| Essentia Health Cloquet Clinic | |
|
1413 Highway 33 S Cloquet MN 55720-2626 | |
| (218) 337-4000 | |
| (218) 337-4001 |
| Full Name | Essentia Health Cloquet Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 1413 Highway 33 S, Cloquet, Minnesota |
| Authorized Official Name and Position | Kevin Boren (VP OF FINANCE) |
| Authorized Official Contact | 2187861009 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Essentia Health Cloquet Clinic 1413 Highway 33 S Cloquet MN 55720-2626 Ph: (218) 337-4000 | Essentia Health Cloquet Clinic 1413 Highway 33 S Cloquet MN 55720-2626 Ph: (218) 337-4000 |
| NPI Number | 1902563638 |
|---|---|
| Provider Enumeration Date | 11/17/2021 |
| Last Update Date | 02/28/2024 |
| Certification Date | 02/28/2024 |
| Medicare PECOS PAC ID | 2567374283 |
|---|---|
| Medicare Enrollment ID | O20031103000229 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902563638 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | () | Primary |
| Provider Name | Nathan D Block |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871571125 PECOS PAC ID: 0648174334 Enrollment ID: I20031124000644 |
| Provider Name | David B Gremmels |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1508813452 PECOS PAC ID: 8820992357 Enrollment ID: I20031125000578 |
| Provider Name | Daniel John Mullins |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255491445 PECOS PAC ID: 7012811565 Enrollment ID: I20031125000697 |
| Provider Name | Michael H Wittmer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427029859 PECOS PAC ID: 1658275094 Enrollment ID: I20031126000227 |
| Provider Name | Sarah Suzanne Manney |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497708721 PECOS PAC ID: 0840195210 Enrollment ID: I20031201000075 |
| Provider Name | Patricia Kay Grahek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609895226 PECOS PAC ID: 1759288921 Enrollment ID: I20031216000458 |
| Provider Name | Gary Wayne Beaver |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1023051356 PECOS PAC ID: 2466359666 Enrollment ID: I20031216000624 |
| Provider Name | Kenji Peter Sudoh |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1619996832 PECOS PAC ID: 5294632329 Enrollment ID: I20031217000429 |
| Provider Name | Thiha Tin |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1376527259 PECOS PAC ID: 6709784887 Enrollment ID: I20031229000168 |
| Provider Name | Scott a Eskuri |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1831110915 PECOS PAC ID: 8628977097 Enrollment ID: I20040105000587 |
| Provider Name | Andrew C Chiu |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1841239407 PECOS PAC ID: 1052213147 Enrollment ID: I20040121000006 |
| Provider Name | Allen Leslie Hughes |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1700946878 PECOS PAC ID: 0941103030 Enrollment ID: I20040128000058 |
| Provider Name | Matthew M Schaar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1790765600 PECOS PAC ID: 5698678944 Enrollment ID: I20040202000713 |
| Provider Name | Susan Z Nordin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881644268 PECOS PAC ID: 7517850209 Enrollment ID: I20040205001078 |
| Provider Name | Daniel P Vandersteen |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1417975574 PECOS PAC ID: 2365336427 Enrollment ID: I20040210000594 |
| Provider Name | Brad Jacob Davis |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1992736268 PECOS PAC ID: 6406740570 Enrollment ID: I20040210000626 |
| Provider Name | Mark K Widstrom |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1689692758 PECOS PAC ID: 4789578865 Enrollment ID: I20040210000684 |
| Provider Name | Larry W Johnson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1255370995 PECOS PAC ID: 4688569809 Enrollment ID: I20040217000827 |
| Provider Name | Russell Edward O'connell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1831145846 PECOS PAC ID: 0345135562 Enrollment ID: I20040217000892 |
| Provider Name | Robert J Hill |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1508868118 PECOS PAC ID: 5597650721 Enrollment ID: I20040217000920 |
| Provider Name | Vladimir Savcenko |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861471658 PECOS PAC ID: 4183519119 Enrollment ID: I20040218000958 |
| Provider Name | Patrick Andrew Twomey |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1972537215 PECOS PAC ID: 4688560741 Enrollment ID: I20040225000634 |
| Provider Name | Sheri Boril Bergeron |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427008259 PECOS PAC ID: 7810884566 Enrollment ID: I20040228000102 |
| Provider Name | David Armin Pipho |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659399707 PECOS PAC ID: 4981591153 Enrollment ID: I20040302000914 |
| Provider Name | Kenneth H Rogotzke |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1275539132 PECOS PAC ID: 1759279904 Enrollment ID: I20040309000455 |
| Provider Name | Nayyer Mujteba |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1306909775 PECOS PAC ID: 8123917580 Enrollment ID: I20040312001163 |
| Provider Name | Livingstone C Igwe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588693238 PECOS PAC ID: 9739079070 Enrollment ID: I20040318001471 |
| Provider Name | David James Schwartz |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1215914379 PECOS PAC ID: 6002706157 Enrollment ID: I20040319001211 |
| Provider Name | Diane M Brickley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295764520 PECOS PAC ID: 7113919812 Enrollment ID: I20040401001122 |
| Provider Name | Lawrence Filmore |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1366501397 PECOS PAC ID: 2769474162 Enrollment ID: I20040402000795 |
| Provider Name | Nihar S Shah |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245218759 PECOS PAC ID: 4688667645 Enrollment ID: I20040406000322 |
| Provider Name | Mary Catherine Ulmaniec Bianco |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447325709 PECOS PAC ID: 2264426774 Enrollment ID: I20040408000942 |
| Provider Name | Donald Dwight Wothe |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548220320 PECOS PAC ID: 9335135292 Enrollment ID: I20040424000190 |
| Provider Name | Arndt Beroen Braaten |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053488452 PECOS PAC ID: 1153318779 Enrollment ID: I20040427000640 |
| Provider Name | Ashajyothi M Mooganayakanakote Siddappa |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1649284647 PECOS PAC ID: 7719974898 Enrollment ID: I20040429000873 |
| Provider Name | Scott S Nielsen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902824238 PECOS PAC ID: 0143217034 Enrollment ID: I20040430000939 |
| Provider Name | Ana M Fernandezpokorny |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1316979933 PECOS PAC ID: 2062400997 Enrollment ID: I20040430001314 |
| Provider Name | James S Montana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922032200 PECOS PAC ID: 5799774378 Enrollment ID: I20040510000179 |
| Provider Name | Thomas J Rishavy |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1295771798 PECOS PAC ID: 2769464700 Enrollment ID: I20040603000938 |
| Provider Name | Luis a Pagan-carlo |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1245298991 PECOS PAC ID: 4385627751 Enrollment ID: I20040608001207 |
| Provider Name | Anthony Christian Stone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417021502 PECOS PAC ID: 3870480676 Enrollment ID: I20040612000099 |
| Provider Name | Ranjit John |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1720183171 PECOS PAC ID: 4385628759 Enrollment ID: I20040614001613 |
| Provider Name | Wilson Lim Ginete |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1922055607 PECOS PAC ID: 0244214112 Enrollment ID: I20040617000307 |
| Provider Name | Kenneth James Farrell |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1477544005 PECOS PAC ID: 9234112194 Enrollment ID: I20040617000347 |
| Provider Name | Malati Pemmaraju |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1346303294 PECOS PAC ID: 9537052261 Enrollment ID: I20040625000865 |
| Provider Name | Mark L Grim |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1609843911 PECOS PAC ID: 8729065180 Enrollment ID: I20040702000529 |
| Provider Name | Kathleen C Braddy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1356380992 PECOS PAC ID: 7911984307 Enrollment ID: I20040702000759 |
| Provider Name | Monica C Kasari-desulme |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578677183 PECOS PAC ID: 9133107121 Enrollment ID: I20040707001185 |
| Provider Name | Joseph Michael Schwinghamer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457458531 PECOS PAC ID: 4385622273 Enrollment ID: I20040708000453 |
| Provider Name | Rajesh M Prabhu |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1598825457 PECOS PAC ID: 0244218196 Enrollment ID: I20040708000883 |
| Provider Name | Daniel J Huesgen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316916943 PECOS PAC ID: 6800874066 Enrollment ID: I20040713000806 |
| Provider Name | Steven M Pitschka |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457329138 PECOS PAC ID: 7618956749 Enrollment ID: I20040714000399 |
| Provider Name | Robert Alan Lamppa |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1003907023 PECOS PAC ID: 5799765749 Enrollment ID: I20040721001117 |
| Provider Name | Travis Richard Venner |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1851351597 PECOS PAC ID: 9638142011 Enrollment ID: I20040813001058 |
| Provider Name | Jody a Giza |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1740249572 PECOS PAC ID: 5799758413 Enrollment ID: I20040819000390 |
| Provider Name | Kurtis K Motschenbacher |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1225064868 PECOS PAC ID: 8527033182 Enrollment ID: I20040827000928 |
| Provider Name | Krista Ann Skorupa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376504217 PECOS PAC ID: 0143295477 Enrollment ID: I20040831000609 |
| Provider Name | John R Lake |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1740360619 PECOS PAC ID: 8224005285 Enrollment ID: I20040910000652 |
| Provider Name | Samuel Hoxie |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1053391763 PECOS PAC ID: 2365419090 Enrollment ID: I20040913001099 |
| Provider Name | Nathan E Hoffmann |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1134106982 PECOS PAC ID: 1052388790 Enrollment ID: I20040913001128 |
| Provider Name | Jason T Wall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386662542 PECOS PAC ID: 3274500665 Enrollment ID: I20040915000131 |
| Provider Name | Adam Charles Swank |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205882594 PECOS PAC ID: 8426025701 Enrollment ID: I20040915000876 |
| Provider Name | Mir a Ali |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154357077 PECOS PAC ID: 2567430796 Enrollment ID: I20040924000053 |
| Provider Name | Michael Gibbons |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1417989401 PECOS PAC ID: 2062471931 Enrollment ID: I20041006000888 |
| Provider Name | Jay Michael Ferguson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1174690853 PECOS PAC ID: 6507825023 Enrollment ID: I20041008000707 |
| Provider Name | David George Andrew Alexander |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932135936 PECOS PAC ID: 9436119799 Enrollment ID: I20041012001167 |
| Provider Name | Sonia Lucille Wright |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104804343 PECOS PAC ID: 1557323136 Enrollment ID: I20041027000760 |
| Provider Name | Julie M Isaksen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821059536 PECOS PAC ID: 6103888235 Enrollment ID: I20041101001016 |
| Provider Name | Bruce James Derauf |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003847385 PECOS PAC ID: 9133181969 Enrollment ID: I20041103000200 |
| Provider Name | Nancy Louise Rova |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255309738 PECOS PAC ID: 0244292001 Enrollment ID: I20041103000456 |
| Provider Name | Mark E Wilson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134161128 PECOS PAC ID: 2163485178 Enrollment ID: I20041110000943 |
| Provider Name | David Asinger |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205886819 PECOS PAC ID: 8426953142 Enrollment ID: I20041110000973 |
| Provider Name | Timothy M Morton |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1992731897 PECOS PAC ID: 0042274540 Enrollment ID: I20041115000979 |
| Provider Name | Bret Edward Buckley Friday |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1346213097 PECOS PAC ID: 5092770305 Enrollment ID: I20041129000714 |
| Provider Name | Thomas R Frerichs |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1629028329 PECOS PAC ID: 9436114634 Enrollment ID: I20041130000530 |
| Provider Name | Steven Paul Hanovich |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1811099419 PECOS PAC ID: 9739145582 Enrollment ID: I20041203000598 |
| Provider Name | Jeffrey R Brace |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619905924 PECOS PAC ID: 7618933326 Enrollment ID: I20041204000145 |
| Provider Name | Sue Ellen Mollner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699732289 PECOS PAC ID: 6709843568 Enrollment ID: I20041213000949 |
| Provider Name | Stephanie L Dupaul |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1285601377 PECOS PAC ID: 1850358359 Enrollment ID: I20041216000343 |
| Provider Name | David O Jorde |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396710174 PECOS PAC ID: 9537127444 Enrollment ID: I20041223000183 |
| Provider Name | Dean M Fox |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1477585032 PECOS PAC ID: 2860450251 Enrollment ID: I20050103000194 |
| Provider Name | Lana R Jacobson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275883266 PECOS PAC ID: 8325096019 Enrollment ID: I20050110000624 |
| Provider Name | Sharnell Rae Valentine |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356383087 PECOS PAC ID: 1759330210 Enrollment ID: I20050121000630 |
| Provider Name | Nancy Joyce Dronen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013083435 PECOS PAC ID: 2668422551 Enrollment ID: I20050128000031 |
| Provider Name | James R Brych |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1912976176 PECOS PAC ID: 6406806033 Enrollment ID: I20050131000947 |
| Provider Name | Kevin R Reisdorf |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1629138870 PECOS PAC ID: 9032162698 Enrollment ID: I20050224000067 |
| Provider Name | Margaret Mary Saracino |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386674646 PECOS PAC ID: 5496726689 Enrollment ID: I20050310000239 |
| Provider Name | Aaron Joseph Binstock |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891744280 PECOS PAC ID: 4284689985 Enrollment ID: I20050315001076 |
| Provider Name | Michelle Louise Anderson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1043247802 PECOS PAC ID: 3971559246 Enrollment ID: I20050330000166 |
| Provider Name | Jessica a Linsten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366479826 PECOS PAC ID: 8325095144 Enrollment ID: I20050405000028 |
| Provider Name | Showkat Hayat Khan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588698237 PECOS PAC ID: 5395792865 Enrollment ID: I20050406000804 |
| Provider Name | Lynn a Howard |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942276209 PECOS PAC ID: 0143277483 Enrollment ID: I20050407001070 |
| Provider Name | Laszlo Steven Tekler |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1184674277 PECOS PAC ID: 8022056779 Enrollment ID: I20050422000057 |
| Provider Name | Tyler Joseph Harvey |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1225091234 PECOS PAC ID: 1557323870 Enrollment ID: I20050426000388 |
| Provider Name | Thomas P Laberge |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1023065182 PECOS PAC ID: 6608815493 Enrollment ID: I20050502000260 |
| Provider Name | Richard Hoch Cochrane |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1285677393 PECOS PAC ID: 9335052810 Enrollment ID: I20050503000831 |
| Provider Name | Kathi M Henrickson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124050059 PECOS PAC ID: 0547200032 Enrollment ID: I20050504000267 |
| Provider Name | Kevin P Barsness |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093762478 PECOS PAC ID: 6800838533 Enrollment ID: I20050524000259 |
| Provider Name | Kenneth K Maslonka |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1639170418 PECOS PAC ID: 0547236663 Enrollment ID: I20050601000732 |
| Provider Name | Jonathan K Wood |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932143583 PECOS PAC ID: 8022007392 Enrollment ID: I20050603000436 |
| Provider Name | Torrey Bergman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861442493 PECOS PAC ID: 5890762124 Enrollment ID: I20050606001011 |
| Provider Name | Howard Leroy Saylor |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1497782783 PECOS PAC ID: 9335134527 Enrollment ID: I20050608000122 |
| Provider Name | Mark Veldman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538188511 PECOS PAC ID: 6305889478 Enrollment ID: I20050609000274 |
| Provider Name | Michael D Heaney |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245287549 PECOS PAC ID: 7416991880 Enrollment ID: I20050616000269 |
| Provider Name | Thomas H Warden |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1346268414 PECOS PAC ID: 2668417734 Enrollment ID: I20050621000195 |
| Provider Name | Michael E Mollerus |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1669402624 PECOS PAC ID: 3779528849 Enrollment ID: I20050621000472 |
| Provider Name | Daniel a Nikcevich |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1467482349 PECOS PAC ID: 0749225811 Enrollment ID: I20050621000510 |
| Provider Name | Janene R Glyn |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518936863 PECOS PAC ID: 3678509445 Enrollment ID: I20050713000174 |
| Provider Name | Jennifer Nelson Albee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588787287 PECOS PAC ID: 9931135589 Enrollment ID: I20050714000568 |
| Provider Name | Angela Marie Skyberg |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1508917659 PECOS PAC ID: 9739116013 Enrollment ID: I20050719000264 |
| Provider Name | Betsy Jean Schwartz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194756882 PECOS PAC ID: 4183651789 Enrollment ID: I20050726000469 |
| Provider Name | Daniel Lee Mark |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1972539955 PECOS PAC ID: 7618878307 Enrollment ID: I20050727000203 |
| Provider Name | Christopher T Bunch |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1790845774 PECOS PAC ID: 5597793794 Enrollment ID: I20050729000151 |
| Provider Name | Lori a Sutherland |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154378529 PECOS PAC ID: 8022047299 Enrollment ID: I20050808000923 |
| Provider Name | Kimberly Anne Boddicker |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1821037946 PECOS PAC ID: 9032149802 Enrollment ID: I20050822000460 |
| Provider Name | Benjamin D Nelson |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1750465985 PECOS PAC ID: 8022049857 Enrollment ID: I20050822001066 |
| Provider Name | Ningmei Hu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902821416 PECOS PAC ID: 7719947373 Enrollment ID: I20050906000717 |
| Provider Name | Mark Janorschke |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1720055171 PECOS PAC ID: 1153388129 Enrollment ID: I20050907001063 |
| Provider Name | Michael Scott Anick |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1053348136 PECOS PAC ID: 6406889005 Enrollment ID: I20050914000843 |
| Provider Name | Fareed a Siddiqui |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1235236530 PECOS PAC ID: 8921031535 Enrollment ID: I20050914000881 |
| Provider Name | Mark W Berger |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1962481747 PECOS PAC ID: 0749194777 Enrollment ID: I20050920000198 |
| Provider Name | David R Vandersteen |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1235190786 PECOS PAC ID: 8123922010 Enrollment ID: I20050920000535 |
| Provider Name | Timothy Paul Rich |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1578630174 PECOS PAC ID: 1355375007 Enrollment ID: I20050921001067 |
| Provider Name | Anne Louise Riddle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861413080 PECOS PAC ID: 4688570856 Enrollment ID: I20051004000549 |
| Provider Name | Melissa a Mcclellan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699794271 PECOS PAC ID: 3274568696 Enrollment ID: I20051004000650 |
| Provider Name | Jeffrey S Phelan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497734123 PECOS PAC ID: 1254245954 Enrollment ID: I20051007000143 |
| Provider Name | Kelly Marie Bolf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629004247 PECOS PAC ID: 8527010743 Enrollment ID: I20051012000914 |
| Provider Name | Paul K Kosmatka |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1619901287 PECOS PAC ID: 6800829938 Enrollment ID: I20051013000478 |
| Provider Name | Brian M Byer |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1619030277 PECOS PAC ID: 7618993817 Enrollment ID: I20051018000064 |
| Provider Name | Curt Behrns |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801869227 PECOS PAC ID: 1850318379 Enrollment ID: I20051025000024 |
| Provider Name | James Ryan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1598768194 PECOS PAC ID: 5597782771 Enrollment ID: I20051027000220 |
| Provider Name | Melissa M Najarian |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1730120171 PECOS PAC ID: 1951392042 Enrollment ID: I20051103000667 |
| Provider Name | Matthew P Schiller |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427074103 PECOS PAC ID: 7315965886 Enrollment ID: I20051103000746 |
| Provider Name | Matthew James Evingson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1053365965 PECOS PAC ID: 1254350838 Enrollment ID: I20051114000046 |
| Provider Name | Melissa L Laspi |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1902972128 PECOS PAC ID: 5991724841 Enrollment ID: I20051121000351 |
| Provider Name | Ann Caroline Sudoh |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1730124678 PECOS PAC ID: 7012937519 Enrollment ID: I20051129000763 |
| Provider Name | Katie R Greicar |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770517633 PECOS PAC ID: 7517989270 Enrollment ID: I20051221000703 |
| Provider Name | Ellen Ann Bernardson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053357277 PECOS PAC ID: 5597789750 Enrollment ID: I20060116000307 |
| Provider Name | Katie a Stevenson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1427050921 PECOS PAC ID: 9537183157 Enrollment ID: I20060123000687 |
| Provider Name | Dianne M Kendall |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1619945458 PECOS PAC ID: 3375557390 Enrollment ID: I20060130000434 |
| Provider Name | Ross B Bengtson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1417931593 PECOS PAC ID: 8325052012 Enrollment ID: I20060202000074 |
| Provider Name | Julie Ann Sevick |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1821067869 PECOS PAC ID: 8628083011 Enrollment ID: I20060206000906 |
| Provider Name | Mary Alice Rantala |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720174881 PECOS PAC ID: 5799790077 Enrollment ID: I20060207000851 |
| Provider Name | Kirsten I Bich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548290257 PECOS PAC ID: 3072528587 Enrollment ID: I20060220000282 |
| Provider Name | Thomas James Heinitz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629022397 PECOS PAC ID: 7416962923 Enrollment ID: I20060220000297 |
| Provider Name | Julie Ann Reichhoff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538194428 PECOS PAC ID: 6709891229 Enrollment ID: I20060220000358 |
| Provider Name | Andrew D Broadmoore |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508828633 PECOS PAC ID: 3173539616 Enrollment ID: I20060221000775 |
| Provider Name | Jason Vern Lenz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861478190 PECOS PAC ID: 6406817345 Enrollment ID: I20060222000144 |
| Provider Name | George F Holliday |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942240577 PECOS PAC ID: 8022067164 Enrollment ID: I20060223000114 |
| Provider Name | Rebecca Lynn Jones |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093857146 PECOS PAC ID: 1658388038 Enrollment ID: I20060309000258 |
| Provider Name | Nicol Campbell Talbert |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1033187026 PECOS PAC ID: 6608883418 Enrollment ID: I20060320000029 |
| Provider Name | Debrah Dee Labarre |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720006141 PECOS PAC ID: 4880580562 Enrollment ID: I20060320000215 |
| Provider Name | Christie E Erickson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477585172 PECOS PAC ID: 8628086212 Enrollment ID: I20060323000219 |
| Provider Name | Michelle T Vallie |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1578503306 PECOS PAC ID: 0042279549 Enrollment ID: I20060404000647 |
| Provider Name | Linnea a Ritter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912973892 PECOS PAC ID: 8820056732 Enrollment ID: I20060410000255 |
| Provider Name | Marc Richard Smith |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730256785 PECOS PAC ID: 7810906955 Enrollment ID: I20060418000275 |
| Provider Name | Jeffrey L Nelson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104850494 PECOS PAC ID: 5597774661 Enrollment ID: I20060418000537 |
| Provider Name | Peter B Wold |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861471633 PECOS PAC ID: 0749260404 Enrollment ID: I20060424000306 |
| Provider Name | David P Lambert |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154384527 PECOS PAC ID: 9436162120 Enrollment ID: I20060725000249 |
| Provider Name | Gregory M Phelan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427090133 PECOS PAC ID: 2860397510 Enrollment ID: I20060726000019 |
| Provider Name | Stephen Joseph Smalley |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1992787717 PECOS PAC ID: 5496768806 Enrollment ID: I20060731000480 |
| Provider Name | Catherine Jean Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972508414 PECOS PAC ID: 1052324480 Enrollment ID: I20060801000137 |
| Provider Name | Panagiotis Panagiotakis |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1043241292 PECOS PAC ID: 6002829306 Enrollment ID: I20060802000375 |
| Provider Name | Elizabeth Rosemary Kohn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518948165 PECOS PAC ID: 4688565963 Enrollment ID: I20060807000144 |
| Provider Name | Lloyd H Ketchum |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1164465191 PECOS PAC ID: 1153324488 Enrollment ID: I20060807000151 |
| Provider Name | Jefferson John Davis |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1265406755 PECOS PAC ID: 6709806508 Enrollment ID: I20060807000154 |
| Provider Name | Brielle Alexis Loe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073527651 PECOS PAC ID: 8123021326 Enrollment ID: I20060808000392 |
| Provider Name | Paul Andrew Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275557985 PECOS PAC ID: 7416950514 Enrollment ID: I20060810000118 |
| Provider Name | Erik Joseph Sather |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518971118 PECOS PAC ID: 8426051459 Enrollment ID: I20060814000100 |
| Provider Name | Amy Kay Greminger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508890732 PECOS PAC ID: 2365445129 Enrollment ID: I20060816000313 |
| Provider Name | Kymberly D Watt |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1114939113 PECOS PAC ID: 2365445723 Enrollment ID: I20060824000538 |
| Provider Name | Matthew J Loe |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861419293 PECOS PAC ID: 2769486117 Enrollment ID: I20060828000166 |
| Provider Name | Don E Wiese |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114908159 PECOS PAC ID: 7810971843 Enrollment ID: I20060830000035 |
| Provider Name | Danielle Marie Henkel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1619986999 PECOS PAC ID: 9739183724 Enrollment ID: I20060906000056 |
| Provider Name | Robert J Loegering |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952313975 PECOS PAC ID: 0042214900 Enrollment ID: I20060907000108 |
| Provider Name | Betsy Ann Nelson |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1386654812 PECOS PAC ID: 0446254379 Enrollment ID: I20060908000123 |
| Provider Name | Kimberly Ann Krohn |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1164534533 PECOS PAC ID: 0244234029 Enrollment ID: I20060911000040 |
| Provider Name | Susan Klee Anderson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861406522 PECOS PAC ID: 4183628811 Enrollment ID: I20060911000473 |
| Provider Name | Sean T Kempke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891709531 PECOS PAC ID: 7810991544 Enrollment ID: I20060911000476 |
| Provider Name | Gina M Slipka-marinos |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1013023589 PECOS PAC ID: 8426053877 Enrollment ID: I20060919000280 |
| Provider Name | Kirsten Ann Moore Kangas |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1699785956 PECOS PAC ID: 3971508334 Enrollment ID: I20060919000284 |
| Provider Name | Durae J Pfeffer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700991098 PECOS PAC ID: 7214932938 Enrollment ID: I20061002000065 |
| Provider Name | Sarah E Galchus |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1720193089 PECOS PAC ID: 2062416993 Enrollment ID: I20061010000221 |
| Provider Name | Suzanne S Parrino |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730113671 PECOS PAC ID: 1658341870 Enrollment ID: I20061012000098 |
| Provider Name | Gregg Horras |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811903842 PECOS PAC ID: 8628046661 Enrollment ID: I20061012000219 |
| Provider Name | Anne Nicole Normand |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1164517785 PECOS PAC ID: 0749287449 Enrollment ID: I20061020000591 |
| Provider Name | Martin L Birch |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1043226939 PECOS PAC ID: 2860499134 Enrollment ID: I20061030000195 |
| Provider Name | Elizabeth M Raduege |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073546263 PECOS PAC ID: 6800895350 Enrollment ID: I20061211000026 |
| Provider Name | Tiffany M Wirz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598777989 PECOS PAC ID: 5890794242 Enrollment ID: I20061212000318 |
| Provider Name | Antonio Eduardo Marinos |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1427024538 PECOS PAC ID: 0143237289 Enrollment ID: I20061221000276 |
| Provider Name | Azhar T Ali |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538187786 PECOS PAC ID: 0143228809 Enrollment ID: I20061227000270 |
| Provider Name | Christopher T Whiting |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366549495 PECOS PAC ID: 6204873250 Enrollment ID: I20070122000071 |
| Provider Name | Jane Patricia Rudd |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326134529 PECOS PAC ID: 0143213355 Enrollment ID: I20070124000352 |
| Provider Name | Jeffrey Scott Engelsgjerd |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1487682381 PECOS PAC ID: 0941202733 Enrollment ID: I20070207000507 |
| Provider Name | Victoria Lee Swanson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083700504 PECOS PAC ID: 8123120169 Enrollment ID: I20070222000427 |
| Provider Name | Andrew Waititu Kiragu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932128147 PECOS PAC ID: 3971605551 Enrollment ID: I20070228000482 |
| Provider Name | Jennifer L Kober |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033283221 PECOS PAC ID: 3274635701 Enrollment ID: I20070301000140 |
| Provider Name | James Thomas Berquist |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114942737 PECOS PAC ID: 9537262308 Enrollment ID: I20070315000246 |
| Provider Name | Theresa L Hanson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1871693366 PECOS PAC ID: 9931109949 Enrollment ID: I20070403000042 |
| Provider Name | Bradley Rauzi |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1801901103 PECOS PAC ID: 7315043486 Enrollment ID: I20070507000249 |
| Provider Name | Susan Marie Humphreys |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1679519094 PECOS PAC ID: 0446151195 Enrollment ID: I20070515000400 |
| Provider Name | James P Gregory |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1811999733 PECOS PAC ID: 3971406554 Enrollment ID: I20070524000180 |
| Provider Name | Steven a Kuross |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1447284922 PECOS PAC ID: 9436163185 Enrollment ID: I20070611000543 |
| Provider Name | Loann Hellen Stone |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1790836492 PECOS PAC ID: 0840399432 Enrollment ID: I20070622000047 |
| Provider Name | Gregory Landon Marion Mason |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437292976 PECOS PAC ID: 2062516370 Enrollment ID: I20070810000427 |
| Provider Name | Stephen James Huddleston |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1104037621 PECOS PAC ID: 2668563271 Enrollment ID: I20070811000083 |
| Provider Name | Anna Igorevna Yurchenko |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326189879 PECOS PAC ID: 7416048848 Enrollment ID: I20070814000355 |
| Provider Name | Gregory a Rathmann |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891990404 PECOS PAC ID: 9739270182 Enrollment ID: I20070814000512 |
| Provider Name | Paul R Carolan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144427055 PECOS PAC ID: 3971695214 Enrollment ID: I20070816000583 |
| Provider Name | Michael Brian Stevenson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164626859 PECOS PAC ID: 0042302283 Enrollment ID: I20070817000455 |
| Provider Name | Ingrid L Nisswandt- Larsen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548351406 PECOS PAC ID: 9830281989 Enrollment ID: I20070822000449 |
| Provider Name | Ryan Randall Lussenden |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649482910 PECOS PAC ID: 9436242989 Enrollment ID: I20070829000812 |
| Provider Name | Joseph J Cremers |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801931985 PECOS PAC ID: 0749374304 Enrollment ID: I20070913000635 |
| Provider Name | Michelle Lee Holmes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083814958 PECOS PAC ID: 7214021294 Enrollment ID: I20070921000051 |
| Provider Name | Andrew Hartigan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093793234 PECOS PAC ID: 5294649976 Enrollment ID: I20070928000639 |
| Provider Name | Erin Withers Thackeray |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1457472268 PECOS PAC ID: 0446346845 Enrollment ID: I20071017000209 |
| Provider Name | Chad a Mehling |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1578762399 PECOS PAC ID: 4183710114 Enrollment ID: I20071022000430 |
| Provider Name | Anne Elizabeth Skwira Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447450309 PECOS PAC ID: 1355437229 Enrollment ID: I20071024000030 |
| Provider Name | Heather Kay Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588863963 PECOS PAC ID: 9830286624 Enrollment ID: I20071025000433 |
| Provider Name | Jason Christopher Schultz |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1235331604 PECOS PAC ID: 9234226341 Enrollment ID: I20071106000175 |
| Provider Name | Nancy Lynn Sudak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417918277 PECOS PAC ID: 5294822326 Enrollment ID: I20071106000367 |
| Provider Name | Kelly Jo Greenleaf |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174718316 PECOS PAC ID: 2769570696 Enrollment ID: I20071110000037 |
| Provider Name | Anne E Skadberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841225778 PECOS PAC ID: 5496765240 Enrollment ID: I20071127000555 |
| Provider Name | Katrina Erickson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1407046022 PECOS PAC ID: 5496844276 Enrollment ID: I20071130000603 |
| Provider Name | Erica M Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386849180 PECOS PAC ID: 0042300394 Enrollment ID: I20071226000452 |
| Provider Name | Kenneth Jon Dornfeld |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1174524300 PECOS PAC ID: 8729171707 Enrollment ID: I20080104000352 |
| Provider Name | Gloria Jing-lon Tong |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043354095 PECOS PAC ID: 8527954544 Enrollment ID: I20080108000073 |
| Provider Name | Rolando Raul Rosas |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1346375151 PECOS PAC ID: 9436239936 Enrollment ID: I20080109000844 |
| Provider Name | Laura K Prouty |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1356521165 PECOS PAC ID: 2961583331 Enrollment ID: I20080111000431 |
| Provider Name | Julianne Marie Davis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1659322915 PECOS PAC ID: 6709897929 Enrollment ID: I20080130000632 |
| Provider Name | Peter Alan Good |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417913500 PECOS PAC ID: 7315935400 Enrollment ID: I20080208000220 |
| Provider Name | Anne M Reddy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659340180 PECOS PAC ID: 9335040633 Enrollment ID: I20080208000464 |
| Provider Name | Katherine R Mills |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114102589 PECOS PAC ID: 2567546179 Enrollment ID: I20080220000671 |
| Provider Name | Robert G Mcdonald |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093794760 PECOS PAC ID: 0042244907 Enrollment ID: I20080228000339 |
| Provider Name | Sandra L Jungers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720260391 PECOS PAC ID: 2264516053 Enrollment ID: I20080304000211 |
| Provider Name | Olga Mikhaylovna Ter-grigoryan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700896420 PECOS PAC ID: 2264436997 Enrollment ID: I20080327000105 |
| Provider Name | Aleathea Rae Anderson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1942356944 PECOS PAC ID: 8527060052 Enrollment ID: I20080508000076 |
| Provider Name | Thomas Eric Osborne |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255413522 PECOS PAC ID: 9537072426 Enrollment ID: I20080510000001 |
| Provider Name | Keith H Wittenberg |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154300929 PECOS PAC ID: 3173437886 Enrollment ID: I20080530000327 |
| Provider Name | Anuradha K Tummala |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972582732 PECOS PAC ID: 2567376270 Enrollment ID: I20080530000396 |
| Provider Name | Susan M Truman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356320105 PECOS PAC ID: 6507859840 Enrollment ID: I20080530000403 |
| Provider Name | Paul F Mulcahy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467431262 PECOS PAC ID: 9234043928 Enrollment ID: I20080531000071 |
| Provider Name | Steven C Hommeyer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356329593 PECOS PAC ID: 8325952005 Enrollment ID: I20080602000034 |
| Provider Name | Richard N Aizpuru |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558367789 PECOS PAC ID: 1951215979 Enrollment ID: I20080602000074 |
| Provider Name | Todd Michael Arsenault |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902890726 PECOS PAC ID: 4688588619 Enrollment ID: I20080602000082 |
| Provider Name | Joseph J Baraga |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730167073 PECOS PAC ID: 8022922053 Enrollment ID: I20080602000094 |
| Provider Name | Jeffrey M Barkmeier |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871571083 PECOS PAC ID: 4385558311 Enrollment ID: I20080602000101 |
| Provider Name | John M Caspers |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750369989 PECOS PAC ID: 2567376221 Enrollment ID: I20080602000293 |
| Provider Name | Matthew T Baldwin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487632725 PECOS PAC ID: 5496669426 Enrollment ID: I20080602000307 |
| Provider Name | Timothy Goertzen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821076068 PECOS PAC ID: 3577477256 Enrollment ID: I20080602000518 |
| Provider Name | Jorge Leon |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1013996065 PECOS PAC ID: 2860394210 Enrollment ID: I20080611000310 |
| Provider Name | Anne Weisensee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992784755 PECOS PAC ID: 8729992433 Enrollment ID: I20080620000583 |
| Provider Name | David Drake |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528046612 PECOS PAC ID: 7517871288 Enrollment ID: I20080620000617 |
| Provider Name | Christina Helene Bastin De Jong |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1306028410 PECOS PAC ID: 4587735337 Enrollment ID: I20080623000031 |
| Provider Name | Jody C Olson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1659565943 PECOS PAC ID: 5597837930 Enrollment ID: I20080701000023 |
| Provider Name | Kevin P Henseler |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952358129 PECOS PAC ID: 6800977810 Enrollment ID: I20080703000478 |
| Provider Name | Andrew Deh-an Lee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1124070883 PECOS PAC ID: 2769581578 Enrollment ID: I20080721000162 |
| Provider Name | Andrea M Watson |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1508052887 PECOS PAC ID: 8426122557 Enrollment ID: I20080807000078 |
| Provider Name | Nicole L Flynn |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1285810978 PECOS PAC ID: 5496829525 Enrollment ID: I20080807000106 |
| Provider Name | Mark D Mcmillan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508884826 PECOS PAC ID: 4981785995 Enrollment ID: I20080809000057 |
| Provider Name | Tracy Gallagher Pagliuca |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730270745 PECOS PAC ID: 8426122334 Enrollment ID: I20080811000117 |
| Provider Name | Pericles Peter Regas |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1649363284 PECOS PAC ID: 2264507797 Enrollment ID: I20080819000367 |
| Provider Name | Johan C Bakken |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1093841843 PECOS PAC ID: 0840366894 Enrollment ID: I20080827000706 |
| Provider Name | Andrea Marie Mackie |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013024199 PECOS PAC ID: 7810997293 Enrollment ID: I20080910000454 |
| Provider Name | Keith Hershel Peterson |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1689718637 PECOS PAC ID: 9931275211 Enrollment ID: I20080910000551 |
| Provider Name | Kevin Patrick Riess |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1083871586 PECOS PAC ID: 2668548942 Enrollment ID: I20080910000559 |
| Provider Name | Carolyn a Jahr |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1861651473 PECOS PAC ID: 3072689355 Enrollment ID: I20080910000608 |
| Provider Name | Jennifer M Heitzman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023272820 PECOS PAC ID: 5890861108 Enrollment ID: I20080911000120 |
| Provider Name | Brooke M Moore |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568662195 PECOS PAC ID: 9234206269 Enrollment ID: I20080917000462 |
| Provider Name | Erin H Grund |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1306024567 PECOS PAC ID: 6608934369 Enrollment ID: I20081023000837 |
| Provider Name | Michelle Ann Proska |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639325863 PECOS PAC ID: 3678631199 Enrollment ID: I20081027000739 |
| Provider Name | Faysal Yousefi |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1366642191 PECOS PAC ID: 0143389718 Enrollment ID: I20081115000096 |
| Provider Name | Heather R Millis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1194979971 PECOS PAC ID: 9436210671 Enrollment ID: I20081206000172 |
| Provider Name | Douglas Frederick Hoffman |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1841228301 PECOS PAC ID: 9537176706 Enrollment ID: I20081230000478 |
| Provider Name | Christopher F Heck |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1699726752 PECOS PAC ID: 9739242603 Enrollment ID: I20090120000696 |
| Provider Name | Margaret Jean Hoberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982854782 PECOS PAC ID: 3971650243 Enrollment ID: I20090402000683 |
| Provider Name | Sandra K Hanson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1750367512 PECOS PAC ID: 2466501820 Enrollment ID: I20090514000520 |
| Provider Name | Jill Rene-pierce Holsinger |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255431524 PECOS PAC ID: 0244219822 Enrollment ID: I20090514000545 |
| Provider Name | Michaela Merrill Mayfield |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1750573044 PECOS PAC ID: 5597814780 Enrollment ID: I20090518000593 |
| Provider Name | Kelly Jo Anderson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1205898186 PECOS PAC ID: 8921157157 Enrollment ID: I20090519000315 |
| Provider Name | Dawn Drotar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891779120 PECOS PAC ID: 7618959974 Enrollment ID: I20090617000223 |
| Provider Name | Brian F Decesare |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1194871798 PECOS PAC ID: 5395811863 Enrollment ID: I20090625000117 |
| Provider Name | Teri Lee Larson-johnson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891761664 PECOS PAC ID: 2668524380 Enrollment ID: I20090710000067 |
| Provider Name | Patricia a Bugliosi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225206063 PECOS PAC ID: 4789736224 Enrollment ID: I20090715000147 |
| Provider Name | Mark a Albee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639235914 PECOS PAC ID: 0042362360 Enrollment ID: I20090720000202 |
| Provider Name | Benjamin J May |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710172960 PECOS PAC ID: 0547313918 Enrollment ID: I20090803000113 |
| Provider Name | Jeri Leah Vergeldt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215961560 PECOS PAC ID: 3375696412 Enrollment ID: I20090806000407 |
| Provider Name | Samantha Ann Crossley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760418057 PECOS PAC ID: 6305999376 Enrollment ID: I20090810000093 |
| Provider Name | Laurie Ann Orbeck |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316132095 PECOS PAC ID: 0547314205 Enrollment ID: I20090813000834 |
| Provider Name | Jay M Shoaps |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1720261779 PECOS PAC ID: 5698841757 Enrollment ID: I20090819000785 |
| Provider Name | Chris H Jokinen |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1710098827 PECOS PAC ID: 0749334167 Enrollment ID: I20090820000136 |
| Provider Name | Kristina Balck Sturgell |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689866527 PECOS PAC ID: 6305991308 Enrollment ID: I20090826000919 |
| Provider Name | Justin David Hill |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306026778 PECOS PAC ID: 8022189299 Enrollment ID: I20090827000191 |
| Provider Name | Michael Patrick Caldwell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952444010 PECOS PAC ID: 1254415706 Enrollment ID: I20090827000235 |
| Provider Name | Erika Miles |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043412588 PECOS PAC ID: 5193886299 Enrollment ID: I20090827000251 |
| Provider Name | Eric R Fenstad |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1043476732 PECOS PAC ID: 7315092285 Enrollment ID: I20090827000741 |
| Provider Name | Kalkidan Genete Bishu |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1881887818 PECOS PAC ID: 1557416831 Enrollment ID: I20090910000345 |
| Provider Name | Lisa Ann Streefland |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255526778 PECOS PAC ID: 0446305650 Enrollment ID: I20090910000617 |
| Provider Name | Daniel William Zelen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336288448 PECOS PAC ID: 9830280536 Enrollment ID: I20090916000216 |
| Provider Name | Carlos Rodrigo Franco-palacios |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1497966600 PECOS PAC ID: 5890841316 Enrollment ID: I20090923000828 |
| Provider Name | Allison L Spoelhof |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1053540179 PECOS PAC ID: 3971658725 Enrollment ID: I20091001000129 |
| Provider Name | Steven John Sutherland |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508981333 PECOS PAC ID: 9638215494 Enrollment ID: I20091007000789 |
| Provider Name | Jon W Stephenson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1437235074 PECOS PAC ID: 2365588001 Enrollment ID: I20091009000090 |
| Provider Name | Mary Geidner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780882944 PECOS PAC ID: 7113064106 Enrollment ID: I20091023000262 |
| Provider Name | Randy Allan Braaten |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1124083233 PECOS PAC ID: 0840337713 Enrollment ID: I20091026000408 |
| Provider Name | Jessica a Nybakken |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164657607 PECOS PAC ID: 8426195264 Enrollment ID: I20091027000419 |
| Provider Name | Nicole Susanne Seacotte |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548450018 PECOS PAC ID: 5991842775 Enrollment ID: I20091027000817 |
| Provider Name | Peter Karl Franklin |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1710919378 PECOS PAC ID: 5496722738 Enrollment ID: I20091028000555 |
| Provider Name | Thomas Clelio Silvestrini |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1073531489 PECOS PAC ID: 1254478993 Enrollment ID: I20091028000587 |
| Provider Name | Chad Richard Ramler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598957284 PECOS PAC ID: 7517004161 Enrollment ID: I20091030000155 |
| Provider Name | Kelly U Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114157625 PECOS PAC ID: 3375681547 Enrollment ID: I20091109000214 |
| Provider Name | Neissa R Boehm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588897490 PECOS PAC ID: 9032257829 Enrollment ID: I20091116000553 |
| Provider Name | Christina LH Falgier |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336284454 PECOS PAC ID: 8820136567 Enrollment ID: I20091117000441 |
| Provider Name | Anthony Ray Teasck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235462482 PECOS PAC ID: 9830237585 Enrollment ID: I20091117000537 |
| Provider Name | Keith L Cavanaugh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497830145 PECOS PAC ID: 8426955592 Enrollment ID: I20091118000228 |
| Provider Name | Molly Aleah Maass |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1104151497 PECOS PAC ID: 6204975378 Enrollment ID: I20091202000617 |
| Provider Name | James N Jorgenson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730112608 PECOS PAC ID: 4082611660 Enrollment ID: I20091210000706 |
| Provider Name | Mark W Boyce |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508881186 PECOS PAC ID: 3476465048 Enrollment ID: I20091211000340 |
| Provider Name | David G Gordon |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1942300470 PECOS PAC ID: 9436290228 Enrollment ID: I20091230000253 |
| Provider Name | Gail E Seeker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700112547 PECOS PAC ID: 7416098546 Enrollment ID: I20100111000629 |
| Provider Name | Rachel J Lundeen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629303912 PECOS PAC ID: 5294876108 Enrollment ID: I20100113000787 |
| Provider Name | Thomas John Kogowski |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1952531444 PECOS PAC ID: 6901947852 Enrollment ID: I20100114000147 |
| Provider Name | Thomas J Witt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194701755 PECOS PAC ID: 1658283189 Enrollment ID: I20100114000710 |
| Provider Name | Phelps B Johnson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265457782 PECOS PAC ID: 0547276966 Enrollment ID: I20100116000289 |
| Provider Name | David H Hyjek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982778064 PECOS PAC ID: 7214079086 Enrollment ID: I20100118000203 |
| Provider Name | Kathleen a Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851324727 PECOS PAC ID: 9739221227 Enrollment ID: I20100121000508 |
| Provider Name | Jennifer Martinelli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881645356 PECOS PAC ID: 4981746351 Enrollment ID: I20100122000511 |
| Provider Name | Gregg David Anderson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851322416 PECOS PAC ID: 1658413851 Enrollment ID: I20100127000190 |
| Provider Name | Tammy L Ward |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1275867384 PECOS PAC ID: 2466595418 Enrollment ID: I20100130000057 |
| Provider Name | Waldo Avello |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1922057322 PECOS PAC ID: 6800939240 Enrollment ID: I20100216000640 |
| Provider Name | Leslee S Naslund |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174550479 PECOS PAC ID: 9335283779 Enrollment ID: I20100223000300 |
| Provider Name | John J Degelau |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063489375 PECOS PAC ID: 4789729435 Enrollment ID: I20100304001064 |
| Provider Name | Susan E Ash |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1487699807 PECOS PAC ID: 6002951654 Enrollment ID: I20100306000196 |
| Provider Name | Craig Norman Peterson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1427116268 PECOS PAC ID: 9335138296 Enrollment ID: I20100306000235 |
| Provider Name | Laura Jean Trombino |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1881615870 PECOS PAC ID: 6608871710 Enrollment ID: I20100306000257 |
| Provider Name | Steven Egan Baker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164441770 PECOS PAC ID: 3375679368 Enrollment ID: I20100329001124 |
| Provider Name | Timothy Alan Rubin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1801830856 PECOS PAC ID: 8224031729 Enrollment ID: I20100413000057 |
| Provider Name | Michael Joseph Fuchs |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1184652083 PECOS PAC ID: 0941337471 Enrollment ID: I20100414000975 |
| Provider Name | Gregory Scott Defor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265496954 PECOS PAC ID: 3971630419 Enrollment ID: I20100415000060 |
| Provider Name | Jan Linse Baldwin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578591913 PECOS PAC ID: 8325175730 Enrollment ID: I20100415000987 |
| Provider Name | David Allen Burton |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114257532 PECOS PAC ID: 5890822217 Enrollment ID: I20100416000132 |
| Provider Name | Byron David Kion Hoffman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609805456 PECOS PAC ID: 3274660352 Enrollment ID: I20100421000522 |
| Provider Name | Peter D Vanpatten |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1720006885 PECOS PAC ID: 2668509753 Enrollment ID: I20100421000643 |
| Provider Name | Kathleen L Monaghan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1508926536 PECOS PAC ID: 7719014760 Enrollment ID: I20100422000472 |
| Provider Name | Peder Herbert Svingen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629001656 PECOS PAC ID: 9335276104 Enrollment ID: I20100427000730 |
| Provider Name | Peggy Sue Stevens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558394577 PECOS PAC ID: 2860529641 Enrollment ID: I20100427000762 |
| Provider Name | Conrad J Ross |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1093779852 PECOS PAC ID: 4789711565 Enrollment ID: I20100427000860 |
| Provider Name | Kimberly Jean Lakhan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1023048238 PECOS PAC ID: 7810998895 Enrollment ID: I20100428000546 |
| Provider Name | Christopher James Baker |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497821888 PECOS PAC ID: 3870621485 Enrollment ID: I20100501000003 |
| Provider Name | Lori Lynn Defrance |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235167933 PECOS PAC ID: 4183752702 Enrollment ID: I20100503000082 |
| Provider Name | Brent Adam Fisher |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1023240249 PECOS PAC ID: 2062540446 Enrollment ID: I20100505000425 |
| Provider Name | Lisa Ann Seeber |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003832791 PECOS PAC ID: 2163472382 Enrollment ID: I20100505000623 |
| Provider Name | Bridget Margaret Dewey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073516647 PECOS PAC ID: 2466364740 Enrollment ID: I20100505001061 |
| Provider Name | Gordon J Harvieux |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922030857 PECOS PAC ID: 3072641158 Enrollment ID: I20100511000534 |
| Provider Name | Kendall J Strand |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518987668 PECOS PAC ID: 3577468222 Enrollment ID: I20100525000619 |
| Provider Name | Sara a Forrest |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508898156 PECOS PAC ID: 3173653078 Enrollment ID: I20100618000346 |
| Provider Name | Nicoleta E Manciu |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1659348340 PECOS PAC ID: 2860522711 Enrollment ID: I20100619000167 |
| Provider Name | Jason Brad Stowe |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1932194024 PECOS PAC ID: 2961533757 Enrollment ID: I20100622000844 |
| Provider Name | Emily Botten |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1437475001 PECOS PAC ID: 7315078649 Enrollment ID: I20100629000976 |
| Provider Name | Deanna Marie Hughes |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1578596417 PECOS PAC ID: 5890827208 Enrollment ID: I20100721000420 |
| Provider Name | Richard Paul Bransford |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1851351241 PECOS PAC ID: 0345203824 Enrollment ID: I20100727000678 |
| Provider Name | Dean H Weber |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1922036540 PECOS PAC ID: 0941282255 Enrollment ID: I20100803000934 |
| Provider Name | Audrey Mie Park Skinner |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1083647499 PECOS PAC ID: 1052445228 Enrollment ID: I20100810001084 |
| Provider Name | Joshua Johnson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811127905 PECOS PAC ID: 7416081591 Enrollment ID: I20100811000156 |
| Provider Name | Melissa Ann Benson Mcclure |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1730374208 PECOS PAC ID: 3274667803 Enrollment ID: I20100817001560 |
| Provider Name | Colleen Renee-kelly Evans |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659564763 PECOS PAC ID: 4981738424 Enrollment ID: I20100818001327 |
| Provider Name | Courtney E Senich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265685614 PECOS PAC ID: 2365576709 Enrollment ID: I20100819001270 |
| Provider Name | Rosemary F Kelly |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1811008543 PECOS PAC ID: 9830213024 Enrollment ID: I20100824001306 |
| Provider Name | Paul Robert Remark |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1437132578 PECOS PAC ID: 9032234364 Enrollment ID: I20100909001264 |
| Provider Name | Sara Shumway |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1164527503 PECOS PAC ID: 5193840379 Enrollment ID: I20100910000850 |
| Provider Name | Jared E Lund |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922233261 PECOS PAC ID: 1557486677 Enrollment ID: I20100914000065 |
| Provider Name | Darcy S Murphy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811122153 PECOS PAC ID: 9032234166 Enrollment ID: I20100914000156 |
| Provider Name | Paula Hedin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114125317 PECOS PAC ID: 3173648078 Enrollment ID: I20100915001138 |
| Provider Name | Lynne M Kosmach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154318798 PECOS PAC ID: 2860517356 Enrollment ID: I20100921001073 |
| Provider Name | Jennifer M Williams |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194917302 PECOS PAC ID: 1355467507 Enrollment ID: I20100925000196 |
| Provider Name | Mary Margaret Braaten |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861568024 PECOS PAC ID: 0345138533 Enrollment ID: I20100929000678 |
| Provider Name | Michael John Kassing |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699801712 PECOS PAC ID: 4880887306 Enrollment ID: I20101018000019 |
| Provider Name | Jessica W Sawyer |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1992935084 PECOS PAC ID: 6901099043 Enrollment ID: I20101020001596 |
| Provider Name | Carolyn Jeanne Forsman |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1376688671 PECOS PAC ID: 5597950337 Enrollment ID: I20101106000032 |
| Provider Name | Christine B Hills |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1124220462 PECOS PAC ID: 7517152978 Enrollment ID: I20101110001256 |
| Provider Name | Robert Victor Erickson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1952342503 PECOS PAC ID: 0648273003 Enrollment ID: I20101111000614 |
| Provider Name | James M Koberstein |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396785986 PECOS PAC ID: 5496667057 Enrollment ID: I20101111000641 |
| Provider Name | Denise a Hove |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1588697411 PECOS PAC ID: 5092900431 Enrollment ID: I20101111000814 |
| Provider Name | Joseph Davis Morehouse |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1447294459 PECOS PAC ID: 4082617451 Enrollment ID: I20101118001418 |
| Provider Name | Alicia Jeri Atkins |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1629387345 PECOS PAC ID: 8325234065 Enrollment ID: I20101120000183 |
| Provider Name | Thomas B Moffat |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386749919 PECOS PAC ID: 9931395233 Enrollment ID: I20101129000925 |
| Provider Name | Stephen L Bloom |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245269695 PECOS PAC ID: 1355301151 Enrollment ID: I20101202001347 |
| Provider Name | Ann C Fairbanks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457369035 PECOS PAC ID: 6103013958 Enrollment ID: I20101207000257 |
| Provider Name | Janus P Butcher |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1588610992 PECOS PAC ID: 3577571710 Enrollment ID: I20101208001055 |
| Provider Name | Sara a Mccumber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619918406 PECOS PAC ID: 3375532468 Enrollment ID: I20101208001090 |
| Provider Name | Todd H Hnatko |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1770525347 PECOS PAC ID: 4183627557 Enrollment ID: I20101208001106 |
| Provider Name | Shana K Kongsjord |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750606984 PECOS PAC ID: 7810185816 Enrollment ID: I20101216001064 |
| Provider Name | Krista Uldbjerg Warren |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1578613485 PECOS PAC ID: 0749478618 Enrollment ID: I20101218000025 |
| Provider Name | Michael J Sharland |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1235390048 PECOS PAC ID: 4385710359 Enrollment ID: I20101221000287 |
| Provider Name | Elizabeth Mary Stecker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871805374 PECOS PAC ID: 2668661042 Enrollment ID: I20110117000244 |
| Provider Name | Deborah L Leyh |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1609878347 PECOS PAC ID: 1355520586 Enrollment ID: I20110120000480 |
| Provider Name | Richard G Leyh |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1225030968 PECOS PAC ID: 9133308364 Enrollment ID: I20110120000518 |
| Provider Name | Jessica Louise Zweifel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023324001 PECOS PAC ID: 3779762638 Enrollment ID: I20110124001166 |
| Provider Name | Jaclyn a Barney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104022573 PECOS PAC ID: 6406940501 Enrollment ID: I20110131000296 |
| Provider Name | Marko Vezmar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740599513 PECOS PAC ID: 4284814682 Enrollment ID: I20110202000022 |
| Provider Name | Maren K Sharland |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1326128414 PECOS PAC ID: 1456358852 Enrollment ID: I20110211000270 |
| Provider Name | Brooke Elizabeth Pettinelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093023772 PECOS PAC ID: 3375723026 Enrollment ID: I20110211000754 |
| Provider Name | Laura Belanger Hoffarth |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427206887 PECOS PAC ID: 1254512247 Enrollment ID: I20110223001268 |
| Provider Name | Stefan L Kaiser |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1609037324 PECOS PAC ID: 3971792250 Enrollment ID: I20110301000151 |
| Provider Name | Sherry Ann Simon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639471972 PECOS PAC ID: 1153503354 Enrollment ID: I20110309000603 |
| Provider Name | Brenda L Cary |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053480103 PECOS PAC ID: 3476553538 Enrollment ID: I20110322001087 |
| Provider Name | Kelly J Higgins |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336459635 PECOS PAC ID: 0749463909 Enrollment ID: I20110324000931 |
| Provider Name | Christopher Carter |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1346430592 PECOS PAC ID: 2860676673 Enrollment ID: I20110401000615 |
| Provider Name | Mohamed Abdihalim |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912141243 PECOS PAC ID: 6204010994 Enrollment ID: I20110404000745 |
| Provider Name | Sonja M Bjerk |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1316012297 PECOS PAC ID: 9739255613 Enrollment ID: I20110405000104 |
| Provider Name | Brian D Klocke |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1912201153 PECOS PAC ID: 6002091394 Enrollment ID: I20110502000600 |
| Provider Name | Mark D Norgard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184923393 PECOS PAC ID: 6800071952 Enrollment ID: I20110504000846 |
| Provider Name | Sarah M Frenning |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043345887 PECOS PAC ID: 1850577891 Enrollment ID: I20110509000744 |
| Provider Name | Matthew Mark Brabec |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114219250 PECOS PAC ID: 2466639950 Enrollment ID: I20110615000345 |
| Provider Name | Charles Shepard |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376713107 PECOS PAC ID: 7810175809 Enrollment ID: I20110621000776 |
| Provider Name | Anna M Brabec |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1336473214 PECOS PAC ID: 2567503915 Enrollment ID: I20110624000538 |
| Provider Name | Benjamin Mark Johnsen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1598059974 PECOS PAC ID: 1759559784 Enrollment ID: I20110719000349 |
| Provider Name | Catherine M Larson-nath |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457524902 PECOS PAC ID: 4284804956 Enrollment ID: I20110907001317 |
| Provider Name | Amy Marie Westrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275828469 PECOS PAC ID: 5193996577 Enrollment ID: I20110914000820 |
| Provider Name | Emily Rose Opacich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902190382 PECOS PAC ID: 0941470298 Enrollment ID: I20110915000806 |
| Provider Name | Hilary a Ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114224904 PECOS PAC ID: 5395916696 Enrollment ID: I20110916000413 |
| Provider Name | Angela Marie Kelle |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376864355 PECOS PAC ID: 0941471130 Enrollment ID: I20110920000354 |
| Provider Name | David Aamodt |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578876496 PECOS PAC ID: 0244401461 Enrollment ID: I20110920000701 |
| Provider Name | Bobbie Kristi Burdick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306131230 PECOS PAC ID: 8729259684 Enrollment ID: I20110926000434 |
| Provider Name | Ann Marie Vreeland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063704930 PECOS PAC ID: 6204828072 Enrollment ID: I20110929000334 |
| Provider Name | Heather Rae Danckwart |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699092130 PECOS PAC ID: 0648442335 Enrollment ID: I20110930000026 |
| Provider Name | Kelly Marie Kleinschmidt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972898807 PECOS PAC ID: 9335311851 Enrollment ID: I20111005000679 |
| Provider Name | Amanda L Haworth |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1417239070 PECOS PAC ID: 4789856188 Enrollment ID: I20111006000802 |
| Provider Name | Kim Louise Seely |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952697708 PECOS PAC ID: 0648442889 Enrollment ID: I20111011000650 |
| Provider Name | Darci Leigh Pelland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063705689 PECOS PAC ID: 7810169083 Enrollment ID: I20111012000151 |
| Provider Name | Katie R Hipsher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780979617 PECOS PAC ID: 6002089620 Enrollment ID: I20111026000970 |
| Provider Name | Rose Marie Schick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184912875 PECOS PAC ID: 8820261233 Enrollment ID: I20111031000739 |
| Provider Name | Heidi L Thorson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982742870 PECOS PAC ID: 9032217047 Enrollment ID: I20111103000336 |
| Provider Name | Julie K Hendricks |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1033498787 PECOS PAC ID: 6103098041 Enrollment ID: I20111121000723 |
| Provider Name | Jenni Anne Tharaldson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457633760 PECOS PAC ID: 1153597125 Enrollment ID: I20111222000456 |
| Provider Name | Ericka Janette Lamar |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1265533400 PECOS PAC ID: 1355517327 Enrollment ID: I20111222000542 |
| Provider Name | Stephanie B Alexander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639186901 PECOS PAC ID: 1850373911 Enrollment ID: I20111228000040 |
| Provider Name | Ellen Diane Stephan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871873521 PECOS PAC ID: 5395911960 Enrollment ID: I20120103000376 |
| Provider Name | Crystal Dawn Oconnell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1992080006 PECOS PAC ID: 4183890528 Enrollment ID: I20120105000715 |
| Provider Name | Gunnar M Christopher |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1851678247 PECOS PAC ID: 6709052905 Enrollment ID: I20120109000890 |
| Provider Name | Kevin C Bushey |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1578519153 PECOS PAC ID: 3173683901 Enrollment ID: I20120111000691 |
| Provider Name | Michelle Marie Flanagan Haag |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417996026 PECOS PAC ID: 8820990245 Enrollment ID: I20120111000722 |
| Provider Name | Brian Stank |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1982762118 PECOS PAC ID: 6305888595 Enrollment ID: I20120117000721 |
| Provider Name | Paul a Larkin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306871702 PECOS PAC ID: 8628245529 Enrollment ID: I20120117000840 |
| Provider Name | Wendy Hunt Sandelin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1497788616 PECOS PAC ID: 4981871886 Enrollment ID: I20120117000860 |
| Provider Name | Mark Douglas Burns |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1912946542 PECOS PAC ID: 4082776372 Enrollment ID: I20120119000422 |
| Provider Name | Kelle Klocke |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1982981072 PECOS PAC ID: 1658548482 Enrollment ID: I20120119000605 |
| Provider Name | Emily Louise Matack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881978948 PECOS PAC ID: 7113194952 Enrollment ID: I20120119000712 |
| Provider Name | Gidget Peterson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1003846668 PECOS PAC ID: 0749448686 Enrollment ID: I20120222001050 |
| Provider Name | Kenna Christine Bolton Holz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962770685 PECOS PAC ID: 8325207210 Enrollment ID: I20120313000493 |
| Provider Name | Sara Ann Feldbrugge |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891066270 PECOS PAC ID: 2062674823 Enrollment ID: I20120424000728 |
| Provider Name | Jacob B Stay |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1801165592 PECOS PAC ID: 6901068360 Enrollment ID: I20120501000133 |
| Provider Name | Mathew So |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215126503 PECOS PAC ID: 1254597487 Enrollment ID: I20120716000497 |
| Provider Name | Claire L Mallof |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760656037 PECOS PAC ID: 8426214206 Enrollment ID: I20120723000843 |
| Provider Name | Nicholas B Vidor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063704914 PECOS PAC ID: 7719133982 Enrollment ID: I20120804000088 |
| Provider Name | Benjamin R Koch |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1174733836 PECOS PAC ID: 1153577267 Enrollment ID: I20120806000469 |
| Provider Name | Melissa Marie Simonson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154559763 PECOS PAC ID: 5698921583 Enrollment ID: I20120808000761 |
| Provider Name | Nicole R Marr |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1831462605 PECOS PAC ID: 7214183094 Enrollment ID: I20120809000898 |
| Provider Name | Benjamin a Gilloon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902919376 PECOS PAC ID: 5597880989 Enrollment ID: I20120810000007 |
| Provider Name | Vicki L Brady |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801872080 PECOS PAC ID: 3678660818 Enrollment ID: I20120822000714 |
| Provider Name | Rochus K Voeller |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1750465290 PECOS PAC ID: 0446260863 Enrollment ID: I20120823000547 |
| Provider Name | Bradley Randall Kuzel |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1558554006 PECOS PAC ID: 1557518503 Enrollment ID: I20120827000097 |
| Provider Name | Zach Martin Beresford |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1922282458 PECOS PAC ID: 7618027228 Enrollment ID: I20120830000650 |
| Provider Name | Erich N Bryan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740459551 PECOS PAC ID: 5799932489 Enrollment ID: I20120831000495 |
| Provider Name | Michael Marc Wolz |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1689986291 PECOS PAC ID: 2466609979 Enrollment ID: I20120905000513 |
| Provider Name | George Martin Philip Zawadowski |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1851604318 PECOS PAC ID: 3173770609 Enrollment ID: I20120905000674 |
| Provider Name | Katherine Ann Beresford |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1912151747 PECOS PAC ID: 7416105549 Enrollment ID: I20120914000628 |
| Provider Name | Andrew E Schneider |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942596820 PECOS PAC ID: 4486802428 Enrollment ID: I20120917000134 |
| Provider Name | Anthony Michael Burrows |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1932494994 PECOS PAC ID: 5294766598 Enrollment ID: I20120925000688 |
| Provider Name | Brian Jason Junnila |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346479805 PECOS PAC ID: 0244486769 Enrollment ID: I20121003000128 |
| Provider Name | Steven Charles Palmer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1952449522 PECOS PAC ID: 5395844328 Enrollment ID: I20121011000013 |
| Provider Name | Thomas Wade Swedberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669728465 PECOS PAC ID: 7012167406 Enrollment ID: I20121019000476 |
| Provider Name | Filberto Kelly |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245484146 PECOS PAC ID: 3476703612 Enrollment ID: I20121024000013 |
| Provider Name | Alberto Orioles |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053581876 PECOS PAC ID: 5193977700 Enrollment ID: I20121205000579 |
| Provider Name | Sameer Nevile |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447556584 PECOS PAC ID: 5991957425 Enrollment ID: I20121210000252 |
| Provider Name | Jon Charles Reich |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1376862318 PECOS PAC ID: 5294987426 Enrollment ID: I20121214000122 |
| Provider Name | Jose D Paniaqua |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1962584706 PECOS PAC ID: 1052564283 Enrollment ID: I20130119000051 |
| Provider Name | Erin Hawks Monahan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1639416522 PECOS PAC ID: 4082867221 Enrollment ID: I20130121000034 |
| Provider Name | Sarah Elizabeth Johnson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1740539568 PECOS PAC ID: 5597914366 Enrollment ID: I20130121000123 |
| Provider Name | Jaidev R Bhoopal |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1962610956 PECOS PAC ID: 1557421328 Enrollment ID: I20130207000226 |
| Provider Name | Jennifer L Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023043908 PECOS PAC ID: 4183658024 Enrollment ID: I20130221000186 |
| Provider Name | Kristina Louise Borman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548516966 PECOS PAC ID: 8921257973 Enrollment ID: I20130322000033 |
| Provider Name | Aaron Wendell Swenson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093932709 PECOS PAC ID: 8921243817 Enrollment ID: I20130325000438 |
| Provider Name | Kelsey a Berg |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1881945988 PECOS PAC ID: 7214173590 Enrollment ID: I20130410000443 |
| Provider Name | Tracy L Dickison |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1225376338 PECOS PAC ID: 2466698436 Enrollment ID: I20130417000323 |
| Provider Name | Elena Brett Metcalf |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508093337 PECOS PAC ID: 5698911691 Enrollment ID: I20130417000683 |
| Provider Name | Barbara Boehm |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1902052103 PECOS PAC ID: 4486891413 Enrollment ID: I20130513000165 |
| Provider Name | Brooke E Johnson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1861657868 PECOS PAC ID: 3870635634 Enrollment ID: I20130605000352 |
| Provider Name | Karen Marie Cremers |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457693673 PECOS PAC ID: 2668610379 Enrollment ID: I20130607000118 |
| Provider Name | Eric James Swanson |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1437442852 PECOS PAC ID: 0648419374 Enrollment ID: I20130610000476 |
| Provider Name | Timothy Paul Esser |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1962675348 PECOS PAC ID: 1052565793 Enrollment ID: I20130625000716 |
| Provider Name | Melissa Christina Hernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891139465 PECOS PAC ID: 9133369986 Enrollment ID: I20130628000199 |
| Provider Name | Adam B Jeffers |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255539748 PECOS PAC ID: 8325293038 Enrollment ID: I20130702000112 |
| Provider Name | Kristin Knopke Tshilumba |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1174785455 PECOS PAC ID: 5698915155 Enrollment ID: I20130703000333 |
| Provider Name | Saul Helgeson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598996654 PECOS PAC ID: 9133265879 Enrollment ID: I20130703000426 |
| Provider Name | David T Baldes |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821223025 PECOS PAC ID: 7214177740 Enrollment ID: I20130705000418 |
| Provider Name | Elizabeth Ann Carver |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1700940723 PECOS PAC ID: 6800031030 Enrollment ID: I20130708000112 |
| Provider Name | Thomas C Bryson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811101116 PECOS PAC ID: 0749436491 Enrollment ID: I20130715000353 |
| Provider Name | Thenappan Thenappan |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1508842048 PECOS PAC ID: 6901832823 Enrollment ID: I20130724000730 |
| Provider Name | Aaron F Summers |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1508000373 PECOS PAC ID: 1153562640 Enrollment ID: I20130725000622 |
| Provider Name | Kevin P Guenard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457692519 PECOS PAC ID: 0446491799 Enrollment ID: I20130729000649 |
| Provider Name | Ross William Perko |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1093986176 PECOS PAC ID: 7113165630 Enrollment ID: I20130802000392 |
| Provider Name | Susan Yankovich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942301718 PECOS PAC ID: 6103005046 Enrollment ID: I20130808000938 |
| Provider Name | Chad James St Germain |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609037035 PECOS PAC ID: 7012159387 Enrollment ID: I20130815000721 |
| Provider Name | Peter Kebbekus |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1245406750 PECOS PAC ID: 0446492573 Enrollment ID: I20130820000187 |
| Provider Name | Jonathan Kenknight |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649596370 PECOS PAC ID: 0345482477 Enrollment ID: I20130820000202 |
| Provider Name | Brian Ruggle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437419603 PECOS PAC ID: 6002058179 Enrollment ID: I20130820000722 |
| Provider Name | Kevin John Dalpiaz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1033452081 PECOS PAC ID: 5991948010 Enrollment ID: I20130821000306 |
| Provider Name | Hannah Katherine Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528406410 PECOS PAC ID: 3274776331 Enrollment ID: I20130821000831 |
| Provider Name | Thomas Jeffrey Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295174399 PECOS PAC ID: 6709029861 Enrollment ID: I20130821000851 |
| Provider Name | Susan Elizabeth Stark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598105694 PECOS PAC ID: 3971746041 Enrollment ID: I20130821000860 |
| Provider Name | Amanda J Carlson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477865368 PECOS PAC ID: 6103068770 Enrollment ID: I20130823001145 |
| Provider Name | Kristen Lee Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568805943 PECOS PAC ID: 9931342797 Enrollment ID: I20130826000822 |
| Provider Name | Sara Jane Morgan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1124375258 PECOS PAC ID: 0941451082 Enrollment ID: I20130927000689 |
| Provider Name | Megan Ann Karschnik |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1699117820 PECOS PAC ID: 2163656406 Enrollment ID: I20130930000050 |
| Provider Name | Emily M Nicholson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336584218 PECOS PAC ID: 1658505904 Enrollment ID: I20130930000130 |
| Provider Name | Kady Elizabeth Adams |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568802064 PECOS PAC ID: 5799919668 Enrollment ID: I20131008000931 |
| Provider Name | Ryan C Cusic |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699091686 PECOS PAC ID: 2264667443 Enrollment ID: I20131023001741 |
| Provider Name | Andrew George Keenan |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1821239161 PECOS PAC ID: 6103078795 Enrollment ID: I20131025000200 |
| Provider Name | Jacquelyn Ryan Messer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942647532 PECOS PAC ID: 8325273451 Enrollment ID: I20131028000408 |
| Provider Name | Zada Jane Dunaiski |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1881908275 PECOS PAC ID: 4486889482 Enrollment ID: I20131029000994 |
| Provider Name | Leianne Odilia Knoll Krajewski |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922431147 PECOS PAC ID: 6709011687 Enrollment ID: I20131031000029 |
| Provider Name | Joshua Shane Maxwell |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1265671671 PECOS PAC ID: 2961637780 Enrollment ID: I20131104000994 |
| Provider Name | Shana Marie Bertin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306866918 PECOS PAC ID: 0345246310 Enrollment ID: I20131106000135 |
| Provider Name | Larissa Pirie Messenger |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1538402763 PECOS PAC ID: 8628203239 Enrollment ID: I20131106000581 |
| Provider Name | Vikram D Jadhav |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972823623 PECOS PAC ID: 4981839487 Enrollment ID: I20131107001479 |
| Provider Name | Tiffany Robin Happel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497189005 PECOS PAC ID: 7012142532 Enrollment ID: I20131108000535 |
| Provider Name | Asif Ali Khan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1386805059 PECOS PAC ID: 7416101068 Enrollment ID: I20131112000541 |
| Provider Name | Deborah Everitt Sah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487865291 PECOS PAC ID: 9133280548 Enrollment ID: I20131202000557 |
| Provider Name | Diana E Harvey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639508922 PECOS PAC ID: 7911134846 Enrollment ID: I20131220000551 |
| Provider Name | Julia Ruth Merritt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578992343 PECOS PAC ID: 0648407593 Enrollment ID: I20131220000939 |
| Provider Name | Ala Addin Hasan Kandeel |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1003110008 PECOS PAC ID: 1153592472 Enrollment ID: I20131226000857 |
| Provider Name | Elizabeth Ruth Fleming |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548482425 PECOS PAC ID: 2668600123 Enrollment ID: I20140109000236 |
| Provider Name | Jenna Marie Coldwell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1417378373 PECOS PAC ID: 7012145873 Enrollment ID: I20140124001134 |
| Provider Name | Scott Daniel Shulman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770557316 PECOS PAC ID: 9032132527 Enrollment ID: I20140402002474 |
| Provider Name | Amber L Tenerelli |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730427998 PECOS PAC ID: 0244465151 Enrollment ID: I20140407000000 |
| Provider Name | Ryan R Vanderscheuren |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306166129 PECOS PAC ID: 1355530403 Enrollment ID: I20140408000406 |
| Provider Name | Anna Louise Dehler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770904633 PECOS PAC ID: 5597998427 Enrollment ID: I20140430001344 |
| Provider Name | Erik Christopher Brockman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730348319 PECOS PAC ID: 3577701739 Enrollment ID: I20140507001999 |
| Provider Name | Andrew Bunney |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114246113 PECOS PAC ID: 5597998096 Enrollment ID: I20140508000511 |
| Provider Name | Jonathan P Williams |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003079112 PECOS PAC ID: 1153569710 Enrollment ID: I20140520002247 |
| Provider Name | Arrin Leigh Moran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366867228 PECOS PAC ID: 5193948115 Enrollment ID: I20140520002428 |
| Provider Name | Kristin Lee Skadsberg |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1386069581 PECOS PAC ID: 9739302381 Enrollment ID: I20140529000041 |
| Provider Name | Ryan P Wippler |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205037538 PECOS PAC ID: 2668695073 Enrollment ID: I20140603000705 |
| Provider Name | Gregory Gerald Ausmus |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1437202496 PECOS PAC ID: 7315091188 Enrollment ID: I20140604001032 |
| Provider Name | Brianne Marie Brandt-griffith |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063622538 PECOS PAC ID: 4880861756 Enrollment ID: I20140610000628 |
| Provider Name | Sitasravya Devathi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881972206 PECOS PAC ID: 5890919039 Enrollment ID: I20140610001382 |
| Provider Name | Sreedhar Devathi |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1528208642 PECOS PAC ID: 5496948549 Enrollment ID: I20140611000712 |
| Provider Name | Brian P Moran |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1912132572 PECOS PAC ID: 6800010893 Enrollment ID: I20140613000179 |
| Provider Name | Jessica Marie Titus |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1508032129 PECOS PAC ID: 8224253638 Enrollment ID: I20140626002647 |
| Provider Name | Karen Wyse Niedermier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821058421 PECOS PAC ID: 7416113014 Enrollment ID: I20140701000448 |
| Provider Name | Teja Umesh Dyamenahalli |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1407155922 PECOS PAC ID: 3577788629 Enrollment ID: I20140702002346 |
| Provider Name | Nahi N Kiblawi |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1760646202 PECOS PAC ID: 0941425672 Enrollment ID: I20140714000025 |
| Provider Name | Julie M Ottosen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1053550434 PECOS PAC ID: 7810112596 Enrollment ID: I20140714001867 |
| Provider Name | Ganesh Asaithambi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1588807143 PECOS PAC ID: 5698918852 Enrollment ID: I20140717000325 |
| Provider Name | Jesse J Corry |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215964499 PECOS PAC ID: 3577568823 Enrollment ID: I20140729000823 |
| Provider Name | Erin Maureen Crimmins Grimsby |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1871810630 PECOS PAC ID: 7810113545 Enrollment ID: I20140801000146 |
| Provider Name | Jonathan D Lacore |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1265842132 PECOS PAC ID: 5597982280 Enrollment ID: I20140804000271 |
| Provider Name | Maria Katarzyna Beaver |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1215256409 PECOS PAC ID: 8921225582 Enrollment ID: I20140806000599 |
| Provider Name | Lindsay Wenzel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598178188 PECOS PAC ID: 1355568759 Enrollment ID: I20140808000028 |
| Provider Name | Amanda Marie Hjeltness |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1457794133 PECOS PAC ID: 7618118902 Enrollment ID: I20140811002326 |
| Provider Name | Stephanie Walters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972916377 PECOS PAC ID: 0941427942 Enrollment ID: I20140815000406 |
| Provider Name | Jeff Werner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417152885 PECOS PAC ID: 7113180258 Enrollment ID: I20140821002741 |
| Provider Name | Wendy Kay Baty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609289446 PECOS PAC ID: 1951529924 Enrollment ID: I20140904001712 |
| Provider Name | Kimberly Ann Salo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720491715 PECOS PAC ID: 4587882477 Enrollment ID: I20140908000865 |
| Provider Name | Angela R Mcallister |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1891006037 PECOS PAC ID: 3678713823 Enrollment ID: I20140911000356 |
| Provider Name | Katelyn E Hite |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700299542 PECOS PAC ID: 2769601178 Enrollment ID: I20140917001980 |
| Provider Name | Jae NP Kim |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1841426400 PECOS PAC ID: 4880813161 Enrollment ID: I20140918001530 |
| Provider Name | Amity Heinbuch |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1972902765 PECOS PAC ID: 7012136146 Enrollment ID: I20140922002217 |
| Provider Name | Anne Marie Meyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053712489 PECOS PAC ID: 2365661410 Enrollment ID: I20140922002726 |
| Provider Name | Kristi Rae Estabrook |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932341401 PECOS PAC ID: 5698957314 Enrollment ID: I20140924000399 |
| Provider Name | Beret a Casey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124289483 PECOS PAC ID: 1658512892 Enrollment ID: I20140925002310 |
| Provider Name | Assefa M Ayalew |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912240235 PECOS PAC ID: 5597985358 Enrollment ID: I20140930001982 |
| Provider Name | Tasha Lea Waage |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306250402 PECOS PAC ID: 6103046719 Enrollment ID: I20141002001652 |
| Provider Name | Troy Adam Rowekamp |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023335577 PECOS PAC ID: 8921240797 Enrollment ID: I20141002001901 |
| Provider Name | Luke David Widstrom |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1366886053 PECOS PAC ID: 0648490185 Enrollment ID: I20141003000768 |
| Provider Name | Julie Marie Strickland |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1740699529 PECOS PAC ID: 3779703228 Enrollment ID: I20141003001069 |
| Provider Name | Joanna M Green |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477872778 PECOS PAC ID: 8628299369 Enrollment ID: I20141022002648 |
| Provider Name | Daniel Craig Wolbrink |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760701882 PECOS PAC ID: 9537303292 Enrollment ID: I20141024000046 |
| Provider Name | Kaytlin Elisabeth Richie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134539158 PECOS PAC ID: 3779705744 Enrollment ID: I20141106000415 |
| Provider Name | Enoch M Lowe |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366522211 PECOS PAC ID: 9638223597 Enrollment ID: I20141106001391 |
| Provider Name | Kenzie Miskovich Kleven |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154734747 PECOS PAC ID: 1153643754 Enrollment ID: I20141210001637 |
| Provider Name | Jacob Waxman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972946937 PECOS PAC ID: 8820238322 Enrollment ID: I20141224001241 |
| Provider Name | Kristine Marie Mosher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265841076 PECOS PAC ID: 7113240144 Enrollment ID: I20141226000269 |
| Provider Name | Tammy L Mertens |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1730582164 PECOS PAC ID: 0244553816 Enrollment ID: I20150107000526 |
| Provider Name | Rebecca J Weaver |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1437554334 PECOS PAC ID: 3678896156 Enrollment ID: I20150108002302 |
| Provider Name | Shree Krishna Subedi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396999512 PECOS PAC ID: 8921321969 Enrollment ID: I20150109001272 |
| Provider Name | Jenny L Martino |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1346396538 PECOS PAC ID: 4587790746 Enrollment ID: I20150205001089 |
| Provider Name | Jose Enrique Gomez |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1194748657 PECOS PAC ID: 4385867456 Enrollment ID: I20150306001477 |
| Provider Name | Sara Jo Luoma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114315652 PECOS PAC ID: 2264759869 Enrollment ID: I20150319000481 |
| Provider Name | Sharon E Moran |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649314303 PECOS PAC ID: 2860552536 Enrollment ID: I20150408001112 |
| Provider Name | Kristin Lieberman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053413708 PECOS PAC ID: 0648267682 Enrollment ID: I20150410001347 |
| Provider Name | Ramin Artang |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1376617282 PECOS PAC ID: 2668577073 Enrollment ID: I20150504001035 |
| Provider Name | Rachel Annika Janezic |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1619361375 PECOS PAC ID: 7315266780 Enrollment ID: I20150506001815 |
| Provider Name | Kyle R Shipley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841408200 PECOS PAC ID: 6507995339 Enrollment ID: I20150521002513 |
| Provider Name | Brent Allan Ekstrom |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881940682 PECOS PAC ID: 2769702091 Enrollment ID: I20150527002458 |
| Provider Name | John F Brunner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740423870 PECOS PAC ID: 2365680204 Enrollment ID: I20150528002417 |
| Provider Name | Karin Langford |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265829238 PECOS PAC ID: 8729308960 Enrollment ID: I20150529000129 |
| Provider Name | Ryan T Whitesell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245465301 PECOS PAC ID: 2466690540 Enrollment ID: I20150602002888 |
| Provider Name | Amy Jo Chehock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376941302 PECOS PAC ID: 6204157944 Enrollment ID: I20150605001183 |
| Provider Name | Jennifer Purrington Baldwin |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1326023706 PECOS PAC ID: 4486686813 Enrollment ID: I20150611001467 |
| Provider Name | Veena R Iyer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932426004 PECOS PAC ID: 0941511141 Enrollment ID: I20150615001242 |
| Provider Name | Megan Barbara Brown-holmes |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1841698990 PECOS PAC ID: 5092026971 Enrollment ID: I20150618001505 |
| Provider Name | Matthew Adam Rischall |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750607248 PECOS PAC ID: 5890006415 Enrollment ID: I20150623000895 |
| Provider Name | Eric Carolan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679899389 PECOS PAC ID: 6800037623 Enrollment ID: I20150623002728 |
| Provider Name | Ryan Thomas Groeschl |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1336315605 PECOS PAC ID: 6901117324 Enrollment ID: I20150625001174 |
| Provider Name | Robert Louis Mango |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1376805333 PECOS PAC ID: 8820300650 Enrollment ID: I20150707002741 |
| Provider Name | Matthew Loichinger |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629243415 PECOS PAC ID: 5890951438 Enrollment ID: I20150708000259 |
| Provider Name | Dino Terzic |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1508091430 PECOS PAC ID: 4284946856 Enrollment ID: I20150710000367 |
| Provider Name | Megan Browning Baldes |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023306016 PECOS PAC ID: 7810209392 Enrollment ID: I20150713001013 |
| Provider Name | Kristi Marie Stroh |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750713442 PECOS PAC ID: 3173748621 Enrollment ID: I20150714002022 |
| Provider Name | Catherine Marie Mitchell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043285455 PECOS PAC ID: 5092750737 Enrollment ID: I20150720002112 |
| Provider Name | Colt Edin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164785317 PECOS PAC ID: 0446563316 Enrollment ID: I20150721002004 |
| Provider Name | Kevin Q Nguyen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407090632 PECOS PAC ID: 2668793514 Enrollment ID: I20150722005555 |
| Provider Name | Anastasia K Ketko |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548434772 PECOS PAC ID: 6901119643 Enrollment ID: I20150723008215 |
| Provider Name | Margaret Christine Perko |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710399381 PECOS PAC ID: 1951614635 Enrollment ID: I20150723009449 |
| Provider Name | Tochukwu Hilary Igwe |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376890392 PECOS PAC ID: 9335453307 Enrollment ID: I20150804005372 |
| Provider Name | Melissa a Touroutoutoudis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700142312 PECOS PAC ID: 7719292069 Enrollment ID: I20150814013324 |
| Provider Name | Lindsey Marie Sloan Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699102897 PECOS PAC ID: 2860620929 Enrollment ID: I20150814014811 |
| Provider Name | Joshua Daniel Wiederin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639438401 PECOS PAC ID: 2466767611 Enrollment ID: I20150817002062 |
| Provider Name | Krista Louise Wilhelmson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1346579349 PECOS PAC ID: 5092933564 Enrollment ID: I20150818003323 |
| Provider Name | Kirsten Cowan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659788115 PECOS PAC ID: 0840417986 Enrollment ID: I20150818006001 |
| Provider Name | Brian Joseph Aebly |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1578705125 PECOS PAC ID: 6507171436 Enrollment ID: I20150820011386 |
| Provider Name | Eric James Zimmerman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639315286 PECOS PAC ID: 9335365030 Enrollment ID: I20150825005868 |
| Provider Name | Jaclyn M Hughley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023423126 PECOS PAC ID: 2668691890 Enrollment ID: I20150903002298 |
| Provider Name | Michael Jeffrey Muehlenbein |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1346647013 PECOS PAC ID: 4688980683 Enrollment ID: I20150908000875 |
| Provider Name | Nicole Groeschl |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770840985 PECOS PAC ID: 0547576415 Enrollment ID: I20150909000552 |
| Provider Name | Laura Jo Stauty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538552336 PECOS PAC ID: 4082920954 Enrollment ID: I20150909000602 |
| Provider Name | Sarah J Nord |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316313927 PECOS PAC ID: 8022325554 Enrollment ID: I20150916002037 |
| Provider Name | Chena Beauduy |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1013203033 PECOS PAC ID: 7719295583 Enrollment ID: I20150928001033 |
| Provider Name | Jessica Lahti |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1528440849 PECOS PAC ID: 6002124484 Enrollment ID: I20151005001663 |
| Provider Name | Nathan Jon Palmolea |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609211606 PECOS PAC ID: 5991013153 Enrollment ID: I20151007003323 |
| Provider Name | Katie H Willihnganz Lawson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720255656 PECOS PAC ID: 0547481566 Enrollment ID: I20151016001834 |
| Provider Name | Kaitlyn Brenner |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1942671201 PECOS PAC ID: 3072823756 Enrollment ID: I20151109001965 |
| Provider Name | Aqeel Ahmad |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1497942866 PECOS PAC ID: 5890885867 Enrollment ID: I20151111000222 |
| Provider Name | Jill Christine Isenberg |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760670053 PECOS PAC ID: 4688974611 Enrollment ID: I20151124001305 |
| Provider Name | Nathan Ambrose Birno |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1023493103 PECOS PAC ID: 7416257167 Enrollment ID: I20151202000038 |
| Provider Name | Lisa M Vanbaalen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679636799 PECOS PAC ID: 9830490465 Enrollment ID: I20151223001453 |
| Provider Name | William Chastain |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891980777 PECOS PAC ID: 4385832419 Enrollment ID: I20160104000975 |
| Provider Name | Peter Burritt Chase |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063485563 PECOS PAC ID: 4082759444 Enrollment ID: I20160115000301 |
| Provider Name | Kelsey Ann Sellnow |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1710343165 PECOS PAC ID: 9537462494 Enrollment ID: I20160127000394 |
| Provider Name | Jennifer N Malmberg |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1770940579 PECOS PAC ID: 3173827896 Enrollment ID: I20160201001030 |
| Provider Name | Kurt Farchmin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558623090 PECOS PAC ID: 0749419000 Enrollment ID: I20160210001438 |
| Provider Name | Andrea Jane Silvola |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1942633227 PECOS PAC ID: 6406084565 Enrollment ID: I20160304000716 |
| Provider Name | Joseph William Stromsness |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013395748 PECOS PAC ID: 0446567846 Enrollment ID: I20160322002676 |
| Provider Name | Brian S Martell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689991432 PECOS PAC ID: 9931419793 Enrollment ID: I20160511002723 |
| Provider Name | Cory Lewis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699092445 PECOS PAC ID: 1355580671 Enrollment ID: I20160517000260 |
| Provider Name | Kunal Gupta |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477833358 PECOS PAC ID: 5395047070 Enrollment ID: I20160517002501 |
| Provider Name | Cara Lynn Moen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1871932939 PECOS PAC ID: 5092004853 Enrollment ID: I20160517002598 |
| Provider Name | Timothy Meehan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558686030 PECOS PAC ID: 4486811395 Enrollment ID: I20160525002962 |
| Provider Name | Anne Elisabeth Zbaracki |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316385933 PECOS PAC ID: 2062648306 Enrollment ID: I20160531000563 |
| Provider Name | Michael Powell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700027166 PECOS PAC ID: 9234262148 Enrollment ID: I20160603001177 |
| Provider Name | Bradley J Leavelle |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376577874 PECOS PAC ID: 6709020233 Enrollment ID: I20160613001745 |
| Provider Name | Jesse Coenen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376832345 PECOS PAC ID: 4082839063 Enrollment ID: I20160616001778 |
| Provider Name | Grishma P Bharucha |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1609137363 PECOS PAC ID: 4385886316 Enrollment ID: I20160624000509 |
| Provider Name | Sarah M.H. Johnson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1720447790 PECOS PAC ID: 2466743182 Enrollment ID: I20160627002173 |
| Provider Name | Kelsey Leigh Redland-kladivo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861836678 PECOS PAC ID: 1153625462 Enrollment ID: I20160701000834 |
| Provider Name | Erika Jayne Birchhill |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396973137 PECOS PAC ID: 8123171287 Enrollment ID: I20160705001957 |
| Provider Name | Anteneh Girma Zewde |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356684609 PECOS PAC ID: 2860784022 Enrollment ID: I20160707002375 |
| Provider Name | Laura C Colicchia |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306178439 PECOS PAC ID: 2567601255 Enrollment ID: I20160725000010 |
| Provider Name | Gregory Robert Stroh |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1023497112 PECOS PAC ID: 6103137831 Enrollment ID: I20160725002324 |
| Provider Name | Ashley R Dahl |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1538548789 PECOS PAC ID: 2860707924 Enrollment ID: I20160727000998 |
| Provider Name | Jenny Vunjie Wang |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1164816203 PECOS PAC ID: 4789995168 Enrollment ID: I20160729001408 |
| Provider Name | Karla Jo Mccall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932551249 PECOS PAC ID: 1254624075 Enrollment ID: I20160801000859 |
| Provider Name | Deepak Somashekar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710116918 PECOS PAC ID: 6901118843 Enrollment ID: I20160801001484 |
| Provider Name | Stephen Andrew Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467716191 PECOS PAC ID: 9739483637 Enrollment ID: I20160801002241 |
| Provider Name | Jessica Tia Powers |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1114377231 PECOS PAC ID: 6002100773 Enrollment ID: I20160803003256 |
| Provider Name | John M Boyle |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1588920649 PECOS PAC ID: 5294029823 Enrollment ID: I20160804001756 |
| Provider Name | Nisar Ali Zaidi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1336468107 PECOS PAC ID: 1759524242 Enrollment ID: I20160805000944 |
| Provider Name | Allison Marie Heaslet |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1952854713 PECOS PAC ID: 6002100120 Enrollment ID: I20160811001370 |
| Provider Name | Monica Blanche Mcdevitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619326865 PECOS PAC ID: 9739473810 Enrollment ID: I20160812000161 |
| Provider Name | Hannah Justine Nordskog |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952754459 PECOS PAC ID: 4284928151 Enrollment ID: I20160816001310 |
| Provider Name | Patrick William Riley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1790765253 PECOS PAC ID: 1557656444 Enrollment ID: I20160817001052 |
| Provider Name | Jillian Marie Tapper-smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962955906 PECOS PAC ID: 1759676182 Enrollment ID: I20160824003087 |
| Provider Name | Lauren Kate Carolan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124434279 PECOS PAC ID: 6800117888 Enrollment ID: I20160826002099 |
| Provider Name | Aaron Toshi Heaslet |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1043669864 PECOS PAC ID: 6305132317 Enrollment ID: I20160830003241 |
| Provider Name | Carrie Lynn Lott-grambush |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598210239 PECOS PAC ID: 2365738200 Enrollment ID: I20160901001478 |
| Provider Name | Jonathan Phelan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437323128 PECOS PAC ID: 4183866353 Enrollment ID: I20160902001217 |
| Provider Name | Amelia Rose Dewit |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326490467 PECOS PAC ID: 8022305051 Enrollment ID: I20160920000133 |
| Provider Name | Amber Heather Carrington |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811444300 PECOS PAC ID: 6305133810 Enrollment ID: I20160927003148 |
| Provider Name | Gretchen G Kehoe |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1164874699 PECOS PAC ID: 0941597306 Enrollment ID: I20160928002103 |
| Provider Name | Luke Aaron Law |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1104205665 PECOS PAC ID: 0547571762 Enrollment ID: I20161003001928 |
| Provider Name | Chloe Hoffman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891147922 PECOS PAC ID: 3971881434 Enrollment ID: I20161103001606 |
| Provider Name | Anthony K Hoff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467898718 PECOS PAC ID: 9032413356 Enrollment ID: I20161117000643 |
| Provider Name | Sanjay Bindra |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1528080256 PECOS PAC ID: 6709807019 Enrollment ID: I20161117001294 |
| Provider Name | April Kristin Archibald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720530793 PECOS PAC ID: 5496034241 Enrollment ID: I20161117002586 |
| Provider Name | Jennifer Lynn Krog |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235154949 PECOS PAC ID: 2567743420 Enrollment ID: I20170109000520 |
| Provider Name | April Jane Lennartson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659815942 PECOS PAC ID: 8527340827 Enrollment ID: I20170123000000 |
| Provider Name | Lauren M Papke-larson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316495104 PECOS PAC ID: 3577845718 Enrollment ID: I20170123001994 |
| Provider Name | Jessica Ann Mcdonnell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1770035933 PECOS PAC ID: 6204119191 Enrollment ID: I20170220002946 |
| Provider Name | Thomas J Hirsch |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1235676305 PECOS PAC ID: 0345524179 Enrollment ID: I20170223000196 |
| Provider Name | Jamie Fort |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568589083 PECOS PAC ID: 3375711542 Enrollment ID: I20170327002753 |
| Provider Name | Andrew Sundblad |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447411772 PECOS PAC ID: 3375781487 Enrollment ID: I20170329000219 |
| Provider Name | Stephen Hilding Pearson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366538068 PECOS PAC ID: 0446535611 Enrollment ID: I20170330002074 |
| Provider Name | Wendy Michelle Olson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033589437 PECOS PAC ID: 7113215500 Enrollment ID: I20170418002682 |
| Provider Name | Grant Edward Bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366824542 PECOS PAC ID: 8628355583 Enrollment ID: I20170501002206 |
| Provider Name | Teresa D'ann Valerio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407875768 PECOS PAC ID: 5991604894 Enrollment ID: I20170509000992 |
| Provider Name | Cory Nordman |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1679771521 PECOS PAC ID: 2961689427 Enrollment ID: I20170517000985 |
| Provider Name | Ekaterine Vladimirovna Mchenry |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1396281978 PECOS PAC ID: 4284901299 Enrollment ID: I20170523001589 |
| Provider Name | Brooke M Settergren |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669887386 PECOS PAC ID: 7113224577 Enrollment ID: I20170602001786 |
| Provider Name | Ciro Antonio Vasquez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1952537862 PECOS PAC ID: 4688970551 Enrollment ID: I20170605001610 |
| Provider Name | Andrew T Babcock |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609134436 PECOS PAC ID: 3870898992 Enrollment ID: I20170609000332 |
| Provider Name | Pamela Jean Hermes |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1568776409 PECOS PAC ID: 0648463968 Enrollment ID: I20170609000519 |
| Provider Name | Hannah Eleanore Johnson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467985770 PECOS PAC ID: 2264700301 Enrollment ID: I20170614002129 |
| Provider Name | Matthew Jason Steinman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346655172 PECOS PAC ID: 8426326265 Enrollment ID: I20170619002848 |
| Provider Name | Aaron James Hegg |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1992916258 PECOS PAC ID: 0143491050 Enrollment ID: I20170620002415 |
| Provider Name | Margaret Liwun Chen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578678272 PECOS PAC ID: 8921131129 Enrollment ID: I20170705002254 |
| Provider Name | Nicholas James Milanovich |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992931778 PECOS PAC ID: 0446562516 Enrollment ID: I20170717001770 |
| Provider Name | Katherine Elizabeth Pavlich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790211472 PECOS PAC ID: 2466722822 Enrollment ID: I20170719000180 |
| Provider Name | Thomas W Ballard |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750360012 PECOS PAC ID: 0749310316 Enrollment ID: I20170725002629 |
| Provider Name | Laura Lee Burgstahler |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1659891778 PECOS PAC ID: 4981974680 Enrollment ID: I20170727001981 |
| Provider Name | Steven James Haasken |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912291402 PECOS PAC ID: 7517107782 Enrollment ID: I20170801001777 |
| Provider Name | Christopher Stephen Childs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609220466 PECOS PAC ID: 4284917766 Enrollment ID: I20170815002694 |
| Provider Name | Katherine E Kruse |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225340565 PECOS PAC ID: 6901181098 Enrollment ID: I20170816001254 |
| Provider Name | Kathy Nevins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013343284 PECOS PAC ID: 2567691413 Enrollment ID: I20170824000753 |
| Provider Name | Anthony K Hoff |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467898718 PECOS PAC ID: 9032413356 Enrollment ID: I20170824003206 |
| Provider Name | Matthew Richard Soule |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1437393113 PECOS PAC ID: 5395041800 Enrollment ID: I20170830003748 |
| Provider Name | Amanjit Baadh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003061367 PECOS PAC ID: 3870750029 Enrollment ID: I20170905001562 |
| Provider Name | Joel David Kolmodin |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1295051407 PECOS PAC ID: 6406142751 Enrollment ID: I20170918001717 |
| Provider Name | Timothy Eugene Borden |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043416209 PECOS PAC ID: 6709066053 Enrollment ID: I20170918002782 |
| Provider Name | Michael John Sterns |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104230408 PECOS PAC ID: 8921301813 Enrollment ID: I20170926003398 |
| Provider Name | Jakob David Rikkola |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770755076 PECOS PAC ID: 1254606254 Enrollment ID: I20171002000020 |
| Provider Name | Brittany Ann Ortler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487177671 PECOS PAC ID: 7810262862 Enrollment ID: I20171002002298 |
| Provider Name | Paul Steven Rasmussen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285153007 PECOS PAC ID: 9032485131 Enrollment ID: I20171017002710 |
| Provider Name | Karissa Marie Schultz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902258502 PECOS PAC ID: 4789977562 Enrollment ID: I20171019000270 |
| Provider Name | Catherine P Benziger |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1518266394 PECOS PAC ID: 4385875079 Enrollment ID: I20171019000619 |
| Provider Name | Mark Francis Scott |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1740515642 PECOS PAC ID: 9830406370 Enrollment ID: I20171025003155 |
| Provider Name | Lisa J Leedham |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881143022 PECOS PAC ID: 9335437888 Enrollment ID: I20171031001225 |
| Provider Name | Shiela Marie Klemmetsen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033555867 PECOS PAC ID: 2466751250 Enrollment ID: I20171109003471 |
| Provider Name | Meghan Eileen Rochefort |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922517093 PECOS PAC ID: 3375800741 Enrollment ID: I20171121000488 |
| Provider Name | Amanda Kristen Carlson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1871937474 PECOS PAC ID: 3779887237 Enrollment ID: I20171128001993 |
| Provider Name | Mark L Lykins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306357132 PECOS PAC ID: 5991062796 Enrollment ID: I20171204001927 |
| Provider Name | Terri Lynn Halverson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962805549 PECOS PAC ID: 0042594210 Enrollment ID: I20171206001199 |
| Provider Name | Kelsey Lindsay Putvin |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1598196313 PECOS PAC ID: 0143588244 Enrollment ID: I20171219001854 |
| Provider Name | Corissa L Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821507153 PECOS PAC ID: 5496013377 Enrollment ID: I20171226000031 |
| Provider Name | Kelsey Lynn Miller |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1700399292 PECOS PAC ID: 6204195886 Enrollment ID: I20180108001149 |
| Provider Name | Rebecca Anne Perrett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932611001 PECOS PAC ID: 5698034171 Enrollment ID: I20180108001567 |
| Provider Name | Adriana Nicole Askew |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1982131348 PECOS PAC ID: 7315206638 Enrollment ID: I20180112001014 |
| Provider Name | Lindsay Christine Zupan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1871008839 PECOS PAC ID: 5890055578 Enrollment ID: I20180129002650 |
| Provider Name | Scott Hunter |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700930344 PECOS PAC ID: 2062681059 Enrollment ID: I20180207001598 |
| Provider Name | Shana M Gliniecki |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730112814 PECOS PAC ID: 0042214470 Enrollment ID: I20180212002203 |
| Provider Name | Grace K Hauschild |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1215445895 PECOS PAC ID: 5698035699 Enrollment ID: I20180213001546 |
| Provider Name | Bradford Chu |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1952628620 PECOS PAC ID: 5799046710 Enrollment ID: I20180307001376 |
| Provider Name | Kaylee Ann Nelson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356841605 PECOS PAC ID: 0042572166 Enrollment ID: I20180329000308 |
| Provider Name | Sarah Marie Lach |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1437525417 PECOS PAC ID: 6103132089 Enrollment ID: I20180413001801 |
| Provider Name | Kathryn Marie Gieske |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1326547498 PECOS PAC ID: 4789947961 Enrollment ID: I20180423000882 |
| Provider Name | Gerald J Bellehumeur |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467967430 PECOS PAC ID: 8820352446 Enrollment ID: I20180508001399 |
| Provider Name | Nancy Lee Magnine |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1144253113 PECOS PAC ID: 2567465073 Enrollment ID: I20180608002279 |
| Provider Name | Robert Cole Pueringer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043605355 PECOS PAC ID: 4587962295 Enrollment ID: I20180612001061 |
| Provider Name | Jean Elise Hoyer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104852615 PECOS PAC ID: 9335161421 Enrollment ID: I20180614000002 |
| Provider Name | Craig Rodriguez |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467667774 PECOS PAC ID: 7618021429 Enrollment ID: I20180621000799 |
| Provider Name | Andrew Joseph Olson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891100707 PECOS PAC ID: 5991084576 Enrollment ID: I20180628003059 |
| Provider Name | Nicole Worden |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1962797753 PECOS PAC ID: 5890923296 Enrollment ID: I20180628003274 |
| Provider Name | Zachary Royce |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326307760 PECOS PAC ID: 8325340938 Enrollment ID: I20180628003496 |
| Provider Name | Eric Jonathan Hartman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104172782 PECOS PAC ID: 3870716343 Enrollment ID: I20180629000734 |
| Provider Name | Kushal Parikh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518233642 PECOS PAC ID: 6305127390 Enrollment ID: I20180702002014 |
| Provider Name | Haley Marie Meyer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1073932893 PECOS PAC ID: 4183970197 Enrollment ID: I20180705001951 |
| Provider Name | Angie Marie Anderson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417129651 PECOS PAC ID: 8527314475 Enrollment ID: I20180706000867 |
| Provider Name | Lee Dale Stokes |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1891107397 PECOS PAC ID: 6204053598 Enrollment ID: I20180706002120 |
| Provider Name | Kannan Kasturi |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1043574569 PECOS PAC ID: 8426304288 Enrollment ID: I20180709002837 |
| Provider Name | Kelly Jo Dahl |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831361021 PECOS PAC ID: 3870840309 Enrollment ID: I20180716001175 |
| Provider Name | Eric T Hanhan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245688878 PECOS PAC ID: 9032401526 Enrollment ID: I20180718003193 |
| Provider Name | Bradford Marvin Wilson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396233557 PECOS PAC ID: 7012265218 Enrollment ID: I20180803002051 |
| Provider Name | Allison Rixey |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134657471 PECOS PAC ID: 0547537078 Enrollment ID: I20180804000018 |
| Provider Name | Mara Suzanne Edison |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154718484 PECOS PAC ID: 6204108087 Enrollment ID: I20180806003360 |
| Provider Name | Shelley Jean Aho |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922270222 PECOS PAC ID: 7012265978 Enrollment ID: I20180808003647 |
| Provider Name | Joshua Theodore Olson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992237754 PECOS PAC ID: 1850649674 Enrollment ID: I20180809005149 |
| Provider Name | Gunther Harrison Wagoner |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982024683 PECOS PAC ID: 1557610920 Enrollment ID: I20180817001090 |
| Provider Name | Justin K Kirkham |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477085074 PECOS PAC ID: 4688946924 Enrollment ID: I20180820001364 |
| Provider Name | Ronald Lee Renard |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1497792436 PECOS PAC ID: 8921033739 Enrollment ID: I20180820001447 |
| Provider Name | Ryan Scott Watson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1053757583 PECOS PAC ID: 1254655178 Enrollment ID: I20180823001497 |
| Provider Name | Benjamin William Meyer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336569029 PECOS PAC ID: 5890044689 Enrollment ID: I20180828002623 |
| Provider Name | Kristin P Colling |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1639494362 PECOS PAC ID: 0749585628 Enrollment ID: I20180912000836 |
| Provider Name | Laura B Holt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124514047 PECOS PAC ID: 5294085270 Enrollment ID: I20180912003318 |
| Provider Name | Rachel L. Singh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225416464 PECOS PAC ID: 8820307861 Enrollment ID: I20180924002616 |
| Provider Name | Brandon M Vesel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1134585060 PECOS PAC ID: 0941551279 Enrollment ID: I20180925002548 |
| Provider Name | Alyssa Faye Saurdiff |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205315082 PECOS PAC ID: 9931450236 Enrollment ID: I20180926001048 |
| Provider Name | Yonatan Joseph Hillman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1023384120 PECOS PAC ID: 4385995570 Enrollment ID: I20180927001377 |
| Provider Name | Steven Todd Mccormack |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023000338 PECOS PAC ID: 4183651987 Enrollment ID: I20181002000085 |
| Provider Name | Mohammed Quraishi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871545269 PECOS PAC ID: 8123030814 Enrollment ID: I20181002000128 |
| Provider Name | Jason E Grennan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1457313314 PECOS PAC ID: 9830179092 Enrollment ID: I20181002001275 |
| Provider Name | Timothy Hovde |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1609354893 PECOS PAC ID: 6608128616 Enrollment ID: I20181002002369 |
| Provider Name | Chizoba Nicole Okechukwu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356737555 PECOS PAC ID: 0042513228 Enrollment ID: I20181003000557 |
| Provider Name | David Henley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770518128 PECOS PAC ID: 2769374032 Enrollment ID: I20181003001593 |
| Provider Name | Laurent Grignon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538366752 PECOS PAC ID: 9638301849 Enrollment ID: I20181005000882 |
| Provider Name | Leo Bay |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659752285 PECOS PAC ID: 8325340789 Enrollment ID: I20181008001804 |
| Provider Name | Clayton Lee Allison |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801057955 PECOS PAC ID: 2567735962 Enrollment ID: I20181009000109 |
| Provider Name | Douglas Sheafor |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669438610 PECOS PAC ID: 7517970148 Enrollment ID: I20181012000040 |
| Provider Name | Erin Mccutchen Maddy |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1114260296 PECOS PAC ID: 7315249018 Enrollment ID: I20181016000981 |
| Provider Name | Danielle Alisha Lutzka |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1437632684 PECOS PAC ID: 8628321767 Enrollment ID: I20181019000588 |
| Provider Name | E. Nightingale |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508946088 PECOS PAC ID: 7113202599 Enrollment ID: I20181102000296 |
| Provider Name | Pang Z Chang |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1134603574 PECOS PAC ID: 3870846033 Enrollment ID: I20181106000136 |
| Provider Name | Jonathan Jaksha |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871555649 PECOS PAC ID: 3274632054 Enrollment ID: I20181106001955 |
| Provider Name | Edward M Wineck |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1790711299 PECOS PAC ID: 1254436868 Enrollment ID: I20181109001326 |
| Provider Name | Rebecca Grumdahl |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1962978155 PECOS PAC ID: 7618221623 Enrollment ID: I20181109002203 |
| Provider Name | Scott White |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144276338 PECOS PAC ID: 4385745215 Enrollment ID: I20181109002678 |
| Provider Name | Kirstin Dianne Drake |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902372600 PECOS PAC ID: 4486908183 Enrollment ID: I20181115002306 |
| Provider Name | Audrey J Marjama |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952884041 PECOS PAC ID: 7315291879 Enrollment ID: I20181120000291 |
| Provider Name | Dane Mcgee Ingebrigtson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1104169390 PECOS PAC ID: 9830313923 Enrollment ID: I20181127002754 |
| Provider Name | Maren E Barootian |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801030366 PECOS PAC ID: 2163766114 Enrollment ID: I20181203002414 |
| Provider Name | Christopher J Erickson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477647261 PECOS PAC ID: 2264525161 Enrollment ID: I20181205001233 |
| Provider Name | Lee Thomas Church |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235428889 PECOS PAC ID: 1759508740 Enrollment ID: I20181224000096 |
| Provider Name | Kandice Renee Beenken |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1982991501 PECOS PAC ID: 2961795679 Enrollment ID: I20181227000276 |
| Provider Name | Kevin Mcelroy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184151110 PECOS PAC ID: 6204106644 Enrollment ID: I20181228000615 |
| Provider Name | Sarah B. Astorga |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841604451 PECOS PAC ID: 3779709688 Enrollment ID: I20190104000460 |
| Provider Name | Jacqueline Vierheilig |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1649388133 PECOS PAC ID: 2466624556 Enrollment ID: I20190124001770 |
| Provider Name | Kara J Perrelli |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1124196886 PECOS PAC ID: 8921171398 Enrollment ID: I20190129001322 |
| Provider Name | Ellen W Schumacher |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1710454673 PECOS PAC ID: 0749527612 Enrollment ID: I20190130002392 |
| Provider Name | Amanda Joan Petersen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063983724 PECOS PAC ID: 8426395302 Enrollment ID: I20190131000008 |
| Provider Name | Curtis Elmer Mathsen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1750374880 PECOS PAC ID: 1456368612 Enrollment ID: I20190204000009 |
| Provider Name | Jamie R Apter |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1801367198 PECOS PAC ID: 4082952346 Enrollment ID: I20190212000260 |
| Provider Name | Levi La Porte |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1285139865 PECOS PAC ID: 8527306802 Enrollment ID: I20190212001136 |
| Provider Name | Leah a Davis |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043783178 PECOS PAC ID: 4385982693 Enrollment ID: I20190212002248 |
| Provider Name | Steven Schumacher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144678061 PECOS PAC ID: 1456644483 Enrollment ID: I20190307002203 |
| Provider Name | Tess Doohen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518435270 PECOS PAC ID: 7416297239 Enrollment ID: I20190314000309 |
| Provider Name | Hannah Margaret Bjerkness |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1669942678 PECOS PAC ID: 2769722339 Enrollment ID: I20190318001443 |
| Provider Name | Denise Marie Lund |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922305655 PECOS PAC ID: 7315207990 Enrollment ID: I20190320000999 |
| Provider Name | Kjerstin Lee Anderson Hoff |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1255897153 PECOS PAC ID: 4486995362 Enrollment ID: I20190402001061 |
| Provider Name | Megan Elizabeth Markes |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1023578515 PECOS PAC ID: 0042551772 Enrollment ID: I20190408000543 |
| Provider Name | William C Markes |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902366396 PECOS PAC ID: 2466793070 Enrollment ID: I20190409001442 |
| Provider Name | Daniel J Beisang |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1649690355 PECOS PAC ID: 7113225889 Enrollment ID: I20190409001640 |
| Provider Name | Lisa B Howley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760538359 PECOS PAC ID: 8224226535 Enrollment ID: I20190418002444 |
| Provider Name | Kathryn Cambron |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396749867 PECOS PAC ID: 8224016530 Enrollment ID: I20190509000120 |
| Provider Name | Anne Gettle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164901112 PECOS PAC ID: 1456694595 Enrollment ID: I20190514000089 |
| Provider Name | Ashley Dammer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750805347 PECOS PAC ID: 1052654712 Enrollment ID: I20190521000157 |
| Provider Name | Neha M Paul |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1790039139 PECOS PAC ID: 9032452677 Enrollment ID: I20190522000872 |
| Provider Name | Morgan L Ziemba |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598321457 PECOS PAC ID: 8325381916 Enrollment ID: I20190522003333 |
| Provider Name | Kimberly M Keniry |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1346668183 PECOS PAC ID: 2163708579 Enrollment ID: I20190529000764 |
| Provider Name | Rebecca Lynn Potter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700340221 PECOS PAC ID: 0042543183 Enrollment ID: I20190605001093 |
| Provider Name | Sandra Lee Vidotto |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164081162 PECOS PAC ID: 4688907082 Enrollment ID: I20190617001622 |
| Provider Name | Romy Jose Thekkekara |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1770915605 PECOS PAC ID: 5799081923 Enrollment ID: I20190617001794 |
| Provider Name | John M Sherwood |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821121088 PECOS PAC ID: 6800988700 Enrollment ID: I20190619001148 |
| Provider Name | Renee Christine Karth-pearson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992229579 PECOS PAC ID: 9830423219 Enrollment ID: I20190619002452 |
| Provider Name | Vineetha Jose |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1952717563 PECOS PAC ID: 6103175849 Enrollment ID: I20190619002868 |
| Provider Name | Aaron R Busenbark |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1942787791 PECOS PAC ID: 9931433216 Enrollment ID: I20190619002901 |
| Provider Name | John a Coburn |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205273083 PECOS PAC ID: 3476797317 Enrollment ID: I20190620001507 |
| Provider Name | Brendan M O'shea |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396972584 PECOS PAC ID: 4385888130 Enrollment ID: I20190621001041 |
| Provider Name | Joshua G Farley |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1417304593 PECOS PAC ID: 3779861216 Enrollment ID: I20190624003154 |
| Provider Name | Kirill Lipatov |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1508245382 PECOS PAC ID: 5496036600 Enrollment ID: I20190625000151 |
| Provider Name | Nissar Vahora |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407299423 PECOS PAC ID: 4183864168 Enrollment ID: I20190626001823 |
| Provider Name | Meg E. Rahn |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1073051926 PECOS PAC ID: 6901189174 Enrollment ID: I20190702002991 |
| Provider Name | Benjamin Michael Marsh |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1689094567 PECOS PAC ID: 9234433962 Enrollment ID: I20190705000661 |
| Provider Name | Ashley Phimister |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1497109193 PECOS PAC ID: 1456686930 Enrollment ID: I20190708000546 |
| Provider Name | Mehmet Gencturk |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134508054 PECOS PAC ID: 9335444520 Enrollment ID: I20190711001260 |
| Provider Name | Kirsten Ma Indrelie |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033504071 PECOS PAC ID: 5991030934 Enrollment ID: I20190712000070 |
| Provider Name | Daniel Glen Kolenda |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750849345 PECOS PAC ID: 7810222692 Enrollment ID: I20190716003033 |
| Provider Name | Timothy Conner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750385357 PECOS PAC ID: 6709784119 Enrollment ID: I20190717000091 |
| Provider Name | David M Miller |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750721593 PECOS PAC ID: 5597075135 Enrollment ID: I20190717001219 |
| Provider Name | Leif E Jensen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205053832 PECOS PAC ID: 3678602992 Enrollment ID: I20190722000668 |
| Provider Name | Nicholas J Lange |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285650952 PECOS PAC ID: 3971780701 Enrollment ID: I20190724001386 |
| Provider Name | Ahmad R Hatem Al Samaraee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447593173 PECOS PAC ID: 7810292828 Enrollment ID: I20190801000035 |
| Provider Name | Derek Opp |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366947012 PECOS PAC ID: 1456608090 Enrollment ID: I20190806002043 |
| Provider Name | Robert White |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1487151767 PECOS PAC ID: 5597016360 Enrollment ID: I20190807000693 |
| Provider Name | Linda S Koskiniemi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689235244 PECOS PAC ID: 6800123159 Enrollment ID: I20190808001822 |
| Provider Name | Jenna M Altobelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568027464 PECOS PAC ID: 3870820178 Enrollment ID: I20190808004076 |
| Provider Name | Christopher Andrew Latanich |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1336434778 PECOS PAC ID: 9931403201 Enrollment ID: I20190814000451 |
| Provider Name | Zachary Benjamin Horoshak |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1174184717 PECOS PAC ID: 0244567162 Enrollment ID: I20190814002962 |
| Provider Name | Sarah Jane Nelson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013335819 PECOS PAC ID: 9931436755 Enrollment ID: I20190815003318 |
| Provider Name | Ian D Thomas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811250772 PECOS PAC ID: 0749584852 Enrollment ID: I20190816000011 |
| Provider Name | Jessica MD Noelting |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1396058855 PECOS PAC ID: 9537319124 Enrollment ID: I20190820001266 |
| Provider Name | Danyelle R Fenner |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235585134 PECOS PAC ID: 7911298831 Enrollment ID: I20190821001028 |
| Provider Name | Isaac J Hunt |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1700439759 PECOS PAC ID: 7416286323 Enrollment ID: I20190830002810 |
| Provider Name | Heidi Elaine L'esperance |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1639582273 PECOS PAC ID: 9739309477 Enrollment ID: I20190904000049 |
| Provider Name | Amos James Restad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124675566 PECOS PAC ID: 5193054906 Enrollment ID: I20190904000583 |
| Provider Name | Arla Rae Spencer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295381416 PECOS PAC ID: 4183953813 Enrollment ID: I20190905002853 |
| Provider Name | Caryn Elizabeth Gerber |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437506292 PECOS PAC ID: 7810281193 Enrollment ID: I20190913001688 |
| Provider Name | Brenda K Lundeen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083658157 PECOS PAC ID: 2365772290 Enrollment ID: I20190919001257 |
| Provider Name | Hope Michelle Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457906166 PECOS PAC ID: 9234469974 Enrollment ID: I20190924001068 |
| Provider Name | Mariah C Johnson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336700079 PECOS PAC ID: 6800126541 Enrollment ID: I20190924001386 |
| Provider Name | Brandon Scott Percival |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1962050906 PECOS PAC ID: 7810227329 Enrollment ID: I20190926001190 |
| Provider Name | Shawn Timothy Stone |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891040689 PECOS PAC ID: 6103103569 Enrollment ID: I20191002002767 |
| Provider Name | Amy Shogren |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1275820821 PECOS PAC ID: 0648501312 Enrollment ID: I20191010000557 |
| Provider Name | Deanna Lyn Notaro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104474501 PECOS PAC ID: 5698007888 Enrollment ID: I20191021001426 |
| Provider Name | Steven Dennis Wilson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689748717 PECOS PAC ID: 3779815790 Enrollment ID: I20191024001282 |
| Provider Name | Emily Patricia Ann Schueller |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1871077719 PECOS PAC ID: 1355673914 Enrollment ID: I20191031000299 |
| Provider Name | Michelle Carl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316589591 PECOS PAC ID: 2365774940 Enrollment ID: I20191031001150 |
| Provider Name | Joseph Autio |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265087829 PECOS PAC ID: 6507198066 Enrollment ID: I20191101001905 |
| Provider Name | Sigurd M Haller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629494174 PECOS PAC ID: 4880926351 Enrollment ID: I20191101002352 |
| Provider Name | Katherine Anna Ritsche |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881081248 PECOS PAC ID: 5698081206 Enrollment ID: I20191104000111 |
| Provider Name | Melody B Johnson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386295954 PECOS PAC ID: 2567794951 Enrollment ID: I20191105000985 |
| Provider Name | Marissa Lin Engelson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1437707957 PECOS PAC ID: 0840522173 Enrollment ID: I20191106000001 |
| Provider Name | Paige I Blong |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306494893 PECOS PAC ID: 1254763477 Enrollment ID: I20191108001997 |
| Provider Name | Aaron R Burkhart |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1619518156 PECOS PAC ID: 6305278417 Enrollment ID: I20191112000045 |
| Provider Name | Elizabeth Lafrance |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013564616 PECOS PAC ID: 2769814243 Enrollment ID: I20191121002344 |
| Provider Name | Kelsea Nichole Pearson Foster |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1437701976 PECOS PAC ID: 2466884945 Enrollment ID: I20191121002456 |
| Provider Name | Ashley G Aretz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1134762578 PECOS PAC ID: 9133552359 Enrollment ID: I20191202002341 |
| Provider Name | Jane Goldfarb Adams |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639526155 PECOS PAC ID: 8224461470 Enrollment ID: I20191203000431 |
| Provider Name | Jennifer Lynn Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265078968 PECOS PAC ID: 2062845928 Enrollment ID: I20191206000499 |
| Provider Name | Kate Jean Pelant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124676697 PECOS PAC ID: 5193158673 Enrollment ID: I20191216000260 |
| Provider Name | Sky Young-shaw Rogers |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1578753398 PECOS PAC ID: 0648351809 Enrollment ID: I20191216002206 |
| Provider Name | Brian a Conley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831394402 PECOS PAC ID: 6002076825 Enrollment ID: I20191231000965 |
| Provider Name | Robert John Hosker |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023338282 PECOS PAC ID: 1153624051 Enrollment ID: I20200107002156 |
| Provider Name | Bria H Schurke |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1720646110 PECOS PAC ID: 7517392178 Enrollment ID: I20200109000719 |
| Provider Name | Whitney Lea Finke |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134404908 PECOS PAC ID: 2062659345 Enrollment ID: I20200121002324 |
| Provider Name | Brock S Clough |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1811534118 PECOS PAC ID: 6103251855 Enrollment ID: I20200127001824 |
| Provider Name | Daniel F Kuevi Akoe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861031759 PECOS PAC ID: 2466888078 Enrollment ID: I20200130000192 |
| Provider Name | Kathryn Ann Hegstrom |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811536865 PECOS PAC ID: 1456787647 Enrollment ID: I20200206002068 |
| Provider Name | Molly Jean Edmundson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1134769243 PECOS PAC ID: 0042646945 Enrollment ID: I20200213001205 |
| Provider Name | Shannon L St Clair |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1881030997 PECOS PAC ID: 3678714268 Enrollment ID: I20200213001293 |
| Provider Name | Clara R Hoss |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558906974 PECOS PAC ID: 8527494327 Enrollment ID: I20200213001563 |
| Provider Name | Veronica Y Ruvo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740252725 PECOS PAC ID: 4183523855 Enrollment ID: I20200213001899 |
| Provider Name | Matthew G Schull |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1588204044 PECOS PAC ID: 7719314103 Enrollment ID: I20200225000520 |
| Provider Name | Matt Kleven |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1457991804 PECOS PAC ID: 2365879780 Enrollment ID: I20200225001714 |
| Provider Name | Ellyn Christine Hexum |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629616693 PECOS PAC ID: 2264869510 Enrollment ID: I20200226000105 |
| Provider Name | Julie Lynn Belden |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992740419 PECOS PAC ID: 0446687701 Enrollment ID: I20200226000463 |
| Provider Name | Olivia Wangensteen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285276022 PECOS PAC ID: 9032547930 Enrollment ID: I20200306001042 |
| Provider Name | Joseph F Carter |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1316582745 PECOS PAC ID: 7315375284 Enrollment ID: I20200309000943 |
| Provider Name | Margaret Bartlett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346889334 PECOS PAC ID: 2961830245 Enrollment ID: I20200319002990 |
| Provider Name | Amit Goyal |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1174813588 PECOS PAC ID: 5193029692 Enrollment ID: I20200327002076 |
| Provider Name | Eileen Huggins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366079816 PECOS PAC ID: 3577992320 Enrollment ID: I20200331001213 |
| Provider Name | Brenda Kaye Leavelle |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881628386 PECOS PAC ID: 4981034733 Enrollment ID: I20200420001554 |
| Provider Name | Ahna L Pelto |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164065686 PECOS PAC ID: 5991136772 Enrollment ID: I20200511003080 |
| Provider Name | Lindsay S Haugen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1740754530 PECOS PAC ID: 7214276187 Enrollment ID: I20200512000252 |
| Provider Name | Amina Adil |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1336482314 PECOS PAC ID: 7911206461 Enrollment ID: I20200521001461 |
| Provider Name | Samuel Jang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023515160 PECOS PAC ID: 4183975691 Enrollment ID: I20200521002748 |
| Provider Name | Efstratios N Travlos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457804544 PECOS PAC ID: 7214359199 Enrollment ID: I20200623001137 |
| Provider Name | Jay Joseph Allen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891228094 PECOS PAC ID: 7810319340 Enrollment ID: I20200629003513 |
| Provider Name | Michael Maxwell Ritchie |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790205540 PECOS PAC ID: 6709157795 Enrollment ID: I20200708003775 |
| Provider Name | Nicholas C Ellefson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639699200 PECOS PAC ID: 5092089938 Enrollment ID: I20200713003364 |
| Provider Name | Mindi L Kvaal Anderson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932637899 PECOS PAC ID: 3577997428 Enrollment ID: I20200714000667 |
| Provider Name | Kelly J Aarsvold |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1710323100 PECOS PAC ID: 6002180429 Enrollment ID: I20200714000877 |
| Provider Name | Matthew D Braithwaite |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1104280817 PECOS PAC ID: 1456617901 Enrollment ID: I20200716000082 |
| Provider Name | Justin M Nelson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326455239 PECOS PAC ID: 7810114527 Enrollment ID: I20200716000249 |
| Provider Name | Linus Munrengsong Leivon |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336661644 PECOS PAC ID: 7113291105 Enrollment ID: I20200722000768 |
| Provider Name | Robert M Kraft |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316407653 PECOS PAC ID: 5193050623 Enrollment ID: I20200727000349 |
| Provider Name | Yuliang Pavilion Hu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699336065 PECOS PAC ID: 6406181544 Enrollment ID: I20200728000344 |
| Provider Name | Anneliese Marie Cuttle |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649569864 PECOS PAC ID: 7113177874 Enrollment ID: I20200803001794 |
| Provider Name | Michael Alan Sperl |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1043715139 PECOS PAC ID: 7113274184 Enrollment ID: I20200804001113 |
| Provider Name | Caitlin Marie Braithwaite |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508218140 PECOS PAC ID: 1355639386 Enrollment ID: I20200804003081 |
| Provider Name | Anthony C Wiseman |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1528487907 PECOS PAC ID: 7911322953 Enrollment ID: I20200807000062 |
| Provider Name | David M Fedor |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1679968010 PECOS PAC ID: 7315233434 Enrollment ID: I20200807000630 |
| Provider Name | Sneha S Shukla |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114580008 PECOS PAC ID: 4688909104 Enrollment ID: I20200817001214 |
| Provider Name | Alyssa L Dye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780201657 PECOS PAC ID: 5092131128 Enrollment ID: I20200819001806 |
| Provider Name | Erika K Ehlers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134743586 PECOS PAC ID: 1658797568 Enrollment ID: I20200821001154 |
| Provider Name | Karin Britta Knutson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114389277 PECOS PAC ID: 0941593669 Enrollment ID: I20200824001040 |
| Provider Name | Jacob Hvidston |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1518346188 PECOS PAC ID: 4284946997 Enrollment ID: I20200827003879 |
| Provider Name | Andrew M Mekhail |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1730615998 PECOS PAC ID: 9739507682 Enrollment ID: I20200909003470 |
| Provider Name | Jarret Kuo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720228778 PECOS PAC ID: 0446495626 Enrollment ID: I20200910000612 |
| Provider Name | Brian Wasserman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053739482 PECOS PAC ID: 5597183210 Enrollment ID: I20200912000018 |
| Provider Name | Melanie Ann Ripley |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1275948630 PECOS PAC ID: 5092011940 Enrollment ID: I20200915001211 |
| Provider Name | Neelima Nyayapati |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417186586 PECOS PAC ID: 2062668270 Enrollment ID: I20200916001095 |
| Provider Name | Sarah Ann Yokel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831709781 PECOS PAC ID: 7113345240 Enrollment ID: I20200922000906 |
| Provider Name | Rebecca Danielle Chase |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1528483435 PECOS PAC ID: 2567749120 Enrollment ID: I20200922002655 |
| Provider Name | Lindsey R Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154944064 PECOS PAC ID: 1153740220 Enrollment ID: I20200923002706 |
| Provider Name | Leah R Petermeier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609498096 PECOS PAC ID: 1759700529 Enrollment ID: I20200928002130 |
| Provider Name | Janine Michelle Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760096416 PECOS PAC ID: 9638598337 Enrollment ID: I20200930000315 |
| Provider Name | Matthew Terry Wasland |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598204810 PECOS PAC ID: 1355760091 Enrollment ID: I20200930001982 |
| Provider Name | Rebecca Anne Doppler |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1467946699 PECOS PAC ID: 0547689101 Enrollment ID: I20200930002848 |
| Provider Name | Sonja E Hanson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265057640 PECOS PAC ID: 2365861721 Enrollment ID: I20201005000188 |
| Provider Name | Kristin Mary Sorensen Tanenbaum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992960819 PECOS PAC ID: 6103002548 Enrollment ID: I20201006003075 |
| Provider Name | Casey Brock |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881953602 PECOS PAC ID: 8325468176 Enrollment ID: I20201015001793 |
| Provider Name | Mackenzie Margaret Sherrill |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1225685035 PECOS PAC ID: 0042630717 Enrollment ID: I20201019001517 |
| Provider Name | Christine Wasserman |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1376961169 PECOS PAC ID: 2062832637 Enrollment ID: I20201020002648 |
| Provider Name | Richard Timothy Grossart |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1740568690 PECOS PAC ID: 6709206394 Enrollment ID: I20201021000132 |
| Provider Name | Nathan Max Kunzler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457700593 PECOS PAC ID: 2365738184 Enrollment ID: I20201023002827 |
| Provider Name | Mazahir L Alimohamed |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1760897649 PECOS PAC ID: 8820382575 Enrollment ID: I20201026002444 |
| Provider Name | Jane Elizabeth Barthell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891888186 PECOS PAC ID: 3274943345 Enrollment ID: I20201030000404 |
| Provider Name | Christina M Lumppio |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073889481 PECOS PAC ID: 6608286604 Enrollment ID: I20201103001049 |
| Provider Name | Erin Elizabeth Kukowski |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386250454 PECOS PAC ID: 7012327844 Enrollment ID: I20201106001788 |
| Provider Name | Nicole M Nelson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1346609229 PECOS PAC ID: 5890092274 Enrollment ID: I20201109002871 |
| Provider Name | Paul R Jerve |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679170278 PECOS PAC ID: 6204246770 Enrollment ID: I20201112000709 |
| Provider Name | Kathryn Elizabeth Mclellan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699126300 PECOS PAC ID: 2769777408 Enrollment ID: I20201118001341 |
| Provider Name | Fang Yu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811159296 PECOS PAC ID: 9830214154 Enrollment ID: I20201119002819 |
| Provider Name | Emily M Hvidston |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407235088 PECOS PAC ID: 9436463783 Enrollment ID: I20201120001430 |
| Provider Name | Daniel Kendall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962049445 PECOS PAC ID: 9436584018 Enrollment ID: I20201125001879 |
| Provider Name | Angelique Thibault |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659982528 PECOS PAC ID: 1153732664 Enrollment ID: I20201203002924 |
| Provider Name | Kate Lindelof |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336533231 PECOS PAC ID: 6507277043 Enrollment ID: I20201204001158 |
| Provider Name | Marissa Lee Wraalstad-tomann |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1487281036 PECOS PAC ID: 6901218262 Enrollment ID: I20201210002897 |
| Provider Name | Emily Stunek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912510694 PECOS PAC ID: 1153733274 Enrollment ID: I20201215001204 |
| Provider Name | Jacqueline Fern Lorraine Frahm |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346851391 PECOS PAC ID: 9830501774 Enrollment ID: I20201217000115 |
| Provider Name | Victoria Lynn Voight |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1992308142 PECOS PAC ID: 7911319595 Enrollment ID: I20201228000058 |
| Provider Name | Joshua Sawlaw |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922235944 PECOS PAC ID: 1951564988 Enrollment ID: I20201229002283 |
| Provider Name | Jake Vrdoljak |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619976230 PECOS PAC ID: 8527253400 Enrollment ID: I20210121002573 |
| Provider Name | Britta Rae Peterson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114515939 PECOS PAC ID: 8426462904 Enrollment ID: I20210125000063 |
| Provider Name | Ryan Wade Loftin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447446265 PECOS PAC ID: 4587857750 Enrollment ID: I20210125001710 |
| Provider Name | Erin Christine Laveau-allen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588203061 PECOS PAC ID: 7012321425 Enrollment ID: I20210126002734 |
| Provider Name | Erin Kay Mahoney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346870888 PECOS PAC ID: 5395159735 Enrollment ID: I20210127000565 |
| Provider Name | Amy Michelle Garcia |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407995434 PECOS PAC ID: 9133385172 Enrollment ID: I20210129002328 |
| Provider Name | Britany L Rau |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902426083 PECOS PAC ID: 2567876626 Enrollment ID: I20210201001071 |
| Provider Name | Emmy Elizabeth Scholtes |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1568051522 PECOS PAC ID: 0749694693 Enrollment ID: I20210204000672 |
| Provider Name | John Christopher H Goodnow |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184288524 PECOS PAC ID: 7517292964 Enrollment ID: I20210204002258 |
| Provider Name | Kristen Jean Lane |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1497208706 PECOS PAC ID: 0749695419 Enrollment ID: I20210211001169 |
| Provider Name | Nathan David Selstad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679177455 PECOS PAC ID: 4486069846 Enrollment ID: I20210216003176 |
| Provider Name | Karen Phillips |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801992813 PECOS PAC ID: 8729024161 Enrollment ID: I20210217003090 |
| Provider Name | Jake Leo Mcgraw |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1144841552 PECOS PAC ID: 1153736384 Enrollment ID: I20210219001146 |
| Provider Name | Breanna Hieb |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386204345 PECOS PAC ID: 9739594680 Enrollment ID: I20210226001419 |
| Provider Name | Steven George Lokken |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1902230972 PECOS PAC ID: 7911313358 Enrollment ID: I20210309001902 |
| Provider Name | Maria Lila West |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891389219 PECOS PAC ID: 9032525480 Enrollment ID: I20210309002220 |
| Provider Name | Zachary Paul Carron |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588253835 PECOS PAC ID: 6204242399 Enrollment ID: I20210316001229 |
| Provider Name | Frank Welte |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568676948 PECOS PAC ID: 6800933847 Enrollment ID: I20210330002202 |
| Provider Name | Maggie Lee Mcneill |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1053931451 PECOS PAC ID: 1951718394 Enrollment ID: I20210331000411 |
| Provider Name | Bruce Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255467841 PECOS PAC ID: 8022118371 Enrollment ID: I20210331002082 |
| Provider Name | David Michael Rokser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003491986 PECOS PAC ID: 4981012853 Enrollment ID: I20210413001932 |
| Provider Name | Breanna Jean Lohn |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538545322 PECOS PAC ID: 5890002588 Enrollment ID: I20210426002738 |
| Provider Name | John Jerome Simmer |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1174594881 PECOS PAC ID: 9537352737 Enrollment ID: I20210427000262 |
| Provider Name | Molly Ann Anderson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1538792874 PECOS PAC ID: 5294144887 Enrollment ID: I20210512000329 |
| Provider Name | Rodney Dean Boyum |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1902886328 PECOS PAC ID: 5597946194 Enrollment ID: I20210524001751 |
| Provider Name | Carolyn E Olson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295323285 PECOS PAC ID: 0345649125 Enrollment ID: I20210527001243 |
| Provider Name | Katelyn Marie Luhm |
|---|---|
| Provider Type | Practitioner - Other (non-physician) |
| Provider Identifiers | NPI Number: 1962077214 PECOS PAC ID: 6608275201 Enrollment ID: I20210602001664 |
| Provider Name | Amanda Zerr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073920823 PECOS PAC ID: 5597987362 Enrollment ID: I20210607002995 |
| Provider Name | Khloe Chao Frank-mcquarter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457845331 PECOS PAC ID: 9032519418 Enrollment ID: I20210608000573 |
| Provider Name | Sarah Lynn Karl |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1114225174 PECOS PAC ID: 1153599923 Enrollment ID: I20210618001003 |
| Provider Name | Phillip Rathousky |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558743393 PECOS PAC ID: 7810206091 Enrollment ID: I20210618001175 |
| Provider Name | Stephen Jon Palmquist |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598228173 PECOS PAC ID: 3678907573 Enrollment ID: I20210629002688 |
| Provider Name | Kailee Ann Holmes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952998155 PECOS PAC ID: 6002218104 Enrollment ID: I20210713000241 |
| Provider Name | Bryan Kevin Koenig |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801380928 PECOS PAC ID: 0244589547 Enrollment ID: I20210714000185 |
| Provider Name | Michael Richard Hayes |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1639524770 PECOS PAC ID: 4587957626 Enrollment ID: I20210715001924 |
| Provider Name | Kyle M Kubes |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1366892440 PECOS PAC ID: 6507268372 Enrollment ID: I20210715003825 |
| Provider Name | Jacob Herbert Walter Whiting |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1386091122 PECOS PAC ID: 4082907381 Enrollment ID: I20210727002378 |
| Provider Name | Ricci Lee Bender |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063945665 PECOS PAC ID: 6800160250 Enrollment ID: I20210730003164 |
| Provider Name | Timothy Cogswell Evans |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1669000568 PECOS PAC ID: 6800210345 Enrollment ID: I20210805000017 |
| Provider Name | Amy Marguerite Grew |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1265052682 PECOS PAC ID: 8224432356 Enrollment ID: I20210811001086 |
| Provider Name | Samuel Tillmans |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1366977787 PECOS PAC ID: 5092052332 Enrollment ID: I20210813002001 |
| Provider Name | Madelyn Frances Lauer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1578940177 PECOS PAC ID: 8820390388 Enrollment ID: I20210817002643 |
| Provider Name | Joshua Engelsgjerd |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1689025868 PECOS PAC ID: 1456646710 Enrollment ID: I20210823000210 |
| Provider Name | Samantha Danielle Hudrlik |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1639519325 PECOS PAC ID: 9335458520 Enrollment ID: I20210823002639 |
| Provider Name | Elizabeth Ann Baillargeon |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1295269231 PECOS PAC ID: 5597018101 Enrollment ID: I20210826000127 |
| Provider Name | Laura Christensen Waller |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1053799031 PECOS PAC ID: 6901108992 Enrollment ID: I20210827001712 |
| Provider Name | Ellie Warmuth |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1437823283 PECOS PAC ID: 0446656862 Enrollment ID: I20210910001477 |
| Provider Name | Steven Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144995747 PECOS PAC ID: 7517363781 Enrollment ID: I20210914001274 |
| Provider Name | Jennifer Anne Senn |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1831719459 PECOS PAC ID: 5496151565 Enrollment ID: I20210915001873 |
| Provider Name | Kelsey Kohorst Solberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376216184 PECOS PAC ID: 9739586868 Enrollment ID: I20210916000828 |
| Provider Name | Andrea Kramer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710474192 PECOS PAC ID: 1951652429 Enrollment ID: I20210917000113 |
| Provider Name | Jason Wiederin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669979597 PECOS PAC ID: 1759632672 Enrollment ID: I20210922003577 |
| Provider Name | Paige Marie Larson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821660101 PECOS PAC ID: 3173920782 Enrollment ID: I20210924000900 |
| Provider Name | Symone Stevie Rector |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1316521370 PECOS PAC ID: 9335547306 Enrollment ID: I20211005001699 |
| Provider Name | Hana Ricci Main |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407381700 PECOS PAC ID: 0648549881 Enrollment ID: I20211006002118 |
| Provider Name | Mario Cisneros |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831584473 PECOS PAC ID: 3577878644 Enrollment ID: I20211007000494 |
| Provider Name | Hallie Ann Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548931736 PECOS PAC ID: 9032517982 Enrollment ID: I20211007002355 |
| Provider Name | Aaron Joseph Wilcox |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902579717 PECOS PAC ID: 9133527815 Enrollment ID: I20211011001537 |
| Provider Name | Joey Lynn Lopac |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649845041 PECOS PAC ID: 4981002524 Enrollment ID: I20211012000945 |
| Provider Name | Luke Alan Borchardt |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1790459311 PECOS PAC ID: 4183022692 Enrollment ID: I20211014001323 |
| Provider Name | Lauryn Elizabeth Wuorio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699447060 PECOS PAC ID: 8729486063 Enrollment ID: I20211018001000 |
| Provider Name | Alexandra Genevieve Kleven |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1124792338 PECOS PAC ID: 2062800360 Enrollment ID: I20211019000624 |
| Provider Name | Kevin Alan Nevonen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306479852 PECOS PAC ID: 5193113140 Enrollment ID: I20211026000095 |
| Provider Name | Amanda Lee Tran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083105225 PECOS PAC ID: 0648529974 Enrollment ID: I20211027001871 |
| Provider Name | Emily Rose Grandson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427710458 PECOS PAC ID: 0345638177 Enrollment ID: I20211028000977 |
| Provider Name | Alexandrea Helen Atkinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447922216 PECOS PAC ID: 3971992231 Enrollment ID: I20211109000053 |
| Provider Name | Tori Jo Hallgren |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629699855 PECOS PAC ID: 3072902113 Enrollment ID: I20211111001904 |
| Provider Name | Stacey Karkkainen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861164261 PECOS PAC ID: 6002205051 Enrollment ID: I20211111002764 |
| Provider Name | Jill Marie Essay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609530153 PECOS PAC ID: 1759770555 Enrollment ID: I20211117002421 |
| Provider Name | Samuel Munro Doniach |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1881368488 PECOS PAC ID: 9739579244 Enrollment ID: I20211123002663 |
| Provider Name | Gulnara David Aliyeva |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558515312 PECOS PAC ID: 7315089406 Enrollment ID: I20211129000680 |
| Provider Name | Emily Joanne Helgeson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003047861 PECOS PAC ID: 2769538800 Enrollment ID: I20211130001427 |
| Provider Name | Annika Elizabeth Walter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952924995 PECOS PAC ID: 2062802275 Enrollment ID: I20211202001064 |
| Provider Name | Michael a Schirado |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104852185 PECOS PAC ID: 4789661026 Enrollment ID: I20211210001482 |
| Provider Name | Jennifer Ann Jacobson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679231963 PECOS PAC ID: 4880085125 Enrollment ID: I20211222000253 |
| Provider Name | Jennifer Twing |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801316237 PECOS PAC ID: 5991196248 Enrollment ID: I20211222001047 |
| Provider Name | Jenna N Wiese |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1174197883 PECOS PAC ID: 9931590106 Enrollment ID: I20211222002083 |
| Provider Name | Jesse Joe Robinson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063171940 PECOS PAC ID: 5496146672 Enrollment ID: I20211222002609 |
| Provider Name | William Christian Grillo |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497413710 PECOS PAC ID: 1759772932 Enrollment ID: I20211222002626 |
| Provider Name | Katelyn Nicole Grillo |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1366105009 PECOS PAC ID: 7517358500 Enrollment ID: I20211230000959 |
| Provider Name | Katti Renee Kinnear |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770242521 PECOS PAC ID: 3375934250 Enrollment ID: I20220104000816 |
| Provider Name | Maria Obaid |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790172823 PECOS PAC ID: 3476805680 Enrollment ID: I20220111002534 |
| Provider Name | Nicole Marie Swanson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841950805 PECOS PAC ID: 4284026733 Enrollment ID: I20220113001968 |
| Provider Name | Erin Elizabeth Beste |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053072629 PECOS PAC ID: 0749672129 Enrollment ID: I20220114001018 |
| Provider Name | Alexander Geoffrey Bianchi |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1912575341 PECOS PAC ID: 2264824234 Enrollment ID: I20220125001381 |
| Provider Name | Fabio Roberti |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1962450023 PECOS PAC ID: 9638181761 Enrollment ID: I20220126001880 |
| Provider Name | Caitlyn a Meehan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013461235 PECOS PAC ID: 2466844253 Enrollment ID: I20220128001875 |
| Provider Name | Zane Charles Sundberg |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891149803 PECOS PAC ID: 5092108464 Enrollment ID: I20220207001831 |
| Provider Name | Kellie Christine Margarit |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235880337 PECOS PAC ID: 1153714530 Enrollment ID: I20220207002285 |
| Provider Name | Rachael Foster |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1184254195 PECOS PAC ID: 9133512510 Enrollment ID: I20220207002341 |
| Provider Name | Benjamin David Jorgensen |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1598008724 PECOS PAC ID: 7113145475 Enrollment ID: I20220214000822 |
| Provider Name | Dawn Marie Turchi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396497426 PECOS PAC ID: 6901299940 Enrollment ID: I20220215001348 |
| Provider Name | Sanjay Saluja |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053374462 PECOS PAC ID: 0840241279 Enrollment ID: I20220217001713 |
| Provider Name | Megan Kuehne Sowers |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1720749633 PECOS PAC ID: 2163816018 Enrollment ID: I20220218001788 |
| Provider Name | Amanda Lea Keough |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407507411 PECOS PAC ID: 1052705910 Enrollment ID: I20220218001922 |
| Provider Name | Beth Conley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225782709 PECOS PAC ID: 5193119980 Enrollment ID: I20220221001155 |
| Provider Name | Brian P Flemming |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093000747 PECOS PAC ID: 7214226422 Enrollment ID: I20220222002584 |
| Provider Name | James Steven Cross |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1346907151 PECOS PAC ID: 4880088319 Enrollment ID: I20220228001110 |
| Provider Name | Sergey Kuharevic |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376960203 PECOS PAC ID: 7012137102 Enrollment ID: I20220302001429 |
| Provider Name | Jack T Baden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598118424 PECOS PAC ID: 3870881857 Enrollment ID: I20220302002904 |
| Provider Name | Drew Justin Hayes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215683883 PECOS PAC ID: 4284028309 Enrollment ID: I20220304002263 |
| Provider Name | John D Millet |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922444355 PECOS PAC ID: 3375845472 Enrollment ID: I20220307002551 |
| Provider Name | Shyam Bhupalam |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1124078332 PECOS PAC ID: 2163334806 Enrollment ID: I20220316000096 |
| Provider Name | Mara Olinger |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063016855 PECOS PAC ID: 6901291640 Enrollment ID: I20220316003129 |
| Provider Name | Katlynn Mary Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881348381 PECOS PAC ID: 8224423660 Enrollment ID: I20220321002424 |
| Provider Name | Carleton Stephen Saxton |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1205289329 PECOS PAC ID: 5092100347 Enrollment ID: I20220323001016 |
| Provider Name | Mohamed Hassan Halane |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639306442 PECOS PAC ID: 3971738725 Enrollment ID: I20220408000707 |
| Provider Name | Ryan B O'malley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174729131 PECOS PAC ID: 3870759707 Enrollment ID: I20220409000409 |
| Provider Name | Everett H Gu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588004535 PECOS PAC ID: 5395055396 Enrollment ID: I20220418001627 |
| Provider Name | David Lin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851326557 PECOS PAC ID: 7719984210 Enrollment ID: I20220419001791 |
| Provider Name | Deviney Benson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902547375 PECOS PAC ID: 9739576695 Enrollment ID: I20220422001054 |
| Provider Name | Alexis Nancy White |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1215523972 PECOS PAC ID: 6002203866 Enrollment ID: I20220425002763 |
| Provider Name | Gabrielle Zimbric Hester |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033363627 PECOS PAC ID: 6305079781 Enrollment ID: I20220427001962 |
| Provider Name | Carrie Rutske |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679223770 PECOS PAC ID: 3779970371 Enrollment ID: I20220429000651 |
| Provider Name | Luke F Wohlwend |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033606256 PECOS PAC ID: 6608101621 Enrollment ID: I20220513001272 |
| Provider Name | Timothy K Ho |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063874808 PECOS PAC ID: 8820497779 Enrollment ID: I20220601003005 |
| Provider Name | Kristine Yvonne Fitch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891433835 PECOS PAC ID: 9234517129 Enrollment ID: I20220606001251 |
| Provider Name | Kathan Atul Amin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801139142 PECOS PAC ID: 1456586023 Enrollment ID: I20220607002152 |
| Provider Name | Robert Talbert |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700172905 PECOS PAC ID: 3274762422 Enrollment ID: I20220609002655 |
| Provider Name | Patrick Hackler |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205282746 PECOS PAC ID: 0345531091 Enrollment ID: I20220610001459 |
| Provider Name | Sean K Johnston |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609052000 PECOS PAC ID: 7416088489 Enrollment ID: I20220610001786 |
| Provider Name | Ashley C Anderson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770938607 PECOS PAC ID: 6305242959 Enrollment ID: I20220610002027 |
| Provider Name | Jeffrey Albin Vos |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1043209042 PECOS PAC ID: 2466526751 Enrollment ID: I20220611000260 |
| Provider Name | Derek Allen Vanslyke |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1235731092 PECOS PAC ID: 9234517764 Enrollment ID: I20220611000330 |
| Provider Name | Dennis Heaton |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144453978 PECOS PAC ID: 6901944669 Enrollment ID: I20220613001256 |
| Provider Name | Benjamin Douglas Hustedt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114511714 PECOS PAC ID: 6305225517 Enrollment ID: I20220617002146 |
| Provider Name | Liv Petra Bly |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1700533254 PECOS PAC ID: 7618356601 Enrollment ID: I20220622001413 |
| Provider Name | John Austin Wight |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1932669587 PECOS PAC ID: 0749517811 Enrollment ID: I20220629001232 |
| Provider Name | Jennifer Laroy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1942654983 PECOS PAC ID: 3870885254 Enrollment ID: I20220630000947 |
| Provider Name | Carlos Rodrigo Goulart |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1104208305 PECOS PAC ID: 4082915129 Enrollment ID: I20220701002192 |
| Provider Name | Bilal Alturkmani |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649627621 PECOS PAC ID: 2264723105 Enrollment ID: I20220705001248 |
| Provider Name | John a Anderson |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1124431051 PECOS PAC ID: 0749401719 Enrollment ID: I20220712002363 |
| Provider Name | Andrew Arthur Ames |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790165116 PECOS PAC ID: 5092082958 Enrollment ID: I20220712002685 |
| Provider Name | Katelyn Marie Adams |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689237448 PECOS PAC ID: 4789918970 Enrollment ID: I20220720002072 |
| Provider Name | Rachel Ann Pilliod |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093071391 PECOS PAC ID: 6103070966 Enrollment ID: I20220721001441 |
| Provider Name | Ryan David Clark |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1689061822 PECOS PAC ID: 1254652068 Enrollment ID: I20220721002315 |
| Provider Name | Benjamin D Meyer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619324043 PECOS PAC ID: 2264726397 Enrollment ID: I20220802001611 |
| Provider Name | Michael T Torchia |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1902292964 PECOS PAC ID: 6002113685 Enrollment ID: I20220804001950 |
| Provider Name | Mark Daniel Kovacs |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437385507 PECOS PAC ID: 3072738285 Enrollment ID: I20220809003262 |
| Provider Name | Jonathan Gapp |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1760833875 PECOS PAC ID: 3476810409 Enrollment ID: I20220810001355 |
| Provider Name | Joseph Edward Zbaracki |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760942221 PECOS PAC ID: 0749515716 Enrollment ID: I20220810003864 |
| Provider Name | Marit Elizabeth Knutson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881919322 PECOS PAC ID: 2769865302 Enrollment ID: I20220816000086 |
| Provider Name | Naomi Atkins |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1225308844 PECOS PAC ID: 4082838545 Enrollment ID: I20220817001011 |
| Provider Name | Joslyn Mary Rose Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235861758 PECOS PAC ID: 3375926777 Enrollment ID: I20220817003835 |
| Provider Name | Emelia Jean Stille Snoozy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669038212 PECOS PAC ID: 9638406986 Enrollment ID: I20220818003339 |
| Provider Name | Jessica May Gifford |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902530942 PECOS PAC ID: 3274916424 Enrollment ID: I20220819002761 |
| Provider Name | Katie Ann Casper |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750888947 PECOS PAC ID: 5395129118 Enrollment ID: I20220829000985 |
| Provider Name | Vani C Movva |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245618750 PECOS PAC ID: 8123363215 Enrollment ID: I20220830001667 |
| Provider Name | Jeffrey Nathan Smith |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285959213 PECOS PAC ID: 7214174101 Enrollment ID: I20220902000580 |
| Provider Name | Bethany K Miletich |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790403087 PECOS PAC ID: 5698159929 Enrollment ID: I20220905000304 |
| Provider Name | Dominic James Lauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821729682 PECOS PAC ID: 2264816495 Enrollment ID: I20220907000932 |
| Provider Name | William Warren Sheaffer |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1750768388 PECOS PAC ID: 5991012569 Enrollment ID: I20220912000829 |
| Provider Name | Christopher Jon Montague |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1134160104 PECOS PAC ID: 8022108323 Enrollment ID: I20220912001386 |
| Provider Name | Mattie L Strub |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306400148 PECOS PAC ID: 9436484359 Enrollment ID: I20220912003207 |
| Provider Name | Jenna Marie Lund |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265922967 PECOS PAC ID: 8921358912 Enrollment ID: I20220913000612 |
| Provider Name | Caitlin Rose Jung Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689310351 PECOS PAC ID: 8224413026 Enrollment ID: I20220914003670 |
| Provider Name | Katie Sue Lewandowski |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1053768671 PECOS PAC ID: 2961887476 Enrollment ID: I20220920002249 |
| Provider Name | Nicholas Daniel Velasquez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033773783 PECOS PAC ID: 0345676581 Enrollment ID: I20220922003158 |
| Provider Name | Emily Katherine Edwards |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851979496 PECOS PAC ID: 9931589397 Enrollment ID: I20220926001615 |
| Provider Name | Keyn Mun Joshua Wong |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1235490707 PECOS PAC ID: 9537545520 Enrollment ID: I20220928001692 |
| Provider Name | Rebecca Ngum Ngaling |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043980287 PECOS PAC ID: 3779972005 Enrollment ID: I20220930001217 |
| Provider Name | Jonathan Reed |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588653075 PECOS PAC ID: 3577669928 Enrollment ID: I20221010001305 |
| Provider Name | Katie Cheney Hughson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467183145 PECOS PAC ID: 1759767080 Enrollment ID: I20221010002635 |
| Provider Name | Kathryn Elizabeth Huff |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1124473657 PECOS PAC ID: 1355748864 Enrollment ID: I20221012000214 |
| Provider Name | Angela Jo Hanson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356636740 PECOS PAC ID: 1557591500 Enrollment ID: I20221012000921 |
| Provider Name | Michael Petry |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1942731583 PECOS PAC ID: 3870972763 Enrollment ID: I20221014001063 |
| Provider Name | James Hickey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902251440 PECOS PAC ID: 7113210402 Enrollment ID: I20221017002710 |
| Provider Name | Kari J Brych |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467189530 PECOS PAC ID: 1254707201 Enrollment ID: I20221017002896 |
| Provider Name | Jenna Dian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073273983 PECOS PAC ID: 6103292099 Enrollment ID: I20221018001173 |
| Provider Name | Sydney Beaulieu |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1720709470 PECOS PAC ID: 3173999067 Enrollment ID: I20221018001252 |
| Provider Name | Marianne Kay Kunsch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619538600 PECOS PAC ID: 6103152855 Enrollment ID: I20221019000607 |
| Provider Name | Greta Elizabeth Goodnow |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1174189757 PECOS PAC ID: 7214303668 Enrollment ID: I20221026001502 |
| Provider Name | Katherine Joann Donaldson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982108494 PECOS PAC ID: 5395111744 Enrollment ID: I20221026001572 |
| Provider Name | Mariah Hlava |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760106264 PECOS PAC ID: 2567839731 Enrollment ID: I20221031002491 |
| Provider Name | Autumn Marie Jarvis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336725720 PECOS PAC ID: 0143697151 Enrollment ID: I20221104000236 |
| Provider Name | Katie Marie Sherman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1558980516 PECOS PAC ID: 9436555760 Enrollment ID: I20221104001689 |
| Provider Name | Molly Kathryn Kolquist-kucza |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1649943366 PECOS PAC ID: 9830566504 Enrollment ID: I20221109001758 |
| Provider Name | Mitchell Lee Holt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912438912 PECOS PAC ID: 7911279930 Enrollment ID: I20221110000154 |
| Provider Name | Thomas Rieter Greenwood |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063941656 PECOS PAC ID: 5597091165 Enrollment ID: I20221110000880 |
| Provider Name | Molly Sue Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174257190 PECOS PAC ID: 7012384530 Enrollment ID: I20221111002245 |
| Provider Name | Domenic Terenzi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124414081 PECOS PAC ID: 1850607250 Enrollment ID: I20221114001305 |
| Provider Name | Cathleen Rose Pruitt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679952428 PECOS PAC ID: 6002118460 Enrollment ID: I20221115001276 |
| Provider Name | Katherine Eliza Huber |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1578075198 PECOS PAC ID: 7416210836 Enrollment ID: I20221116002031 |
| Provider Name | Christy Melzark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104540012 PECOS PAC ID: 2062880024 Enrollment ID: I20221122002381 |
| Provider Name | Jeorgia Jean Marie Fischer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811612047 PECOS PAC ID: 1951779917 Enrollment ID: I20221122002460 |
| Provider Name | Calli Jae Fischer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558086470 PECOS PAC ID: 7517335581 Enrollment ID: I20221122002904 |
| Provider Name | Brittany June Paige |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245955590 PECOS PAC ID: 4981072980 Enrollment ID: I20221123000681 |
| Provider Name | Sarah Utz Petry |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1982136321 PECOS PAC ID: 0749683365 Enrollment ID: I20221123001568 |
| Provider Name | Kristina Anne Haden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578290698 PECOS PAC ID: 2062880925 Enrollment ID: I20221125000532 |
| Provider Name | Shannon Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831816727 PECOS PAC ID: 0547638298 Enrollment ID: I20221130001460 |
| Provider Name | April Jacobson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831821073 PECOS PAC ID: 4284003641 Enrollment ID: I20221207002666 |
| Provider Name | Nicholas Allen Cook-rostie |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386225720 PECOS PAC ID: 5193128825 Enrollment ID: I20221213001294 |
| Provider Name | Sharon Elizabeth Buesing |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093383077 PECOS PAC ID: 8325417272 Enrollment ID: I20221215001095 |
| Provider Name | Christine Jeannine Soxman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902513062 PECOS PAC ID: 3173992922 Enrollment ID: I20221216002473 |
| Provider Name | Marijah Harney-tolo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851018386 PECOS PAC ID: 9032588744 Enrollment ID: I20221219002088 |
| Provider Name | Benjamin V Deitzen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265153910 PECOS PAC ID: 0345610994 Enrollment ID: I20221223001055 |
| Provider Name | Carly Harvey |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194067660 PECOS PAC ID: 7618197005 Enrollment ID: I20221224000133 |
| Provider Name | Michael Fu-yen Lin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245250802 PECOS PAC ID: 7113922030 Enrollment ID: I20230117003100 |
| Provider Name | Justin Kevin Brewster |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1619607991 PECOS PAC ID: 3274904842 Enrollment ID: I20230118000632 |
| Provider Name | Kyle Osmundson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568172591 PECOS PAC ID: 4183095334 Enrollment ID: I20230125002860 |
| Provider Name | Julie a Arnett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386820090 PECOS PAC ID: 0941389811 Enrollment ID: I20230208002129 |
| Provider Name | Josiah Samuel Osborne |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902519523 PECOS PAC ID: 9537531918 Enrollment ID: I20230213000540 |
| Provider Name | Michael Skulski |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801871876 PECOS PAC ID: 8921058108 Enrollment ID: I20230217002258 |
| Provider Name | Cassie a Piepkorn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790481109 PECOS PAC ID: 2365814316 Enrollment ID: I20230221000963 |
| Provider Name | Teresa Caroline Rock |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871209015 PECOS PAC ID: 9931572807 Enrollment ID: I20230224001370 |
| Provider Name | Emily Kate Wild |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578211595 PECOS PAC ID: 7810360211 Enrollment ID: I20230306002560 |
| Provider Name | Bria Dawn Spoden |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992451207 PECOS PAC ID: 6800269051 Enrollment ID: I20230308003085 |
| Provider Name | Dawn Ramdas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801393434 PECOS PAC ID: 7113254855 Enrollment ID: I20230312000068 |
| Provider Name | Erin Walsh Motley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1801552450 PECOS PAC ID: 9133593205 Enrollment ID: I20230314000297 |
| Provider Name | Jacob Martin Naslund |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1104570399 PECOS PAC ID: 5395119390 Enrollment ID: I20230314002149 |
| Provider Name | Elena Rose Cowen Bantle |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1487318911 PECOS PAC ID: 9638543523 Enrollment ID: I20230315002427 |
| Provider Name | Haley Mae Faynik |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881369676 PECOS PAC ID: 0345614657 Enrollment ID: I20230327002671 |
| Provider Name | Tristan R Lawson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295260552 PECOS PAC ID: 4082986385 Enrollment ID: I20230328000764 |
| Provider Name | Noah Alexander Holden |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447904719 PECOS PAC ID: 0143694380 Enrollment ID: I20230329003149 |
| Provider Name | Yasemin Koksel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922659028 PECOS PAC ID: 4880925304 Enrollment ID: I20230331001529 |
| Provider Name | Olivia Ann Erven |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1184320871 PECOS PAC ID: 3375918477 Enrollment ID: I20230403001161 |
| Provider Name | Brianna Hope Senger |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1568116713 PECOS PAC ID: 7517332505 Enrollment ID: I20230404002863 |
| Provider Name | Rachelle Jean Pucelj |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407562770 PECOS PAC ID: 6406221365 Enrollment ID: I20230405003002 |
| Provider Name | Katie Jean Bohmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770289530 PECOS PAC ID: 4587039011 Enrollment ID: I20230413002620 |
| Provider Name | Patrick John Scanlon |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1881129674 PECOS PAC ID: 0941675417 Enrollment ID: I20230414000886 |
| Provider Name | Sarah Elizabeth Blonsky |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154776664 PECOS PAC ID: 8426312893 Enrollment ID: I20230417001393 |
| Provider Name | Kyle Aaron Kitzman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689162067 PECOS PAC ID: 0244581049 Enrollment ID: I20230504002903 |
| Provider Name | Megan Jo Zerfas |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285303560 PECOS PAC ID: 3678938081 Enrollment ID: I20230508000589 |
| Provider Name | Hannah Kerry Knapp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295424653 PECOS PAC ID: 1456717347 Enrollment ID: I20230518002955 |
| Provider Name | Jennifer Ashley Knight |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023514148 PECOS PAC ID: 5991054199 Enrollment ID: I20230519002525 |
| Provider Name | Alison Lombardo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194332460 PECOS PAC ID: 0244650190 Enrollment ID: I20230522002689 |
| Provider Name | James P Mcdonald |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710472063 PECOS PAC ID: 4688926090 Enrollment ID: I20230522002890 |
| Provider Name | Maarten L Galantowicz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194257899 PECOS PAC ID: 6608146063 Enrollment ID: I20230526001606 |
| Provider Name | Samantha Luci Leonard-ndomb |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1689016354 PECOS PAC ID: 7517183452 Enrollment ID: I20230607003212 |
| Provider Name | Andrea Renae Wynands |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1932866423 PECOS PAC ID: 2668839465 Enrollment ID: I20230609002419 |
| Provider Name | Natalia Alexeevna Shcherbinina |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1992054589 PECOS PAC ID: 8022382795 Enrollment ID: I20230613002443 |
| Provider Name | Sarojini Kamaraju Ratnakar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679524672 PECOS PAC ID: 2466410279 Enrollment ID: I20230619001232 |
| Provider Name | Monica Wenschlag |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033751474 PECOS PAC ID: 9537593009 Enrollment ID: I20230621003427 |
| Provider Name | Heidi Schminski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699450932 PECOS PAC ID: 5193184695 Enrollment ID: I20230630001453 |
| Provider Name | Kavita Desai Dakoji |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1194093641 PECOS PAC ID: 8921467374 Enrollment ID: I20230704000377 |
| Provider Name | Monica Jean White |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720205867 PECOS PAC ID: 6103904511 Enrollment ID: I20230706003628 |
| Provider Name | James Austin Campbell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437687167 PECOS PAC ID: 3476823915 Enrollment ID: I20230708000431 |
| Provider Name | James Arthur Erickson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306378344 PECOS PAC ID: 1850660705 Enrollment ID: I20230711003910 |
| Provider Name | Jason Richard Bauer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326029950 PECOS PAC ID: 4587690821 Enrollment ID: I20230712002213 |
| Provider Name | Benjamin Scott Levy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053745273 PECOS PAC ID: 9638421050 Enrollment ID: I20230713002678 |
| Provider Name | Tianna Marie Hughes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386320562 PECOS PAC ID: 3274882196 Enrollment ID: I20230721000214 |
| Provider Name | Matthew Charles Mcvay |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336593300 PECOS PAC ID: 3971903352 Enrollment ID: I20230727001817 |
| Provider Name | Adam S Nygard |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871021816 PECOS PAC ID: 3173895232 Enrollment ID: I20230801001541 |
| Provider Name | Allan William Johnson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1285292615 PECOS PAC ID: 2466788112 Enrollment ID: I20230801002578 |
| Provider Name | Molly a Wingfield |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649709411 PECOS PAC ID: 1052683133 Enrollment ID: I20230802000432 |
| Provider Name | Kelsey Margaret Gladen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326579905 PECOS PAC ID: 2668741463 Enrollment ID: I20230802002047 |
| Provider Name | Matthew Steven Wagner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164918199 PECOS PAC ID: 5799158184 Enrollment ID: I20230804001921 |
| Provider Name | Scott Mauch |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598290272 PECOS PAC ID: 3173893104 Enrollment ID: I20230808002941 |
| Provider Name | Trevor Everett |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134654908 PECOS PAC ID: 0446520654 Enrollment ID: I20230809001624 |
| Provider Name | Anand Rao |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1629102918 PECOS PAC ID: 9436217858 Enrollment ID: I20230810000565 |
| Provider Name | Jack Chen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104356500 PECOS PAC ID: 2668744426 Enrollment ID: I20230816003429 |
| Provider Name | Tani Elizabeth Berzins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235759572 PECOS PAC ID: 5597127811 Enrollment ID: I20230817001688 |
| Provider Name | Ateeq Mubarik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396197836 PECOS PAC ID: 1557694866 Enrollment ID: I20230817003820 |
| Provider Name | Linette Mae Novak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255941795 PECOS PAC ID: 6406263375 Enrollment ID: I20230821001016 |
| Provider Name | Mariah Lynn O'connell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700572948 PECOS PAC ID: 2062875131 Enrollment ID: I20230823001603 |
| Provider Name | Robert Richard Gruhl |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1962909549 PECOS PAC ID: 3173986858 Enrollment ID: I20230829000210 |
| Provider Name | Owen Thomas Tierney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558984179 PECOS PAC ID: 1658793260 Enrollment ID: I20230830004408 |
| Provider Name | Zachary Herbert Hollen |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1356021620 PECOS PAC ID: 0143683615 Enrollment ID: I20230831000087 |
| Provider Name | Robert Steven Bullock |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1568995553 PECOS PAC ID: 4082091368 Enrollment ID: I20230901000848 |
| Provider Name | Madeline Christine Scanlon |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1588195069 PECOS PAC ID: 2961874847 Enrollment ID: I20230906000924 |
| Provider Name | Carl Mccarren Beranek |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386273332 PECOS PAC ID: 8729404645 Enrollment ID: I20230907001954 |
| Provider Name | Jacob K Pederson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770243727 PECOS PAC ID: 3072905892 Enrollment ID: I20230907003887 |
| Provider Name | Stephen Elsen Rostad |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770011272 PECOS PAC ID: 9234408923 Enrollment ID: I20230914000538 |
| Provider Name | Rebecca Kortum Hartman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508421249 PECOS PAC ID: 2264768928 Enrollment ID: I20230915001507 |
| Provider Name | Alena Nevers Tofte |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619438520 PECOS PAC ID: 1557776770 Enrollment ID: I20230921002185 |
| Provider Name | Blair Nicole Hildebrandt |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1952990285 PECOS PAC ID: 5799139739 Enrollment ID: I20230926000794 |
| Provider Name | Emma Rose Lang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780367896 PECOS PAC ID: 4688029978 Enrollment ID: I20231005002741 |
| Provider Name | Matthew Charles Eidenschink |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184253700 PECOS PAC ID: 4789009218 Enrollment ID: I20231006001272 |
| Provider Name | Bonita Louise Chapin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750611588 PECOS PAC ID: 5698120541 Enrollment ID: I20231012000625 |
| Provider Name | Shreyas Shirodkar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023646023 PECOS PAC ID: 8426404559 Enrollment ID: I20231026000938 |
| Provider Name | Allison Marie Fisher |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356876858 PECOS PAC ID: 9931523552 Enrollment ID: I20231027001875 |
| Provider Name | Joshua David Godding |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982226072 PECOS PAC ID: 0648692376 Enrollment ID: I20231031000266 |
| Provider Name | Caitlyn Ruth Goodell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1508645102 PECOS PAC ID: 8921455312 Enrollment ID: I20231107000762 |
| Provider Name | Jillian Danielle Baranzini |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962686378 PECOS PAC ID: 5890142293 Enrollment ID: I20231107001045 |
| Provider Name | Bryan Matthew Jepson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1447606561 PECOS PAC ID: 5991039737 Enrollment ID: I20231108000740 |
| Provider Name | Jessica Rae Tichy |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1053197988 PECOS PAC ID: 8123475472 Enrollment ID: I20231108003277 |
| Provider Name | Samuel John Brickley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1720863129 PECOS PAC ID: 8527415488 Enrollment ID: I20231114003023 |
| Provider Name | Timothy Lyle Fellman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376014084 PECOS PAC ID: 1850745472 Enrollment ID: I20231117000104 |
| Provider Name | Desiree Anne Rohling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699559641 PECOS PAC ID: 2567819238 Enrollment ID: I20231117000947 |
| Provider Name | Elizabeth V Day |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730969106 PECOS PAC ID: 4183072879 Enrollment ID: I20231117002383 |
| Provider Name | Claire Alexandra Moldenhauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811678964 PECOS PAC ID: 9931557527 Enrollment ID: I20231120002772 |
| Provider Name | Allahshukur Ilgarli |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649774647 PECOS PAC ID: 9739418807 Enrollment ID: I20231129000413 |
| Provider Name | Darby Schmidt Lipatov |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194506899 PECOS PAC ID: 6800244906 Enrollment ID: I20231130001037 |
| Provider Name | Rachel Leeann Busko |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629637624 PECOS PAC ID: 2961737416 Enrollment ID: I20231204001601 |
| Provider Name | Nicholas Polovitz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184393589 PECOS PAC ID: 8820447998 Enrollment ID: I20231214001603 |
| Provider Name | Mickayla Nagel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1255018545 PECOS PAC ID: 9335598333 Enrollment ID: I20231215003258 |
| Provider Name | Isaac Lee Hanson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1598287039 PECOS PAC ID: 2860878667 Enrollment ID: I20231226001561 |
| Provider Name | Deepak Kumar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548403827 PECOS PAC ID: 7911022959 Enrollment ID: I20231228000641 |
| Provider Name | John Daniel Rothpletz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740220409 PECOS PAC ID: 3971496142 Enrollment ID: I20240102001184 |
| Provider Name | Sydney Cailyn Yingling Kinney |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1225800436 PECOS PAC ID: 4486005451 Enrollment ID: I20240104001241 |
| Provider Name | Kristin Danielle Heslep |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134749708 PECOS PAC ID: 8325462773 Enrollment ID: I20240110002911 |
| Provider Name | Danielle Elizabeth Urness |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215704044 PECOS PAC ID: 0648621953 Enrollment ID: I20240111001936 |
| Provider Name | Megan Elizabeth Armstrong |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093278020 PECOS PAC ID: 4981056553 Enrollment ID: I20240118004052 |
| Provider Name | Madonna Carmel Mcnulty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790558666 PECOS PAC ID: 6204288491 Enrollment ID: I20240124000550 |
| Provider Name | Tyler Andrew Litvin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902460934 PECOS PAC ID: 0446603500 Enrollment ID: I20240125001999 |
| Provider Name | George V Chesteen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083053573 PECOS PAC ID: 8729333646 Enrollment ID: I20240129001598 |
| Provider Name | Joel Michael Berman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477532455 PECOS PAC ID: 8022036516 Enrollment ID: I20240131000843 |
| Provider Name | Richard Laurence Nass |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1316018153 PECOS PAC ID: 8628256120 Enrollment ID: I20240131001920 |
| Provider Name | Emily Day |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922359926 PECOS PAC ID: 4082942586 Enrollment ID: I20240131003042 |
| Provider Name | Apurv Khanna |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1497744916 PECOS PAC ID: 1759276124 Enrollment ID: I20240201000049 |
| Provider Name | Alexander Geoffrey Stein |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1861440430 PECOS PAC ID: 5698667582 Enrollment ID: I20240201002866 |
| Provider Name | Andrea Karin Kratzke Nelson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184253049 PECOS PAC ID: 3274955018 Enrollment ID: I20240208000226 |
| Provider Name | Rebecca Anne Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730952672 PECOS PAC ID: 5496198830 Enrollment ID: I20240213001757 |
| Provider Name | Bradley John Otto |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841649084 PECOS PAC ID: 6800189697 Enrollment ID: I20240214000194 |
| Provider Name | Andrew John Ballard |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730941683 PECOS PAC ID: 2860836889 Enrollment ID: I20240219000626 |
| Provider Name | Emily Mae Bergstedt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720721632 PECOS PAC ID: 9032598685 Enrollment ID: I20240220003145 |
| Provider Name | Jasdeep Gill |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629574496 PECOS PAC ID: 4486901709 Enrollment ID: I20240226000739 |
| Provider Name | Kyle Maximilian Reiter |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1710757430 PECOS PAC ID: 9234574484 Enrollment ID: I20240228001154 |
| Provider Name | Eric Boehmer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023217528 PECOS PAC ID: 9739372608 Enrollment ID: I20240301000676 |
| Provider Name | Lynn Marie Bergren |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669446134 PECOS PAC ID: 9335032408 Enrollment ID: I20240305001769 |
| Provider Name | Chelsea Crouch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982224432 PECOS PAC ID: 3476978339 Enrollment ID: I20240311001143 |
| Provider Name | Jason Robert Jeffress |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1669856332 PECOS PAC ID: 4082993423 Enrollment ID: I20240311003834 |
| Provider Name | Wendy Lyn De La Cruz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912775099 PECOS PAC ID: 6204272172 Enrollment ID: I20240313003932 |
| Provider Name | Zachary Thomas Barclay |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063144319 PECOS PAC ID: 7618314352 Enrollment ID: I20240318002061 |
| Provider Name | Brandon Royal Boswell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1346901733 PECOS PAC ID: 3870930274 Enrollment ID: I20240321000261 |
| Provider Name | Brandi Christine Strong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508862475 PECOS PAC ID: 9931003019 Enrollment ID: I20240322003751 |
| Provider Name | Muneer J Desai |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376516021 PECOS PAC ID: 4688645591 Enrollment ID: I20240328000459 |
| Provider Name | Anthony Rowe |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518120575 PECOS PAC ID: 8921246273 Enrollment ID: I20240328001467 |
| Provider Name | Yuyang Zhang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538304035 PECOS PAC ID: 4880833615 Enrollment ID: I20240328003643 |
| Provider Name | Jennifer P Huckabee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689017345 PECOS PAC ID: 3375885551 Enrollment ID: I20240328003725 |
| Provider Name | Kelsey Maria Nielsen O'neil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003677303 PECOS PAC ID: 5597103606 Enrollment ID: I20240409003211 |
| Provider Name | Tiffany Amber Riley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1154738094 PECOS PAC ID: 1355568270 Enrollment ID: I20240410000408 |
| Provider Name | Alekhya Yechoor |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285139287 PECOS PAC ID: 9739436296 Enrollment ID: I20240411001560 |
| Provider Name | Gabrielle Lea Stenson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1720846033 PECOS PAC ID: 1759720667 Enrollment ID: I20240411002316 |
| Provider Name | Akshay a Gupte |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1831416049 PECOS PAC ID: 9830493329 Enrollment ID: I20240415003431 |
| Provider Name | Tyra Jo Newman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013784883 PECOS PAC ID: 4183067747 Enrollment ID: I20240417001864 |
| Provider Name | Kate Ellen Campion Pederson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1366060683 PECOS PAC ID: 4284073636 Enrollment ID: I20240418002453 |
| Provider Name | Tanner Bradley Schmitz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1659003903 PECOS PAC ID: 8224477260 Enrollment ID: I20240423003607 |
| Provider Name | Austin Michael Fournier |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1740912096 PECOS PAC ID: 9638518616 Enrollment ID: I20240424001882 |
| Provider Name | John Paul Tennis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1376667063 PECOS PAC ID: 2567848278 Enrollment ID: I20240425002857 |
| Provider Name | Taylor Schmidt Fournier |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1316679665 PECOS PAC ID: 5294175998 Enrollment ID: I20240429001566 |
| Provider Name | David Allen Thompson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265895494 PECOS PAC ID: 0244522019 Enrollment ID: I20240507000547 |
| Provider Name | Alexis Josephine Swenson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568028777 PECOS PAC ID: 9638509714 Enrollment ID: I20240508003833 |
| Provider Name | Gregory R Larson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982465761 PECOS PAC ID: 1355782228 Enrollment ID: I20240509000159 |
| Provider Name | Austin Pickup |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548903651 PECOS PAC ID: 5395125678 Enrollment ID: I20240513000649 |
| Provider Name | Jacob Avery Wilcox |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669116224 PECOS PAC ID: 8527448943 Enrollment ID: I20240515000606 |
| Provider Name | Katrina Soriano |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548623762 PECOS PAC ID: 8527357383 Enrollment ID: I20240516000209 |
| Provider Name | Kallyn Leier |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1851144620 PECOS PAC ID: 3870935018 Enrollment ID: I20240520003656 |
| Provider Name | Britta Naomi Clark |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1467218032 PECOS PAC ID: 7618319674 Enrollment ID: I20240522004047 |
| Provider Name | Melissa Kohn |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831365766 PECOS PAC ID: 5496933723 Enrollment ID: I20240524002457 |
| Provider Name | Chelsea Lynn Upthegrove Casper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073369229 PECOS PAC ID: 9436591112 Enrollment ID: I20240527000350 |
| Provider Name | Troy Edward Potter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255186102 PECOS PAC ID: 0749622272 Enrollment ID: I20240529001910 |
| Provider Name | Matthew Adam Nierengarten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477317675 PECOS PAC ID: 4284076761 Enrollment ID: I20240529003453 |
| Provider Name | Michael Asamoah Nkrumah |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1457963951 PECOS PAC ID: 4183066434 Enrollment ID: I20240531001803 |
| Provider Name | Kaitlyn Benert |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992377659 PECOS PAC ID: 1759823883 Enrollment ID: I20240605000081 |
| Provider Name | Alexandra Leigh Laber |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1912762121 PECOS PAC ID: 2860934858 Enrollment ID: I20240605002925 |
| Provider Name | Kyle Arthur Grassel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861996456 PECOS PAC ID: 6204182322 Enrollment ID: I20240612000161 |
| Provider Name | Joseph Michael Buchholz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225534787 PECOS PAC ID: 9830631332 Enrollment ID: I20240612002278 |
| Provider Name | Joseph David Giesler |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285139345 PECOS PAC ID: 8729334040 Enrollment ID: I20240613002652 |
| Provider Name | Garrett Michael Carpenter |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477044394 PECOS PAC ID: 7719233840 Enrollment ID: I20240619001992 |
| Provider Name | Jordan Lindsey Kitch |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215493655 PECOS PAC ID: 5890238786 Enrollment ID: I20240620000753 |
| Provider Name | Kimia Khalatbari Kani |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700028131 PECOS PAC ID: 5991856098 Enrollment ID: I20240621003796 |
| Provider Name | Katie M Sackett |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1376988980 PECOS PAC ID: 2961706288 Enrollment ID: I20240621003863 |
| Provider Name | Amber Jean Voss |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1194385567 PECOS PAC ID: 1456688134 Enrollment ID: I20240624001009 |
| Provider Name | Elisabeth Mchale |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437655651 PECOS PAC ID: 8527319664 Enrollment ID: I20240626004381 |
| Provider Name | Gina Marie Suihkonen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184463960 PECOS PAC ID: 2365986429 Enrollment ID: I20240628003611 |
| Provider Name | Grant Michael Riesberg |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1013401686 PECOS PAC ID: 7810244399 Enrollment ID: I20240701003159 |
| Provider Name | Ashley Dianne Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841645298 PECOS PAC ID: 1951638527 Enrollment ID: I20240701003425 |
| Provider Name | Mariah Sinclair Christensen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1669104915 PECOS PAC ID: 3971047978 Enrollment ID: I20240702000365 |
| Provider Name | Mary Robinson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659911014 PECOS PAC ID: 7517397508 Enrollment ID: I20240702001380 |
| Provider Name | James Michael Gee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700318433 PECOS PAC ID: 1850664392 Enrollment ID: I20240702003025 |
| Provider Name | Mahfooz Peshimam |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1629169032 PECOS PAC ID: 3971740200 Enrollment ID: I20240703000055 |
| Provider Name | Nicholas Shiao Xiao |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205229747 PECOS PAC ID: 6507101193 Enrollment ID: I20240703002054 |
| Provider Name | David Armin Weiland |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841253986 PECOS PAC ID: 1850303793 Enrollment ID: I20240704000414 |
| Provider Name | Caroline Abigayle Banfield Jolstad |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245723279 PECOS PAC ID: 9638424229 Enrollment ID: I20240705001107 |
| Provider Name | Kevin Thomas Ehlers |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1881183952 PECOS PAC ID: 8820348410 Enrollment ID: I20240708000305 |
| Provider Name | Graham Michael Lohrmann |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1285003178 PECOS PAC ID: 5092000406 Enrollment ID: I20240717001870 |
| Provider Name | Kelsey M Mealey |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1548669302 PECOS PAC ID: 4486190089 Enrollment ID: I20240718004768 |
| Provider Name | Robert Jeffrey Freed |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891086476 PECOS PAC ID: 2264728492 Enrollment ID: I20240726001792 |
| Provider Name | Katelyn R Gehling |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780429456 PECOS PAC ID: 6507303336 Enrollment ID: I20240730000951 |
| Provider Name | Mackenzie Holland |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902666357 PECOS PAC ID: 8325585169 Enrollment ID: I20240730001307 |
| Provider Name | Benjamin David Gerber |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1528682911 PECOS PAC ID: 2163847310 Enrollment ID: I20240731003283 |
| Provider Name | Bianca Lindsey Watson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831659432 PECOS PAC ID: 4486191400 Enrollment ID: I20240807003426 |
| Provider Name | Joseph David Hartman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1285405126 PECOS PAC ID: 0840736021 Enrollment ID: I20240814004059 |
| Provider Name | April Lanette Buescher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356188197 PECOS PAC ID: 9739627100 Enrollment ID: I20240815004009 |
| Provider Name | Nicoli Franklin Bettin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104581586 PECOS PAC ID: 6305225202 Enrollment ID: I20240820003043 |
| Provider Name | David R Vavra |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1154813210 PECOS PAC ID: 1052744570 Enrollment ID: I20240821001911 |
| Provider Name | Travis Kasper |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285208520 PECOS PAC ID: 0345644787 Enrollment ID: I20240821002016 |
| Provider Name | James Andrew Miller |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1346300019 PECOS PAC ID: 0042470577 Enrollment ID: I20240828001835 |
| Provider Name | Jacob D Lescher |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1346737475 PECOS PAC ID: 3274885991 Enrollment ID: I20240830000605 |
| Provider Name | Brandy Pownell |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1295154367 PECOS PAC ID: 3870710494 Enrollment ID: I20240902000005 |
| Provider Name | Geoffrey Welch |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1487114500 PECOS PAC ID: 6406182450 Enrollment ID: I20240903003603 |
| Provider Name | Joseph P Mcraith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871177303 PECOS PAC ID: 2466855804 Enrollment ID: I20240905004056 |
| Provider Name | Romy Carmen Lawrence |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1093246563 PECOS PAC ID: 5092086173 Enrollment ID: I20240906000994 |
| Provider Name | Justine Mariah Fosle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104661818 PECOS PAC ID: 6507306446 Enrollment ID: I20240906001313 |
| Provider Name | Benjamin Gregory Selle |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1699296756 PECOS PAC ID: 7416216395 Enrollment ID: I20240910003140 |
| Provider Name | Sarah Donnellan Laney |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1225611940 PECOS PAC ID: 6204376726 Enrollment ID: I20240911002798 |
| Provider Name | Joshua Allen Kramer |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1124588116 PECOS PAC ID: 9436699642 Enrollment ID: I20240913001414 |
| Provider Name | Daniel Stephan Lyon |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1821614272 PECOS PAC ID: 2769805829 Enrollment ID: I20240913001438 |
| Provider Name | Alyssa Dawn Arnold |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871379982 PECOS PAC ID: 0840731857 Enrollment ID: I20240918000741 |
| Provider Name | Norlene Ann Bleskacek |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053446070 PECOS PAC ID: 9436690443 Enrollment ID: I20240918000883 |
| Provider Name | Kelsey Nicole Fairbanks |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1710723341 PECOS PAC ID: 3476094491 Enrollment ID: I20240918001150 |
| Provider Name | Eleanor E Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528897063 PECOS PAC ID: 0042751083 Enrollment ID: I20240918001839 |
| Provider Name | Cole Joseph Swiston |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1740741545 PECOS PAC ID: 5092133454 Enrollment ID: I20240918002836 |
| Provider Name | Eryn Anne Lewis |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225622772 PECOS PAC ID: 2466993332 Enrollment ID: I20240918003654 |
| Provider Name | Samantha Johanna Mcilrath |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801348941 PECOS PAC ID: 0547701435 Enrollment ID: I20240918004214 |
| Provider Name | Emily Nicole Hawk |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1275128514 PECOS PAC ID: 3274074026 Enrollment ID: I20240919002218 |
| Provider Name | Kristin Marie Goman |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1295760866 PECOS PAC ID: 8527509389 Enrollment ID: I20240919002310 |
| Provider Name | Nena Elise Johnson |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1265465124 PECOS PAC ID: 0446791222 Enrollment ID: I20240919003137 |
| Provider Name | Harrison Robert Olk |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1265817654 PECOS PAC ID: 7810438637 Enrollment ID: I20240920000535 |
| Provider Name | Amy Elizabeth Behrens Sproat |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1124571427 PECOS PAC ID: 9638610389 Enrollment ID: I20240920001797 |
| Provider Name | Jackie Lynn Myers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891547030 PECOS PAC ID: 8729529409 Enrollment ID: I20240920003198 |
| Provider Name | Kristeljei Bautista Baltazar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083466221 PECOS PAC ID: 4284175977 Enrollment ID: I20240921000021 |
| Provider Name | Raquel Annette Mead |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659462638 PECOS PAC ID: 5193266880 Enrollment ID: I20240921000025 |
| Provider Name | Julia Lynn Hanson |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1942525175 PECOS PAC ID: 6901347608 Enrollment ID: I20240921000521 |
| Provider Name | Megan Joy Duininck |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861855512 PECOS PAC ID: 2062706047 Enrollment ID: I20240925000677 |
| Provider Name | Gunnar Isaiah Shipley |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942912233 PECOS PAC ID: 1355882796 Enrollment ID: I20240925001522 |
| Provider Name | Mary Noel Schuldt |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1588218275 PECOS PAC ID: 9537600911 Enrollment ID: I20240925003230 |
| Provider Name | Andrew James Sprowell |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1992297055 PECOS PAC ID: 0941558043 Enrollment ID: I20240925004256 |
| Provider Name | Erin Jeanne Dwyer Trisko |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1639908429 PECOS PAC ID: 3971044223 Enrollment ID: I20240926001351 |
| Provider Name | Ashton Mieritz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1013787449 PECOS PAC ID: 7315478666 Enrollment ID: I20240927000848 |
| Provider Name | Rachel Young |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1366067134 PECOS PAC ID: 4385067446 Enrollment ID: I20241001000091 |
| Provider Name | Jeanna Marie Miner |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558743807 PECOS PAC ID: 9436680543 Enrollment ID: I20241001000128 |
| Provider Name | Alvise Fileno Bernabei |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1588679013 PECOS PAC ID: 0941218507 Enrollment ID: I20241001002304 |
| Provider Name | Amber Josephine Zuk |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1649695842 PECOS PAC ID: 5496286460 Enrollment ID: I20241001002663 |
| Provider Name | Jenna Lee Pernu |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740643626 PECOS PAC ID: 2567993314 Enrollment ID: I20241003001629 |
| Provider Name | Teresa Easwaran |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1467018069 PECOS PAC ID: 4789918285 Enrollment ID: I20241004000382 |
| Provider Name | Elyas David Safar |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1356305932 PECOS PAC ID: 1254392699 Enrollment ID: I20241004003319 |
| Provider Name | Adrianne Baier |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619368628 PECOS PAC ID: 2062943673 Enrollment ID: I20241008000097 |
| Provider Name | Michael Albert Reuter |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003152034 PECOS PAC ID: 6608307210 Enrollment ID: I20241008000122 |
| Provider Name | Timothy Allen King |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1992758114 PECOS PAC ID: 3779559588 Enrollment ID: I20241008000351 |
| Provider Name | Bailey Christine Broback |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801323878 PECOS PAC ID: 7618418153 Enrollment ID: I20241008001490 |
| Provider Name | Megan Katherine Gravelle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780429910 PECOS PAC ID: 3971044306 Enrollment ID: I20241008002766 |
| Provider Name | Caitlin Brianna Drinkwine |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679005789 PECOS PAC ID: 5092247460 Enrollment ID: I20241010002854 |
| Provider Name | Amy Ruth Brown-holappa |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1801825369 PECOS PAC ID: 6204368459 Enrollment ID: I20241014002223 |
| Provider Name | Allison Nicole Swenson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992539027 PECOS PAC ID: 2062944150 Enrollment ID: I20241014004225 |
| Provider Name | Alyssia D Pucel |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275351389 PECOS PAC ID: 4284166125 Enrollment ID: I20241016001947 |
| Provider Name | Jennifer Leigh Katz Eriksen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1073889234 PECOS PAC ID: 3072767979 Enrollment ID: I20241017003223 |
| Provider Name | Emily Lorraine Curley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588491286 PECOS PAC ID: 4284166901 Enrollment ID: I20241018000556 |
| Provider Name | Robert Loren Sheckler |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1861021032 PECOS PAC ID: 5496116444 Enrollment ID: I20241021001061 |
| Provider Name | Heather Jean Brockman |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1811926207 PECOS PAC ID: 1153853635 Enrollment ID: I20241022003577 |
| Provider Name | Kyle Walter Freundschuh |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013140235 PECOS PAC ID: 5890228043 Enrollment ID: I20241028001146 |
| Provider Name | Katy Ann Faber |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821578527 PECOS PAC ID: 4587197447 Enrollment ID: I20241030002818 |
| Provider Name | Ella Angelina Comeau |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689247983 PECOS PAC ID: 9234662156 Enrollment ID: I20241031000609 |
| Provider Name | Chelsea Ann Franklin |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1205151438 PECOS PAC ID: 6901339589 Enrollment ID: I20241105000254 |
| Provider Name | Haley Therese Mckee Day |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1194214858 PECOS PAC ID: 2466985056 Enrollment ID: I20241105000672 |
| Provider Name | Laura Catherine Raichel |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1841903069 PECOS PAC ID: 1254865884 Enrollment ID: I20241105002774 |
| Provider Name | Robin Ellen Davidson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043355027 PECOS PAC ID: 3779017355 Enrollment ID: I20241106000719 |
| Provider Name | Anja Nicole Stromme |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265298046 PECOS PAC ID: 2769916030 Enrollment ID: I20241108001253 |
| Provider Name | Madelyn Hunter Wolff |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1407601396 PECOS PAC ID: 7315471356 Enrollment ID: I20241113001088 |
| Provider Name | Kristine Freeman Kerr |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730270752 PECOS PAC ID: 0648704619 Enrollment ID: I20241113002264 |
| Provider Name | Karen Bradley Hanka |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568420123 PECOS PAC ID: 9739613712 Enrollment ID: I20241113002776 |
| Provider Name | Angela Marie Vidal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710313085 PECOS PAC ID: 3274950894 Enrollment ID: I20241113003019 |
| Provider Name | Chloe M Whittington |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144057936 PECOS PAC ID: 4385178284 Enrollment ID: I20241114003562 |
| Provider Name | Amy Sun |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447870597 PECOS PAC ID: 5890157044 Enrollment ID: I20241118003512 |
| Provider Name | Dana Marie Mcnamee |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821133752 PECOS PAC ID: 8022543701 Enrollment ID: I20241119002440 |
| Provider Name | Rachel Elaine Carlsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417701756 PECOS PAC ID: 8426583766 Enrollment ID: I20241125000411 |
| Provider Name | Douglas Leroy Espe |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972532141 PECOS PAC ID: 4284169277 Enrollment ID: I20241127003359 |
| Provider Name | Megan N Rauzi |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922827625 PECOS PAC ID: 5799210621 Enrollment ID: I20241202000274 |
| Provider Name | Mussaret a Zuberi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639123409 PECOS PAC ID: 4183528235 Enrollment ID: I20241203003222 |
| Provider Name | Jeremy Paulo Salvino Tabernero |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629645569 PECOS PAC ID: 2466853148 Enrollment ID: I20241204000325 |
| Provider Name | Paige Sierra Olson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1114609773 PECOS PAC ID: 7315473980 Enrollment ID: I20241205002294 |
| Provider Name | Stephanie Louise Maguire |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1861412819 PECOS PAC ID: 2163436023 Enrollment ID: I20241212003084 |
| Provider Name | Michael Goodman |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1548270788 PECOS PAC ID: 9436175916 Enrollment ID: I20241213003520 |
| Provider Name | Ryan Andrew Billington |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891182861 PECOS PAC ID: 1951614742 Enrollment ID: I20241224001387 |
| Provider Name | Kayla Rae Taylor |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871319509 PECOS PAC ID: 0446787840 Enrollment ID: I20241226000307 |
| Provider Name | Daniel Spencer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164650321 PECOS PAC ID: 5597983205 Enrollment ID: I20250102000214 |
| Provider Name | James Michael Pugely |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1902985575 PECOS PAC ID: 5799749008 Enrollment ID: I20250114000833 |
| Provider Name | Emuejevoke Joseph Okoh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1013970482 PECOS PAC ID: 2567645484 Enrollment ID: I20250117001001 |
| Provider Name | Simone Leigh Anzion |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710703962 PECOS PAC ID: 0941739064 Enrollment ID: I20250117002440 |
| Provider Name | Syed Qadri |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1104317726 PECOS PAC ID: 3577935634 Enrollment ID: I20250124003584 |
| Provider Name | Madeline Nicole Moran |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982415626 PECOS PAC ID: 5597294777 Enrollment ID: I20250203001352 |
| Provider Name | Matthew Richard Gillott |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447559984 PECOS PAC ID: 2567751787 Enrollment ID: I20250304003666 |
| Provider Name | Danielle Marie Reno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588479877 PECOS PAC ID: 7315468238 Enrollment ID: I20250307002966 |
| Provider Name | Kristin Kelly Porter |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922234558 PECOS PAC ID: 9537318704 Enrollment ID: I20250310001971 |
| Provider Name | Kenneth Lipow |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1427083674 PECOS PAC ID: 3678537446 Enrollment ID: I20250311001109 |
| Provider Name | Alyssa Kay Kienitz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619306255 PECOS PAC ID: 5496286056 Enrollment ID: I20250313003893 |
| Provider Name | Laura Ruth Starr |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972857001 PECOS PAC ID: 6204089899 Enrollment ID: I20250319003245 |
| Provider Name | Leslie Ann Larson Lemon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568268498 PECOS PAC ID: 0143742924 Enrollment ID: I20250321000656 |
| Provider Name | Evan J Ordahl |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1518642206 PECOS PAC ID: 0446772156 Enrollment ID: I20250321001581 |
| Provider Name | Alexis P Hillmer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1760167431 PECOS PAC ID: 7517489248 Enrollment ID: I20250321002197 |
| Provider Name | Laurel June Benoit |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053823104 PECOS PAC ID: 0042733677 Enrollment ID: I20250325001083 |
| Provider Name | Poyan Rafiei |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1225290380 PECOS PAC ID: 1850517251 Enrollment ID: I20250326001098 |
| Provider Name | Dillenia Rosica |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679893820 PECOS PAC ID: 4880914845 Enrollment ID: I20250326001677 |
| Provider Name | Julia Julia Kiernan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558895391 PECOS PAC ID: 4486925963 Enrollment ID: I20250410000386 |
| Provider Name | Jerrod Tyler Heermans |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1063866796 PECOS PAC ID: 6709171069 Enrollment ID: I20250410003125 |
| Provider Name | Elizabeth Ann Peterson |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1184640260 PECOS PAC ID: 8820512833 Enrollment ID: I20250411001886 |
| Provider Name | Cynthia Leigh Bursik |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417446816 PECOS PAC ID: 7719401553 Enrollment ID: I20250414001685 |
| Provider Name | Judith Wolfstein |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1013914456 PECOS PAC ID: 0345135232 Enrollment ID: I20250416002636 |
| Provider Name | Gentian C Zingsheim |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1689422388 PECOS PAC ID: 5496270878 Enrollment ID: I20250417002817 |
| Provider Name | Branson Robert Wetmore |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811666571 PECOS PAC ID: 0749705028 Enrollment ID: I20250418001697 |
| Provider Name | Oded Greenberg |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003892928 PECOS PAC ID: 0840341533 Enrollment ID: I20250421003012 |
| Provider Name | Melanie Marie Neveau |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356404735 PECOS PAC ID: 2567987613 Enrollment ID: I20250422000297 |
| Provider Name | Muhammad Fawad Ishfaq |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1558717645 PECOS PAC ID: 1355631896 Enrollment ID: I20250422000999 |
| Provider Name | Kyle David Hirschman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801175401 PECOS PAC ID: 2466686126 Enrollment ID: I20250424000823 |
| Provider Name | Sarah Lanetta Grow |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043011836 PECOS PAC ID: 3870019672 Enrollment ID: I20250424002031 |
| Provider Name | Bryan Thomas Suchecki |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184686933 PECOS PAC ID: 7416119540 Enrollment ID: I20250424002612 |
| Provider Name | Amber Mae Haselman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033465703 PECOS PAC ID: 7810413317 Enrollment ID: I20250428003572 |
| Provider Name | Muhammad Tayyab Badshah |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1295195261 PECOS PAC ID: 0244206605 Enrollment ID: I20250501000338 |
| Provider Name | Jeffrey Joseph Hebert |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407824972 PECOS PAC ID: 7517947955 Enrollment ID: I20250508002279 |
| Provider Name | Jeffrey Jay Nelson |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1649433608 PECOS PAC ID: 8527182385 Enrollment ID: I20250509001471 |
| Provider Name | Hannah Disinger |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1922783620 PECOS PAC ID: 8123546165 Enrollment ID: I20250514001145 |
| Provider Name | Julieann Tran |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447053228 PECOS PAC ID: 6800314337 Enrollment ID: I20250519000514 |
| Provider Name | Clifton Rodes Hood |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1811982085 PECOS PAC ID: 3971591983 Enrollment ID: I20250519003148 |
| Provider Name | Annagloria Mwamasika |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1225713910 PECOS PAC ID: 4688193741 Enrollment ID: I20250522000449 |
| Provider Name | Brenda K Roche |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1477604882 PECOS PAC ID: 6204861917 Enrollment ID: I20250522002586 |
| Provider Name | Kenneth Cushing Botelho |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1184977514 PECOS PAC ID: 6901030766 Enrollment ID: I20250523000221 |
| Provider Name | Rebecca Marie Soler |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932743390 PECOS PAC ID: 2961921267 Enrollment ID: I20250529001356 |
| Provider Name | Annie Laurie Heermans |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1386098465 PECOS PAC ID: 6608161963 Enrollment ID: I20250602001851 |
| Provider Name | Kurren Gill |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1275067530 PECOS PAC ID: 0749558203 Enrollment ID: I20250604000800 |
| Provider Name | Siobhan Esther Alexander |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871988394 PECOS PAC ID: 6800219064 Enrollment ID: I20250606000739 |
| Provider Name | Ann M Myers |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881629236 PECOS PAC ID: 7315279478 Enrollment ID: I20250606003522 |
| Provider Name | Brent Alan Baldwin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366482028 PECOS PAC ID: 3779571492 Enrollment ID: I20250611002972 |
| Provider Name | Ian Taylor White |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184366189 PECOS PAC ID: 8527579911 Enrollment ID: I20250613000070 |
| Provider Name | Ameya Atul Chumble |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1285126060 PECOS PAC ID: 3577818681 Enrollment ID: I20250627000569 |
| Provider Name | Teofilo Gozaine |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1598764102 PECOS PAC ID: 2668440306 Enrollment ID: I20250627001526 |
| Provider Name | Sarah Elizabeth Diaz |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1376903708 PECOS PAC ID: 2567754310 Enrollment ID: I20250703002784 |
| Provider Name | Mallery Jo Johnson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356236525 PECOS PAC ID: 8729592258 Enrollment ID: I20250708002040 |
| Provider Name | Ellie M Van Gilder |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1407695018 PECOS PAC ID: 9739693094 Enrollment ID: I20250709000765 |
| Provider Name | Rachel R Maudal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902484629 PECOS PAC ID: 0941607873 Enrollment ID: I20250717001520 |
| Provider Name | Justin Sharp |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386862977 PECOS PAC ID: 7719133867 Enrollment ID: I20250717003782 |
| Provider Name | David J Supinski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710622436 PECOS PAC ID: 2961878038 Enrollment ID: I20250722003395 |
| Provider Name | Sarah Kinsey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851038681 PECOS PAC ID: 8325428980 Enrollment ID: I20250729004451 |
| Provider Name | Melvy Sarah Mathew |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437312477 PECOS PAC ID: 6103066758 Enrollment ID: I20250730001451 |
| Provider Name | Jose Alciviades Fernandez Abinader |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1902154701 PECOS PAC ID: 2668803347 Enrollment ID: I20250730001500 |
| Provider Name | Marshall Warren Meeks |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134651185 PECOS PAC ID: 9739450933 Enrollment ID: I20250731000162 |
| Provider Name | Omar Choudhury |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1912516790 PECOS PAC ID: 2062828031 Enrollment ID: I20250731000451 |
| Provider Name | Wamunyima Akakulu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033795596 PECOS PAC ID: 8921417700 Enrollment ID: I20250804000811 |
| Provider Name | Grace Caroline Lindstrom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285433805 PECOS PAC ID: 6305344094 Enrollment ID: I20250812002094 |
| Provider Name | Lindsey Marie Lee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972497188 PECOS PAC ID: 1850899352 Enrollment ID: I20250813002531 |
| Provider Name | Megan Suzanne Brunner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922806975 PECOS PAC ID: 2668971540 Enrollment ID: I20250818002558 |
| Provider Name | Eric Christiansen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417480732 PECOS PAC ID: 1052708419 Enrollment ID: I20250820001146 |
| Provider Name | Lilian Chen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699358408 PECOS PAC ID: 6204336795 Enrollment ID: I20250820002640 |
| Provider Name | Colleen Louise-hineline Drechsler |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659148492 PECOS PAC ID: 5991205163 Enrollment ID: I20250822000046 |
| Provider Name | Kimberly Anne Kaliszewski |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790988525 PECOS PAC ID: 2961902036 Enrollment ID: I20250822002751 |
| Provider Name | Sara Marie Dungan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1518917319 PECOS PAC ID: 1759546161 Enrollment ID: I20250825000089 |
| Provider Name | Elena Kulsum Jaffer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730826561 PECOS PAC ID: 9436539947 Enrollment ID: I20250827004515 |
| Provider Name | Leyla Daneshdoost |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1871501379 PECOS PAC ID: 8729055421 Enrollment ID: I20250828002813 |
| Provider Name | Kathy Ann Dowell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1285915553 PECOS PAC ID: 9537662044 Enrollment ID: I20250911001731 |
| Provider Name | Sara L Sheppard |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629217575 PECOS PAC ID: 3476710864 Enrollment ID: I20250915003598 |
| Provider Name | Dao K Nguyen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124697446 PECOS PAC ID: 7517354376 Enrollment ID: I20250916001375 |
| Provider Name | Sydney E Smith |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1962083139 PECOS PAC ID: 1456753870 Enrollment ID: I20250919001759 |
| Provider Name | Kelcie Nicole Driessen |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255216453 PECOS PAC ID: 7416451604 Enrollment ID: I20250919002032 |
| Provider Name | Jessica L Wilcken |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649731647 PECOS PAC ID: 4688902851 Enrollment ID: I20250919002559 |
| Provider Name | Quinton Allan Taylor |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1396325866 PECOS PAC ID: 9638673742 Enrollment ID: I20250919003262 |
| Provider Name | Emily Harvey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710476023 PECOS PAC ID: 7517215080 Enrollment ID: I20250922003183 |
| Provider Name | Nicole Larissa Baldwin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1366903205 PECOS PAC ID: 8022552868 Enrollment ID: I20250924002027 |
| Provider Name | Reed M Smith |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023750130 PECOS PAC ID: 8527447564 Enrollment ID: I20250925001394 |
| Provider Name | Megan Nicole Schneider |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477443422 PECOS PAC ID: 0941705032 Enrollment ID: I20250929001007 |
| Provider Name | Amelia GP Schurke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871239780 PECOS PAC ID: 1658750633 Enrollment ID: I20251001001070 |
| Provider Name | Mark Joseph Allen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134355662 PECOS PAC ID: 8325228919 Enrollment ID: I20251009000878 |
| Provider Name | Karl S Hurst-wicker |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1962698654 PECOS PAC ID: 5496948267 Enrollment ID: I20251009002346 |
| Provider Name | Daniel Bruno Diaz |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1770997884 PECOS PAC ID: 5991921561 Enrollment ID: I20251009003006 |
| Provider Name | Shawna Marie Reagan |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1902649700 PECOS PAC ID: 5092202820 Enrollment ID: I20251015003074 |
| Provider Name | Lauren Bowen Reoma |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1508158320 PECOS PAC ID: 9335378157 Enrollment ID: I20251017000225 |
| Provider Name | Emily Lynn Martinson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1548945363 PECOS PAC ID: 3779070198 Enrollment ID: I20251017001148 |
| Provider Name | Ashlee Jean Espensen |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1770454571 PECOS PAC ID: 9638667801 Enrollment ID: I20251021000393 |
| Provider Name | David Thomas Kunstman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316907454 PECOS PAC ID: 2365587011 Enrollment ID: I20251023001555 |
| Provider Name | Ashley J Pettaway |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306306402 PECOS PAC ID: 3072840297 Enrollment ID: I20251028002361 |
| Provider Name | Anna Nell Featherston |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1417751561 PECOS PAC ID: 7618466574 Enrollment ID: I20251030002186 |
| Provider Name | Samuel M Ringger |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1982584074 PECOS PAC ID: 2466941331 Enrollment ID: I20251030002407 |
| Provider Name | Paul Nicolas Banks |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619504222 PECOS PAC ID: 3274935796 Enrollment ID: I20251110000592 |
| Provider Name | Adam Michael Greer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578206470 PECOS PAC ID: 2466834536 Enrollment ID: I20251110000663 |
| Provider Name | Milton F Shapiro |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1376006296 PECOS PAC ID: 2365865177 Enrollment ID: I20251112000677 |
| Provider Name | Ella Rose Borgerding |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760243745 PECOS PAC ID: 3274978556 Enrollment ID: I20251112002521 |
| Provider Name | Petra Jafer Gheraibeh |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1518014331 PECOS PAC ID: 3779757315 Enrollment ID: I20251113000145 |
| Provider Name | Kevin Aaron Robin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1346928314 PECOS PAC ID: 0941791214 Enrollment ID: I20251114000726 |
| Provider Name | Darrin Lee Johnson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023091857 PECOS PAC ID: 7315922077 Enrollment ID: I20251114000951 |
| Provider Name | Lindsey Ann Droste |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821660044 PECOS PAC ID: 9234659343 Enrollment ID: I20251114003036 |
| Provider Name | Sophia Ray Breitag |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1184595274 PECOS PAC ID: 6507357795 Enrollment ID: I20251117000088 |
| Provider Name | Emily Gilbertson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1013799394 PECOS PAC ID: 9436640406 Enrollment ID: I20251118001525 |
| Provider Name | Geetika Arora Klevos |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164624789 PECOS PAC ID: 8022250315 Enrollment ID: I20251124002301 |
| Provider Name | Jessica a Steine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720565674 PECOS PAC ID: 2769723030 Enrollment ID: I20251126000013 |
| Provider Name | Abigail Christine Hansen |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1932928116 PECOS PAC ID: 5991232498 Enrollment ID: I20251126001365 |
| Provider Name | Matthew Jacob Stolzberg |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265973499 PECOS PAC ID: 4385919133 Enrollment ID: I20251126001739 |
| Provider Name | Karen L Petersen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1891909404 PECOS PAC ID: 1153813068 Enrollment ID: I20251126002102 |
| Provider Name | Brian Zhu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528621828 PECOS PAC ID: 0143765685 Enrollment ID: I20251126002137 |
| Provider Name | Travis Petree |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487604625 PECOS PAC ID: 0648216291 Enrollment ID: I20251128000215 |
| Provider Name | Lindsay J Wallace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629948229 PECOS PAC ID: 1153814256 Enrollment ID: I20251205004308 |
| Provider Name | Justin Brian Sporleder |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053051078 PECOS PAC ID: 8426438342 Enrollment ID: I20251209002769 |
| Provider Name | Caleb Quinn Ashbrook |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1083249627 PECOS PAC ID: 5294233607 Enrollment ID: I20251210000183 |
| Provider Name | Hannah Biesiada |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053164566 PECOS PAC ID: 1658866074 Enrollment ID: I20251223000436 |
| Provider Name | Megan Bowers |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659660678 PECOS PAC ID: 1557763927 Enrollment ID: I20251230000220 |
| Provider Name | Amy Marie Larson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003565292 PECOS PAC ID: 5496131419 Enrollment ID: I20260102000162 |
| Provider Name | Nathaniel Osborn |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1528412236 PECOS PAC ID: 2668711029 Enrollment ID: I20260102001695 |
| Provider Name | Logan Michael Viegut |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578202628 PECOS PAC ID: 3779079215 Enrollment ID: I20260105001353 |
| Provider Name | Olivia Ann Lambert |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1699333658 PECOS PAC ID: 9830685379 Enrollment ID: I20260105001493 |
| Provider Name | Brandon P Olivieri |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699064196 PECOS PAC ID: 0042571317 Enrollment ID: I20260105002471 |
| Provider Name | Christopher Thomas Bayley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023176336 PECOS PAC ID: 8022065549 Enrollment ID: I20260106002613 |
| Provider Name | Stephanie Marie Skansgaard |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437033057 PECOS PAC ID: 3870079064 Enrollment ID: I20260107003186 |
| Provider Name | Bryan Kincaid Austin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1316997943 PECOS PAC ID: 3678511326 Enrollment ID: I20260108001438 |
| Provider Name | Lonni Marie Brickson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154486041 PECOS PAC ID: 5890271555 Enrollment ID: I20260113000208 |
| Provider Name | Luu N La |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659176980 PECOS PAC ID: 1052897659 Enrollment ID: I20260114000738 |
| Provider Name | Lauren Elizabeth Day |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487446464 PECOS PAC ID: 2860978293 Enrollment ID: I20260115001201 |
| Provider Name | Peggy Ann Stone |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1649298969 PECOS PAC ID: 6204313018 Enrollment ID: I20260123000115 |
| Provider Name | Elizabeth Mary Lee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780884890 PECOS PAC ID: 3375676398 Enrollment ID: I20260126001605 |
| Provider Name | Graham Scott Hegstad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023867900 PECOS PAC ID: 8729522974 Enrollment ID: I20260126001903 |
| Provider Name | Alexander Rhodes Stamm |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740039536 PECOS PAC ID: 9133663347 Enrollment ID: I20260127002333 |
| Provider Name | Evan M Walpole |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295534188 PECOS PAC ID: 5991283434 Enrollment ID: I20260127004113 |
| Provider Name | Trevor K Lewis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114307287 PECOS PAC ID: 7911217005 Enrollment ID: I20260129002006 |
| Provider Name | Kelsey Jo Peaslee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629877469 PECOS PAC ID: 9234618844 Enrollment ID: I20260204002428 |
| Provider Name | Charles F Youngblood |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1346202447 PECOS PAC ID: 9234293549 Enrollment ID: I20260205003808 |
| Provider Name | Jennifer M Wraalstad |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982264016 PECOS PAC ID: 6406335850 Enrollment ID: I20260206000693 |
| Provider Name | Laura Robinson |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1700298916 PECOS PAC ID: 0840507778 Enrollment ID: I20260206002333 |
| Provider Name | Emir Guven |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1366493181 PECOS PAC ID: 9133113582 Enrollment ID: I20260216001096 |
| Provider Name | Hannah R Sims |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790666535 PECOS PAC ID: 5294215620 Enrollment ID: I20260216001927 |
| Provider Name | Rachel E Lewandowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780193110 PECOS PAC ID: 1557627130 Enrollment ID: I20260218000672 |
| Provider Name | Arnold Cheung |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1629282884 PECOS PAC ID: 6709049281 Enrollment ID: I20260226000345 |
| Provider Name | Ashley Nicole Agerson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1265693220 PECOS PAC ID: 7517140957 Enrollment ID: I20260226001667 |
| Provider Name | Robert Becker |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508217050 PECOS PAC ID: 9537453253 Enrollment ID: I20260226002098 |
| Provider Name | Shon William Cook |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1629060660 PECOS PAC ID: 0042269169 Enrollment ID: I20260302000304 |
| Provider Name | Kyle Paul Arslanian |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144752882 PECOS PAC ID: 5597147819 Enrollment ID: I20260302002828 |
| Provider Name | Kaylyn Joy Holets |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851197156 PECOS PAC ID: 0648753285 Enrollment ID: I20260312000817 |
| Provider Name | Eric Munoz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952626079 PECOS PAC ID: 8820261365 Enrollment ID: I20260313000216 |
| Provider Name | Ron Pearson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578901963 PECOS PAC ID: 3971747650 Enrollment ID: I20260313001273 |
| Provider Name | Maximilian Alexander Goebel |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1043665409 PECOS PAC ID: 3274931308 Enrollment ID: I20260319001288 |
| Provider Name | Aaron P O'connell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467304584 PECOS PAC ID: 0143705392 Enrollment ID: I20260326001397 |
| Provider Name | Elyse Marilee Mccoshen |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1023565603 PECOS PAC ID: 9830674779 Enrollment ID: I20260330001591 |
| Provider Name | Michael Daniel Landis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922637784 PECOS PAC ID: 6406252071 Enrollment ID: I20260406000589 |
| Provider Name | Jessica a Gerlach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730045923 PECOS PAC ID: 2264907526 Enrollment ID: I20260406000764 |
| Provider Name | Danielle M.S. Holcombe |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225740418 PECOS PAC ID: 0042680811 Enrollment ID: I20260406001273 |
| Provider Name | Adham Shoujaa |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407319064 PECOS PAC ID: 4688114952 Enrollment ID: I20260406003417 |
| Provider Name | Madeline E Nee |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1801652706 PECOS PAC ID: 2466927454 Enrollment ID: I20260408001714 |
| Provider Name | Kaitlyn Nicolle Bremer Nordling |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1821854886 PECOS PAC ID: 6901371707 Enrollment ID: I20260409001162 |
| Provider Name | Amanda Bernadette Robbins |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396518478 PECOS PAC ID: 0547735102 Enrollment ID: I20260410002483 |
| Provider Name | Demetrio Juan Aguila |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1376503391 PECOS PAC ID: 0547366403 Enrollment ID: I20260414002550 |
| Provider Name | Jessica Lynn Skindelien |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1437915402 PECOS PAC ID: 6608342811 Enrollment ID: I20260415002611 |
| Provider Name | Megan Elizabeth Alto |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1093571051 PECOS PAC ID: 4082180153 Enrollment ID: I20260416000449 |
| Provider Name | Austin Patrick Armon |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598521544 PECOS PAC ID: 1456827427 Enrollment ID: I20260416003538 |
| Provider Name | Gregory W Pippin |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1700966090 PECOS PAC ID: 8022917129 Enrollment ID: I20260427000141 |
| Provider Name | Adam Michael Weber |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750147781 PECOS PAC ID: 5496223091 Enrollment ID: I20260501001131 |
| Provider Name | Megan Renee Lexen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750109906 PECOS PAC ID: 7214405653 Enrollment ID: I20260505001193 |
| Provider Name | Katherine a Mass |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437787801 PECOS PAC ID: 9032533989 Enrollment ID: I20260506001092 |
| Provider Name | Arich R Reynolds |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679869010 PECOS PAC ID: 8224375241 Enrollment ID: I20260506002451 |
| Provider Name | Anna June Maher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043195506 PECOS PAC ID: 6204304108 Enrollment ID: I20260508002848 |
| Provider Name | Kelly Sweet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205532082 PECOS PAC ID: 5496120651 Enrollment ID: I20260513000385 |
| Provider Name | Alter G Peerless |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1780674986 PECOS PAC ID: 7214960608 Enrollment ID: I20260513001099 |
| Provider Name | Theodore Baker |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508861287 PECOS PAC ID: 2769466937 Enrollment ID: I20260514000679 |
| Provider Name | Leslie Erin Bernstein |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1104048776 PECOS PAC ID: 8022199884 Enrollment ID: I20260514001482 |
| Provider Name | Jose a Del Giudice |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1962484832 PECOS PAC ID: 2961399951 Enrollment ID: I20260515001580 |
| Provider Name | Jeffrey Heskin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467678599 PECOS PAC ID: 6901375120 Enrollment ID: I20260518001887 |
| Provider Name | Frank Fiachie Fofie |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376078071 PECOS PAC ID: 3971875279 Enrollment ID: I20260520001489 |
| Provider Name | Susan T Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588361596 PECOS PAC ID: 6608382056 Enrollment ID: I20260520002887 |
| Provider Name | Jason C Lee |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1275039455 PECOS PAC ID: 7719212406 Enrollment ID: I20260521000068 |
| Provider Name | Sabrina Ratsamy |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1316703374 PECOS PAC ID: 1658841069 Enrollment ID: I20260527002361 |
| Provider Name | Emilie J Ward |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023945920 PECOS PAC ID: 5193295053 Enrollment ID: I20260601003228 |
| Provider Name | Bailey Paige Carlson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023756640 PECOS PAC ID: 1951872621 Enrollment ID: I20260603001619 |
| Provider Name | Sarah M Jackson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164089702 PECOS PAC ID: 2062983620 Enrollment ID: I20260604000578 |
Fond Du Lac Human Services Division Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 927 Trettle Lane, Fond Du Lac Human Services Division, Cloquet, MN 55720 Phone: 218-879-1227 Fax: 218-878-3800 |
Aspenridge Chiropractic Center P.A. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2511 Washington Ave, Cloquet, MN 55720 Phone: 218-879-5831 |
Aspirus St. Luke's Cloquet Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 707 Highway 33 S Ste 19, Cloquet, MN 55720 Phone: 218-879-4641 |