234142860 Enrollment ID: I20091208000121 |
| Provider Name | Melinda G Brockman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376699769 PECOS PAC ID: 5395887368 Enrollment ID: I20100128000961 |
| Provider Name | Wendy N Holt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346407574 PECOS PAC ID: 6406928175 Enrollment ID: I20100316000950 |
| Provider Name | Esmail M Elwazir |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1598741944 PECOS PAC ID: 5092730135 Enrollment ID: I20100427000069 |
| Provider Name | Raymond A Vallera |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1922084888 PECOS PAC ID: 5597704437 Enrollment ID: I20100427000368 |
| Provider Name | Neville F Fernandes |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1659357515 PECOS PAC ID: 2961441803 Enrollment ID: I20100427000424 |
| Provider Name | Steve I Wilkofsky |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1396721254 PECOS PAC ID: 4688613524 Enrollment ID: I20100427000500 |
| Provider Name | Timothy E Ritter |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1235115189 PECOS PAC ID: 7113930371 Enrollment ID: I20100427000674 |
| Provider Name | Jeffery A Smith |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1134105083 PECOS PAC ID: 1759394919 Enrollment ID: I20100430000628 |
| Provider Name | David R. Levitan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1699751065 PECOS PAC ID: 3577576735 Enrollment ID: I20100504000414 |
| Provider Name | Osvaldo Nmi Fajardo |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1457337297 PECOS PAC ID: 4880638667 Enrollment ID: I20100505000748 |
| Provider Name | Grace C Vanesko |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1871579169 PECOS PAC ID: 8527002302 Enrollment ID: I20100507000077 |
| Provider Name | Stephen W Lacey |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1316923261 PECOS PAC ID: 1850304015 Enrollment ID: I20100507000091 |
| Provider Name | David K Spady |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1639155005 PECOS PAC ID: 8022021286 Enrollment ID: I20100510000562 |
| Provider Name | David I Park |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1689650541 PECOS PAC ID: 3971632589 Enrollment ID: I20100519000937 |
| Provider Name | Kevin James Franklin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1699700583 PECOS PAC ID: 9638208895 Enrollment ID: I20100526000397 |
| Provider Name | Hays L Arnold |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1699765461 PECOS PAC ID: 6103957360 Enrollment ID: I20100701000675 |
| Provider Name | David P Jones |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1265410914 PECOS PAC ID: 9931230968 Enrollment ID: I20100708000290 |
| Provider Name | Jeffrey L Krieger |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1265411920 PECOS PAC ID: 4880798214 Enrollment ID: I20100713000037 |
| Provider Name | Delbert L Chumley |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1740272962 PECOS PAC ID: 3375576309 Enrollment ID: I20100717000135 |
| Provider Name | Daniel H Darmadi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1407849946 PECOS PAC ID: 4688771595 Enrollment ID: I20100721000546 |
| Provider Name | Natarajan S Bala |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1912990417 PECOS PAC ID: 8123029972 Enrollment ID: I20100721000572 |
| Provider Name | Harry S Ojeas |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1528051042 PECOS PAC ID: 8123125051 Enrollment ID: I20100721000585 |
| Provider Name | Suresh K Rajendran |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1215920723 PECOS PAC ID: 1052452752 Enrollment ID: I20100721000648 |
| Provider Name | John T Swan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1366436032 PECOS PAC ID: 7810029964 Enrollment ID: I20100726000072 |
| Provider Name | Patrick A Masters |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1073507836 PECOS PAC ID: 2264564319 Enrollment ID: I20100726000088 |
| Provider Name | Andrew C Bolin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1093841413 PECOS PAC ID: 1355474057 Enrollment ID: I20100802000671 |
| Provider Name | Laila Nooruddin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063731941 PECOS PAC ID: 1456485648 Enrollment ID: I20100810000246 |
| Provider Name | Jae-koo An |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1205805447 PECOS PAC ID: 0345240107 Enrollment ID: I20100816000851 |
| Provider Name | John Thomas Fletcher |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1114006947 PECOS PAC ID: 4587681135 Enrollment ID: I20100816001075 |
| Provider Name | Glenn T Young |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1518046341 PECOS PAC ID: 7517954142 Enrollment ID: I20100816001085 |
| Provider Name | Kelly Paul Kensing |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1528014610 PECOS PAC ID: 0749328623 Enrollment ID: I20100825000201 |
| Provider Name | Annette Elizabeth Whitney |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1851351555 PECOS PAC ID: 5395745145 Enrollment ID: I20100826001181 |
| Provider Name | John Henry Baker |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1245299106 PECOS PAC ID: 2860516838 Enrollment ID: I20100826001211 |
| Provider Name | David Raj Bass |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1083674691 PECOS PAC ID: 1850497959 Enrollment ID: I20100826001222 |
| Provider Name | Usha R Ganga |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1063458719 PECOS PAC ID: 4385768126 Enrollment ID: I20100831000095 |
| Provider Name | Amit Kumar Trehan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1952308108 PECOS PAC ID: 3971586603 Enrollment ID: I20100902000696 |
| Provider Name | Andrew Henry Barenberg |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1518923838 PECOS PAC ID: 7214942754 Enrollment ID: I20100916000779 |
| Provider Name | Raja Sekhar Chennupati |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1619933843 PECOS PAC ID: 9032124573 Enrollment ID: I20100916000828 |
| Provider Name | Joseph William Holland |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1740247519 PECOS PAC ID: 1850306390 Enrollment ID: I20100916000853 |
| Provider Name | Keith Arnold Wied |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1497712350 PECOS PAC ID: 7113932666 Enrollment ID: I20100916000915 |
| Provider Name | Susan G Moster |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1558352112 PECOS PAC ID: 3577688100 Enrollment ID: I20100920000235 |
| Provider Name | Sri Naveen Surapaneni |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1225120801 PECOS PAC ID: 5294850715 Enrollment ID: I20100921000275 |
| Provider Name | Thomas N Dewar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1811988587 PECOS PAC ID: 0143346635 Enrollment ID: I20100921001220 |
| Provider Name | Julian E Armstrong |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1972594745 PECOS PAC ID: 7315063815 Enrollment ID: I20100921001345 |
| Provider Name | Adnan Suleiman Badr |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1770552945 PECOS PAC ID: 8325048382 Enrollment ID: I20100922000274 |
| Provider Name | Syed A Sadiq |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1144211707 PECOS PAC ID: 8224154588 Enrollment ID: I20100924000244 |
| Provider Name | Gabriel Rendon |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1235161761 PECOS PAC ID: 4385760248 Enrollment ID: I20100928001242 |
| Provider Name | Monica I Ruiz |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1427376557 PECOS PAC ID: 4789700675 Enrollment ID: I20100928001716 |
| Provider Name | Kevin Kuen-dar Ho |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1396842936 PECOS PAC ID: 4082603352 Enrollment ID: I20101006001152 |
| Provider Name | Brian Kenneth Cooley |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1518926146 PECOS PAC ID: 6608816673 Enrollment ID: I20101018000813 |
| Provider Name | Ravi Shankar Chittajallu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1932168143 PECOS PAC ID: 7214937077 Enrollment ID: I20101018000883 |
| Provider Name | Balu Chandra |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1588623342 PECOS PAC ID: 9234139098 Enrollment ID: I20101018001263 |
| Provider Name | James D Hakert |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1467411298 PECOS PAC ID: 4587664347 Enrollment ID: I20101026000427 |
| Provider Name | Bilal A Khan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1417917436 PECOS PAC ID: 9032119896 Enrollment ID: I20101026000504 |
| Provider Name | Janardhan Konda |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1538128236 PECOS PAC ID: 4880694645 Enrollment ID: I20101026000617 |
| Provider Name | John C Lee |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1740240803 PECOS PAC ID: 9234139296 Enrollment ID: I20101026000649 |
| Provider Name | Jeffrey Don Linder |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1578522298 PECOS PAC ID: 1850391616 Enrollment ID: I20101026000705 |
| Provider Name | Mark R Miller |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1841250842 PECOS PAC ID: 0446250294 Enrollment ID: I20101026000757 |
| Provider Name | Gordon David Luk |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1003877432 PECOS PAC ID: 3375649478 Enrollment ID: I20101026000893 |
| Provider Name | Lilah S Mansour |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1467467985 PECOS PAC ID: 9133313836 Enrollment ID: I20101026001550 |
| Provider Name | Harry E Sarles |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1861451395 PECOS PAC ID: 6901806751 Enrollment ID: I20101028000866 |
| Provider Name | Ruben Ernesto Sandoval |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1205896164 PECOS PAC ID: 8729088570 Enrollment ID: I20101028001023 |
| Provider Name | Armond G Schwartz |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1245290071 PECOS PAC ID: 6002816857 Enrollment ID: I20101028001042 |
| Provider Name | Jeffrey A Mills |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1538129531 PECOS PAC ID: 7416957477 Enrollment ID: I20101029000134 |
| Provider Name | David Jude Magee |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1861452955 PECOS PAC ID: 2769482520 Enrollment ID: I20101029000259 |
| Provider Name | Jignesh P Shah |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1063550291 PECOS PAC ID: 1052505443 Enrollment ID: I20101029000731 |
| Provider Name | Michael Franklin Weisberg |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1235199936 PECOS PAC ID: 8022018878 Enrollment ID: I20101101000090 |
| Provider Name | Randal Macurak |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1861451502 PECOS PAC ID: 1355341108 Enrollment ID: I20101103001242 |
| Provider Name | William G Hodges |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1417933599 PECOS PAC ID: 8628093762 Enrollment ID: I20101104000927 |
| Provider Name | Kumar Gutta |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1831180413 PECOS PAC ID: 0941216212 Enrollment ID: I20101115000970 |
| Provider Name | Dang M Nguyen |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1023278850 PECOS PAC ID: 3476748401 Enrollment ID: I20101116000441 |
| Provider Name | Isaac Raijman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1689679557 PECOS PAC ID: 5294797635 Enrollment ID: I20101117000245 |
| Provider Name | Nandini Nagaraj |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1285714071 PECOS PAC ID: 8628170701 Enrollment ID: I20101123000958 |
| Provider Name | Ravi Botla |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1366540544 PECOS PAC ID: 6406740414 Enrollment ID: I20101201001368 |
| Provider Name | Hector D Allende |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1235237595 PECOS PAC ID: 7416841416 Enrollment ID: I20101202000455 |
| Provider Name | Dale Fuller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255462735 PECOS PAC ID: 6507053451 Enrollment ID: I20101206000188 |
| Provider Name | Shannon Marek |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1528282050 PECOS PAC ID: 7911087978 Enrollment ID: I20101208000987 |
| Provider Name | Richard L Otero |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1881699734 PECOS PAC ID: 2365485984 Enrollment ID: I20101220000100 |
| Provider Name | Ernesto C Guerra |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1558366435 PECOS PAC ID: 0547203168 Enrollment ID: I20101220000126 |
| Provider Name | Steven R Ramos |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1346244936 PECOS PAC ID: 6204024185 Enrollment ID: I20101220000193 |
| Provider Name | Belinda Ramirez |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1548264146 PECOS PAC ID: 5092758615 Enrollment ID: I20101220000303 |
| Provider Name | Eddie Flores |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1568466217 PECOS PAC ID: 3274576897 Enrollment ID: I20101220000339 |
| Provider Name | Jeff S Bullock |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1528062288 PECOS PAC ID: 3678672821 Enrollment ID: I20101220000377 |
| Provider Name | Steven E Hearne |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1730173832 PECOS PAC ID: 4688630767 Enrollment ID: I20110119000577 |
| Provider Name | Kimberly Welter |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1497958995 PECOS PAC ID: 7214116375 Enrollment ID: I20110121000798 |
| Provider Name | Jayaprakash Sreenarasimhaiah |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1053378448 PECOS PAC ID: 8729268727 Enrollment ID: I20110208000941 |
| Provider Name | Karen S Spencer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922313063 PECOS PAC ID: 8921288937 Enrollment ID: I20110208001037 |
| Provider Name | Ricardo Hernandez |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1710971817 PECOS PAC ID: 8820114002 Enrollment ID: I20110217000863 |
| Provider Name | Nikhil V Inamdar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1093723132 PECOS PAC ID: 7113027343 Enrollment ID: I20110224000191 |
| Provider Name | Sandra Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093022857 PECOS PAC ID: 7517149685 Enrollment ID: I20110310000468 |
| Provider Name | Elizabeth B Reinhart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427359892 PECOS PAC ID: 0345423000 Enrollment ID: I20110318000183 |
| Provider Name | Tiffany Dawn Luttrell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1982902888 PECOS PAC ID: 1254514250 Enrollment ID: I20110329000898 |
| Provider Name | Jennie A Potts |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1003110560 PECOS PAC ID: 1153505417 Enrollment ID: I20110411000560 |
| Provider Name | Joseph E Johnson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1477557072 PECOS PAC ID: 6901849520 Enrollment ID: I20110415000017 |
| Provider Name | Charles Gia Phan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1457303737 PECOS PAC ID: 6800856105 Enrollment ID: I20110516000132 |
| Provider Name | Joseph Fletcher |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1740267400 PECOS PAC ID: 0941369631 Enrollment ID: I20110524000084 |
| Provider Name | Jessica P Shah |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1396955233 PECOS PAC ID: 7113195678 Enrollment ID: I20110727000708 |
| Provider Name | Aris J. Tsiakos |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1508057233 PECOS PAC ID: 7810071982 Enrollment ID: I20110803000700 |
| Provider Name | Eric Hill |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1689791980 PECOS PAC ID: 6305937541 Enrollment ID: I20110823000946 |
| Provider Name | Harshinie Chamindika Amaratunge |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1265696504 PECOS PAC ID: 4183896517 Enrollment ID: I20111007000307 |
| Provider Name | Desiree D Frye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073634028 PECOS PAC ID: 5698947612 Enrollment ID: I20111017000122 |
| Provider Name | Priya Rangasamy |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1598963746 PECOS PAC ID: 1052586633 Enrollment ID: I20111209000195 |
| Provider Name | Steven G Pearce |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1467735704 PECOS PAC ID: 6709052673 Enrollment ID: I20111222000578 |
| Provider Name | Allison M Kitchens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780954974 PECOS PAC ID: 1658533039 Enrollment ID: I20120501000343 |
| Provider Name | Amit H Masand |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1568637825 PECOS PAC ID: 5193988400 Enrollment ID: I20120524000441 |
| Provider Name | Karen J Steffer |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1831395995 PECOS PAC ID: 6002071024 Enrollment ID: I20120625000723 |
| Provider Name | Alexander M Mantas |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1811193485 PECOS PAC ID: 7416112453 Enrollment ID: I20120626000256 |
| Provider Name | Pauline Mni Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336419720 PECOS PAC ID: 8426213711 Enrollment ID: I20120712000290 |
| Provider Name | Syed S Hasan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1659509271 PECOS PAC ID: 0042476202 Enrollment ID: I20120717000139 |
| Provider Name | Jan C Prazak |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1649488222 PECOS PAC ID: 3274605159 Enrollment ID: I20120813000697 |
| Provider Name | Arshad H Malik |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1225090269 PECOS PAC ID: 9234141227 Enrollment ID: I20120816000876 |
| Provider Name | Rikin S Patel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1265640932 PECOS PAC ID: 4981882560 Enrollment ID: I20120816000891 |
| Provider Name | Jorge M Cavazos |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1184801359 PECOS PAC ID: 1052568797 Enrollment ID: I20120830000746 |
| Provider Name | Suraj A Naik |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1760563878 PECOS PAC ID: 1658529060 Enrollment ID: I20120910000367 |
| Provider Name | Lillienne Yoon Chan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679771117 PECOS PAC ID: 5496905689 Enrollment ID: I20121024000526 |
| Provider Name | Kevin John Dasher |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1386602712 PECOS PAC ID: 1951455187 Enrollment ID: I20130228000502 |
| Provider Name | Heather E Johnston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720323504 PECOS PAC ID: 0648415174 Enrollment ID: I20130403000439 |
| Provider Name | Vinay Antin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316224116 PECOS PAC ID: 2365687829 Enrollment ID: I20130404000152 |
| Provider Name | Tammy R Koelsch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134430002 PECOS PAC ID: 2062650443 Enrollment ID: I20130523000610 |
| Provider Name | Thomas E Lyles |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1841410024 PECOS PAC ID: 8628216363 Enrollment ID: I20130607000407 |
| Provider Name | Zarema Singson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1003068008 PECOS PAC ID: 7416009808 Enrollment ID: I20130617000600 |
| Provider Name | Monica Marquez |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1811239197 PECOS PAC ID: 1254573280 Enrollment ID: I20130805000138 |
| Provider Name | Terah Isaacson |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1023220316 PECOS PAC ID: 3072769207 Enrollment ID: I20130807000017 |
| Provider Name | Faiz Ahmed Mirza |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1326294646 PECOS PAC ID: 7214161926 Enrollment ID: I20131014000248 |
| Provider Name | Tara Bell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487909826 PECOS PAC ID: 8022266600 Enrollment ID: I20131219000177 |
| Provider Name | Paul W Hutson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063654580 PECOS PAC ID: 3779631858 Enrollment ID: I20140102001008 |
| Provider Name | Michael Piesman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1750402046 PECOS PAC ID: 8123283041 Enrollment ID: I20140227000100 |
| Provider Name | Samar Harris |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1154532976 PECOS PAC ID: 4183857212 Enrollment ID: I20140425000871 |
| Provider Name | Barry D Winston |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1063478725 PECOS PAC ID: 2860597481 Enrollment ID: I20140506000345 |
| Provider Name | Habeeb M Salameh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1538449459 PECOS PAC ID: 8022241454 Enrollment ID: I20140508002106 |
| Provider Name | Moustafa A Youssef |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1477745537 PECOS PAC ID: 4082885389 Enrollment ID: I20140722001717 |
| Provider Name | Ramalinga Kedika |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1578724803 PECOS PAC ID: 7810138310 Enrollment ID: I20140820000200 |
| Provider Name | Moazzam M Sana |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1326207341 PECOS PAC ID: 3870712896 Enrollment ID: I20140923002567 |
| Provider Name | Sony Mathews |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1376714519 PECOS PAC ID: 0345429783 Enrollment ID: I20140925001797 |
| Provider Name | Hemangi P Kale |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1528076213 PECOS PAC ID: 4587788815 Enrollment ID: I20140926000787 |
| Provider Name | Sarita Gayle |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1841465606 PECOS PAC ID: 8527288158 Enrollment ID: I20141003000035 |
| Provider Name | Chaithanya Mallikarjun |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1114101904 PECOS PAC ID: 3971685090 Enrollment ID: I20141008002295 |
| Provider Name | Sadhna Dhingra |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1265794671 PECOS PAC ID: 5496975575 Enrollment ID: I20141014000161 |
| Provider Name | Prashant S Kedia |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1235331661 PECOS PAC ID: 5193968667 Enrollment ID: I20141015000804 |
| Provider Name | Lisa C Alvarez |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1437315959 PECOS PAC ID: 3577784701 Enrollment ID: I20141031001028 |
| Provider Name | Muralidhar Pathikonda |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1760677769 PECOS PAC ID: 3274755038 Enrollment ID: I20141111000324 |
| Provider Name | Elizabeth Coss |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1013112127 PECOS PAC ID: 1951469550 Enrollment ID: I20141208000285 |
| Provider Name | Bijo Kythaparampil John |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1922260017 PECOS PAC ID: 6608919063 Enrollment ID: I20141224001371 |
| Provider Name | Nishant J Patel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1265693311 PECOS PAC ID: 0446573117 Enrollment ID: I20150105000851 |
| Provider Name | Manmeet S Padda |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1710928601 PECOS PAC ID: 5890764138 Enrollment ID: I20150108000564 |
| Provider Name | Paresh Mehta |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1144494451 PECOS PAC ID: 6507003944 Enrollment ID: I20150120002004 |
| Provider Name | Sunbal Zafar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1225059009 PECOS PAC ID: 3173530938 Enrollment ID: I20150324000109 |
| Provider Name | Melissa Medina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639587439 PECOS PAC ID: 8527386028 Enrollment ID: I20150414000180 |
| Provider Name | John David Cluley |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1790915858 PECOS PAC ID: 3577883131 Enrollment ID: I20150521001235 |
| Provider Name | Abrar Ahmed |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1164533477 PECOS PAC ID: 3971663881 Enrollment ID: I20150521002008 |
| Provider Name | Nathan Ryan Smallwood |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1609019934 PECOS PAC ID: 7517288384 Enrollment ID: I20150604001877 |
| Provider Name | Sissy Chacko Varghese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689940140 PECOS PAC ID: 4082848353 Enrollment ID: I20150605000930 |
| Provider Name | Stuart Akerman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1154652923 PECOS PAC ID: 6204060486 Enrollment ID: I20150811003779 |
| Provider Name | Uyen K Ly |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1851518773 PECOS PAC ID: 6709191646 Enrollment ID: I20150820011624 |
| Provider Name | Arthi Kumaravel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1639348469 PECOS PAC ID: 7911190061 Enrollment ID: I20150828000206 |
| Provider Name | Alexander Lee |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1386805018 PECOS PAC ID: 4486961141 Enrollment ID: I20150914002359 |
| Provider Name | Anu R Lamba |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1962601328 PECOS PAC ID: 7214107598 Enrollment ID: I20150926000028 |
| Provider Name | Ravi Arunkumar Patel |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1134447535 PECOS PAC ID: 6901044809 Enrollment ID: I20150929001116 |
| Provider Name | Troy D Schmidt |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1831275429 PECOS PAC ID: 4688674591 Enrollment ID: I20151005002187 |
| Provider Name | Masi Khaja |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1982642526 PECOS PAC ID: 6709898372 Enrollment ID: I20151005002754 |
| Provider Name | Mohammad Reza Taheri |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1659458032 PECOS PAC ID: 0547361800 Enrollment ID: I20151012001906 |
| Provider Name | David P Lee |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1992064976 PECOS PAC ID: 9032419296 Enrollment ID: I20151120000391 |
| Provider Name | Christie E Choi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1629207550 PECOS PAC ID: 6305147448 Enrollment ID: I20151215002233 |
| Provider Name | Corine Necole Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871963728 PECOS PAC ID: 4183925035 Enrollment ID: I20151217001227 |
| Provider Name | Sudhanshu Gogia |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1033196373 PECOS PAC ID: 7214995976 Enrollment ID: I20151228001729 |
| Provider Name | Jennifer Anne Ishmael |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245570407 PECOS PAC ID: 8325340912 Enrollment ID: I20160114000216 |
| Provider Name | Sheila C Haltom-wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073978144 PECOS PAC ID: 6103120035 Enrollment ID: I20160212000979 |
| Provider Name | Heather Rose Nugent |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518325133 PECOS PAC ID: 5496050767 Enrollment ID: I20160224001479 |
| Provider Name | Rafaella Wallace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821469107 PECOS PAC ID: 4082919238 Enrollment ID: I20160225000996 |
| Provider Name | Muhammad Ali |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1427248608 PECOS PAC ID: 9830257922 Enrollment ID: I20160225001384 |
| Provider Name | Phuong Julia H Banh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942685128 PECOS PAC ID: 0547566689 Enrollment ID: I20160315002585 |
| Provider Name | Lindalee Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386004042 PECOS PAC ID: 6800194978 Enrollment ID: I20160406001880 |
| Provider Name | Alana R Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295198125 PECOS PAC ID: 6608175724 Enrollment ID: I20160425000844 |
| Provider Name | Shahid Ali |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1881604460 PECOS PAC ID: 1052387727 Enrollment ID: I20160502000606 |
| Provider Name | Jason R Martin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1649595208 PECOS PAC ID: 8921399205 Enrollment ID: I20160616000565 |
| Provider Name | Ben J Kahn |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1720390263 PECOS PAC ID: 2163713462 Enrollment ID: I20160616001061 |
| Provider Name | Christopher Ramos |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1932425907 PECOS PAC ID: 9537452735 Enrollment ID: I20160726001709 |
| Provider Name | Zeeshan Qureshi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1457678401 PECOS PAC ID: 7719270818 Enrollment ID: I20160727001425 |
| Provider Name | Stephen A Harrison |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1104805506 PECOS PAC ID: 3971897679 Enrollment ID: I20160803000956 |
| Provider Name | Veena Kumaravel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1366673949 PECOS PAC ID: 5294029526 Enrollment ID: I20160810000817 |
| Provider Name | Sadaf Saghier |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1346404159 PECOS PAC ID: 5890080030 Enrollment ID: I20160826000411 |
| Provider Name | Venessa Marie Beckman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1932464195 PECOS PAC ID: 5395030423 Enrollment ID: I20160829000370 |
| Provider Name | Trang Uyen-linda Ly |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1013175694 PECOS PAC ID: 7517253735 Enrollment ID: I20160914000259 |
| Provider Name | Andrea Washington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578012852 PECOS PAC ID: 2961780895 Enrollment ID: I20161028000085 |
| Provider Name | Stacy Allison Meuth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891871786 PECOS PAC ID: 2466730205 Enrollment ID: I20161028000844 |
| Provider Name | Irma E Aguirre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952851560 PECOS PAC ID: 6800175548 Enrollment ID: I20161121000186 |
| Provider Name | Heather J Kline |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699127951 PECOS PAC ID: 9234418997 Enrollment ID: I20161121001026 |
| Provider Name | Susan R Deering |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326316019 PECOS PAC ID: 5799065389 Enrollment ID: I20161219000936 |
| Provider Name | Shelley Henson Belvin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508301235 PECOS PAC ID: 7315220290 Enrollment ID: I20170220002453 |
| Provider Name | Amy Lynn Stevens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104165083 PECOS PAC ID: 7416231352 Enrollment ID: I20170221002185 |
| Provider Name | Haley C Vargas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285172510 PECOS PAC ID: 6507141397 Enrollment ID: I20170317000397 |
| Provider Name | Sanjay Nayyar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1740381672 PECOS PAC ID: 1951363118 Enrollment ID: I20170511002331 |
| Provider Name | Cari Kathryn Sorrell |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1255623138 PECOS PAC ID: 6800186966 Enrollment ID: I20170531001355 |
| Provider Name | Mazyar Malakouti |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1962845305 PECOS PAC ID: 0547566697 Enrollment ID: I20170602001161 |
| Provider Name | Bryce Mays |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1306854740 PECOS PAC ID: 8224251756 Enrollment ID: I20170630000586 |
| Provider Name | Sumanth R Daram |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1619957107 PECOS PAC ID: 3870560964 Enrollment ID: I20170630001337 |
| Provider Name | John Ryan Cunningham |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1578686507 PECOS PAC ID: 0840455853 Enrollment ID: I20170703001301 |
| Provider Name | Debra L Hudson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962642355 PECOS PAC ID: 3678621810 Enrollment ID: I20170705000665 |
| Provider Name | Douglas Mills |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1043519481 PECOS PAC ID: 2062717515 Enrollment ID: I20170707000299 |
| Provider Name | Ronald Norman Wool |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1205814316 PECOS PAC ID: 3779632658 Enrollment ID: I20170710000523 |
| Provider Name | Darren Christopher Spearman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1851323034 PECOS PAC ID: 8325345168 Enrollment ID: I20170711001043 |
| Provider Name | Priscilla Page |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689196412 PECOS PAC ID: 9234400151 Enrollment ID: I20170810000853 |
| Provider Name | Amit Piyush Desai |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1609196179 PECOS PAC ID: 1951563188 Enrollment ID: I20170814000206 |
| Provider Name | Kelly Tripplehorn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124363460 PECOS PAC ID: 1759526148 Enrollment ID: I20170819000180 |
| Provider Name | John Gancayco |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1609089390 PECOS PAC ID: 2668758459 Enrollment ID: I20170830000507 |
| Provider Name | Cynthia A Wade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205356045 PECOS PAC ID: 2062786320 Enrollment ID: I20170926000194 |
| Provider Name | Colette R Wells |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548511413 PECOS PAC ID: 9537310693 Enrollment ID: I20171025002650 |
| Provider Name | Toni Gayle Perkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366980336 PECOS PAC ID: 8628344116 Enrollment ID: I20171028000107 |
| Provider Name | Nishita Patel Kara |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1396031977 PECOS PAC ID: 7113283979 Enrollment ID: I20171110000536 |
| Provider Name | Andrew Kester |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619488053 PECOS PAC ID: 4183980527 Enrollment ID: I20171117001024 |
| Provider Name | Rhonda Choi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013428366 PECOS PAC ID: 7416214432 Enrollment ID: I20171129003239 |
| Provider Name | Jamie Lynn Rebando |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265949176 PECOS PAC ID: 8921367772 Enrollment ID: I20180124000794 |
| Provider Name | Brent W. Lacey |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1114154283 PECOS PAC ID: 8527368471 Enrollment ID: I20180214001909 |
| Provider Name | Sajneet Kaur Khangura |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1043445588 PECOS PAC ID: 9133378292 Enrollment ID: I20180406001507 |
| Provider Name | Craig Mahlon Womeldorph |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1649274135 PECOS PAC ID: 5193899037 Enrollment ID: I20180412001925 |
| Provider Name | Jamie Koo |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1780027763 PECOS PAC ID: 1456673433 Enrollment ID: I20180502000430 |
| Provider Name | Vineel Kankanala |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1023307808 PECOS PAC ID: 7315257334 Enrollment ID: I20180503002357 |
| Provider Name | Rebecca Iroha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437506185 PECOS PAC ID: 9335403948 Enrollment ID: I20180508001115 |
| Provider Name | Katelynn K Waldschmidt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609379890 PECOS PAC ID: 5193089662 Enrollment ID: I20180509000862 |
| Provider Name | Joseph Jason Cano |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1932469293 PECOS PAC ID: 1951666981 Enrollment ID: I20180522002938 |
| Provider Name | Jadesola Idowu Omoyeni |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1043567423 PECOS PAC ID: 1850656521 Enrollment ID: I20180530000815 |
| Provider Name | John Alvarez |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1255692083 PECOS PAC ID: 9830486406 Enrollment ID: I20180613001408 |
| Provider Name | Lynn Marlett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225000250 PECOS PAC ID: 6709875529 Enrollment ID: I20180718003506 |
| Provider Name | Hazel V Pascual-gonzales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023508033 PECOS PAC ID: 1658629191 Enrollment ID: I20180731003117 |
| Provider Name | Heather Lea Branstetter |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1023153103 PECOS PAC ID: 4789777681 Enrollment ID: I20180801000924 |
| Provider Name | Monika Budhathoki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588038889 PECOS PAC ID: 1153620679 Enrollment ID: I20180806002710 |
| Provider Name | Yaman Tarabishy |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1962752022 PECOS PAC ID: 7315231024 Enrollment ID: I20180814003794 |
| Provider Name | Scharles A Konadu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1528358843 PECOS PAC ID: 4486927340 Enrollment ID: I20181208000111 |
| Provider Name | Littee Anna Sam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316444508 PECOS PAC ID: 8325382757 Enrollment ID: I20181211003573 |
| Provider Name | Jordyn Jade Dalby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457828923 PECOS PAC ID: 1052655495 Enrollment ID: I20181212000034 |
| Provider Name | Sara Knox Eakin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477037042 PECOS PAC ID: 6901141274 Enrollment ID: I20181215000069 |
| Provider Name | Deepti S Dhavaleshwar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1093050148 PECOS PAC ID: 4183844368 Enrollment ID: I20181217002240 |
| Provider Name | Syed M Rizvi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1548376312 PECOS PAC ID: 4486687266 Enrollment ID: I20190130001066 |
| Provider Name | Courtney Donielle Unkefer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184110256 PECOS PAC ID: 8820335508 Enrollment ID: I20190204002243 |
| Provider Name | Priscilla E Leibel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730652439 PECOS PAC ID: 5890033518 Enrollment ID: I20190205001189 |
| Provider Name | Chirag M Patel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1063858868 PECOS PAC ID: 9335440262 Enrollment ID: I20190205001639 |
| Provider Name | Jessica Roth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407327224 PECOS PAC ID: 2961740261 Enrollment ID: I20190212002051 |
| Provider Name | Augustine Enrique Conejo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801367933 PECOS PAC ID: 8022357185 Enrollment ID: I20190307000334 |
| Provider Name | Eric Gou |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144514670 PECOS PAC ID: 6406197110 Enrollment ID: I20190408000183 |
| Provider Name | Ainy A Ali |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346707676 PECOS PAC ID: 9436490836 Enrollment ID: I20190412000608 |
| Provider Name | Robert Ashley Kaiser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275091480 PECOS PAC ID: 8022359397 Enrollment ID: I20190415001345 |
| Provider Name | Angeline J Wood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679033203 PECOS PAC ID: 8123360856 Enrollment ID: I20190430001025 |
| Provider Name | Gregg Loren Wendorf |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1952747248 PECOS PAC ID: 6002035524 Enrollment ID: I20190523002742 |
| Provider Name | Adam T Hughston |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1447647805 PECOS PAC ID: 1951691260 Enrollment ID: I20190606001244 |
| Provider Name | Paul Paradiso |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1861836108 PECOS PAC ID: 3072807577 Enrollment ID: I20190705000339 |
| Provider Name | Cristian Enrique Dominguez |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1134482219 PECOS PAC ID: 9638469307 Enrollment ID: I20190725000707 |
| Provider Name | Brandon Ding-bang Szeto |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1417290297 PECOS PAC ID: 8022312156 Enrollment ID: I20190725001544 |
| Provider Name | Gregory Brennan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1689017105 PECOS PAC ID: 2466737259 Enrollment ID: I20190729000813 |
| Provider Name | Randy Chung |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1427492701 PECOS PAC ID: 5193052686 Enrollment ID: I20190806003183 |
| Provider Name | Harsh D Patel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1598159733 PECOS PAC ID: 5991032435 Enrollment ID: I20190807001082 |
| Provider Name | Yasmin Lakhani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679043095 PECOS PAC ID: 8224365325 Enrollment ID: I20190813000775 |
| Provider Name | Hung Le |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174973978 PECOS PAC ID: 1052687126 Enrollment ID: I20190913001641 |
| Provider Name | Balaji Kodandaraman Ayyar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1437595204 PECOS PAC ID: 5890025506 Enrollment ID: I20190924000087 |
| Provider Name | Melissa P Sauls |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063065050 PECOS PAC ID: 1254662240 Enrollment ID: I20191004001859 |
| Provider Name | Blas Edward Villa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063053072 PECOS PAC ID: 6103158712 Enrollment ID: I20191031002538 |
| Provider Name | Kristin Cates Means |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417508490 PECOS PAC ID: 8921430364 Enrollment ID: I20191122001991 |
| Provider Name | Kristen Faith Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083257448 PECOS PAC ID: 3870926223 Enrollment ID: I20200103000300 |
| Provider Name | Hania Tofik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609221175 PECOS PAC ID: 4981038668 Enrollment ID: I20200106002285 |
| Provider Name | Daniel M Jondle |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1649255449 PECOS PAC ID: 3870693674 Enrollment ID: I20200115001811 |
| Provider Name | Heather M Keefe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114567096 PECOS PAC ID: 9133555279 Enrollment ID: I20200207001443 |
| Provider Name | Ryan Sung-eun Cho |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1699096180 PECOS PAC ID: 4284876673 Enrollment ID: I20200224001011 |
| Provider Name | Amilcar Luis Morales Cardona |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1306166483 PECOS PAC ID: 1557798865 Enrollment ID: I20200226002624 |
| Provider Name | Ionela Maria Gug |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598395857 PECOS PAC ID: 2466889605 Enrollment ID: I20200227001377 |
| Provider Name | Dawn Rita Polk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639659212 PECOS PAC ID: 8820427578 Enrollment ID: I20200401002747 |
| Provider Name | Victor Sanchez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801440672 PECOS PAC ID: 6800225392 Enrollment ID: I20200403002830 |
| Provider Name | Melanie Jan Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275184947 PECOS PAC ID: 6800218090 Enrollment ID: I20200616002567 |
| Provider Name | Juan Diocares |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1568873651 PECOS PAC ID: 7618258872 Enrollment ID: I20200629003584 |
| Provider Name | Jacqueline O'keefe Rampy |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1346669488 PECOS PAC ID: 3870711989 Enrollment ID: I20200714003316 |
| Provider Name | Abhinav Vemula |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1508109281 PECOS PAC ID: 5294966487 Enrollment ID: I20200727000525 |
| Provider Name | Rushikesh Shah |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1144578378 PECOS PAC ID: 2668773938 Enrollment ID: I20200803001028 |
| Provider Name | Joseph Krill |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1154741064 PECOS PAC ID: 2163726654 Enrollment ID: I20200814001494 |
| Provider Name | Brenna Joy Brothers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376176438 PECOS PAC ID: 1355768342 Enrollment ID: I20200908000889 |
| Provider Name | Stephani Marie Elliott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225640998 PECOS PAC ID: 9931527843 Enrollment ID: I20200909001976 |
| Provider Name | Faiz Javed |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1396162228 PECOS PAC ID: 0648579433 Enrollment ID: I20200923000900 |
| Provider Name | Triciah Cowden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811531080 PECOS PAC ID: 9133548803 Enrollment ID: I20200929003125 |
| Provider Name | Kirtesh H Patel |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1144515412 PECOS PAC ID: 2264726611 Enrollment ID: I20200930001992 |
| Provider Name | Caroline Walker |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1962821124 PECOS PAC ID: 2860625415 Enrollment ID: I20201002000302 |
| Provider Name | Geetha Jacob |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356898381 PECOS PAC ID: 2860770120 Enrollment ID: I20201021001750 |
| Provider Name | Phianh Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104254986 PECOS PAC ID: 8426283094 Enrollment ID: I20201027000122 |
| Provider Name | Megan Mclemore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083218408 PECOS PAC ID: 4486067188 Enrollment ID: I20210119000208 |
| Provider Name | Carla Larue Mosby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750980363 PECOS PAC ID: 8820400732 Enrollment ID: I20210119002777 |
| Provider Name | Laurel Dyan Sunde |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629677612 PECOS PAC ID: 3577978535 Enrollment ID: I20210225000115 |
| Provider Name | Sarah Ann Tanton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093300410 PECOS PAC ID: 0749697225 Enrollment ID: I20210330000086 |
| Provider Name | Ogechukwu P Eze |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1457613176 PECOS PAC ID: 0244523637 Enrollment ID: I20210428002156 |
| Provider Name | Amber Bowman Munguia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053911859 PECOS PAC ID: 1850790205 Enrollment ID: I20210604001129 |
| Provider Name | Elizabeth Sheena John |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1346794815 PECOS PAC ID: 7517215049 Enrollment ID: I20210709002174 |
| Provider Name | Kruti Patel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1477948172 PECOS PAC ID: 2769758432 Enrollment ID: I20210712002808 |
| Provider Name | Gustavo A Alvarez Paiva |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1154447993 PECOS PAC ID: 2365515723 Enrollment ID: I20210715002285 |
| Provider Name | Deepika Chona |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1942687066 PECOS PAC ID: 7618289505 Enrollment ID: I20210716001895 |
| Provider Name | Asha Adams |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1912389370 PECOS PAC ID: 1052713781 Enrollment ID: I20210716001899 |
| Provider Name | Ryan Richard Kahl |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1275911109 PECOS PAC ID: 6103129614 Enrollment ID: I20210716001961 |
| Provider Name | Jean Chinonye Mbachu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1124415252 PECOS PAC ID: 6800106162 Enrollment ID: I20210720001790 |
| Provider Name | Thanh-truc Le |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1194112417 PECOS PAC ID: 1355640376 Enrollment ID: I20210727001071 |
| Provider Name | Ashley Nicole Todd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245902824 PECOS PAC ID: 1456749332 Enrollment ID: I20211026001462 |
| Provider Name | Ginger Weaver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134708266 PECOS PAC ID: 1254729130 Enrollment ID: I20211026001561 |
| Provider Name | Joshua Luke Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770245086 PECOS PAC ID: 8729477609 Enrollment ID: I20211115002141 |
| Provider Name | Daniel N Dang |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1215203039 PECOS PAC ID: 0446536213 Enrollment ID: I20211117000206 |
| Provider Name | Farzana Wakil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679230114 PECOS PAC ID: 2961892518 Enrollment ID: I20211214001559 |
| Provider Name | Anna Alexandra Cedillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558025031 PECOS PAC ID: 9537559117 Enrollment ID: I20211214002879 |
| Provider Name | Arati Dahal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306347638 PECOS PAC ID: 6901297340 Enrollment ID: I20211220001719 |
| Provider Name | Jessica Bartholomew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639732274 PECOS PAC ID: 1951792670 Enrollment ID: I20220106001128 |
| Provider Name | Carolyn Marie Susca |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205593951 PECOS PAC ID: 8426449182 Enrollment ID: I20220107000058 |
| Provider Name | John Quiles |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1033347695 PECOS PAC ID: 9931340338 Enrollment ID: I20220127002579 |
| Provider Name | Jessica Al Khalidi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760143275 PECOS PAC ID: 5496148694 Enrollment ID: I20220211000300 |
| Provider Name | Tilu Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639839103 PECOS PAC ID: 3173917895 Enrollment ID: I20220223001182 |
| Provider Name | Chukwuma O Onyeagocha |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1942487251 PECOS PAC ID: 1951455286 Enrollment ID: I20220228002161 |
| Provider Name | Morgan Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093106510 PECOS PAC ID: 1951795152 Enrollment ID: I20220304001023 |
| Provider Name | Cynthia S Guzman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083355242 PECOS PAC ID: 7911393111 Enrollment ID: I20220414001378 |
| Provider Name | Rajvinder Sidhu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1699186908 PECOS PAC ID: 8921343815 Enrollment ID: I20220416000020 |
| Provider Name | Christie Morrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760875165 PECOS PAC ID: 7810216827 Enrollment ID: I20220420002374 |
| Provider Name | Veronica Moreno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902547177 PECOS PAC ID: 5890182968 Enrollment ID: I20220420002404 |
| Provider Name | Izamar De La Garza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982349213 PECOS PAC ID: 0244617751 Enrollment ID: I20220520002008 |
| Provider Name | Matthew Meriwether |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1902253081 PECOS PAC ID: 7012396385 Enrollment ID: I20220616000202 |
| Provider Name | Blessy Kadavil John |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659977890 PECOS PAC ID: 7315326642 Enrollment ID: I20220616002060 |
| Provider Name | Saikiran Raghavapuram |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1790065464 PECOS PAC ID: 1153648464 Enrollment ID: I20220617001753 |
| Provider Name | Stephanie Ann Griffin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578126595 PECOS PAC ID: 2264811926 Enrollment ID: I20220627001612 |
| Provider Name | Mary Wilson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1366115461 PECOS PAC ID: 8820478928 Enrollment ID: I20220707001077 |
| Provider Name | Tischina C Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629614706 PECOS PAC ID: 7810378122 Enrollment ID: I20220718003601 |
| Provider Name | Taylor Derousseau |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1518329259 PECOS PAC ID: 2062893217 Enrollment ID: I20220719001549 |
| Provider Name | Vincent Duy Nguyen |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1508229121 PECOS PAC ID: 2769753672 Enrollment ID: I20220721002627 |
| Provider Name | Svetlana Manukyan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205479268 PECOS PAC ID: 1557799723 Enrollment ID: I20220727002831 |
| Provider Name | Prem Lal Shrestha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780202077 PECOS PAC ID: 9032591425 Enrollment ID: I20220802000956 |
| Provider Name | Elizabeth Ann Unruh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427675966 PECOS PAC ID: 0345623278 Enrollment ID: I20220810001550 |
| Provider Name | Maryann Osayande |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1982058830 PECOS PAC ID: 7719270651 Enrollment ID: I20220815000062 |
| Provider Name | Richy Chun-yuan Chen |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1811359599 PECOS PAC ID: 0941683924 Enrollment ID: I20220824002014 |
| Provider Name | Megan Murphy Adler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346961307 PECOS PAC ID: 2264818681 Enrollment ID: I20221007000645 |
| Provider Name | Lauren Ashley Seales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790408979 PECOS PAC ID: 7810363066 Enrollment ID: I20221013001446 |
| Provider Name | Abhishek Challa |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1477968659 PECOS PAC ID: 1658621990 Enrollment ID: I20221013002509 |
| Provider Name | Sooraj Tejaswi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1932425782 PECOS PAC ID: 4789709718 Enrollment ID: I20221101002731 |
| Provider Name | Danielle Christine Harpe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205558194 PECOS PAC ID: 9436526480 Enrollment ID: I20221103000549 |
| Provider Name | Asha Sharma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609599760 PECOS PAC ID: 9830567981 Enrollment ID: I20221121001216 |
| Provider Name | Meghan Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639893332 PECOS PAC ID: 2365810314 Enrollment ID: I20221122001869 |
| Provider Name | Mary Juliar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982084414 PECOS PAC ID: 2264801844 Enrollment ID: I20221205001576 |
| Provider Name | Faiza Maredia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326788076 PECOS PAC ID: 8628448016 Enrollment ID: I20221229000718 |
| Provider Name | Anita Subramanian Iyer |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1215125778 PECOS PAC ID: 8921196635 Enrollment ID: I20230315001585 |
| Provider Name | Kimberly A Cortiaus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437894581 PECOS PAC ID: 1456726207 Enrollment ID: I20230407001521 |
| Provider Name | Amy Lobrano |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1255382909 PECOS PAC ID: 2961412499 Enrollment ID: I20230419002787 |
| Provider Name | Seth Dukes |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1316258221 PECOS PAC ID: 8123304821 Enrollment ID: I20230425003023 |
| Provider Name | Katrina Moss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497452205 PECOS PAC ID: 3173988060 Enrollment ID: I20230427002950 |
| Provider Name | Andrea Betesh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1659637254 PECOS PAC ID: 5092957894 Enrollment ID: I20230525002257 |
| Provider Name | Hea Ryung Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386397677 PECOS PAC ID: 4486011244 Enrollment ID: I20230609000494 |
| Provider Name | Aubriel Bisuali |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932740974 PECOS PAC ID: 2961860754 Enrollment ID: I20230627001478 |
| Provider Name | Derek Lin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1740523794 PECOS PAC ID: 8527399567 Enrollment ID: I20230627003326 |
| Provider Name | Nisha Mary George |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750071908 PECOS PAC ID: 6103285879 Enrollment ID: I20230629000816 |
| Provider Name | Maria De Jesus Jacquez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366157372 PECOS PAC ID: 1850750332 Enrollment ID: I20230630000925 |
| Provider Name | Cherelle Reshaye Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609466226 PECOS PAC ID: 0648639179 Enrollment ID: I20230630002622 |
| Provider Name | Albina Joldoshova |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1114450384 PECOS PAC ID: 6800255209 Enrollment ID: I20230703001575 |
| Provider Name | Heidi Elizabeth Henderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447945506 PECOS PAC ID: 1456706639 Enrollment ID: I20231006003306 |
| Provider Name | Sunhee Jeon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326729922 PECOS PAC ID: 2163878638 Enrollment ID: I20231020000398 |
| Provider Name | Nancy Wei Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326513672 PECOS PAC ID: 2264888221 Enrollment ID: I20231026002934 |
| Provider Name | Cheryl Durand |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427822808 PECOS PAC ID: 8628420643 Enrollment ID: I20240116000957 |
| Provider Name | Gowrappala Ramesh |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1053377051 PECOS PAC ID: 6305895038 Enrollment ID: I20240123004703 |
| Provider Name | Charnell Hollis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922883883 PECOS PAC ID: 1052763216 Enrollment ID: I20240123004790 |
| Provider Name | Jachi Sun |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1124175005 PECOS PAC ID: 7517068869 Enrollment ID: I20240124001053 |
| Provider Name | Meher Sindhoora Mavuram |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1942581913 PECOS PAC ID: 2466674825 Enrollment ID: I20240201004038 |
| Provider Name | Azaan Ramani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104323922 PECOS PAC ID: 2365706520 Enrollment ID: I20240207000080 |
| Provider Name | Celestina Marie Hernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780450825 PECOS PAC ID: 1658715909 Enrollment ID: I20240215000176 |
| Provider Name | Bhavin Patel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1154709814 PECOS PAC ID: 2668853193 Enrollment ID: I20240227001591 |
| Provider Name | Jaehyun Kim |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1508397563 PECOS PAC ID: 5890194658 Enrollment ID: I20240304000068 |
Sunil Mathews, Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7701 Las Colinas Rdg Ste 260, Irving, TX 75063 Phone: 972-869-3448 Fax: 972-459-7729 | |
Family Medicine And Research Center Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1625 N Story Rd Ste 148, Family Medicine And Research Center, Irving, TX 75061 Phone: 469-952-8052 | |
Irving Eyecare Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 708 N Macarthur Blvd, Irving, TX 75061 Phone: 972-254-0033 Fax: 972-254-0055 | |
Reliant Health, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1302 Lane St, Suite # 300, Irving, TX 75061 Phone: 817-808-3443 Fax: 817-887-5522 | |
Your Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1141 Kinwest Pkwy, Suite 100, Irving, TX 75063 Phone: 214-239-2222 Fax: 214-239-2223 | |
Evernorth Care Providers - Delaware Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 320 Decker Dr, Irving, TX 75062 Phone: 773-292-4800 Fax: 312-564-4059 | |
Do Not Use Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1706 W Irving Blvd, Irving, TX 75061 Phone: 972-254-1474 Fax: 972-259-3037 |