| Optum Care Washington PLLC | |
|
3901 Hoyt Ave Everett WA 98201-4918 | |
| (425) 259-0966 | |
| Not Available |
| Full Name | Optum Care Washington PLLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 3901 Hoyt Ave, Everett, Washington |
| Authorized Official Name and Position | George Go (BOARD PRESIDENT) |
| Authorized Official Contact | 4252583900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Optum Care Washington PLLC Po Box 5127 Everett WA 98206-5127 Ph: (425) 259-0966 | Optum Care Washington PLLC 3901 Hoyt Ave Everett WA 98201-4918 Ph: (425) 259-0966 |
| NPI Number | 1831186766 |
|---|---|
| Provider Enumeration Date | 10/05/2005 |
| Last Update Date | 04/08/2024 |
| Certification Date | 04/08/2024 |
| Medicare PECOS PAC ID | 6406752153 |
|---|---|
| Medicare Enrollment ID | O20031211000922 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831186766 | NPI | - | NPPES |
| Provider Name | Stephen J Rulyak |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1447330436 PECOS PAC ID: 4789597725 Enrollment ID: I20031106000602 |
| Provider Name | Jonathan L Wolman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164445607 PECOS PAC ID: 5597678912 Enrollment ID: I20031111000291 |
| Provider Name | David Burton Bork |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700864014 PECOS PAC ID: 8325952138 Enrollment ID: I20031117000366 |
| Provider Name | Alan D S Chan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609863240 PECOS PAC ID: 3577468883 Enrollment ID: I20031201000330 |
| Provider Name | Milton Lowell Van Hise |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841278306 PECOS PAC ID: 2466357702 Enrollment ID: I20031201000465 |
| Provider Name | Ben Hugh Harmon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467439398 PECOS PAC ID: 4688578180 Enrollment ID: I20031201000829 |
| Provider Name | Lloyd Stambaugh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568440089 PECOS PAC ID: 9234034463 Enrollment ID: I20031202000070 |
| Provider Name | Taehee Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528163615 PECOS PAC ID: 5193624807 Enrollment ID: I20031231000692 |
| Provider Name | Sean Laghaeian |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1184640575 PECOS PAC ID: 5799678488 Enrollment ID: I20040206000794 |
| Provider Name | William J Stanley |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1376627083 PECOS PAC ID: 9234024704 Enrollment ID: I20040216000575 |
| Provider Name | Jonathan B Hall |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922035021 PECOS PAC ID: 2365337425 Enrollment ID: I20040217001139 |
| Provider Name | Steve E Taylor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588673073 PECOS PAC ID: 3870488695 Enrollment ID: I20040219000390 |
| Provider Name | John M Beard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225118201 PECOS PAC ID: 1254227838 Enrollment ID: I20040223000629 |
| Provider Name | James Edward Pautz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1407918246 PECOS PAC ID: 4587550710 Enrollment ID: I20040225000387 |
| Provider Name | Julianne M Mattson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578648382 PECOS PAC ID: 1052208766 Enrollment ID: I20040227000951 |
| Provider Name | Mary G Shelkey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447314802 PECOS PAC ID: 7416844691 Enrollment ID: I20040302001004 |
| Provider Name | Linda J Pfister |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033187398 PECOS PAC ID: 0042108474 Enrollment ID: I20040308001030 |
| Provider Name | Sean Thomas Rossiter |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1982789707 PECOS PAC ID: 5698664647 Enrollment ID: I20040315001222 |
| Provider Name | Hsing-hsi James Lee |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1205922721 PECOS PAC ID: 4688564354 Enrollment ID: I20040317000341 |
| Provider Name | Patricia L Lightfoot |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1528088952 PECOS PAC ID: 2163312240 Enrollment ID: I20040319001446 |
| Provider Name | David C Belcher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598836595 PECOS PAC ID: 4688566144 Enrollment ID: I20040329000655 |
| Provider Name | Kenneth M Gross |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1831155969 PECOS PAC ID: 1052303419 Enrollment ID: I20040402001159 |
| Provider Name | Kathrin L Ahl |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1790747863 PECOS PAC ID: 8527051978 Enrollment ID: I20040403000198 |
| Provider Name | Christine N Suydam |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518976828 PECOS PAC ID: 5496740227 Enrollment ID: I20040420000087 |
| Provider Name | Nancy L Linscott |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760583207 PECOS PAC ID: 1658261730 Enrollment ID: I20040427001456 |
| Provider Name | Martin Dubek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356341358 PECOS PAC ID: 9234127218 Enrollment ID: I20040506000511 |
| Provider Name | Marcos a Antezana |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1104892843 PECOS PAC ID: 0143219089 Enrollment ID: I20040507000132 |
| Provider Name | Pedro T Vieco |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669450128 PECOS PAC ID: 6507855475 Enrollment ID: I20040507000323 |
| Provider Name | George T Lau |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215032313 PECOS PAC ID: 4385633494 Enrollment ID: I20040512000241 |
| Provider Name | Dewayne Thomas Bradley |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1144339276 PECOS PAC ID: 1254321953 Enrollment ID: I20040514000684 |
| Provider Name | John Mcgowan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1962480897 PECOS PAC ID: 2769377456 Enrollment ID: I20040518000511 |
| Provider Name | Randall L Unger |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144276684 PECOS PAC ID: 7113917394 Enrollment ID: I20040518001241 |
| Provider Name | Gerard M Zanolli |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730274382 PECOS PAC ID: 3375434921 Enrollment ID: I20040519000083 |
| Provider Name | Erin C Sutcliffe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689750309 PECOS PAC ID: 1759362700 Enrollment ID: I20040526000935 |
| Provider Name | Julie F Brogren |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467476606 PECOS PAC ID: 5597746305 Enrollment ID: I20040527000512 |
| Provider Name | Xinda David Wang |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1700855822 PECOS PAC ID: 2062493760 Enrollment ID: I20040527001304 |
| Provider Name | Robin K Holmes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538257506 PECOS PAC ID: 4486636883 Enrollment ID: I20040601000867 |
| Provider Name | Kenneth C Elam |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942335146 PECOS PAC ID: 7517940885 Enrollment ID: I20040608001221 |
| Provider Name | Joseph C Marquez |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1730157611 PECOS PAC ID: 4183607344 Enrollment ID: I20040609000831 |
| Provider Name | Philip Neil Lowe |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265406193 PECOS PAC ID: 9032005491 Enrollment ID: I20040616001174 |
| Provider Name | Mark John Pfleger |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1629042346 PECOS PAC ID: 5991691354 Enrollment ID: I20040617000058 |
| Provider Name | Harold Wayne Prow |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1790759629 PECOS PAC ID: 0042294878 Enrollment ID: I20040617000809 |
| Provider Name | Christopher D Merifield |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1811978976 PECOS PAC ID: 3870578123 Enrollment ID: I20040621001398 |
| Provider Name | Christopher Mark Krol |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114905007 PECOS PAC ID: 3274518261 Enrollment ID: I20040623000567 |
| Provider Name | Barron C Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922055300 PECOS PAC ID: 2961487715 Enrollment ID: I20040624000163 |
| Provider Name | Pamela a Sheffield |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659457307 PECOS PAC ID: 5294712568 Enrollment ID: I20040706000047 |
| Provider Name | Hoang V Truong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881748473 PECOS PAC ID: 5991782054 Enrollment ID: I20040707000041 |
| Provider Name | Jean H Lee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740292234 PECOS PAC ID: 0749269975 Enrollment ID: I20040720000294 |
| Provider Name | Arvinder S Mokha |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1235106352 PECOS PAC ID: 2163401357 Enrollment ID: I20040720000780 |
| Provider Name | Katie E Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194820290 PECOS PAC ID: 7618957697 Enrollment ID: I20040721000644 |
| Provider Name | Janet C King |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1760584452 PECOS PAC ID: 8426038308 Enrollment ID: I20040721001420 |
| Provider Name | Arti Rajvanshi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871582908 PECOS PAC ID: 0648240200 Enrollment ID: I20040729001390 |
| Provider Name | Kelly L Klotter |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457468365 PECOS PAC ID: 7911978168 Enrollment ID: I20040803000368 |
| Provider Name | Jeong H Yoon |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1851317002 PECOS PAC ID: 9032181581 Enrollment ID: I20040806000396 |
| Provider Name | Paolo Rocca |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356446934 PECOS PAC ID: 6800868381 Enrollment ID: I20040806000651 |
| Provider Name | Aloysius Yinug |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730183708 PECOS PAC ID: 2062484843 Enrollment ID: I20040811001055 |
| Provider Name | Leilani D Paras |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871582197 PECOS PAC ID: 9638142052 Enrollment ID: I20040814000125 |
| Provider Name | Angela H Chen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659445609 PECOS PAC ID: 2264346618 Enrollment ID: I20040814000138 |
| Provider Name | Robert Scarr |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992727333 PECOS PAC ID: 5799759916 Enrollment ID: I20040824000343 |
| Provider Name | Robert David Bloch |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598727679 PECOS PAC ID: 7719952548 Enrollment ID: I20040826000570 |
| Provider Name | April L Wolanek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518988542 PECOS PAC ID: 3678549144 Enrollment ID: I20040907000463 |
| Provider Name | Todd W Havener |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1659340289 PECOS PAC ID: 8729054093 Enrollment ID: I20040908000688 |
| Provider Name | Justin S Goodman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1538125331 PECOS PAC ID: 2264491000 Enrollment ID: I20041006001477 |
| Provider Name | Jeffrey B Black |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538137112 PECOS PAC ID: 1658333729 Enrollment ID: I20041101000487 |
| Provider Name | Sanjay Subramanian |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1922071836 PECOS PAC ID: 2466414446 Enrollment ID: I20041102000234 |
| Provider Name | Ellen Dejong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639167638 PECOS PAC ID: 7911969647 Enrollment ID: I20041103001001 |
| Provider Name | Culbert M Serrano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922038827 PECOS PAC ID: 1456315415 Enrollment ID: I20041118000730 |
| Provider Name | Eric Anthony Kinder |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528027448 PECOS PAC ID: 2365407228 Enrollment ID: I20041119001105 |
| Provider Name | Craig M Mcallister |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1891754792 PECOS PAC ID: 4284690678 Enrollment ID: I20041207001086 |
| Provider Name | Leslie C Chamberlain |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386661080 PECOS PAC ID: 9638137177 Enrollment ID: I20041229000944 |
| Provider Name | Dariusz G Walczak |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1861424236 PECOS PAC ID: 3779541065 Enrollment ID: I20050103001051 |
| Provider Name | Brandea J Scott-vessel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881774859 PECOS PAC ID: 8921056953 Enrollment ID: I20050106000627 |
| Provider Name | Jeffrey D Stepanian |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1932132099 PECOS PAC ID: 6103874052 Enrollment ID: I20050106000862 |
| Provider Name | Jonathan Seabrook |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1275541393 PECOS PAC ID: 1658329347 Enrollment ID: I20050110000581 |
| Provider Name | Tina M Passalaris |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1508951864 PECOS PAC ID: 2961451711 Enrollment ID: I20050119000290 |
| Provider Name | Keith Aaron Bernstein |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1760446306 PECOS PAC ID: 3274522156 Enrollment ID: I20050121000225 |
| Provider Name | Sridar Chalaka |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1740236306 PECOS PAC ID: 0143271379 Enrollment ID: I20050204000665 |
| Provider Name | Thuc P Nguyen |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1902901309 PECOS PAC ID: 1355392440 Enrollment ID: I20050207000271 |
| Provider Name | Dorcas a Mclennan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1144272154 PECOS PAC ID: 0244281434 Enrollment ID: I20050209000300 |
| Provider Name | Nancy Jane Neubauer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215915723 PECOS PAC ID: 7113970732 Enrollment ID: I20050223000723 |
| Provider Name | Bashar Elali |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265591523 PECOS PAC ID: 1355394545 Enrollment ID: I20050228000930 |
| Provider Name | Benis P Babusis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669450979 PECOS PAC ID: 1052366929 Enrollment ID: I20050314001132 |
| Provider Name | Kathleen a Hughes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962512996 PECOS PAC ID: 1456307347 Enrollment ID: I20050323001164 |
| Provider Name | Eric K Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659476760 PECOS PAC ID: 6800833963 Enrollment ID: I20050411001245 |
| Provider Name | Deborah J Havens |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538177761 PECOS PAC ID: 3072552108 Enrollment ID: I20050428000482 |
| Provider Name | William H Anderson |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1629031752 PECOS PAC ID: 1951340421 Enrollment ID: I20050502000310 |
| Provider Name | Shona E Lowell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598710840 PECOS PAC ID: 3779523162 Enrollment ID: I20050504001274 |
| Provider Name | Donald Whitney Frost |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1720183213 PECOS PAC ID: 3072555721 Enrollment ID: I20050524000429 |
| Provider Name | William Christopher Conyers |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285664805 PECOS PAC ID: 2365487303 Enrollment ID: I20050621000836 |
| Provider Name | Carl V Janzen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285735753 PECOS PAC ID: 8628032844 Enrollment ID: I20050621000965 |
| Provider Name | Herbert Chen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720038078 PECOS PAC ID: 9739124314 Enrollment ID: I20050623000726 |
| Provider Name | William Brinkman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932162518 PECOS PAC ID: 6507802352 Enrollment ID: I20050630001178 |
| Provider Name | Mark W Smith |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104914761 PECOS PAC ID: 3678500279 Enrollment ID: I20050726000437 |
| Provider Name | Mahesh S Mulumudi |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1013972488 PECOS PAC ID: 2163400219 Enrollment ID: I20050730000119 |
| Provider Name | Chad J Cleven |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700987856 PECOS PAC ID: 3274561188 Enrollment ID: I20050802000291 |
| Provider Name | George W Go |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447353693 PECOS PAC ID: 4183616550 Enrollment ID: I20050812000963 |
| Provider Name | Chieh C Ma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770521932 PECOS PAC ID: 2769413509 Enrollment ID: I20050822001164 |
| Provider Name | Michael a Degroot |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1871680447 PECOS PAC ID: 9739166844 Enrollment ID: I20050823000438 |
| Provider Name | Matthew G Price |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962426106 PECOS PAC ID: 6305878216 Enrollment ID: I20050831000340 |
| Provider Name | William W Bacon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396769634 PECOS PAC ID: 4789615618 Enrollment ID: I20050901000406 |
| Provider Name | Mandeep S Saini |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912974031 PECOS PAC ID: 9032141569 Enrollment ID: I20050906000987 |
| Provider Name | Ann E Haugen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316912538 PECOS PAC ID: 2264464791 Enrollment ID: I20050906001023 |
| Provider Name | Timothy Gleason |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376570432 PECOS PAC ID: 2466484704 Enrollment ID: I20050907000791 |
| Provider Name | Laura J Gladstone |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1538155676 PECOS PAC ID: 1850324732 Enrollment ID: I20050912000903 |
| Provider Name | Lisa a Nakamoto |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1164584330 PECOS PAC ID: 1355374893 Enrollment ID: I20050914001183 |
| Provider Name | Dana C Wolinsky |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1437128949 PECOS PAC ID: 2062446727 Enrollment ID: I20050923000682 |
| Provider Name | Nuria Perez Reyes |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1033170402 PECOS PAC ID: 8628002383 Enrollment ID: I20050923000878 |
| Provider Name | Erin J Henderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578632527 PECOS PAC ID: 5193750362 Enrollment ID: I20050927001304 |
| Provider Name | Julie K Taraday |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912061854 PECOS PAC ID: 1759316854 Enrollment ID: I20050928000092 |
| Provider Name | Hamed a Al-ghanim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124039938 PECOS PAC ID: 9638104128 Enrollment ID: I20051004000407 |
| Provider Name | Srilatha Shoroff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619931987 PECOS PAC ID: 1850316043 Enrollment ID: I20051006000697 |
| Provider Name | Shaila H Gala |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1447355813 PECOS PAC ID: 0042235012 Enrollment ID: I20051008000190 |
| Provider Name | Rebecca R Sellers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457329476 PECOS PAC ID: 2264457274 Enrollment ID: I20051010000287 |
| Provider Name | Brett J Daniel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932198892 PECOS PAC ID: 9830114784 Enrollment ID: I20051010000666 |
| Provider Name | Michael D Carpenter |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1255350377 PECOS PAC ID: 0941225692 Enrollment ID: I20051011001101 |
| Provider Name | Debora Dee Fresch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245340090 PECOS PAC ID: 8729003512 Enrollment ID: I20051020000509 |
| Provider Name | Melissa E Peterson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538228051 PECOS PAC ID: 2163448606 Enrollment ID: I20051024000443 |
| Provider Name | Johny K Lee |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598868218 PECOS PAC ID: 8224055587 Enrollment ID: I20051026001176 |
| Provider Name | John H Ephron |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871543272 PECOS PAC ID: 9931157054 Enrollment ID: I20051031000660 |
| Provider Name | Lloyd Andrew Roberts |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235219205 PECOS PAC ID: 4486672821 Enrollment ID: I20051104000094 |
| Provider Name | Kingman K Ho |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265490700 PECOS PAC ID: 1951321678 Enrollment ID: I20051128000086 |
| Provider Name | Leanne Brink |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1043304363 PECOS PAC ID: 2062433535 Enrollment ID: I20051212000749 |
| Provider Name | Roberta Y Aflatooni |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972581387 PECOS PAC ID: 0547284887 Enrollment ID: I20060125000483 |
| Provider Name | Brent G Thiel |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1811093958 PECOS PAC ID: 4688689102 Enrollment ID: I20060220000390 |
| Provider Name | Duong H Tran |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1821140054 PECOS PAC ID: 5193731636 Enrollment ID: I20060221000759 |
| Provider Name | Jack Fields |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326016379 PECOS PAC ID: 2567478951 Enrollment ID: I20060222000331 |
| Provider Name | Kathryn M Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1780672030 PECOS PAC ID: 5698781623 Enrollment ID: I20060301000220 |
| Provider Name | Kathleen M Wroblewski |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1215033287 PECOS PAC ID: 7517973340 Enrollment ID: I20060302000314 |
| Provider Name | Angela S Rideout |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750423554 PECOS PAC ID: 1759398811 Enrollment ID: I20060315000568 |
| Provider Name | Robert K Kelley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225197429 PECOS PAC ID: 5395753875 Enrollment ID: I20060324000193 |
| Provider Name | Kevin E Mccarty |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760541965 PECOS PAC ID: 8820006307 Enrollment ID: I20060324000212 |
| Provider Name | William B Shoup |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245399443 PECOS PAC ID: 6507874096 Enrollment ID: I20060324000271 |
| Provider Name | Dale Y Miyauchi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669531869 PECOS PAC ID: 7810889342 Enrollment ID: I20060324000297 |
| Provider Name | Regina K Lagalbo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104995851 PECOS PAC ID: 9032127998 Enrollment ID: I20060404000268 |
| Provider Name | Sharon E Patterson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235200650 PECOS PAC ID: 9830108307 Enrollment ID: I20060411000461 |
| Provider Name | Darby E Robinson Oneill |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1295842037 PECOS PAC ID: 8729097753 Enrollment ID: I20060419000236 |
| Provider Name | Terra Bowles |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164528238 PECOS PAC ID: 3779592605 Enrollment ID: I20060420000319 |
| Provider Name | Peter Y Z Jiang |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1689614398 PECOS PAC ID: 5294745998 Enrollment ID: I20060425000808 |
| Provider Name | Jessica L Lund |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1225058035 PECOS PAC ID: 7719997907 Enrollment ID: I20060503000082 |
| Provider Name | Steve L Yang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205886603 PECOS PAC ID: 7214951805 Enrollment ID: I20060518000018 |
| Provider Name | Edessa a Bello Rapoport |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558310359 PECOS PAC ID: 0244241602 Enrollment ID: I20060522000178 |
| Provider Name | Robert M Hutchinson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1346293107 PECOS PAC ID: 5395756571 Enrollment ID: I20060601000296 |
| Provider Name | Mark a Friedman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1386690691 PECOS PAC ID: 9335151240 Enrollment ID: I20060614000235 |
| Provider Name | Celestine a Gotchy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770534463 PECOS PAC ID: 3173535986 Enrollment ID: I20060619000055 |
| Provider Name | Kimberly E Costas |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1922044973 PECOS PAC ID: 9931112059 Enrollment ID: I20060713000032 |
| Provider Name | Justin Aaron Siegal |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639184518 PECOS PAC ID: 0143224196 Enrollment ID: I20060905000295 |
| Provider Name | Kari D Fitzsimmons |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124053871 PECOS PAC ID: 1254336100 Enrollment ID: I20060927000227 |
| Provider Name | Tara E Nysoe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679597058 PECOS PAC ID: 0042215840 Enrollment ID: I20060929000380 |
| Provider Name | Stephen John Whipple |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164440632 PECOS PAC ID: 1759315229 Enrollment ID: I20061003000090 |
| Provider Name | Dagmar H Rehse |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1831113224 PECOS PAC ID: 6305874959 Enrollment ID: I20061004000057 |
| Provider Name | Lonny M Hecker |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1215995618 PECOS PAC ID: 2769488196 Enrollment ID: I20061009000048 |
| Provider Name | Michael J Tamber |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1821002866 PECOS PAC ID: 3173529302 Enrollment ID: I20061011000733 |
| Provider Name | Peter D Sutcliffe |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1699787028 PECOS PAC ID: 0244236248 Enrollment ID: I20061016000210 |
| Provider Name | Alan Wong |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1518070234 PECOS PAC ID: 5294731204 Enrollment ID: I20061016000260 |
| Provider Name | Jennifer Y Lee |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1578577516 PECOS PAC ID: 1355347279 Enrollment ID: I20061016000394 |
| Provider Name | Emily M Savage |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427084961 PECOS PAC ID: 5395741110 Enrollment ID: I20061018000182 |
| Provider Name | Gavin I Gordon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881788495 PECOS PAC ID: 4284630013 Enrollment ID: I20061018000212 |
| Provider Name | Jayna M Neuman |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1023043601 PECOS PAC ID: 6507863016 Enrollment ID: I20061025000759 |
| Provider Name | Joy R Fackenthall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376626556 PECOS PAC ID: 3173521689 Enrollment ID: I20061116000557 |
| Provider Name | Robert B Handel |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1568560357 PECOS PAC ID: 1355349861 Enrollment ID: I20061116000569 |
| Provider Name | Jerry S Koh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881705200 PECOS PAC ID: 9234138207 Enrollment ID: I20061220000542 |
| Provider Name | Marne L Fox-barrow |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1275628513 PECOS PAC ID: 0345240156 Enrollment ID: I20061229000306 |
| Provider Name | Wendi D Alexander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689757874 PECOS PAC ID: 3274533914 Enrollment ID: I20070103000485 |
| Provider Name | Reena Vasavada Parikh |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265417083 PECOS PAC ID: 9638148448 Enrollment ID: I20070105000298 |
| Provider Name | David Gilbert Westman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922024306 PECOS PAC ID: 6305890203 Enrollment ID: I20070111000655 |
| Provider Name | Darla V Capetillo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1639244866 PECOS PAC ID: 5597765610 Enrollment ID: I20070112000405 |
| Provider Name | Pankaj Rajvanshi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1437148749 PECOS PAC ID: 4486655289 Enrollment ID: I20070122000437 |
| Provider Name | Robert Andrew Palmer |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1306807128 PECOS PAC ID: 3779584446 Enrollment ID: I20070123000487 |
| Provider Name | Andrew O Todd |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720046873 PECOS PAC ID: 7911802244 Enrollment ID: I20070212000049 |
| Provider Name | Regina C Mcdonald-bowen |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659303022 PECOS PAC ID: 7618071796 Enrollment ID: I20070329000257 |
| Provider Name | Donald H Conrad |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1720191406 PECOS PAC ID: 0042314767 Enrollment ID: I20070404000590 |
| Provider Name | Katherine L Byron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255469284 PECOS PAC ID: 4486758075 Enrollment ID: I20070410000072 |
| Provider Name | Deanna M Martin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1598819138 PECOS PAC ID: 1759486152 Enrollment ID: I20070413000083 |
| Provider Name | Mitchell J Peterson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770526626 PECOS PAC ID: 0345345252 Enrollment ID: I20070423000228 |
| Provider Name | Lisa V Thomassen |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1568426955 PECOS PAC ID: 2567568686 Enrollment ID: I20070507000620 |
| Provider Name | Edward Jae Lee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952313645 PECOS PAC ID: 7416054168 Enrollment ID: I20070515000262 |
| Provider Name | Dae Hee Bang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972515211 PECOS PAC ID: 8022115781 Enrollment ID: I20070515000368 |
| Provider Name | Ruben Krishnananthan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891807863 PECOS PAC ID: 0749387272 Enrollment ID: I20070517000694 |
| Provider Name | David F Mar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386688901 PECOS PAC ID: 9032216296 Enrollment ID: I20070523000080 |
| Provider Name | Kin L Lui |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740288281 PECOS PAC ID: 9537266671 Enrollment ID: I20070524000016 |
| Provider Name | Peter N Grote |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194813600 PECOS PAC ID: 7719085455 Enrollment ID: I20070605000060 |
| Provider Name | Raymond Cheng |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952469777 PECOS PAC ID: 8921107145 Enrollment ID: I20070628000204 |
| Provider Name | Lisa M. Kohler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083699771 PECOS PAC ID: 5395727556 Enrollment ID: I20070711000154 |
| Provider Name | Albert D Pacifico |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1073519328 PECOS PAC ID: 4486754009 Enrollment ID: I20070712000054 |
| Provider Name | Mark J Moscovitz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295770402 PECOS PAC ID: 3173628914 Enrollment ID: I20070718000033 |
| Provider Name | Christopher J Bibby |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033178322 PECOS PAC ID: 4688775224 Enrollment ID: I20070725000763 |
| Provider Name | Tyler C Free |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508943846 PECOS PAC ID: 4688775927 Enrollment ID: I20070731000150 |
| Provider Name | Courtney C Greene |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1306956735 PECOS PAC ID: 1254422660 Enrollment ID: I20070814000202 |
| Provider Name | Erik R Bylund |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306833090 PECOS PAC ID: 3678665213 Enrollment ID: I20070827000826 |
| Provider Name | Sharon C Galicia |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770782989 PECOS PAC ID: 6204928864 Enrollment ID: I20070828000008 |
| Provider Name | Andrew O Richter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740492867 PECOS PAC ID: 4082706569 Enrollment ID: I20070829000145 |
| Provider Name | Nina T Willow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225163322 PECOS PAC ID: 8022101195 Enrollment ID: I20070905000599 |
| Provider Name | Catherine B Slack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932306909 PECOS PAC ID: 1850484841 Enrollment ID: I20070907000039 |
| Provider Name | Wendy L Mcgoodwin |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1285743641 PECOS PAC ID: 0648363648 Enrollment ID: I20070907000156 |
| Provider Name | Gregory N Sharp |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932219870 PECOS PAC ID: 4486747227 Enrollment ID: I20070910000672 |
| Provider Name | Amy Szyszko |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669415246 PECOS PAC ID: 9931120326 Enrollment ID: I20070918000316 |
| Provider Name | Akiko L Kurachi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548372303 PECOS PAC ID: 4981798188 Enrollment ID: I20070919000374 |
| Provider Name | Sarah Poyen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548234693 PECOS PAC ID: 0244324168 Enrollment ID: I20070921000478 |
| Provider Name | Shilpa Jog |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154516268 PECOS PAC ID: 8426143843 Enrollment ID: I20071001000391 |
| Provider Name | Stephen S Stukovsky |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467543306 PECOS PAC ID: 7416042734 Enrollment ID: I20071002000450 |
| Provider Name | Chad a Warren |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1235244054 PECOS PAC ID: 8123098068 Enrollment ID: I20071005000078 |
| Provider Name | Josannie D Concepcion |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134314123 PECOS PAC ID: 1153416045 Enrollment ID: I20071008000284 |
| Provider Name | Amanda P Jackson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366451999 PECOS PAC ID: 0547356156 Enrollment ID: I20071012000148 |
| Provider Name | James C Tsai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225149172 PECOS PAC ID: 0941392484 Enrollment ID: I20071015000469 |
| Provider Name | Aya Kuribayashi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942425723 PECOS PAC ID: 3173610714 Enrollment ID: I20071030000362 |
| Provider Name | Jennifer E Schauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790856136 PECOS PAC ID: 7416044482 Enrollment ID: I20071107000724 |
| Provider Name | Bill K Huang |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1356361588 PECOS PAC ID: 0042212631 Enrollment ID: I20071211000256 |
| Provider Name | Amar Y Purandare |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063427565 PECOS PAC ID: 0547266462 Enrollment ID: I20071213000854 |
| Provider Name | Laura S. B. Macleod |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1114092525 PECOS PAC ID: 2466542360 Enrollment ID: I20071215000095 |
| Provider Name | Patris S Marandi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1922055581 PECOS PAC ID: 1850472499 Enrollment ID: I20080121000332 |
| Provider Name | Hannah R Burdge |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972713139 PECOS PAC ID: 4587746300 Enrollment ID: I20080131000414 |
| Provider Name | Christine M Perez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174637771 PECOS PAC ID: 1759465156 Enrollment ID: I20080225000090 |
| Provider Name | Todd F Gunderson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669436176 PECOS PAC ID: 9739263898 Enrollment ID: I20080227000686 |
| Provider Name | Johanna Wang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043288764 PECOS PAC ID: 0941384036 Enrollment ID: I20080228000014 |
| Provider Name | Paul a Abson |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1336121029 PECOS PAC ID: 5597847368 Enrollment ID: I20080312000486 |
| Provider Name | James L Troutman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043217441 PECOS PAC ID: 2769567775 Enrollment ID: I20080313000695 |
| Provider Name | George Vasil |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588639330 PECOS PAC ID: 3072690528 Enrollment ID: I20080408000321 |
| Provider Name | Brian S Shull |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740255165 PECOS PAC ID: 5395823330 Enrollment ID: I20080416000456 |
| Provider Name | Jena Lopez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386607612 PECOS PAC ID: 0345136305 Enrollment ID: I20080502000486 |
| Provider Name | Kristin a Manning |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831125889 PECOS PAC ID: 0648351643 Enrollment ID: I20080509000351 |
| Provider Name | Timothy Leigh Larson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679500433 PECOS PAC ID: 2567358831 Enrollment ID: I20080509000486 |
| Provider Name | William D Rubin |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1477550796 PECOS PAC ID: 6800975194 Enrollment ID: I20080512000749 |
| Provider Name | Anthony M Krajcer |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1124215033 PECOS PAC ID: 8729157508 Enrollment ID: I20080520000308 |
| Provider Name | Swapna Bobba |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043337918 PECOS PAC ID: 0042389744 Enrollment ID: I20080521000430 |
| Provider Name | Suzanne Papcun |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629243233 PECOS PAC ID: 7810066297 Enrollment ID: I20080527000746 |
| Provider Name | Yahua Yu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1922014703 PECOS PAC ID: 6103996830 Enrollment ID: I20080606000044 |
| Provider Name | Brandon Y Liu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649308222 PECOS PAC ID: 1254423106 Enrollment ID: I20080627000065 |
| Provider Name | David I Smith |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1538255294 PECOS PAC ID: 6608948146 Enrollment ID: I20080628000067 |
| Provider Name | Cheryl Beighle |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629046206 PECOS PAC ID: 5193897379 Enrollment ID: I20080703000013 |
| Provider Name | Patrick Hurley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003011933 PECOS PAC ID: 3476653619 Enrollment ID: I20080715000434 |
| Provider Name | Dawn Hastreiter |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245339357 PECOS PAC ID: 0143311993 Enrollment ID: I20080716000740 |
| Provider Name | Xiaowen Wang |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1548371180 PECOS PAC ID: 3274607064 Enrollment ID: I20080728000403 |
| Provider Name | Anirban Das |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083889190 PECOS PAC ID: 5890869515 Enrollment ID: I20080729000708 |
| Provider Name | Jing Hui a Li |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649387754 PECOS PAC ID: 9931105533 Enrollment ID: I20080730000160 |
| Provider Name | David Jimenez Celi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679732879 PECOS PAC ID: 4688748049 Enrollment ID: I20080801000512 |
| Provider Name | James I Kim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376645994 PECOS PAC ID: 8729152111 Enrollment ID: I20080802000072 |
| Provider Name | Jessica M Lundeen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1659486595 PECOS PAC ID: 7911071931 Enrollment ID: I20080808000214 |
| Provider Name | Oliver S Tai |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1699885731 PECOS PAC ID: 4183799638 Enrollment ID: I20080818000455 |
| Provider Name | Gregory M Pilmer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427162908 PECOS PAC ID: 3971678269 Enrollment ID: I20080821000181 |
| Provider Name | Maggie Chou |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700843091 PECOS PAC ID: 6406921709 Enrollment ID: I20080821000222 |
| Provider Name | Tania L Martinez Lemke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801905617 PECOS PAC ID: 7113093212 Enrollment ID: I20080912000442 |
| Provider Name | Daniel E Major |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1356459143 PECOS PAC ID: 9537236518 Enrollment ID: I20080916000605 |
| Provider Name | Ancuta Pandrea |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285747188 PECOS PAC ID: 0941205850 Enrollment ID: I20080918000074 |
| Provider Name | Anuja Bhandari |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1609987163 PECOS PAC ID: 3274600895 Enrollment ID: I20080924000349 |
| Provider Name | Perry a Soriano |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1093892689 PECOS PAC ID: 4486654639 Enrollment ID: I20080924000435 |
| Provider Name | Yen-huang Chen |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1841335171 PECOS PAC ID: 7810092509 Enrollment ID: I20080926000237 |
| Provider Name | Megan C Merriwether |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1225209190 PECOS PAC ID: 8325116510 Enrollment ID: I20080930000808 |
| Provider Name | Zsolt Lorant |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043371362 PECOS PAC ID: 8628146750 Enrollment ID: I20081002000505 |
| Provider Name | Julie a Kahnamoui |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497949457 PECOS PAC ID: 8123196870 Enrollment ID: I20081007000826 |
| Provider Name | Katherine G Hurd |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841365236 PECOS PAC ID: 4385740315 Enrollment ID: I20081008000080 |
| Provider Name | Grant E Taylor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134346810 PECOS PAC ID: 3375601560 Enrollment ID: I20081016000195 |
| Provider Name | Jeanine Ann Sommerville |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669467304 PECOS PAC ID: 9931276045 Enrollment ID: I20081016000288 |
| Provider Name | Kimberly a Krabill |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508937509 PECOS PAC ID: 4486714474 Enrollment ID: I20081120000525 |
| Provider Name | Claire M Brown |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1760647143 PECOS PAC ID: 2163582917 Enrollment ID: I20081124000367 |
| Provider Name | Rita Ann Kostelik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003009135 PECOS PAC ID: 6507927100 Enrollment ID: I20081201000479 |
| Provider Name | Melissa S Negretti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073725743 PECOS PAC ID: 4688735954 Enrollment ID: I20081204000626 |
| Provider Name | Lorraine M Flaherty |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689785446 PECOS PAC ID: 9638231251 Enrollment ID: I20081216000365 |
| Provider Name | Sukhdip Dhillon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932359551 PECOS PAC ID: 6709948979 Enrollment ID: I20081222000578 |
| Provider Name | Stephanie C Wilson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255586533 PECOS PAC ID: 5597827329 Enrollment ID: I20090102000343 |
| Provider Name | Glenn Mahoney |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1841263365 PECOS PAC ID: 3173545076 Enrollment ID: I20090105000549 |
| Provider Name | Mary R Leary |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1639324288 PECOS PAC ID: 9638232887 Enrollment ID: I20090114000125 |
| Provider Name | Karen a Maynard |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053557462 PECOS PAC ID: 1153485768 Enrollment ID: I20090127000267 |
| Provider Name | Billierose J Hair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134365091 PECOS PAC ID: 7810052784 Enrollment ID: I20090210000721 |
| Provider Name | Meredith P Sheedy |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1578720512 PECOS PAC ID: 7618032327 Enrollment ID: I20090212000513 |
| Provider Name | Sally a Newbrough |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1245409531 PECOS PAC ID: 0042376931 Enrollment ID: I20090302000068 |
| Provider Name | Meghan E Sueltenfuss |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083613103 PECOS PAC ID: 7113960980 Enrollment ID: I20090331000517 |
| Provider Name | Marcia H Saul |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184711780 PECOS PAC ID: 5698702017 Enrollment ID: I20090407000207 |
| Provider Name | Chiyang Wu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760474738 PECOS PAC ID: 0941350755 Enrollment ID: I20090616000455 |
| Provider Name | Christy L Gibson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356417430 PECOS PAC ID: 2264582998 Enrollment ID: I20090618000031 |
| Provider Name | Amy S Cheng |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1093882052 PECOS PAC ID: 3577660562 Enrollment ID: I20090727000529 |
| Provider Name | Anupama V Vijay |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235240128 PECOS PAC ID: 3577616143 Enrollment ID: I20090729000432 |
| Provider Name | Alex D Cooper |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1689646614 PECOS PAC ID: 3678507613 Enrollment ID: I20090731000106 |
| Provider Name | Sara E Benveniste |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346403623 PECOS PAC ID: 4183777345 Enrollment ID: I20090805000461 |
| Provider Name | Nariman Heshmati |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700933595 PECOS PAC ID: 4688728280 Enrollment ID: I20090817000521 |
| Provider Name | Alice B Brownstein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295811040 PECOS PAC ID: 2961556493 Enrollment ID: I20090819000130 |
| Provider Name | James E Congdon |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1871532481 PECOS PAC ID: 2466546023 Enrollment ID: I20090826000026 |
| Provider Name | Jenny B Hobbs |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598874224 PECOS PAC ID: 9234284373 Enrollment ID: I20090826000228 |
| Provider Name | Sophia H Shiau |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235325663 PECOS PAC ID: 0840345997 Enrollment ID: I20090826000270 |
| Provider Name | Lindsy J Alanis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003826603 PECOS PAC ID: 8820143498 Enrollment ID: I20090903000004 |
| Provider Name | Shelene Yoshida |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285759787 PECOS PAC ID: 4789777616 Enrollment ID: I20090917000428 |
| Provider Name | Malik F Fuimaono |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487884573 PECOS PAC ID: 7113063413 Enrollment ID: I20090929000655 |
| Provider Name | Neeta Bhogal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154473833 PECOS PAC ID: 0244376127 Enrollment ID: I20091007000034 |
| Provider Name | Dawn M Cantrell |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1588858542 PECOS PAC ID: 3476690751 Enrollment ID: I20091019000283 |
| Provider Name | Geetha Easwaran |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316104060 PECOS PAC ID: 3274670229 Enrollment ID: I20091022000717 |
| Provider Name | Shannon M Latta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194956672 PECOS PAC ID: 9436296498 Enrollment ID: I20091022000747 |
| Provider Name | Connie S Wang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831383447 PECOS PAC ID: 1355437153 Enrollment ID: I20091022000749 |
| Provider Name | Ling Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558350074 PECOS PAC ID: 8325186331 Enrollment ID: I20091112000079 |
| Provider Name | Anne Pesenson |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1083765515 PECOS PAC ID: 4385730217 Enrollment ID: I20091209000359 |
| Provider Name | Rebecca a Kulgren |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578744199 PECOS PAC ID: 2567537251 Enrollment ID: I20091209000611 |
| Provider Name | Robert J Klem |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275508491 PECOS PAC ID: 6305987728 Enrollment ID: I20100107000534 |
| Provider Name | Roland V Feltner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225004658 PECOS PAC ID: 4587705694 Enrollment ID: I20100112000456 |
| Provider Name | John Lank |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942275797 PECOS PAC ID: 0042351066 Enrollment ID: I20100112000621 |
| Provider Name | Mark C Carlson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326016825 PECOS PAC ID: 8325189350 Enrollment ID: I20100112000717 |
| Provider Name | Christopher M Beard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144296575 PECOS PAC ID: 6709927742 Enrollment ID: I20100112000826 |
| Provider Name | Don B Andrews |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972579308 PECOS PAC ID: 0042351017 Enrollment ID: I20100113000212 |
| Provider Name | Robert M Mcknight |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841268349 PECOS PAC ID: 7315088275 Enrollment ID: I20100114000204 |
| Provider Name | Steven J Poirier-mcneill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710955422 PECOS PAC ID: 5698817591 Enrollment ID: I20100114000648 |
| Provider Name | Deborah Meyers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902874563 PECOS PAC ID: 6406998376 Enrollment ID: I20100115000480 |
| Provider Name | Paul T Mcbride |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1609831882 PECOS PAC ID: 9537201389 Enrollment ID: I20100118000082 |
| Provider Name | Howard B Barker |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1114998168 PECOS PAC ID: 2567504145 Enrollment ID: I20100120000284 |
| Provider Name | Wayne a Bjur |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1578596631 PECOS PAC ID: 2668514258 Enrollment ID: I20100120000391 |
| Provider Name | Jeff R Mason |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1174592588 PECOS PAC ID: 3173665775 Enrollment ID: I20100120000437 |
| Provider Name | Matthew Mark Bressie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265409858 PECOS PAC ID: 4486548419 Enrollment ID: I20100126000108 |
| Provider Name | Elie P Saikaly |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1306941919 PECOS PAC ID: 2365584406 Enrollment ID: I20100127000601 |
| Provider Name | Kurt M Muller |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1699844084 PECOS PAC ID: 8820130974 Enrollment ID: I20100127000700 |
| Provider Name | Amir S Jalali |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1861597049 PECOS PAC ID: 7113069279 Enrollment ID: I20100127000777 |
| Provider Name | Jenna a Lisenby |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932332566 PECOS PAC ID: 8123160207 Enrollment ID: I20100127000964 |
| Provider Name | Stephen Dahlberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437127339 PECOS PAC ID: 6800938903 Enrollment ID: I20100128000239 |
| Provider Name | Timothy a Graves |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1467557728 PECOS PAC ID: 7416090345 Enrollment ID: I20100201000549 |
| Provider Name | James W Finley |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1265537740 PECOS PAC ID: 0749323681 Enrollment ID: I20100201000597 |
| Provider Name | Dongmei M Liu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1679678791 PECOS PAC ID: 4981747789 Enrollment ID: I20100202000442 |
| Provider Name | Mark R Colombo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518933936 PECOS PAC ID: 7810030186 Enrollment ID: I20100209000266 |
| Provider Name | Autumn J Moser |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962507723 PECOS PAC ID: 8921141110 Enrollment ID: I20100210000660 |
| Provider Name | Sheryl a Dreyer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144298043 PECOS PAC ID: 5799679213 Enrollment ID: I20100211000676 |
| Provider Name | Anne C Anholm |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902999402 PECOS PAC ID: 7113060294 Enrollment ID: I20100211000702 |
| Provider Name | Ralph a Rossi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710955083 PECOS PAC ID: 8628112711 Enrollment ID: I20100212000089 |
| Provider Name | Patrizia a Showell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942279864 PECOS PAC ID: 1052455144 Enrollment ID: I20100212000100 |
| Provider Name | Arthur Griffin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1457421463 PECOS PAC ID: 4183768286 Enrollment ID: I20100212000150 |
| Provider Name | Scott a Schaaf |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1124124755 PECOS PAC ID: 5294875811 Enrollment ID: I20100212000234 |
| Provider Name | Thomas C Skalley |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1336245976 PECOS PAC ID: 7911041017 Enrollment ID: I20100212000247 |
| Provider Name | Cynthia W Su |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1558467712 PECOS PAC ID: 0547304651 Enrollment ID: I20100212000269 |
| Provider Name | Robert L Jacobson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235193376 PECOS PAC ID: 2365586245 Enrollment ID: I20100216000156 |
| Provider Name | Shelly Finn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184688210 PECOS PAC ID: 2163566043 Enrollment ID: I20100216000182 |
| Provider Name | Agata K Sikora |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376511790 PECOS PAC ID: 3678617511 Enrollment ID: I20100216000743 |
| Provider Name | Yoshio Inoue |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1891748331 PECOS PAC ID: 1456358712 Enrollment ID: I20100219000326 |
| Provider Name | Ann M Knowles |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669404562 PECOS PAC ID: 7810031473 Enrollment ID: I20100219000451 |
| Provider Name | Jefferey S Winningham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043316110 PECOS PAC ID: 4789728361 Enrollment ID: I20100219000716 |
| Provider Name | Thomas K Stonecipher |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1235235490 PECOS PAC ID: 9032253323 Enrollment ID: I20100224000898 |
| Provider Name | Sanhwan Chen |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1932165784 PECOS PAC ID: 7214071463 Enrollment ID: I20100225000576 |
| Provider Name | Steven C Jacobson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326013103 PECOS PAC ID: 4082508502 Enrollment ID: I20100226000024 |
| Provider Name | Loren J Ihle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760457923 PECOS PAC ID: 3274677463 Enrollment ID: I20100226000044 |
| Provider Name | Cristina R Santiago |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427154053 PECOS PAC ID: 4789729906 Enrollment ID: I20100226000481 |
| Provider Name | James a Wiegers |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1720157100 PECOS PAC ID: 4688719800 Enrollment ID: I20100226000497 |
| Provider Name | Russell B Beckley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255425799 PECOS PAC ID: 0749320364 Enrollment ID: I20100226000521 |
| Provider Name | Signa J Moe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740385509 PECOS PAC ID: 8921143157 Enrollment ID: I20100226000533 |
| Provider Name | Ann M Wanner |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1437114501 PECOS PAC ID: 8123163292 Enrollment ID: I20100302000135 |
| Provider Name | Kristi D York |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1972674133 PECOS PAC ID: 9032254032 Enrollment ID: I20100302000514 |
| Provider Name | Jody B Friday |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306916333 PECOS PAC ID: 7416092432 Enrollment ID: I20100302000716 |
| Provider Name | John F Cramer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689769267 PECOS PAC ID: 5395880330 Enrollment ID: I20100302000853 |
| Provider Name | Cindy L Bowers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962574004 PECOS PAC ID: 7719012046 Enrollment ID: I20100311000950 |
| Provider Name | Laurent Nicolov |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366410375 PECOS PAC ID: 7517092844 Enrollment ID: I20100311000971 |
| Provider Name | Amy M Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447344031 PECOS PAC ID: 5092840231 Enrollment ID: I20100312000988 |
| Provider Name | Tammy M Muller |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891879342 PECOS PAC ID: 9436284460 Enrollment ID: I20100316000970 |
| Provider Name | Sherri K Nevala |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1275603243 PECOS PAC ID: 5193850857 Enrollment ID: I20100319000204 |
| Provider Name | John F Mcguigan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1053461129 PECOS PAC ID: 2264567940 Enrollment ID: I20100319000468 |
| Provider Name | Victoria K Stocker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407803026 PECOS PAC ID: 7214021880 Enrollment ID: I20100319000851 |
| Provider Name | Jon C Feldheger |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1952507360 PECOS PAC ID: 5395871248 Enrollment ID: I20100330000655 |
| Provider Name | Antonius G Mulia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013985977 PECOS PAC ID: 5294861191 Enrollment ID: I20100330001087 |
| Provider Name | Peter a Baciewicz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1689640351 PECOS PAC ID: 2264568849 Enrollment ID: I20100408000018 |
| Provider Name | Yuan Po Tu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295807352 PECOS PAC ID: 3375670649 Enrollment ID: I20100416000820 |
| Provider Name | Ana I Huston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578750048 PECOS PAC ID: 6507993201 Enrollment ID: I20100429000416 |
| Provider Name | David a Lin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326143447 PECOS PAC ID: 4880722495 Enrollment ID: I20100430000772 |
| Provider Name | Rajesh Subramanian |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1265419741 PECOS PAC ID: 1658362272 Enrollment ID: I20100503000492 |
| Provider Name | Elina Minami |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1831274646 PECOS PAC ID: 0143358077 Enrollment ID: I20100513000239 |
| Provider Name | James a Lusk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073618922 PECOS PAC ID: 9638204779 Enrollment ID: I20100514000808 |
| Provider Name | Polly R Haberlin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467543322 PECOS PAC ID: 5991835407 Enrollment ID: I20100610000086 |
| Provider Name | Harry Hwang |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1316041841 PECOS PAC ID: 3375674617 Enrollment ID: I20100630000167 |
| Provider Name | Jared M Anderson |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1902065733 PECOS PAC ID: 1759412018 Enrollment ID: I20100630000383 |
| Provider Name | Christiane Denise Mullins |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770694028 PECOS PAC ID: 8022149160 Enrollment ID: I20100706000468 |
| Provider Name | Terri a Parsons |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1750495339 PECOS PAC ID: 2365334935 Enrollment ID: I20100712000320 |
| Provider Name | Eric S Ketchum |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972793537 PECOS PAC ID: 3678605094 Enrollment ID: I20100721000476 |
| Provider Name | Robert G Sperry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417045550 PECOS PAC ID: 9032241369 Enrollment ID: I20100721000769 |
| Provider Name | Andrea R Drown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225297385 PECOS PAC ID: 2567594831 Enrollment ID: I20100722000112 |
| Provider Name | Carla R Russo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568541365 PECOS PAC ID: 1456483676 Enrollment ID: I20100722000803 |
| Provider Name | Pooja Ramnath Voria |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891944260 PECOS PAC ID: 4486787322 Enrollment ID: I20100729000533 |
| Provider Name | Dawn M Bostic |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396707469 PECOS PAC ID: 4789717570 Enrollment ID: I20100730000280 |
| Provider Name | Daniel Susanto |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144364605 PECOS PAC ID: 6507999299 Enrollment ID: I20100802000582 |
| Provider Name | Milan Banjanin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316035355 PECOS PAC ID: 4688706914 Enrollment ID: I20100805000254 |
| Provider Name | Roger E Sharf |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275621286 PECOS PAC ID: 6507998838 Enrollment ID: I20100805000277 |
| Provider Name | Brian M Patterson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982792131 PECOS PAC ID: 3779615000 Enrollment ID: I20100816000552 |
| Provider Name | Jessica a Cabodi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982867339 PECOS PAC ID: 4880728617 Enrollment ID: I20100816001040 |
| Provider Name | Steven Shaw |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1336110964 PECOS PAC ID: 8224025440 Enrollment ID: I20100817001557 |
| Provider Name | Rohini a Kamath |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417903824 PECOS PAC ID: 7416960075 Enrollment ID: I20100820000436 |
| Provider Name | Shawn L Slack |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1306853239 PECOS PAC ID: 1557255072 Enrollment ID: I20100903000874 |
| Provider Name | Kimberly B Duvall |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1760705560 PECOS PAC ID: 9436274529 Enrollment ID: I20100913000934 |
| Provider Name | Jae H Sim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497803712 PECOS PAC ID: 4981729027 Enrollment ID: I20100914000359 |
| Provider Name | Morris G Johnson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1780673269 PECOS PAC ID: 7315020971 Enrollment ID: I20100915001271 |
| Provider Name | Virginia W K Yip |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831285493 PECOS PAC ID: 8628083367 Enrollment ID: I20100923001098 |
| Provider Name | John D Pryor |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1003082017 PECOS PAC ID: 9032265350 Enrollment ID: I20100928001518 |
| Provider Name | Jeffrey R Adams |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1104891175 PECOS PAC ID: 4183740954 Enrollment ID: I20100929000953 |
| Provider Name | Jana Rosenberg Cooke |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1093766404 PECOS PAC ID: 7719085703 Enrollment ID: I20101014000765 |
| Provider Name | Jessica E Brandt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063726701 PECOS PAC ID: 5092907675 Enrollment ID: I20101014000861 |
| Provider Name | Ana C Hernandez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235281718 PECOS PAC ID: 8426241068 Enrollment ID: I20101015000177 |
| Provider Name | Jennifer J Battaglia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235117367 PECOS PAC ID: 1153329065 Enrollment ID: I20101015000562 |
| Provider Name | Kara F Warden |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1336267806 PECOS PAC ID: 1355421520 Enrollment ID: I20101018000588 |
| Provider Name | Pamela L Boyer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1619166071 PECOS PAC ID: 0446443626 Enrollment ID: I20101020000563 |
| Provider Name | Jennifer M Jacob |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851416028 PECOS PAC ID: 2365635455 Enrollment ID: I20101021000539 |
| Provider Name | Heather M Wesner |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1972701993 PECOS PAC ID: 8729170410 Enrollment ID: I20101026001497 |
| Provider Name | Nicolae Vadan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598083743 PECOS PAC ID: 7416141676 Enrollment ID: I20101101001411 |
| Provider Name | Julie a Stroemel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1215125844 PECOS PAC ID: 5395939417 Enrollment ID: I20101103000347 |
| Provider Name | Linda Shin Milhoan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306036793 PECOS PAC ID: 5890989859 Enrollment ID: I20101103000866 |
| Provider Name | Akiko E Hall |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588857783 PECOS PAC ID: 5991990780 Enrollment ID: I20101105000658 |
| Provider Name | Sara K Schepp |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1568562387 PECOS PAC ID: 4486849221 Enrollment ID: I20101105001294 |
| Provider Name | Kent K Hu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255436432 PECOS PAC ID: 8921293630 Enrollment ID: I20101108000895 |
| Provider Name | Londres Riessen Uso |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1649381500 PECOS PAC ID: 0143415679 Enrollment ID: I20101110000749 |
| Provider Name | Megan a Beaumont |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225343932 PECOS PAC ID: 4284829722 Enrollment ID: I20101110000966 |
| Provider Name | Arnold Heng |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023086659 PECOS PAC ID: 8729273065 Enrollment ID: I20101111000958 |
| Provider Name | Elizabeth a Skirm |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477521284 PECOS PAC ID: 9931394293 Enrollment ID: I20101111001208 |
| Provider Name | John E Peckenpaugh |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235201880 PECOS PAC ID: 5698960623 Enrollment ID: I20101116000400 |
| Provider Name | Alanna E Goodman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1164690376 PECOS PAC ID: 1355419607 Enrollment ID: I20101116001116 |
| Provider Name | Christopher R Hempel |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1629194030 PECOS PAC ID: 4688860026 Enrollment ID: I20101123001281 |
| Provider Name | Patricia Mladenov |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083881288 PECOS PAC ID: 6204022635 Enrollment ID: I20101127000011 |
| Provider Name | Kelly B Weaver |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1295831352 PECOS PAC ID: 7517154248 Enrollment ID: I20101207001382 |
| Provider Name | Laurie S Walters |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346311503 PECOS PAC ID: 0244427979 Enrollment ID: I20101207001386 |
| Provider Name | Leif G Vold |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255437307 PECOS PAC ID: 3173710621 Enrollment ID: I20101209000275 |
| Provider Name | Jey-hsin Chen |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1336263896 PECOS PAC ID: 8921192071 Enrollment ID: I20101209000749 |
| Provider Name | Antony S Egnal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821086810 PECOS PAC ID: 6709846835 Enrollment ID: I20101213000334 |
| Provider Name | Denise S Kraft |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033109855 PECOS PAC ID: 0446210579 Enrollment ID: I20101213000485 |
| Provider Name | Sean M Burson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922312453 PECOS PAC ID: 1951598267 Enrollment ID: I20101213001072 |
| Provider Name | Kim D Rigmaiden |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710068457 PECOS PAC ID: 9234326448 Enrollment ID: I20101213001192 |
| Provider Name | Kevin M Darland |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1982848693 PECOS PAC ID: 1052508256 Enrollment ID: I20101214001021 |
| Provider Name | Margo Hoppis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1538478474 PECOS PAC ID: 9537356738 Enrollment ID: I20101214001098 |
| Provider Name | Roger a Strand |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1821172537 PECOS PAC ID: 2567650674 Enrollment ID: I20101215001254 |
| Provider Name | Kavitha Chunchu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770595019 PECOS PAC ID: 8123216322 Enrollment ID: I20110103000237 |
| Provider Name | Steven L Barcott |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1467762864 PECOS PAC ID: 4789873795 Enrollment ID: I20110106000491 |
| Provider Name | Dinah Thyerlei |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1205947272 PECOS PAC ID: 3577752484 Enrollment ID: I20110107000467 |
| Provider Name | Abdullah Oz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1083692412 PECOS PAC ID: 3678568995 Enrollment ID: I20110110000311 |
| Provider Name | Susana E Myers |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710164439 PECOS PAC ID: 5294914602 Enrollment ID: I20110131000814 |
| Provider Name | Shannon S Shamseldin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851475560 PECOS PAC ID: 3476733734 Enrollment ID: I20110203001128 |
| Provider Name | Ankur M Rana |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790959732 PECOS PAC ID: 2769663004 Enrollment ID: I20110221000374 |
| Provider Name | Reid D Holtzclaw-swan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992782288 PECOS PAC ID: 0143401000 Enrollment ID: I20110224000858 |
| Provider Name | James a Parker |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891848263 PECOS PAC ID: 4688856131 Enrollment ID: I20110304000684 |
| Provider Name | Mariann Drucker |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144273046 PECOS PAC ID: 2769665413 Enrollment ID: I20110317000947 |
| Provider Name | Michael R Chun |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629045463 PECOS PAC ID: 0547446858 Enrollment ID: I20110523000497 |
| Provider Name | Joseph W Davis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013182179 PECOS PAC ID: 0648456798 Enrollment ID: I20110525000521 |
| Provider Name | Jeremy Wade Van Gieson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265640767 PECOS PAC ID: 2860675113 Enrollment ID: I20110608000504 |
| Provider Name | Kris N Sodetani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811192628 PECOS PAC ID: 4880871045 Enrollment ID: I20110615000869 |
| Provider Name | Leslie Dean Poppe |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1114036217 PECOS PAC ID: 4789862434 Enrollment ID: I20110628000223 |
| Provider Name | Megan a Shaw |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1366608143 PECOS PAC ID: 4880862689 Enrollment ID: I20110721000842 |
| Provider Name | Jonathan Aaron Kullnat |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700981966 PECOS PAC ID: 3870761430 Enrollment ID: I20110726000478 |
| Provider Name | Douglas D. Nowak |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1083871305 PECOS PAC ID: 5193919744 Enrollment ID: I20110726000529 |
| Provider Name | Paul R Seckinger |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235330861 PECOS PAC ID: 8820126709 Enrollment ID: I20110727000618 |
| Provider Name | Yu Lisa Shen-vasen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396044418 PECOS PAC ID: 2769651934 Enrollment ID: I20110803000785 |
| Provider Name | Hugh L Keegan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871741710 PECOS PAC ID: 9537339932 Enrollment ID: I20110822000420 |
| Provider Name | Shannah M Hewitt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053522284 PECOS PAC ID: 2163569674 Enrollment ID: I20110825000129 |
| Provider Name | Jason D Goldman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740436609 PECOS PAC ID: 8426228313 Enrollment ID: I20110901000439 |
| Provider Name | Michelle R Draper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578573648 PECOS PAC ID: 0547430332 Enrollment ID: I20110906000286 |
| Provider Name | Leah Christine S Uy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528367620 PECOS PAC ID: 3779754981 Enrollment ID: I20110920000487 |
| Provider Name | Margaret a Palmquest |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982677498 PECOS PAC ID: 8527239664 Enrollment ID: I20110920000948 |
| Provider Name | Zarry Tavakkol |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1235394560 PECOS PAC ID: 0345411484 Enrollment ID: I20110920000951 |
| Provider Name | Sujata T Agnani |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1841305323 PECOS PAC ID: 5496752487 Enrollment ID: I20110921000355 |
| Provider Name | Stephanie M Garrison |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558599274 PECOS PAC ID: 9133390206 Enrollment ID: I20110921000377 |
| Provider Name | Yujin Kim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568614204 PECOS PAC ID: 4587835616 Enrollment ID: I20110922000160 |
| Provider Name | Van Anh T Ginger |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1821108309 PECOS PAC ID: 4082885827 Enrollment ID: I20110927000532 |
| Provider Name | Benjamin F Gonzalez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740431733 PECOS PAC ID: 4688845464 Enrollment ID: I20110928000101 |
| Provider Name | Belinda Chavez |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386942282 PECOS PAC ID: 0547432767 Enrollment ID: I20111012000803 |
| Provider Name | Janis a Mccullough |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083755888 PECOS PAC ID: 6204934508 Enrollment ID: I20111024000730 |
| Provider Name | Brian Y Kim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982860276 PECOS PAC ID: 9931372372 Enrollment ID: I20111101000312 |
| Provider Name | Edward Lee |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1033134267 PECOS PAC ID: 9931008141 Enrollment ID: I20111103000930 |
| Provider Name | Paula Georgette Newman Skomski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578860821 PECOS PAC ID: 0446424675 Enrollment ID: I20111123000704 |
| Provider Name | Bradley K Fankhauser |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922269489 PECOS PAC ID: 4082889456 Enrollment ID: I20111213000810 |
| Provider Name | Ronn L Reimer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164539052 PECOS PAC ID: 7416940747 Enrollment ID: I20111229000010 |
| Provider Name | Sandra a Liu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003870361 PECOS PAC ID: 1153588298 Enrollment ID: I20120201000772 |
| Provider Name | Alka Atal-barrio |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699741025 PECOS PAC ID: 5698962215 Enrollment ID: I20120201000844 |
| Provider Name | Jane a Lester |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356305239 PECOS PAC ID: 1254598311 Enrollment ID: I20120201000908 |
| Provider Name | Naomi Katsh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659335164 PECOS PAC ID: 4688831746 Enrollment ID: I20120201000948 |
| Provider Name | Kay Moua |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073890737 PECOS PAC ID: 9739346677 Enrollment ID: I20120206000378 |
| Provider Name | Patricia Garrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730489972 PECOS PAC ID: 3375722374 Enrollment ID: I20120221000861 |
| Provider Name | Nino Boissonneault |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881911105 PECOS PAC ID: 4082872072 Enrollment ID: I20120222000395 |
| Provider Name | Susan O Tiu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710148994 PECOS PAC ID: 3577722560 Enrollment ID: I20120312000121 |
| Provider Name | Michael a Donais |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1174635288 PECOS PAC ID: 7113912387 Enrollment ID: I20120312000395 |
| Provider Name | Rachael U Schuessler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225175359 PECOS PAC ID: 5799866562 Enrollment ID: I20120321000849 |
| Provider Name | James W Jordan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1417156993 PECOS PAC ID: 3870675002 Enrollment ID: I20120329000427 |
| Provider Name | Feng Wang |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1922283431 PECOS PAC ID: 5395824692 Enrollment ID: I20120409000378 |
| Provider Name | John Michael Echeveste |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1609910967 PECOS PAC ID: 0446412993 Enrollment ID: I20120430000784 |
| Provider Name | Natalie P Higgins |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1740393461 PECOS PAC ID: 6204831951 Enrollment ID: I20120502000574 |
| Provider Name | Nancy O Thordarson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962470674 PECOS PAC ID: 4688830862 Enrollment ID: I20120717000375 |
| Provider Name | Brett L Buchmiller |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1558397265 PECOS PAC ID: 3779585955 Enrollment ID: I20120718000576 |
| Provider Name | Alexander J Gougoutas |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1821154790 PECOS PAC ID: 1951567916 Enrollment ID: I20120719000643 |
| Provider Name | Gaytri Scheel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952436263 PECOS PAC ID: 8729012281 Enrollment ID: I20120725000889 |
| Provider Name | Sarah Elizabeth Burns |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1710115084 PECOS PAC ID: 1456517846 Enrollment ID: I20120731000141 |
| Provider Name | Irene Ho |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1376641787 PECOS PAC ID: 6507960697 Enrollment ID: I20120731000823 |
| Provider Name | Paula D Mcpoland |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932340874 PECOS PAC ID: 8820244056 Enrollment ID: I20120803000388 |
| Provider Name | Jennifer Renae Mcevoy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508056482 PECOS PAC ID: 2668658758 Enrollment ID: I20120803000654 |
| Provider Name | Barbara J Kraynek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639307879 PECOS PAC ID: 4082860077 Enrollment ID: I20120807000503 |
| Provider Name | James Santoro |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1578799292 PECOS PAC ID: 6406002104 Enrollment ID: I20120813000470 |
| Provider Name | Steven R English |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1679720171 PECOS PAC ID: 6305092966 Enrollment ID: I20120814000476 |
| Provider Name | Rachel P Allen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1982866158 PECOS PAC ID: 9931356268 Enrollment ID: I20120821001084 |
| Provider Name | Sejal P Graber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043538440 PECOS PAC ID: 3971750233 Enrollment ID: I20120822000232 |
| Provider Name | Douglas a Pepple |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1669646543 PECOS PAC ID: 9830387752 Enrollment ID: I20120823000898 |
| Provider Name | Maya D Hughes |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689816233 PECOS PAC ID: 5092962100 Enrollment ID: I20120824000375 |
| Provider Name | Quan M Dau |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295998490 PECOS PAC ID: 1355598194 Enrollment ID: I20120829000495 |
| Provider Name | Kimberly M Scherer |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1821385295 PECOS PAC ID: 9931371259 Enrollment ID: I20120831000347 |
| Provider Name | David Bielak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710214341 PECOS PAC ID: 9032366646 Enrollment ID: I20120904000058 |
| Provider Name | Brett M Schmitz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851524268 PECOS PAC ID: 6800043308 Enrollment ID: I20120905000293 |
| Provider Name | Gholamreza R Zinati |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669691424 PECOS PAC ID: 7719136290 Enrollment ID: I20120926000508 |
| Provider Name | Rebecca D Kolsky |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316189822 PECOS PAC ID: 8224287560 Enrollment ID: I20121002000654 |
| Provider Name | Erin-siobhain R Currin |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1023274875 PECOS PAC ID: 8921257270 Enrollment ID: I20121003000004 |
| Provider Name | Alhasan Juhani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467410647 PECOS PAC ID: 9830134931 Enrollment ID: I20121005000533 |
| Provider Name | Marie Y Davis |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1205082328 PECOS PAC ID: 1850542283 Enrollment ID: I20121113000362 |
| Provider Name | Lorraine a English |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1295705135 PECOS PAC ID: 2860403375 Enrollment ID: I20121114000477 |
| Provider Name | Katlin Wojnicki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548517105 PECOS PAC ID: 5395996607 Enrollment ID: I20121114000604 |
| Provider Name | Timothy Edmonds O'meara |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457593923 PECOS PAC ID: 6800047135 Enrollment ID: I20121115000172 |
| Provider Name | Khanh Tran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932210937 PECOS PAC ID: 3274691324 Enrollment ID: I20121115000289 |
| Provider Name | Erica D Sutehall |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1902108426 PECOS PAC ID: 5799961215 Enrollment ID: I20121119000422 |
| Provider Name | Fei Pan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1881884385 PECOS PAC ID: 2769634583 Enrollment ID: I20121130000279 |
| Provider Name | Krissa J Orlowski |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1578813465 PECOS PAC ID: 1355593096 Enrollment ID: I20121204000339 |
| Provider Name | Bup-jong J Kum |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1063730745 PECOS PAC ID: 8224216882 Enrollment ID: I20121217000263 |
| Provider Name | Vanessa Maxwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518201730 PECOS PAC ID: 8527211580 Enrollment ID: I20121227000262 |
| Provider Name | Stephanie Cate Blanshan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285978726 PECOS PAC ID: 9830342658 Enrollment ID: I20130103000286 |
| Provider Name | Rachel Allen Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851665624 PECOS PAC ID: 2567615206 Enrollment ID: I20130109000321 |
| Provider Name | David Kawamura |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1528281391 PECOS PAC ID: 3173718897 Enrollment ID: I20130115000129 |
| Provider Name | Yury Filitovich |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1487990362 PECOS PAC ID: 6406001460 Enrollment ID: I20130225000353 |
| Provider Name | Kimberly T Maris |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750475570 PECOS PAC ID: 0244332484 Enrollment ID: I20130227000516 |
| Provider Name | Sidra Aslam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518194224 PECOS PAC ID: 9537314232 Enrollment ID: I20130304000159 |
| Provider Name | Allen S Tu |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1992021091 PECOS PAC ID: 2264629708 Enrollment ID: I20130308000470 |
| Provider Name | Janelle M Ibsen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1831372622 PECOS PAC ID: 6608021936 Enrollment ID: I20130312000398 |
| Provider Name | Kathleen E Tubridy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124258876 PECOS PAC ID: 6002061363 Enrollment ID: I20130313000101 |
| Provider Name | Paula D Ruedebusch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033342050 PECOS PAC ID: 9537215348 Enrollment ID: I20130514000404 |
| Provider Name | Andrew G Eisentrout |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346589165 PECOS PAC ID: 9537307095 Enrollment ID: I20130523000348 |
| Provider Name | Elizabeth Rosemary Kohn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518948165 PECOS PAC ID: 4688565963 Enrollment ID: I20130524000217 |
| Provider Name | William Arthur Wolter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134470990 PECOS PAC ID: 9234377409 Enrollment ID: I20130529000649 |
| Provider Name | Ellen S Passloff |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033288188 PECOS PAC ID: 2062651649 Enrollment ID: I20130611000354 |
| Provider Name | Yen T Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356665947 PECOS PAC ID: 2567602394 Enrollment ID: I20130628000017 |
| Provider Name | Christopher a Bellotti |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023261989 PECOS PAC ID: 8729128459 Enrollment ID: I20130703000702 |
| Provider Name | Brendan John Mccullough |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497954317 PECOS PAC ID: 4183864606 Enrollment ID: I20130705000351 |
| Provider Name | Helen Y Young |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386622215 PECOS PAC ID: 8325082555 Enrollment ID: I20130709000358 |
| Provider Name | David Lu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326366873 PECOS PAC ID: 3274773288 Enrollment ID: I20130715000507 |
| Provider Name | Cara M Allwine |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720244189 PECOS PAC ID: 4284750076 Enrollment ID: I20130717000208 |
| Provider Name | Shanshan M Bond |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861704629 PECOS PAC ID: 5597906446 Enrollment ID: I20130718000792 |
| Provider Name | Geoffrey Lowrey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730308396 PECOS PAC ID: 3375585862 Enrollment ID: I20130724000330 |
| Provider Name | Maneesh Gupta |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1952511024 PECOS PAC ID: 0941441224 Enrollment ID: I20130729000992 |
| Provider Name | Kimberly L Vanderzee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518287705 PECOS PAC ID: 3971744079 Enrollment ID: I20130801000626 |
| Provider Name | Brian C Tryon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952478745 PECOS PAC ID: 7810925583 Enrollment ID: I20130807000922 |
| Provider Name | Maylon Hsu |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1336316769 PECOS PAC ID: 9931370160 Enrollment ID: I20130808000730 |
| Provider Name | Mehdi Nmi Rohany |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558578831 PECOS PAC ID: 8729258330 Enrollment ID: I20130813000045 |
| Provider Name | Andrew James Pastor |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1326207051 PECOS PAC ID: 8527200906 Enrollment ID: I20130814000694 |
| Provider Name | William Styles |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063499093 PECOS PAC ID: 4789726936 Enrollment ID: I20130820000980 |
| Provider Name | Kristi a Kiyonaga |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649595059 PECOS PAC ID: 7517100043 Enrollment ID: I20130830000254 |
| Provider Name | Meghan Mcsorley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558590117 PECOS PAC ID: 7618111832 Enrollment ID: I20130910000140 |
| Provider Name | Maheer B Gandhavadi |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1235305855 PECOS PAC ID: 0143408468 Enrollment ID: I20130912000005 |
| Provider Name | Raynald H Im |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003136979 PECOS PAC ID: 2567606502 Enrollment ID: I20130913000204 |
| Provider Name | Jean Jacques Nya Ngatchou |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1396076139 PECOS PAC ID: 1951545904 Enrollment ID: I20130913000310 |
| Provider Name | Samantha Lancaster |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497914691 PECOS PAC ID: 0648414193 Enrollment ID: I20130923000743 |
| Provider Name | Teresa Owens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376897470 PECOS PAC ID: 9133363633 Enrollment ID: I20130924000461 |
| Provider Name | Wen Huan Ho |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1548469281 PECOS PAC ID: 7416102504 Enrollment ID: I20131010001686 |
| Provider Name | Jason J Lukas |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1427204262 PECOS PAC ID: 7012141641 Enrollment ID: I20131014001223 |
| Provider Name | Prakash Thapaliya |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1215145560 PECOS PAC ID: 4183799117 Enrollment ID: I20131016001412 |
| Provider Name | Emily a James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437599404 PECOS PAC ID: 6709011513 Enrollment ID: I20131104000904 |
| Provider Name | Steve R Martinez |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1154359065 PECOS PAC ID: 1850304544 Enrollment ID: I20131112001604 |
| Provider Name | Arema a Pereira |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1801054770 PECOS PAC ID: 9739315722 Enrollment ID: I20131121001288 |
| Provider Name | Rachel Louise O'connor |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740448448 PECOS PAC ID: 1658536990 Enrollment ID: I20131121001916 |
| Provider Name | Michelle M Jacobs |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174766083 PECOS PAC ID: 3274728597 Enrollment ID: I20131226000906 |
| Provider Name | Erica H Dascher |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1578651568 PECOS PAC ID: 0547499683 Enrollment ID: I20140212000738 |
| Provider Name | James a Marsh |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1528496858 PECOS PAC ID: 2567692239 Enrollment ID: I20140225000001 |
| Provider Name | Sara Rahman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174556872 PECOS PAC ID: 2769466184 Enrollment ID: I20140313001351 |
| Provider Name | Robert W Hezlep |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1174950463 PECOS PAC ID: 9537390067 Enrollment ID: I20140327000410 |
| Provider Name | Soo Y Kim |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1083814511 PECOS PAC ID: 8628248176 Enrollment ID: I20140508001898 |
| Provider Name | Enrica X Basilico |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053348896 PECOS PAC ID: 9133121155 Enrollment ID: I20140519001664 |
| Provider Name | Amanda K Jakositz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588089791 PECOS PAC ID: 3779706437 Enrollment ID: I20140527001300 |
| Provider Name | Sara Nelson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699700658 PECOS PAC ID: 6103890595 Enrollment ID: I20140528001807 |
| Provider Name | Tristan M Boy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851717748 PECOS PAC ID: 3476776972 Enrollment ID: I20140602002607 |
| Provider Name | Ying Zhang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205126737 PECOS PAC ID: 5890918205 Enrollment ID: I20140603000540 |
| Provider Name | Kjersten Gmeiner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922151612 PECOS PAC ID: 7113088725 Enrollment ID: I20140610002119 |
| Provider Name | Lauren B Mccaffrey |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1104147503 PECOS PAC ID: 8022232743 Enrollment ID: I20140618001911 |
| Provider Name | Matthew a Hansen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104117399 PECOS PAC ID: 0547494973 Enrollment ID: I20140620002114 |
| Provider Name | Alexander Salskov |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972892230 PECOS PAC ID: 9931323417 Enrollment ID: I20140624002326 |
| Provider Name | Robert T Dabkowski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588955801 PECOS PAC ID: 8921232174 Enrollment ID: I20140630000467 |
| Provider Name | John Peter Biebelhausen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942509187 PECOS PAC ID: 4082849161 Enrollment ID: I20140701001847 |
| Provider Name | Nissa Lea Freed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033522065 PECOS PAC ID: 9436374501 Enrollment ID: I20140703000090 |
| Provider Name | Alessa Lopez-castor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285661744 PECOS PAC ID: 3971513375 Enrollment ID: I20140703001586 |
| Provider Name | Mona Shawky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861711210 PECOS PAC ID: 4284877903 Enrollment ID: I20140710001057 |
| Provider Name | Seema S Nair |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255479796 PECOS PAC ID: 4789723693 Enrollment ID: I20140710002011 |
| Provider Name | Wand Y Gan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205120805 PECOS PAC ID: 4486887874 Enrollment ID: I20140710002329 |
| Provider Name | Khaled Elghonemy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063790665 PECOS PAC ID: 7012132780 Enrollment ID: I20140714001397 |
| Provider Name | Catherine M Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164663613 PECOS PAC ID: 2961679022 Enrollment ID: I20140714002455 |
| Provider Name | Fantahun M Tedla |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1033548144 PECOS PAC ID: 2668602996 Enrollment ID: I20140718001605 |
| Provider Name | Jennie M Allen-rich |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194980193 PECOS PAC ID: 1759507833 Enrollment ID: I20140725000842 |
| Provider Name | Christopher G Greenman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1588812689 PECOS PAC ID: 8628248531 Enrollment ID: I20140729000764 |
| Provider Name | Wei-chun Chang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104112432 PECOS PAC ID: 9830315761 Enrollment ID: I20140729001803 |
| Provider Name | Michelle Billish |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386088748 PECOS PAC ID: 5193941987 Enrollment ID: I20140731001634 |
| Provider Name | Angela K Muriithi |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1770811838 PECOS PAC ID: 6901086917 Enrollment ID: I20140805002365 |
| Provider Name | Catherine F Gambs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952698102 PECOS PAC ID: 6800013145 Enrollment ID: I20140811002453 |
| Provider Name | Theresa L Free |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295140135 PECOS PAC ID: 5395962526 Enrollment ID: I20140813000033 |
| Provider Name | Sandra M Shortt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669442877 PECOS PAC ID: 8729275490 Enrollment ID: I20140820001197 |
| Provider Name | Aisha P Ruler |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730490863 PECOS PAC ID: 3971745589 Enrollment ID: I20140828002297 |
| Provider Name | Brett a Schweizer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265778849 PECOS PAC ID: 3476771601 Enrollment ID: I20140829000032 |
| Provider Name | Christine B Koo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932361128 PECOS PAC ID: 3971755166 Enrollment ID: I20140829001311 |
| Provider Name | Jana Struckel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326347782 PECOS PAC ID: 6608094883 Enrollment ID: I20140829001758 |
| Provider Name | Joshua H Urvater |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1558316703 PECOS PAC ID: 4587668785 Enrollment ID: I20140902001423 |
| Provider Name | Kristin J Nierenberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750673745 PECOS PAC ID: 9234355306 Enrollment ID: I20140903000541 |
| Provider Name | Bonnie Chang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477872141 PECOS PAC ID: 1456585736 Enrollment ID: I20140910000002 |
| Provider Name | Amy W Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982623492 PECOS PAC ID: 1557394467 Enrollment ID: I20140911001232 |
| Provider Name | Rosaura Arriola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710264304 PECOS PAC ID: 3779743216 Enrollment ID: I20140912001492 |
| Provider Name | Bridget Bush |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1558444687 PECOS PAC ID: 6002040250 Enrollment ID: I20140922002825 |
| Provider Name | Arjun a Bansal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457595662 PECOS PAC ID: 8325268394 Enrollment ID: I20140925002599 |
| Provider Name | Lisa Vu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174783302 PECOS PAC ID: 3870713209 Enrollment ID: I20141006001957 |
| Provider Name | Cole Simon Kozloff |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1417359415 PECOS PAC ID: 0446471403 Enrollment ID: I20141016002291 |
| Provider Name | Timothy W Hall |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1902125628 PECOS PAC ID: 6204057102 Enrollment ID: I20141017001310 |
| Provider Name | Robin E Fowler Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477638450 PECOS PAC ID: 7416847983 Enrollment ID: I20141023002455 |
| Provider Name | Ananth K Shenoy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194017608 PECOS PAC ID: 0648417691 Enrollment ID: I20141031000461 |
| Provider Name | Jaime M Mccann |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679974786 PECOS PAC ID: 5496977274 Enrollment ID: I20141111001376 |
| Provider Name | Jiho H Bryson |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1386738979 PECOS PAC ID: 3779705264 Enrollment ID: I20141118001566 |
| Provider Name | Katerina Stursova Wolf |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386620896 PECOS PAC ID: 4082646278 Enrollment ID: I20141120001789 |
| Provider Name | Edward R Bauer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023038486 PECOS PAC ID: 8729024955 Enrollment ID: I20141202001478 |
| Provider Name | Erin Mallery |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396149753 PECOS PAC ID: 2163419235 Enrollment ID: I20141208002290 |
| Provider Name | Diana I Bartlett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023413358 PECOS PAC ID: 4385967629 Enrollment ID: I20141218000026 |
| Provider Name | Katherine I Clawson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467746396 PECOS PAC ID: 2163745167 Enrollment ID: I20141224000508 |
| Provider Name | Monique Tiandra Mcgaffeny |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245662907 PECOS PAC ID: 0749503787 Enrollment ID: I20141229000020 |
| Provider Name | Amy Y Kim |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1962807511 PECOS PAC ID: 3971826553 Enrollment ID: I20150107000933 |
| Provider Name | David N Collins |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1346648482 PECOS PAC ID: 0042534356 Enrollment ID: I20150115000183 |
| Provider Name | Martha Cramer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295738300 PECOS PAC ID: 3173703576 Enrollment ID: I20150303000711 |
| Provider Name | Tanner Joe Arey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821496431 PECOS PAC ID: 3072839133 Enrollment ID: I20150307000250 |
| Provider Name | Nancy Sharma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871703322 PECOS PAC ID: 2365699261 Enrollment ID: I20150319000784 |
| Provider Name | Vicki L Schaub |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811388325 PECOS PAC ID: 5294052791 Enrollment ID: I20150321000029 |
| Provider Name | Paul Reynolds |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1396734810 PECOS PAC ID: 6800110198 Enrollment ID: I20150416001540 |
| Provider Name | Nayan Arora |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1700102159 PECOS PAC ID: 8527387810 Enrollment ID: I20150508000564 |
| Provider Name | Ge Zhao |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1205135092 PECOS PAC ID: 1052631405 Enrollment ID: I20150526002141 |
| Provider Name | Alyce M Sutko |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669735700 PECOS PAC ID: 9537484373 Enrollment ID: I20150528000705 |
| Provider Name | James Bell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417942269 PECOS PAC ID: 3274623343 Enrollment ID: I20150528002744 |
| Provider Name | Jennifer L First |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366836728 PECOS PAC ID: 6901127968 Enrollment ID: I20150603001651 |
| Provider Name | Sara M Worden |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1215063102 PECOS PAC ID: 7911093935 Enrollment ID: I20150608002030 |
| Provider Name | Kristine Takamiya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821137571 PECOS PAC ID: 0749359701 Enrollment ID: I20150619000843 |
| Provider Name | Renee Suzanne Burnett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932298965 PECOS PAC ID: 2668783242 Enrollment ID: I20150623002852 |
| Provider Name | Tracy Brigman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184015281 PECOS PAC ID: 5799096137 Enrollment ID: I20150625001845 |
| Provider Name | Brianna R Garvie |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1568855922 PECOS PAC ID: 3577875947 Enrollment ID: I20150629001288 |
| Provider Name | Darell P Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215335690 PECOS PAC ID: 6507178811 Enrollment ID: I20150629002907 |
| Provider Name | Peter Hunt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962727438 PECOS PAC ID: 0840420873 Enrollment ID: I20150707000118 |
| Provider Name | Dana M Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780070748 PECOS PAC ID: 7214249069 Enrollment ID: I20150707003309 |
| Provider Name | Jianfeng Cheng |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1649419698 PECOS PAC ID: 7517153505 Enrollment ID: I20150708000059 |
| Provider Name | Corina Nistor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053343319 PECOS PAC ID: 5799883997 Enrollment ID: I20150713003187 |
| Provider Name | Frederick Chancellor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700959780 PECOS PAC ID: 8628215001 Enrollment ID: I20150724011357 |
| Provider Name | Kannie Chim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689935736 PECOS PAC ID: 8527386176 Enrollment ID: I20150727000655 |
| Provider Name | Kathryn H Jensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205222429 PECOS PAC ID: 3072827542 Enrollment ID: I20150729007313 |
| Provider Name | Shawn R Schweitzer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225397789 PECOS PAC ID: 1759527864 Enrollment ID: I20150730012197 |
| Provider Name | Puneet Gill |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902161631 PECOS PAC ID: 0042453565 Enrollment ID: I20150731016518 |
| Provider Name | Stephen Mock |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1144488503 PECOS PAC ID: 7911211982 Enrollment ID: I20150804005202 |
| Provider Name | Alida Gertz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851690234 PECOS PAC ID: 3779733431 Enrollment ID: I20150805006774 |
| Provider Name | Yasmin Shayesteh |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1891940334 PECOS PAC ID: 4587898069 Enrollment ID: I20150810000265 |
| Provider Name | Agnes a Borjal |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760411557 PECOS PAC ID: 6507861614 Enrollment ID: I20150811004695 |
| Provider Name | Elizabeth M Gilbert |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912160953 PECOS PAC ID: 6103993076 Enrollment ID: I20150812007015 |
| Provider Name | Meng Zhao |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1083848337 PECOS PAC ID: 0345489266 Enrollment ID: I20150812008519 |
| Provider Name | Daniel T English |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871870873 PECOS PAC ID: 2466767835 Enrollment ID: I20150813010925 |
| Provider Name | Dhavan a Parikh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1336376441 PECOS PAC ID: 7719292556 Enrollment ID: I20150821014726 |
| Provider Name | Megan L Wilder |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1851656136 PECOS PAC ID: 0446566095 Enrollment ID: I20150827003063 |
| Provider Name | Apurva O Badheka |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1457593303 PECOS PAC ID: 0941516215 Enrollment ID: I20150901001768 |
| Provider Name | Madeline L Piediscalzi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992180525 PECOS PAC ID: 9133436702 Enrollment ID: I20150915000069 |
| Provider Name | Timothy E Beeman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1336412337 PECOS PAC ID: 1759537459 Enrollment ID: I20150915003377 |
| Provider Name | Cheryl a Hahn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821320938 PECOS PAC ID: 0547577033 Enrollment ID: I20150916000669 |
| Provider Name | Hee Yon Sohng |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811212376 PECOS PAC ID: 2062729429 Enrollment ID: I20150916003543 |
| Provider Name | Weiqing a NG |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1558685511 PECOS PAC ID: 2264749449 Enrollment ID: I20150921002194 |
| Provider Name | Katrina G Carli |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1407112337 PECOS PAC ID: 4183931371 Enrollment ID: I20150921002570 |
| Provider Name | Luis Enriquez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508151689 PECOS PAC ID: 8022236348 Enrollment ID: I20150924001563 |
| Provider Name | Sonja W.R. Bring |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356718282 PECOS PAC ID: 1759699523 Enrollment ID: I20150928001339 |
| Provider Name | Stephanie C Wu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770859100 PECOS PAC ID: 3274841036 Enrollment ID: I20150929001658 |
| Provider Name | Carolyn Saylor Hawk |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841599099 PECOS PAC ID: 5193033637 Enrollment ID: I20151001002369 |
| Provider Name | Abigail J Schwepker |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1346626207 PECOS PAC ID: 7214246297 Enrollment ID: I20151013001573 |
| Provider Name | Leslie Greene |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043478993 PECOS PAC ID: 3870732423 Enrollment ID: I20151016001145 |
| Provider Name | Ann Okpara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811365299 PECOS PAC ID: 9234448978 Enrollment ID: I20151021000664 |
| Provider Name | Erin Duvall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528077872 PECOS PAC ID: 8921317579 Enrollment ID: I20151021001676 |
| Provider Name | Kristen T Sramek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093079527 PECOS PAC ID: 7416275052 Enrollment ID: I20151105001612 |
| Provider Name | Michael Vincent Rafer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1922400407 PECOS PAC ID: 3173833985 Enrollment ID: I20151106001710 |
| Provider Name | Jenny Johnston Coleman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407226681 PECOS PAC ID: 7810207495 Enrollment ID: I20151111000876 |
| Provider Name | John Pham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194106039 PECOS PAC ID: 0446560908 Enrollment ID: I20151112002031 |
| Provider Name | Naomi S Yoo |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1447484746 PECOS PAC ID: 7719287895 Enrollment ID: I20151120001459 |
| Provider Name | Caitlin M Desch |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1174924898 PECOS PAC ID: 3779807177 Enrollment ID: I20151203001276 |
| Provider Name | Matthew Blacke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518220169 PECOS PAC ID: 7517182645 Enrollment ID: I20151204001132 |
| Provider Name | Hannu Tapio Huhdanpaa |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780903773 PECOS PAC ID: 0143473611 Enrollment ID: I20151208002998 |
| Provider Name | Craig Pastor |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1962664201 PECOS PAC ID: 8022319300 Enrollment ID: I20151209002999 |
| Provider Name | Eiko Klimant |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1154354967 PECOS PAC ID: 4385618891 Enrollment ID: I20151211000128 |
| Provider Name | Subathra Selvaraj |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215298492 PECOS PAC ID: 9537309984 Enrollment ID: I20151215002882 |
| Provider Name | Lesley a Debrier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962447425 PECOS PAC ID: 4486616059 Enrollment ID: I20151221002630 |
| Provider Name | Phillip B Arnold |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619984143 PECOS PAC ID: 4284688169 Enrollment ID: I20160104000102 |
| Provider Name | Shaunnacy Blood |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1720272891 PECOS PAC ID: 4880996479 Enrollment ID: I20160114000208 |
| Provider Name | Adiba a Syeda |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992011845 PECOS PAC ID: 6406086370 Enrollment ID: I20160118000913 |
| Provider Name | Anthony Z Dash |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1841285475 PECOS PAC ID: 5799718920 Enrollment ID: I20160118000971 |
| Provider Name | Rulon J Waite |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750335626 PECOS PAC ID: 8921049131 Enrollment ID: I20160119002829 |
| Provider Name | Stephen Campbell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316921455 PECOS PAC ID: 9537202809 Enrollment ID: I20160126000476 |
| Provider Name | Emmy N Davison |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124382676 PECOS PAC ID: 4284946872 Enrollment ID: I20160205000734 |
| Provider Name | Eric Peterson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295046126 PECOS PAC ID: 4183928179 Enrollment ID: I20160211002349 |
| Provider Name | Robert Brenner |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1437254075 PECOS PAC ID: 7719955178 Enrollment ID: I20160212000182 |
| Provider Name | Cristin Cunnington |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417323189 PECOS PAC ID: 8628373263 Enrollment ID: I20160219001255 |
| Provider Name | Stephanie P Rezendes |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1952703258 PECOS PAC ID: 0143527069 Enrollment ID: I20160321001336 |
| Provider Name | Alvin Abueg |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396132015 PECOS PAC ID: 7416254370 Enrollment ID: I20160321002429 |
| Provider Name | Federico Fenton Portillo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891136842 PECOS PAC ID: 5395989222 Enrollment ID: I20160330001964 |
| Provider Name | Lori B Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194973123 PECOS PAC ID: 9537291489 Enrollment ID: I20160406002408 |
| Provider Name | Christine Hendrickson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699884320 PECOS PAC ID: 3870599012 Enrollment ID: I20160418001150 |
| Provider Name | Tul Kalayanamit |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932171527 PECOS PAC ID: 3577526011 Enrollment ID: I20160418001448 |
| Provider Name | John M Gavareski |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1437524352 PECOS PAC ID: 9436457728 Enrollment ID: I20160420001214 |
| Provider Name | Thoa P Fenton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326477324 PECOS PAC ID: 6608005806 Enrollment ID: I20160422002088 |
| Provider Name | Jonette Ford |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184991333 PECOS PAC ID: 2860791308 Enrollment ID: I20160504001461 |
| Provider Name | Vesna Jamborcic |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407827850 PECOS PAC ID: 9032182985 Enrollment ID: I20160509002115 |
| Provider Name | Jianming Song |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073702817 PECOS PAC ID: 5991885360 Enrollment ID: I20160512002034 |
| Provider Name | Noemie C Juaire |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1518196542 PECOS PAC ID: 5395035745 Enrollment ID: I20160526001152 |
| Provider Name | Anooradha Raman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1447319801 PECOS PAC ID: 9133219777 Enrollment ID: I20160603001852 |
| Provider Name | Arthur E Bagabag |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932467206 PECOS PAC ID: 4183914716 Enrollment ID: I20160609001104 |
| Provider Name | Richard Kim |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558722991 PECOS PAC ID: 2264722776 Enrollment ID: I20160610001396 |
| Provider Name | Elizabeth Meyering |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1508053695 PECOS PAC ID: 5698827111 Enrollment ID: I20160616000539 |
| Provider Name | Vutha Keo |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1699038661 PECOS PAC ID: 9931358462 Enrollment ID: I20160620001078 |
| Provider Name | James Y Wang |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1376606194 PECOS PAC ID: 0446486450 Enrollment ID: I20160624001156 |
| Provider Name | Sean Edward Legg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942657416 PECOS PAC ID: 1153612700 Enrollment ID: I20160629000675 |
| Provider Name | Lawrence Jungho Lee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427272756 PECOS PAC ID: 1254498959 Enrollment ID: I20160719000474 |
| Provider Name | Rebecca B Nolan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912290636 PECOS PAC ID: 6204069875 Enrollment ID: I20160726001155 |
| Provider Name | Dolan C Leung |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1811200249 PECOS PAC ID: 0648428276 Enrollment ID: I20160729000894 |
| Provider Name | Jane Sue Ooi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093945446 PECOS PAC ID: 3476721085 Enrollment ID: I20160802001827 |
| Provider Name | Louie Tsiktsiris |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1720086168 PECOS PAC ID: 7517960123 Enrollment ID: I20160802002301 |
| Provider Name | Jacob Daniel Harris |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174720288 PECOS PAC ID: 2264746072 Enrollment ID: I20160802002485 |
| Provider Name | Justin Steffener |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1013218767 PECOS PAC ID: 5799079265 Enrollment ID: I20160805000640 |
| Provider Name | Sathish Mallenahalli Chikkabyrappa |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1447589700 PECOS PAC ID: 7012201403 Enrollment ID: I20160808001902 |
| Provider Name | Michelle Hadi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528321221 PECOS PAC ID: 0042441628 Enrollment ID: I20160810000830 |
| Provider Name | Tessa W Commers |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134462120 PECOS PAC ID: 7810299146 Enrollment ID: I20160811001026 |
| Provider Name | Ran Huo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235405580 PECOS PAC ID: 8527352616 Enrollment ID: I20160812001158 |
| Provider Name | Ray Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205832078 PECOS PAC ID: 8123054079 Enrollment ID: I20160816000740 |
| Provider Name | Darya Aleksandrovna Kizub |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902176811 PECOS PAC ID: 9032436738 Enrollment ID: I20160817002242 |
| Provider Name | Mimi N Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063754075 PECOS PAC ID: 2365760766 Enrollment ID: I20160831000339 |
| Provider Name | John J Tilley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1730444175 PECOS PAC ID: 9830328863 Enrollment ID: I20160901001078 |
| Provider Name | Brei Pyper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588117592 PECOS PAC ID: 2769778430 Enrollment ID: I20160906001801 |
| Provider Name | Richard G Ancheta |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1184924870 PECOS PAC ID: 4880845601 Enrollment ID: I20160913001468 |
| Provider Name | Java S Tunson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679836712 PECOS PAC ID: 6800102211 Enrollment ID: I20160913001661 |
| Provider Name | Derek Huang |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1043504798 PECOS PAC ID: 6901192210 Enrollment ID: I20160913002708 |
| Provider Name | Shaina Schaetzel |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1801038161 PECOS PAC ID: 9830485069 Enrollment ID: I20160914000807 |
| Provider Name | Matthew Majerus |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1821356924 PECOS PAC ID: 1254572894 Enrollment ID: I20160914002831 |
| Provider Name | Gigi Kan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1508129578 PECOS PAC ID: 7810147808 Enrollment ID: I20160919001663 |
| Provider Name | Woo Chul Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962695528 PECOS PAC ID: 2668769498 Enrollment ID: I20160922001168 |
| Provider Name | Rosane J Fernandez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821351339 PECOS PAC ID: 6002048170 Enrollment ID: I20160927002496 |
| Provider Name | William Truong |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1326352592 PECOS PAC ID: 8628380631 Enrollment ID: I20160930001763 |
| Provider Name | Miriam Hunt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821436858 PECOS PAC ID: 4183911308 Enrollment ID: I20160930001874 |
| Provider Name | Bryan Y Kim |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1487946802 PECOS PAC ID: 1153633904 Enrollment ID: I20161005002191 |
| Provider Name | Kathryn George |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801341870 PECOS PAC ID: 1951699966 Enrollment ID: I20161006001885 |
| Provider Name | Michele Poirier-mcneill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841748738 PECOS PAC ID: 7315235223 Enrollment ID: I20161010000970 |
| Provider Name | Corinne Spero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184171563 PECOS PAC ID: 7810285640 Enrollment ID: I20161011003180 |
| Provider Name | Margaret B Heller |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1457317141 PECOS PAC ID: 4082754478 Enrollment ID: I20161012002397 |
| Provider Name | Michael W Schularick |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1619421153 PECOS PAC ID: 0042508541 Enrollment ID: I20161017001804 |
| Provider Name | Manuel Sierra Ascencio |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093952582 PECOS PAC ID: 7517011877 Enrollment ID: I20161021001233 |
| Provider Name | Lam Phung |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760813075 PECOS PAC ID: 6305124330 Enrollment ID: I20161026002102 |
| Provider Name | Alfonso Ricardo Urdaneta-moncada |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477812873 PECOS PAC ID: 2466674569 Enrollment ID: I20161027001372 |
| Provider Name | Kristen J Kafer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1265673891 PECOS PAC ID: 1153463005 Enrollment ID: I20161028000922 |
| Provider Name | Hartley Michael Sirkis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659541449 PECOS PAC ID: 5890869200 Enrollment ID: I20161101001796 |
| Provider Name | Christopher Hults |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1760477533 PECOS PAC ID: 2961649538 Enrollment ID: I20161101002604 |
| Provider Name | Amandeep Kaur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356775266 PECOS PAC ID: 3274812425 Enrollment ID: I20161111000647 |
| Provider Name | Eun Kim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588975239 PECOS PAC ID: 1951601186 Enrollment ID: I20161114001656 |
| Provider Name | Grace Jacobs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689117301 PECOS PAC ID: 2466732268 Enrollment ID: I20161214000724 |
| Provider Name | Cameron R Good |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558817395 PECOS PAC ID: 1557641222 Enrollment ID: I20161215000987 |
| Provider Name | Yirgalem a Tiruneh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235540485 PECOS PAC ID: 0143500769 Enrollment ID: I20161216000946 |
| Provider Name | Ilana Adina Simon |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1073966966 PECOS PAC ID: 3375824998 Enrollment ID: I20161219002478 |
| Provider Name | Kirra Hicks |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699132050 PECOS PAC ID: 2860795515 Enrollment ID: I20170116000047 |
| Provider Name | Elizabeth a Otterson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881872240 PECOS PAC ID: 9537441910 Enrollment ID: I20170119000959 |
| Provider Name | Ronda Wade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609081249 PECOS PAC ID: 1557504883 Enrollment ID: I20170119002878 |
| Provider Name | Jessica Eid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598852634 PECOS PAC ID: 5294828588 Enrollment ID: I20170124000474 |
| Provider Name | Heather H Vincent |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1174890008 PECOS PAC ID: 8628243508 Enrollment ID: I20170206002662 |
| Provider Name | Kerry Lynn Neil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366550139 PECOS PAC ID: 0941498638 Enrollment ID: I20170209000926 |
| Provider Name | Kimberly Schwittay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710316682 PECOS PAC ID: 1951539618 Enrollment ID: I20170316002257 |
| Provider Name | Valerie a O'meara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982715520 PECOS PAC ID: 7214257682 Enrollment ID: I20170405002015 |
| Provider Name | Katie Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528407186 PECOS PAC ID: 8022235746 Enrollment ID: I20170511000765 |
| Provider Name | Sanjiv Kashyap |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1215075684 PECOS PAC ID: 3971538752 Enrollment ID: I20170517002126 |
| Provider Name | Namrita Sekhon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255776407 PECOS PAC ID: 0143597187 Enrollment ID: I20170523002744 |
| Provider Name | Yongjie H Locker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417484817 PECOS PAC ID: 5991073348 Enrollment ID: I20170608000523 |
| Provider Name | Rakesh R Dsouza |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912210899 PECOS PAC ID: 7315215548 Enrollment ID: I20170613000044 |
| Provider Name | Shane a Rassman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487944401 PECOS PAC ID: 4688976947 Enrollment ID: I20170620000789 |
| Provider Name | James Barlow |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336559871 PECOS PAC ID: 9931328697 Enrollment ID: I20170627002106 |
| Provider Name | Salvatore Taliercio |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1962664763 PECOS PAC ID: 2264670041 Enrollment ID: I20170706001001 |
| Provider Name | Adam Iwanski |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548678527 PECOS PAC ID: 0547567562 Enrollment ID: I20170714001425 |
| Provider Name | Nancy Rosemond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700316064 PECOS PAC ID: 8325318876 Enrollment ID: I20170717002302 |
| Provider Name | Christina M Wong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497193965 PECOS PAC ID: 8921328394 Enrollment ID: I20170721000778 |
| Provider Name | Amy Sue Van Nortwick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902223365 PECOS PAC ID: 6608193412 Enrollment ID: I20170728002753 |
| Provider Name | Peter Christian Thurlow |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861711152 PECOS PAC ID: 0042509440 Enrollment ID: I20170801000724 |
| Provider Name | Stephanie Hodges |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255741419 PECOS PAC ID: 6305064221 Enrollment ID: I20170809002510 |
| Provider Name | Katrina Louise Bowen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1184150278 PECOS PAC ID: 2567733405 Enrollment ID: I20170810001446 |
| Provider Name | Ahmed a Salahudeen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215372552 PECOS PAC ID: 5799073961 Enrollment ID: I20170811001224 |
| Provider Name | Veena Arani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508152927 PECOS PAC ID: 8022309749 Enrollment ID: I20170814002374 |
| Provider Name | Amy Myers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861913303 PECOS PAC ID: 8921370743 Enrollment ID: I20170814002648 |
| Provider Name | Sarah Pinney |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730507393 PECOS PAC ID: 8527380039 Enrollment ID: I20170815002142 |
| Provider Name | Wei-jen Hsieh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699192658 PECOS PAC ID: 1658699988 Enrollment ID: I20170821001197 |
| Provider Name | Heidi C Nicewarner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235428111 PECOS PAC ID: 9335368620 Enrollment ID: I20170821001981 |
| Provider Name | Emily Gibson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366967630 PECOS PAC ID: 2567735996 Enrollment ID: I20170907001236 |
| Provider Name | Joseph Drosdeck |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1356668594 PECOS PAC ID: 9830330273 Enrollment ID: I20170908000557 |
| Provider Name | Clifford Chenghwa Hou |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1831498419 PECOS PAC ID: 2567787104 Enrollment ID: I20170926004041 |
| Provider Name | Karen P Landon |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1275993743 PECOS PAC ID: 0244505329 Enrollment ID: I20170929002097 |
| Provider Name | Suzanne M Gisch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619407467 PECOS PAC ID: 8224303219 Enrollment ID: I20170929003270 |
| Provider Name | Mary G Brady |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306377262 PECOS PAC ID: 9830464734 Enrollment ID: I20171003005066 |
| Provider Name | Shane Jhooty |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821409566 PECOS PAC ID: 0648545954 Enrollment ID: I20171011003360 |
| Provider Name | Savanna L Griffith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740694934 PECOS PAC ID: 1759507734 Enrollment ID: I20171013001703 |
| Provider Name | Tolulope O Olade |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568758308 PECOS PAC ID: 8729201348 Enrollment ID: I20171019002213 |
| Provider Name | Julie a Golbek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124556667 PECOS PAC ID: 5890061790 Enrollment ID: I20171020000923 |
| Provider Name | Claire E Murray |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811419195 PECOS PAC ID: 6800162652 Enrollment ID: I20171023000250 |
| Provider Name | Kathryn Jors Horton |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710305578 PECOS PAC ID: 0547584542 Enrollment ID: I20171031000329 |
| Provider Name | Sana Abbas Jaffri |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750791125 PECOS PAC ID: 3274752373 Enrollment ID: I20171031001293 |
| Provider Name | Heather Ostmann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508095696 PECOS PAC ID: 8527281807 Enrollment ID: I20171102002959 |
| Provider Name | Steven C Cohen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487685731 PECOS PAC ID: 1153324538 Enrollment ID: I20171109001262 |
| Provider Name | Shahriyar a Leilabadi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710062245 PECOS PAC ID: 1153427976 Enrollment ID: I20171110001109 |
| Provider Name | Cheryl Nirmali De Silva |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568801280 PECOS PAC ID: 8022304955 Enrollment ID: I20171117000592 |
| Provider Name | Melanie R Clemenz |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1245599935 PECOS PAC ID: 1052616497 Enrollment ID: I20171124000038 |
| Provider Name | Nathan J Merriam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497281281 PECOS PAC ID: 4880951730 Enrollment ID: I20171130001476 |
| Provider Name | Erin Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487190138 PECOS PAC ID: 1254698012 Enrollment ID: I20171204000032 |
| Provider Name | Yooni Park |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205217353 PECOS PAC ID: 8820305055 Enrollment ID: I20171206002616 |
| Provider Name | Bryan Anthony Eberle |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1073877338 PECOS PAC ID: 4587881560 Enrollment ID: I20171211001669 |
| Provider Name | Sarah White |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215356845 PECOS PAC ID: 2567720899 Enrollment ID: I20171214002066 |
| Provider Name | Avneet C Rattan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619425717 PECOS PAC ID: 2466710561 Enrollment ID: I20171219001548 |
| Provider Name | Joelle E. Thomas |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1073801379 PECOS PAC ID: 5991937575 Enrollment ID: I20171220000852 |
| Provider Name | Heather Nicole Gutierrez |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1174972822 PECOS PAC ID: 7113285172 Enrollment ID: I20171220001732 |
| Provider Name | Jenna L. Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427338417 PECOS PAC ID: 1153597166 Enrollment ID: I20180103003291 |
| Provider Name | Hiroko Miura |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1639477466 PECOS PAC ID: 7113103086 Enrollment ID: I20180109002891 |
| Provider Name | Emily Coraci |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1487019857 PECOS PAC ID: 8022377498 Enrollment ID: I20180109003498 |
| Provider Name | Jennifer O'hare |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649786740 PECOS PAC ID: 5395004675 Enrollment ID: I20180111002753 |
| Provider Name | Freddy E Chavez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417186982 PECOS PAC ID: 4486882172 Enrollment ID: I20180209001510 |
| Provider Name | Nicole Daisa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861924516 PECOS PAC ID: 7911267786 Enrollment ID: I20180216001089 |
| Provider Name | Megan C Irving |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255780219 PECOS PAC ID: 3971860495 Enrollment ID: I20180220000646 |
| Provider Name | Stephenejo Shaunielle Swift |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922522093 PECOS PAC ID: 2769744432 Enrollment ID: I20180315002166 |
| Provider Name | Aarica Arora |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902322274 PECOS PAC ID: 3779846720 Enrollment ID: I20180404002290 |
| Provider Name | Laurie A. Belknap |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205877388 PECOS PAC ID: 9133027923 Enrollment ID: I20180411001647 |
| Provider Name | Matthew C Lee |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1962767483 PECOS PAC ID: 4981852118 Enrollment ID: I20180420002377 |
| Provider Name | Edward K Jung |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1568808970 PECOS PAC ID: 3476785510 Enrollment ID: I20180516001607 |
| Provider Name | Mark L Anstadt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144414145 PECOS PAC ID: 1557586583 Enrollment ID: I20180516002019 |
| Provider Name | Kristen Marie Wyrick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669486155 PECOS PAC ID: 0749469823 Enrollment ID: I20180605002916 |
| Provider Name | Yanqun Bu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457697526 PECOS PAC ID: 0840545141 Enrollment ID: I20180608001137 |
| Provider Name | Varun Srinivas Bhandarkar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1790041911 PECOS PAC ID: 4385876754 Enrollment ID: I20180615002308 |
| Provider Name | Zachary Ashwell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396189445 PECOS PAC ID: 3678890456 Enrollment ID: I20180625003288 |
| Provider Name | Deva Marie Wells |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1164818951 PECOS PAC ID: 1355655937 Enrollment ID: I20180627003039 |
| Provider Name | Sean T Mcguire |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1659647196 PECOS PAC ID: 0840568101 Enrollment ID: I20180730003389 |
| Provider Name | Hwinei Joanna Tavengwa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639564933 PECOS PAC ID: 5092035360 Enrollment ID: I20180807002457 |
| Provider Name | Kelley J Kadunc |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942694476 PECOS PAC ID: 3274854971 Enrollment ID: I20180821002468 |
| Provider Name | Joshua Lawrence Hilliard |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710372479 PECOS PAC ID: 7113276312 Enrollment ID: I20180821003836 |
| Provider Name | Amy Wei-ming Liu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548654023 PECOS PAC ID: 6507174042 Enrollment ID: I20180823003186 |
| Provider Name | Corey a Gardner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235512450 PECOS PAC ID: 8729352760 Enrollment ID: I20180824001632 |
| Provider Name | Emily L Hutchins |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1043725328 PECOS PAC ID: 3577812429 Enrollment ID: I20180825000238 |
| Provider Name | Charisse Gumapas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124517487 PECOS PAC ID: 4486903291 Enrollment ID: I20180827003134 |
| Provider Name | Hilary a Brazeal |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699067090 PECOS PAC ID: 8325277841 Enrollment ID: I20180904001312 |
| Provider Name | Safina S Hossain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508251943 PECOS PAC ID: 5991017154 Enrollment ID: I20180913001925 |
| Provider Name | Noah Odonnell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881072130 PECOS PAC ID: 2365758687 Enrollment ID: I20180917001226 |
| Provider Name | Nicholas Aaron Tamoria |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952696395 PECOS PAC ID: 2860700028 Enrollment ID: I20180918001301 |
| Provider Name | Ryan B Trinh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851704563 PECOS PAC ID: 2668699224 Enrollment ID: I20180924003396 |
| Provider Name | Dana Christine Ball |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1679723761 PECOS PAC ID: 8022178607 Enrollment ID: I20181002001016 |
| Provider Name | Christopher Bolander |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063808236 PECOS PAC ID: 2961718374 Enrollment ID: I20181005001334 |
| Provider Name | Natalie Wilhelm |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205298882 PECOS PAC ID: 3072808922 Enrollment ID: I20181008000557 |
| Provider Name | Taylor Deboer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578077889 PECOS PAC ID: 3971856998 Enrollment ID: I20181022001127 |
| Provider Name | Tzyy-shiuan Young |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1376021204 PECOS PAC ID: 0345593257 Enrollment ID: I20181023001823 |
| Provider Name | Dennis Goulet |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1326488925 PECOS PAC ID: 2163728619 Enrollment ID: I20181023003359 |
| Provider Name | Inderjot Bajwa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720466980 PECOS PAC ID: 3476806241 Enrollment ID: I20181024001226 |
| Provider Name | Jayasri G Iyer |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1467879320 PECOS PAC ID: 0547585028 Enrollment ID: I20181024001972 |
| Provider Name | Jason Lee Codding |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1710245071 PECOS PAC ID: 9638392822 Enrollment ID: I20181024002249 |
| Provider Name | Lauren M Baras |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578901591 PECOS PAC ID: 6305135153 Enrollment ID: I20181025001603 |
| Provider Name | Sean M Mclaughlin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447252556 PECOS PAC ID: 3678538444 Enrollment ID: I20181030000677 |
| Provider Name | Ronnie Okialda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265513451 PECOS PAC ID: 1557614799 Enrollment ID: I20181105002577 |
| Provider Name | Lauren Maria Langley |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1962932913 PECOS PAC ID: 2961756192 Enrollment ID: I20181107000407 |
| Provider Name | Kristyn Huffman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982182788 PECOS PAC ID: 6507110764 Enrollment ID: I20181107001412 |
| Provider Name | Sandeep Ranjit Pandit |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1982800215 PECOS PAC ID: 3375817083 Enrollment ID: I20181107001922 |
| Provider Name | Christine Chon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962883488 PECOS PAC ID: 0345524419 Enrollment ID: I20181205002123 |
| Provider Name | Yelena I Verbitskaya |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396273009 PECOS PAC ID: 2860736386 Enrollment ID: I20181210002067 |
| Provider Name | Whitney C Eskes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043795990 PECOS PAC ID: 0749525715 Enrollment ID: I20181219001443 |
| Provider Name | Kerstin a Beijer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912944836 PECOS PAC ID: 8729157698 Enrollment ID: I20181220002238 |
| Provider Name | Jackelin Q Tran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457748675 PECOS PAC ID: 9537404058 Enrollment ID: I20190102001564 |
| Provider Name | Elizabeth M Poli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639650138 PECOS PAC ID: 0941546329 Enrollment ID: I20190104002414 |
| Provider Name | Katie Uberti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003382292 PECOS PAC ID: 5092051458 Enrollment ID: I20190107002676 |
| Provider Name | Delaney Conway Goulet |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477990596 PECOS PAC ID: 7416174826 Enrollment ID: I20190208001862 |
| Provider Name | Danielle Maria Abrass |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1184140717 PECOS PAC ID: 6305102252 Enrollment ID: I20190226000522 |
| Provider Name | Kriti Srivastava |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1871836510 PECOS PAC ID: 5395066732 Enrollment ID: I20190228003118 |
| Provider Name | Warner Allen Asch |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750814067 PECOS PAC ID: 1658610829 Enrollment ID: I20190305003322 |
| Provider Name | Renee J Mueller |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1700334760 PECOS PAC ID: 8820337942 Enrollment ID: I20190306002682 |
| Provider Name | Katherine a Ewing |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477969319 PECOS PAC ID: 6608177035 Enrollment ID: I20190307001704 |
| Provider Name | Laura Ngozi Adiele |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386077998 PECOS PAC ID: 5496984486 Enrollment ID: I20190318001298 |
| Provider Name | Vanessa Hsenzhoo Tong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285891796 PECOS PAC ID: 8022281351 Enrollment ID: I20190321000198 |
| Provider Name | John R Scheck |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497978563 PECOS PAC ID: 2264743038 Enrollment ID: I20190326000949 |
| Provider Name | Bridget Frauenholtz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1689139941 PECOS PAC ID: 2961742952 Enrollment ID: I20190329001595 |
| Provider Name | Fatima Nadia Malik |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669621363 PECOS PAC ID: 4688728421 Enrollment ID: I20190402000910 |
| Provider Name | Lauren a Moedritzer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972088904 PECOS PAC ID: 2961743729 Enrollment ID: I20190404002789 |
| Provider Name | Mina Walaa Yousef |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124478086 PECOS PAC ID: 4981997947 Enrollment ID: I20190418001444 |
| Provider Name | Lex Alan Barker |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447762000 PECOS PAC ID: 9931441987 Enrollment ID: I20190423003008 |
| Provider Name | Daniel Stroud |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1013141282 PECOS PAC ID: 9234364340 Enrollment ID: I20190430002542 |
| Provider Name | Ester Y Ong |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205975190 PECOS PAC ID: 8325266547 Enrollment ID: I20190430002850 |
| Provider Name | Samuel Mann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215420518 PECOS PAC ID: 7113260514 Enrollment ID: I20190529001312 |
| Provider Name | Gloria Angelica Fisher-herrera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760965867 PECOS PAC ID: 7810220175 Enrollment ID: I20190531002050 |
| Provider Name | Martha Fitelson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386023133 PECOS PAC ID: 5597077198 Enrollment ID: I20190605003204 |
| Provider Name | Eileen Lorenz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437315298 PECOS PAC ID: 4385887231 Enrollment ID: I20190618002167 |
| Provider Name | Paula Arciaga |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912451360 PECOS PAC ID: 5193079143 Enrollment ID: I20190621001421 |
| Provider Name | Ashley L Grieve |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396302477 PECOS PAC ID: 4284968819 Enrollment ID: I20190701002123 |
| Provider Name | Jeffry Peter Minard |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1346637717 PECOS PAC ID: 5597086421 Enrollment ID: I20190705001253 |
| Provider Name | Edward Swensen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1871560292 PECOS PAC ID: 2961497771 Enrollment ID: I20190709001834 |
| Provider Name | Dorothy C Todd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093372344 PECOS PAC ID: 6507191426 Enrollment ID: I20190716000300 |
| Provider Name | Daniel Jaesuh Lee |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1467778878 PECOS PAC ID: 4789824020 Enrollment ID: I20190722001500 |
| Provider Name | August Jillian Generoso |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1912311150 PECOS PAC ID: 0648497651 Enrollment ID: I20190726002389 |
| Provider Name | Muniba Javed |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1255759379 PECOS PAC ID: 3274800537 Enrollment ID: I20190729001002 |
| Provider Name | Mena Salib |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124479951 PECOS PAC ID: 4385970243 Enrollment ID: I20190730002936 |
| Provider Name | Lukas Moedritzer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134789415 PECOS PAC ID: 1254667140 Enrollment ID: I20190730004718 |
| Provider Name | David Brent Mccaleb |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710332259 PECOS PAC ID: 7719270925 Enrollment ID: I20190806002545 |
| Provider Name | Shannon Demas |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902169568 PECOS PAC ID: 2567778897 Enrollment ID: I20190807002197 |
| Provider Name | Rimple Manan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538574439 PECOS PAC ID: 4981931284 Enrollment ID: I20190808004018 |
| Provider Name | Darren Wheeler |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1487661161 PECOS PAC ID: 5395796437 Enrollment ID: I20190813003604 |
| Provider Name | Taneev Escamilla |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598129827 PECOS PAC ID: 2567755911 Enrollment ID: I20190815002559 |
| Provider Name | Andrew Chung Yang |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1316232168 PECOS PAC ID: 9739474800 Enrollment ID: I20190819002657 |
| Provider Name | Gurkaran Singh Thiara |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235685520 PECOS PAC ID: 1254617590 Enrollment ID: I20190823002066 |
| Provider Name | Hannah C Spears |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669026308 PECOS PAC ID: 9335477629 Enrollment ID: I20190823003210 |
| Provider Name | Amanda B Ginovsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760737027 PECOS PAC ID: 7315194628 Enrollment ID: I20190826002328 |
| Provider Name | Megan SG Griffith Cull |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1124235932 PECOS PAC ID: 9537466180 Enrollment ID: I20190829000309 |
| Provider Name | Lauren M Talbert |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1366824344 PECOS PAC ID: 6709181357 Enrollment ID: I20190904000566 |
| Provider Name | Sheena Nguyen |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1356753743 PECOS PAC ID: 1557611431 Enrollment ID: I20190906000342 |
| Provider Name | Christina a Morse |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912369828 PECOS PAC ID: 4082907993 Enrollment ID: I20190906002430 |
| Provider Name | Tyler Peter Klein |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1326433715 PECOS PAC ID: 7719271766 Enrollment ID: I20190909000946 |
| Provider Name | Ricardo Cardona Guarache |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1962667485 PECOS PAC ID: 9830367069 Enrollment ID: I20190909002317 |
| Provider Name | Paul Connell Schwartz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1316208895 PECOS PAC ID: 3971832494 Enrollment ID: I20190909004148 |
| Provider Name | Anjuli Maya Brighton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407110588 PECOS PAC ID: 1658508759 Enrollment ID: I20190910003372 |
| Provider Name | Ashley a Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770044018 PECOS PAC ID: 0244569598 Enrollment ID: I20190911001975 |
| Provider Name | Stuti Nagpal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487979589 PECOS PAC ID: 6204073679 Enrollment ID: I20190911002577 |
| Provider Name | Amanda Van Erden |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770812687 PECOS PAC ID: 0749441657 Enrollment ID: I20190917003638 |
| Provider Name | Katie Mcwilliams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114572336 PECOS PAC ID: 4183954746 Enrollment ID: I20190924002390 |
| Provider Name | Marilyn Sherris |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700240371 PECOS PAC ID: 0547553703 Enrollment ID: I20190926001839 |
| Provider Name | Phuc H Huynh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720466964 PECOS PAC ID: 0840506085 Enrollment ID: I20191004002254 |
| Provider Name | Janna Lam Keenan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235591058 PECOS PAC ID: 1951693951 Enrollment ID: I20191007001483 |
| Provider Name | Jessica Wai Teng Mau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922667658 PECOS PAC ID: 0840521712 Enrollment ID: I20191007002572 |
| Provider Name | Angelique Marie Berens |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1861768582 PECOS PAC ID: 9931429958 Enrollment ID: I20191011000516 |
| Provider Name | Sejung Hong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255781167 PECOS PAC ID: 1254662893 Enrollment ID: I20191011000624 |
| Provider Name | Jennifer Brooke Luginbill |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598119646 PECOS PAC ID: 4587955166 Enrollment ID: I20191015000751 |
| Provider Name | Richard Grant Nielsen |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1164071205 PECOS PAC ID: 6103157698 Enrollment ID: I20191015001156 |
| Provider Name | Graciela E Varela |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992357958 PECOS PAC ID: 9931430220 Enrollment ID: I20191017002589 |
| Provider Name | Tuan Nguyen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801269485 PECOS PAC ID: 6608108378 Enrollment ID: I20191029003726 |
| Provider Name | Nishant Nannapaneni |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1023457371 PECOS PAC ID: 3375774607 Enrollment ID: I20191104002877 |
| Provider Name | Aileen Isakharova |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336790997 PECOS PAC ID: 6406288463 Enrollment ID: I20191112002578 |
| Provider Name | Daniel Shao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841645447 PECOS PAC ID: 4183057581 Enrollment ID: I20191125001598 |
| Provider Name | Kathryn G Arneson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124660881 PECOS PAC ID: 3375976749 Enrollment ID: I20191126001724 |
| Provider Name | Rahul Surana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437500659 PECOS PAC ID: 3274887096 Enrollment ID: I20191220000252 |
| Provider Name | Lamin Y Ceesay |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386175891 PECOS PAC ID: 0345517199 Enrollment ID: I20191226001918 |
| Provider Name | Adam a Nishimura |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699172163 PECOS PAC ID: 9638462757 Enrollment ID: I20200103002257 |
| Provider Name | Bill Toukan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881058469 PECOS PAC ID: 0446543383 Enrollment ID: I20200123001794 |
| Provider Name | Farhat Siddiqui |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174886568 PECOS PAC ID: 1254612872 Enrollment ID: I20200128001314 |
| Provider Name | Elizabeth Joy Hadley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1174175707 PECOS PAC ID: 9133555840 Enrollment ID: I20200128002199 |
| Provider Name | Michele E Wagner |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396103032 PECOS PAC ID: 6305272824 Enrollment ID: I20200131001810 |
| Provider Name | Neelima Kandula |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1699020636 PECOS PAC ID: 0648542886 Enrollment ID: I20200201000199 |
| Provider Name | Sidra Saeed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275944787 PECOS PAC ID: 0749616985 Enrollment ID: I20200205003120 |
| Provider Name | Pollyanna Burton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174991327 PECOS PAC ID: 8426367046 Enrollment ID: I20200210001567 |
| Provider Name | Patrick Callahan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497286926 PECOS PAC ID: 7113295288 Enrollment ID: I20200215000229 |
| Provider Name | Sarita Bhatta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982185781 PECOS PAC ID: 1951738756 Enrollment ID: I20200217000626 |
| Provider Name | Mary K Baskin Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376608307 PECOS PAC ID: 2769819515 Enrollment ID: I20200217004759 |
| Provider Name | Mary D Oestreich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073165593 PECOS PAC ID: 1850728270 Enrollment ID: I20200225001527 |
| Provider Name | Eric Seen Han Ong |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1376805085 PECOS PAC ID: 5597089532 Enrollment ID: I20200228001616 |
| Provider Name | Tara Ann Barnard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376690040 PECOS PAC ID: 6305273285 Enrollment ID: I20200305002770 |
| Provider Name | Maria Luisa Jabido |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699208736 PECOS PAC ID: 7810273307 Enrollment ID: I20200313000704 |
| Provider Name | Tsu-en Tan |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023350683 PECOS PAC ID: 6709002009 Enrollment ID: I20200320000908 |
| Provider Name | Jacqueline Panko |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1366644478 PECOS PAC ID: 9739232521 Enrollment ID: I20200323002290 |
| Provider Name | Carlos Augusto Williams |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1346552015 PECOS PAC ID: 2769750835 Enrollment ID: I20200323003447 |
| Provider Name | Melissa Bowe |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1245749613 PECOS PAC ID: 5698013449 Enrollment ID: I20200326001325 |
| Provider Name | Connie Huyen Dao |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1770073975 PECOS PAC ID: 7012263742 Enrollment ID: I20200417001907 |
| Provider Name | Yoon Jung Ra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851860365 PECOS PAC ID: 1759702061 Enrollment ID: I20200521002750 |
| Provider Name | Amir Mehrvarz Sarshekeh |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1649697707 PECOS PAC ID: 4183045016 Enrollment ID: I20200602001478 |
| Provider Name | Ernest L Powell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619313095 PECOS PAC ID: 0648576538 Enrollment ID: I20200603002139 |
| Provider Name | Xuan Liu |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750932679 PECOS PAC ID: 2062834427 Enrollment ID: I20200612001932 |
| Provider Name | Lisa Charlene Benjamin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518588557 PECOS PAC ID: 2860814183 Enrollment ID: I20200615002609 |
| Provider Name | Matthew Studer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871702068 PECOS PAC ID: 2365686300 Enrollment ID: I20200702001867 |
| Provider Name | Annalyse Romero Quintero |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760917363 PECOS PAC ID: 4688919723 Enrollment ID: I20200709001486 |
| Provider Name | Alexandra Petrova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588218580 PECOS PAC ID: 6103249818 Enrollment ID: I20200713003380 |
| Provider Name | Roxanne Ghazvinian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225561038 PECOS PAC ID: 2567715824 Enrollment ID: I20200717001185 |
| Provider Name | Jaclyn Marie Lemon |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144754698 PECOS PAC ID: 4880962943 Enrollment ID: I20200717002375 |
| Provider Name | James Joseph Hooper |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376070904 PECOS PAC ID: 4880965847 Enrollment ID: I20200721004444 |
| Provider Name | Brendan T Parker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699122887 PECOS PAC ID: 6305133745 Enrollment ID: I20200722000939 |
| Provider Name | Joanne Thambuswamy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295256071 PECOS PAC ID: 3274957212 Enrollment ID: I20200722003635 |
| Provider Name | Jason Hao |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649702754 PECOS PAC ID: 7012267867 Enrollment ID: I20200724001474 |
| Provider Name | Chad Aaron Rieck |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285167676 PECOS PAC ID: 7113295379 Enrollment ID: I20200727000532 |
| Provider Name | Shasank Rijal |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1093943839 PECOS PAC ID: 1557518495 Enrollment ID: I20200727000702 |
| Provider Name | Sierra L Mccreery |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407380538 PECOS PAC ID: 0547530180 Enrollment ID: I20200728000606 |
| Provider Name | Lingyun Du |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1730541707 PECOS PAC ID: 4284059411 Enrollment ID: I20200805002925 |
| Provider Name | David Alan Johnson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770901696 PECOS PAC ID: 5597087452 Enrollment ID: I20200806000979 |
| Provider Name | Jacqueline M Wahl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437774338 PECOS PAC ID: 7618392788 Enrollment ID: I20200806001158 |
| Provider Name | Stephanie MD Landreth |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477074532 PECOS PAC ID: 0648512061 Enrollment ID: I20200807001286 |
| Provider Name | Zhihong Zhang |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1215345913 PECOS PAC ID: 7113204488 Enrollment ID: I20200807001459 |
| Provider Name | Kateryna Mykhalchenko |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255798260 PECOS PAC ID: 4880019884 Enrollment ID: I20200807002155 |
| Provider Name | Bethany Doran |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1619261641 PECOS PAC ID: 6709006026 Enrollment ID: I20200807002615 |
| Provider Name | Si Jung Suh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083134944 PECOS PAC ID: 2163848631 Enrollment ID: I20200813003283 |
| Provider Name | Katherine M Morgan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013379114 PECOS PAC ID: 2961787924 Enrollment ID: I20200818000228 |
| Provider Name | Eric P Sorensen |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1760844757 PECOS PAC ID: 7214353523 Enrollment ID: I20200818000892 |
| Provider Name | Austin Buck |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447652177 PECOS PAC ID: 4688943210 Enrollment ID: I20200819004028 |
| Provider Name | Ana Elisa Colmenero Gargari |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972112506 PECOS PAC ID: 6204253719 Enrollment ID: I20200828002357 |
| Provider Name | Anusha Vadlamudi |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1902217565 PECOS PAC ID: 6507150026 Enrollment ID: I20200831001711 |
| Provider Name | Meera Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427585934 PECOS PAC ID: 8022387216 Enrollment ID: I20200831002299 |
| Provider Name | Kate Bellevue |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1427478528 PECOS PAC ID: 4284959826 Enrollment ID: I20200901003227 |
| Provider Name | Andrew B Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639610934 PECOS PAC ID: 8729350715 Enrollment ID: I20200903002232 |
| Provider Name | Nicola Carlisle |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093109381 PECOS PAC ID: 3870834450 Enrollment ID: I20200904001500 |
| Provider Name | Darryl Schuitevoerder |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1821355793 PECOS PAC ID: 5597910976 Enrollment ID: I20200914002184 |
| Provider Name | Morgan S Majerus |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1841771870 PECOS PAC ID: 4385062611 Enrollment ID: I20200917002176 |
| Provider Name | Wendy Hansen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659806164 PECOS PAC ID: 9032482823 Enrollment ID: I20200919000054 |
| Provider Name | Melanie Acklin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538265525 PECOS PAC ID: 8426325184 Enrollment ID: I20200923001157 |
| Provider Name | David Feldman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528592987 PECOS PAC ID: 0840619961 Enrollment ID: I20200923001226 |
| Provider Name | Sameet Sangha |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1669812442 PECOS PAC ID: 1557505427 Enrollment ID: I20200925001384 |
| Provider Name | Katelyn J Pedersen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063021137 PECOS PAC ID: 9931528833 Enrollment ID: I20200925001991 |
| Provider Name | Holly a Bernstein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912518093 PECOS PAC ID: 1557780145 Enrollment ID: I20201001000095 |
| Provider Name | Joanna Zhou |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497118905 PECOS PAC ID: 5193015030 Enrollment ID: I20201001001900 |
| Provider Name | Maikha Jean-baptiste |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417310350 PECOS PAC ID: 6103173828 Enrollment ID: I20201002001359 |
| Provider Name | Angelena Crown |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1093158941 PECOS PAC ID: 1759518582 Enrollment ID: I20201006003104 |
| Provider Name | Patrick Willauer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1205222551 PECOS PAC ID: 8426358573 Enrollment ID: I20201007003069 |
| Provider Name | Teerawit Supakorndej |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1336599208 PECOS PAC ID: 4082983945 Enrollment ID: I20201015001838 |
| Provider Name | Alexandra M Jordan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891300745 PECOS PAC ID: 2163842642 Enrollment ID: I20201022000861 |
| Provider Name | Grace Hamilton |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1063939759 PECOS PAC ID: 8325476229 Enrollment ID: I20201026000088 |
| Provider Name | Deandra T Elcock |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720698996 PECOS PAC ID: 5193135424 Enrollment ID: I20201027003256 |
| Provider Name | Cara Marie Prange |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043817695 PECOS PAC ID: 3870903941 Enrollment ID: I20201030000149 |
| Provider Name | Nehemiah Reyes Zarate-rourke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831500388 PECOS PAC ID: 5395155204 Enrollment ID: I20201104002172 |
| Provider Name | Jill Kristine Nelson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1720603954 PECOS PAC ID: 7012328289 Enrollment ID: I20201118002483 |
| Provider Name | Peter Conley Creed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487026423 PECOS PAC ID: 0840594883 Enrollment ID: I20201119002380 |
| Provider Name | John Raymond Storey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518372416 PECOS PAC ID: 7113359563 Enrollment ID: I20201124002244 |
| Provider Name | Kelly P Grenner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003424128 PECOS PAC ID: 5991116659 Enrollment ID: I20201201002555 |
| Provider Name | Julie J Mann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255722484 PECOS PAC ID: 8527389253 Enrollment ID: I20201215001688 |
| Provider Name | Michelle C Percopo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649883810 PECOS PAC ID: 2860805306 Enrollment ID: I20201230001694 |
| Provider Name | Tiffany Lynn Shih |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1437416088 PECOS PAC ID: 8123331824 Enrollment ID: I20210105001701 |
| Provider Name | Mariko Watts Taggart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083218325 PECOS PAC ID: 0941613939 Enrollment ID: I20210112002493 |
| Provider Name | Erik Richard Geving |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1831748813 PECOS PAC ID: 0143634204 Enrollment ID: I20210201001356 |
| Provider Name | Youwen Hu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134720139 PECOS PAC ID: 8628485661 Enrollment ID: I20210318001769 |
| Provider Name | Hugh Aaron Steele |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1548854102 PECOS PAC ID: 8820406382 Enrollment ID: I20210421002166 |
| Provider Name | Nicole Elizabeth Barish |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245831023 PECOS PAC ID: 1951719244 Enrollment ID: I20210427000961 |
| Provider Name | Susan Johannsen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1063026417 PECOS PAC ID: 2163839879 Enrollment ID: I20210504001577 |
| Provider Name | Sarena Toellner |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1346505443 PECOS PAC ID: 8921231689 Enrollment ID: I20210511002667 |
| Provider Name | Imashi Fernando |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1891319513 PECOS PAC ID: 5890195101 Enrollment ID: I20210608002040 |
| Provider Name | Georges Antoine Hneich |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205121001 PECOS PAC ID: 4880983972 Enrollment ID: I20210609001925 |
| Provider Name | Eugene MD Chang |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1992199459 PECOS PAC ID: 2961785365 Enrollment ID: I20210614000816 |
| Provider Name | Patrick Simpson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831484591 PECOS PAC ID: 8426302035 Enrollment ID: I20210615003558 |
| Provider Name | Catherine Lipowski |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1619954385 PECOS PAC ID: 0840274635 Enrollment ID: I20210616000867 |
| Provider Name | Martina P Block |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124654397 PECOS PAC ID: 1355741166 Enrollment ID: I20210616001833 |
| Provider Name | Nupur Garg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134544299 PECOS PAC ID: 6608146626 Enrollment ID: I20210621001928 |
| Provider Name | Phoebe Jensen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912448275 PECOS PAC ID: 5991121246 Enrollment ID: I20210621003025 |
| Provider Name | Sardius Faith Chen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174906473 PECOS PAC ID: 3072810019 Enrollment ID: I20210630003764 |
| Provider Name | Sharda Mundada Tajane |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255823373 PECOS PAC ID: 2961756564 Enrollment ID: I20210707003704 |
| Provider Name | Jane J Yin |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1457372484 PECOS PAC ID: 7315988458 Enrollment ID: I20210709002927 |
| Provider Name | Alexander Katz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295276558 PECOS PAC ID: 5294150421 Enrollment ID: I20210715001283 |
| Provider Name | Lara West |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881272797 PECOS PAC ID: 7810399656 Enrollment ID: I20210715002339 |
| Provider Name | Patrick Staso |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1750762050 PECOS PAC ID: 2163737396 Enrollment ID: I20210716000201 |
| Provider Name | Melissa Hicks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093745267 PECOS PAC ID: 6002824737 Enrollment ID: I20210720001267 |
| Provider Name | Amanda Bush |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588081954 PECOS PAC ID: 9830412097 Enrollment ID: I20210721002203 |
| Provider Name | Duk Soo Kim |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1669821658 PECOS PAC ID: 6901191170 Enrollment ID: I20210722002871 |
| Provider Name | Megan Hebda |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1982081444 PECOS PAC ID: 2567790272 Enrollment ID: I20210726001408 |
| Provider Name | Maxwell M Zamzow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326618281 PECOS PAC ID: 9638572597 Enrollment ID: I20210729001972 |
| Provider Name | Hung Y Lin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770901050 PECOS PAC ID: 0345643201 Enrollment ID: I20210729002068 |
| Provider Name | Lisa Cathleen Kieneker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215422928 PECOS PAC ID: 7719235480 Enrollment ID: I20210729003108 |
| Provider Name | Olivia Klinkhammer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376036533 PECOS PAC ID: 2769714625 Enrollment ID: I20210802000302 |
| Provider Name | Victor Wong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780173575 PECOS PAC ID: 4385048180 Enrollment ID: I20210802000383 |
| Provider Name | Sarah Hutcheson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396249132 PECOS PAC ID: 6406102391 Enrollment ID: I20210802000512 |
| Provider Name | Kyaw Bo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588156202 PECOS PAC ID: 4981958576 Enrollment ID: I20210804001320 |
| Provider Name | Danielle C Hanssen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598260721 PECOS PAC ID: 9537415047 Enrollment ID: I20210805001722 |
| Provider Name | Mark Tom |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144712639 PECOS PAC ID: 1153725437 Enrollment ID: I20210809002402 |
| Provider Name | Mengyuan Liu |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1669890554 PECOS PAC ID: 8527376060 Enrollment ID: I20210817001363 |
| Provider Name | Haoyu Zhao |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215505821 PECOS PAC ID: 6800291642 Enrollment ID: I20210817003700 |
| Provider Name | Scott C Cuthbert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487141263 PECOS PAC ID: 6901223015 Enrollment ID: I20210824002348 |
| Provider Name | Erin Marie Durch |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1639627847 PECOS PAC ID: 2466732805 Enrollment ID: I20210908002520 |
| Provider Name | Rebecca Touger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699137265 PECOS PAC ID: 2769773340 Enrollment ID: I20210908003950 |
| Provider Name | Jessica Rakonza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730685470 PECOS PAC ID: 3476809203 Enrollment ID: I20210909003960 |
| Provider Name | Thuy-chau Thi Le |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881230092 PECOS PAC ID: 8628474046 Enrollment ID: I20210910001469 |
| Provider Name | Maria Teresa Dellino |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487145389 PECOS PAC ID: 9537565817 Enrollment ID: I20210913000923 |
| Provider Name | Anh My Tran |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1063861813 PECOS PAC ID: 5890079537 Enrollment ID: I20210915003339 |
| Provider Name | David Spak |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1124384474 PECOS PAC ID: 3072862556 Enrollment ID: I20210924001830 |
| Provider Name | Thomas Kieran Byrnes |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1417343302 PECOS PAC ID: 8527371749 Enrollment ID: I20211005002356 |
| Provider Name | Anna H Tran |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558373431 PECOS PAC ID: 8022114909 Enrollment ID: I20211014003426 |
| Provider Name | Emily C Cunningham-carter |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1508460023 PECOS PAC ID: 6901294024 Enrollment ID: I20211022000444 |
| Provider Name | Joan K Lee |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619362274 PECOS PAC ID: 0446559561 Enrollment ID: I20211028002609 |
| Provider Name | Tianyi Yu |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740942812 PECOS PAC ID: 6305145228 Enrollment ID: I20211029001786 |
| Provider Name | Indhira De La Cruz Alcantara |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1891177309 PECOS PAC ID: 3577827518 Enrollment ID: I20211101002163 |
| Provider Name | Lisa Lester |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1740713155 PECOS PAC ID: 8224366901 Enrollment ID: I20211103000587 |
| Provider Name | Mahshid Kamyab |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568889855 PECOS PAC ID: 3779708128 Enrollment ID: I20211110003218 |
| Provider Name | Lindsey Brochu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245995737 PECOS PAC ID: 4880083476 Enrollment ID: I20211122000219 |
| Provider Name | Kaartik Soota |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1740535095 PECOS PAC ID: 3870806714 Enrollment ID: I20211122002734 |
| Provider Name | Mika Emily Kawakami |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1770246944 PECOS PAC ID: 7113317470 Enrollment ID: I20211201001807 |
| Provider Name | Caitlin Ward |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1821752569 PECOS PAC ID: 5092105692 Enrollment ID: I20211213002631 |
| Provider Name | Kim Phu |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770241101 PECOS PAC ID: 8628468238 Enrollment ID: I20211213002681 |
| Provider Name | Rachel Sierra Wheatley |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1518493014 PECOS PAC ID: 5799176103 Enrollment ID: I20211220000455 |
| Provider Name | Stacy C Henderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730858879 PECOS PAC ID: 0941691059 Enrollment ID: I20211228002139 |
| Provider Name | Winokuli Bertrand |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104215219 PECOS PAC ID: 3870810096 Enrollment ID: I20211229000966 |
| Provider Name | Patrick R Mckenzie |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184381238 PECOS PAC ID: 3678965266 Enrollment ID: I20220111000922 |
| Provider Name | Hana Kathryn Stelle |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1356875835 PECOS PAC ID: 1052689213 Enrollment ID: I20220112000989 |
| Provider Name | Amy Husted |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316603988 PECOS PAC ID: 3577955970 Enrollment ID: I20220114001567 |
| Provider Name | Hosan Ho |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306359765 PECOS PAC ID: 9739571779 Enrollment ID: I20220124002785 |
| Provider Name | Christopher Hicks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548226376 PECOS PAC ID: 6507916277 Enrollment ID: I20220202002770 |
| Provider Name | Toshiko Oikawa Luckow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629394572 PECOS PAC ID: 2961644810 Enrollment ID: I20220204001194 |
| Provider Name | Chelsea Marie Mccarty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790447753 PECOS PAC ID: 5294129961 Enrollment ID: I20220222002046 |
| Provider Name | Shirley Chen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619361193 PECOS PAC ID: 7416341623 Enrollment ID: I20220304001396 |
| Provider Name | Katelan Lauren Halgren |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1144971169 PECOS PAC ID: 5496140758 Enrollment ID: I20220323001651 |
| Provider Name | Khoi T Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225528987 PECOS PAC ID: 5597011361 Enrollment ID: I20220401002257 |
| Provider Name | Paula J Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952757858 PECOS PAC ID: 7719382167 Enrollment ID: I20220415000432 |
| Provider Name | Jonathan Lee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1386198109 PECOS PAC ID: 9739466459 Enrollment ID: I20220420001748 |
| Provider Name | Solmaz Mohaddes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538815436 PECOS PAC ID: 0143617084 Enrollment ID: I20220425001094 |
| Provider Name | Sara E Kenny |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295236008 PECOS PAC ID: 2668869298 Enrollment ID: I20220428001016 |
| Provider Name | Thu Van Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619372232 PECOS PAC ID: 5092017996 Enrollment ID: I20220429001762 |
| Provider Name | Samantha Herradura |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548930738 PECOS PAC ID: 6709263437 Enrollment ID: I20220518000224 |
| Provider Name | Isaiah Song |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1700375953 PECOS PAC ID: 5890122089 Enrollment ID: I20220606000626 |
| Provider Name | Mark Timothy Winkler |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134573645 PECOS PAC ID: 7416359666 Enrollment ID: I20220621002522 |
| Provider Name | Kelly Shontell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629538186 PECOS PAC ID: 0345573804 Enrollment ID: I20220715001517 |
| Provider Name | Barbara J Macfarlane |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821164849 PECOS PAC ID: 3870699911 Enrollment ID: I20220716000541 |
| Provider Name | Lily Ren |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1972234045 PECOS PAC ID: 4183005325 Enrollment ID: I20220719001408 |
| Provider Name | Jamila Mainor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508052754 PECOS PAC ID: 6103019328 Enrollment ID: I20220719003433 |
| Provider Name | Shokouh Pardakhtim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396483392 PECOS PAC ID: 2668854373 Enrollment ID: I20220727003491 |
| Provider Name | Joshua Erik Policella |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093275141 PECOS PAC ID: 0749522050 Enrollment ID: I20220803000793 |
| Provider Name | Jessica Lynn Bolden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528712304 PECOS PAC ID: 0840672143 Enrollment ID: I20220803001720 |
| Provider Name | Michael Addison Bonelli |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952965097 PECOS PAC ID: 6901133107 Enrollment ID: I20220809000563 |
| Provider Name | Lucy Chao |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1396136057 PECOS PAC ID: 4587913215 Enrollment ID: I20220809000985 |
| Provider Name | Claire P Yearian |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1205325032 PECOS PAC ID: 8426431271 Enrollment ID: I20220811003272 |
| Provider Name | Franco Russo |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1518378124 PECOS PAC ID: 0143508960 Enrollment ID: I20220824001978 |
| Provider Name | Nicholas a Wilcox |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1497102651 PECOS PAC ID: 1658610985 Enrollment ID: I20220826002270 |
| Provider Name | Nancy Roope |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316151368 PECOS PAC ID: 8426313230 Enrollment ID: I20220829001509 |
| Provider Name | Alison D Vasan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972957553 PECOS PAC ID: 0244522670 Enrollment ID: I20220830002898 |
| Provider Name | John K Feller |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1447612775 PECOS PAC ID: 9133410434 Enrollment ID: I20220901001794 |
| Provider Name | Andy Yen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043879133 PECOS PAC ID: 9638553076 Enrollment ID: I20220901003288 |
| Provider Name | Kriti Agarwal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629537881 PECOS PAC ID: 1153705215 Enrollment ID: I20220908003037 |
| Provider Name | Oliver B Orr |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316506264 PECOS PAC ID: 9335474766 Enrollment ID: I20220920000679 |
| Provider Name | Zachariah Lucas Dorey-stein |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1073993267 PECOS PAC ID: 2860781481 Enrollment ID: I20220920003554 |
| Provider Name | Meaghan Oakes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609409119 PECOS PAC ID: 0042695421 Enrollment ID: I20220921001854 |
| Provider Name | Stephen Wabeti Nganga |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982166070 PECOS PAC ID: 7719214956 Enrollment ID: I20220924000334 |
| Provider Name | Jacqueline Adriana Vera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033704598 PECOS PAC ID: 0042696163 Enrollment ID: I20220927002889 |
| Provider Name | Audrey C Woo |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1538622949 PECOS PAC ID: 9830575901 Enrollment ID: I20220928000634 |
| Provider Name | Juliana Caitlin Van De Krol |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891420436 PECOS PAC ID: 7214313220 Enrollment ID: I20220928002882 |
| Provider Name | Katie Marie Wahler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659811214 PECOS PAC ID: 8921370206 Enrollment ID: I20221005001401 |
| Provider Name | Ashley a Lee |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1104354323 PECOS PAC ID: 5890043269 Enrollment ID: I20221005003474 |
| Provider Name | Kathryn Biette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790334712 PECOS PAC ID: 3173957669 Enrollment ID: I20221011002175 |
| Provider Name | Jeffrey Lee |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1477043370 PECOS PAC ID: 3173888443 Enrollment ID: I20221012002502 |
| Provider Name | Melissa Horton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679987184 PECOS PAC ID: 3173839750 Enrollment ID: I20221013003181 |
| Provider Name | Michael Su |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245617406 PECOS PAC ID: 6507232246 Enrollment ID: I20221020000715 |
| Provider Name | Minkyung Shin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437618790 PECOS PAC ID: 3274948781 Enrollment ID: I20221021001915 |
| Provider Name | Mohamed Anees Ahmed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578098257 PECOS PAC ID: 9436526746 Enrollment ID: I20221028002553 |
| Provider Name | Sydney B Megill |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1154086239 PECOS PAC ID: 1658748751 Enrollment ID: I20221102001668 |
| Provider Name | Matthew Alexander Burr |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164879177 PECOS PAC ID: 4183995020 Enrollment ID: I20221103002907 |
| Provider Name | Nancy Elaine Fong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700945649 PECOS PAC ID: 5092742767 Enrollment ID: I20221107001118 |
| Provider Name | Jacqueline B Berglass |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427611102 PECOS PAC ID: 8820323942 Enrollment ID: I20221116001260 |
| Provider Name | Cynthia Jeanne Irwin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063985232 PECOS PAC ID: 7416325428 Enrollment ID: I20221123000788 |
| Provider Name | Mark Keller |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497138861 PECOS PAC ID: 1557774825 Enrollment ID: I20221202002030 |
| Provider Name | Pamila Joy Ellis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619684891 PECOS PAC ID: 7618346362 Enrollment ID: I20221220000675 |
| Provider Name | Kimberly Ghiglia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750009841 PECOS PAC ID: 7911377460 Enrollment ID: I20221228001584 |
| Provider Name | Joshua D Munro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356563837 PECOS PAC ID: 1355496282 Enrollment ID: I20221230002129 |
| Provider Name | Brooke Smith |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1508273301 PECOS PAC ID: 9234509043 Enrollment ID: I20230111002249 |
| Provider Name | Nathan Matthew Charles Mcquarrie |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1649949116 PECOS PAC ID: 4981075199 Enrollment ID: I20230126002291 |
| Provider Name | Liam Malpass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457983496 PECOS PAC ID: 8921406182 Enrollment ID: I20230128000357 |
| Provider Name | Ye Jin Park |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1205450863 PECOS PAC ID: 7810368867 Enrollment ID: I20230130001811 |
| Provider Name | Anna Jain |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417336058 PECOS PAC ID: 8628383577 Enrollment ID: I20230207002288 |
| Provider Name | Taisha K Doo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033603840 PECOS PAC ID: 6901154384 Enrollment ID: I20230208000003 |
| Provider Name | Jaspreet S Khehra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043925563 PECOS PAC ID: 2769854249 Enrollment ID: I20230209001355 |
| Provider Name | Julie Khaing |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235612375 PECOS PAC ID: 9133471378 Enrollment ID: I20230214001822 |
| Provider Name | Katharine E Andrews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417675810 PECOS PAC ID: 8426420472 Enrollment ID: I20230221001103 |
| Provider Name | Anika Cole Gannon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649945940 PECOS PAC ID: 4284008111 Enrollment ID: I20230316000780 |
| Provider Name | Lauren Keanna Jensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336786649 PECOS PAC ID: 2668846221 Enrollment ID: I20230322000163 |
| Provider Name | Haley Anthes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083353841 PECOS PAC ID: 3971985565 Enrollment ID: I20230329001221 |
| Provider Name | Meaghen Hart-williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962831404 PECOS PAC ID: 2466689435 Enrollment ID: I20230403001112 |
| Provider Name | Melanie a Datu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326630864 PECOS PAC ID: 6800290875 Enrollment ID: I20230427001637 |
| Provider Name | Yeojin Jeong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952972275 PECOS PAC ID: 8224493713 Enrollment ID: I20230505002217 |
| Provider Name | Carson Daman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457059784 PECOS PAC ID: 0042676454 Enrollment ID: I20230509002518 |
| Provider Name | Mary English Lacy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598064040 PECOS PAC ID: 3779703855 Enrollment ID: I20230518003198 |
| Provider Name | Monica Massoud |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851098420 PECOS PAC ID: 8022474949 Enrollment ID: I20230519000589 |
| Provider Name | Cheng Jiang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760182786 PECOS PAC ID: 8123484805 Enrollment ID: I20230523000878 |
| Provider Name | Jacare Lauren Cardoza |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487141644 PECOS PAC ID: 7012330541 Enrollment ID: I20230606002974 |
| Provider Name | Marissa G Cruz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548653058 PECOS PAC ID: 1658738331 Enrollment ID: I20230612002196 |
| Provider Name | Melody J Lovely |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811693716 PECOS PAC ID: 5799142493 Enrollment ID: I20230612002900 |
| Provider Name | Uman Gahlot |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780373399 PECOS PAC ID: 1759749062 Enrollment ID: I20230619001729 |
| Provider Name | Lishi Sun |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1124548268 PECOS PAC ID: 0749648673 Enrollment ID: I20230623003005 |
| Provider Name | Justin William Leblanc |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437441102 PECOS PAC ID: 4385957315 Enrollment ID: I20230628001418 |
| Provider Name | Tyler Kreager |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1790216109 PECOS PAC ID: 0345518379 Enrollment ID: I20230705000890 |
| Provider Name | Jennifer Marie Gross |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023197951 PECOS PAC ID: 8628469772 Enrollment ID: I20230706002642 |
| Provider Name | Edward H Kim |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1497201701 PECOS PAC ID: 1355779703 Enrollment ID: I20230717001415 |
| Provider Name | Brianna Joan Baublitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073206520 PECOS PAC ID: 4688034978 Enrollment ID: I20230718003605 |
| Provider Name | Vikramjit Gill |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720281785 PECOS PAC ID: 1355507351 Enrollment ID: I20230718004000 |
| Provider Name | Rhys Brooks |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518461300 PECOS PAC ID: 9032526405 Enrollment ID: I20230727003287 |
| Provider Name | Karen J Hong |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194160119 PECOS PAC ID: 2961710058 Enrollment ID: I20230727003884 |
| Provider Name | Jennifer Dunlap |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427511997 PECOS PAC ID: 3173857018 Enrollment ID: I20230728000674 |
| Provider Name | Jennifer Y Lee |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1902337322 PECOS PAC ID: 7214209253 Enrollment ID: I20230728001124 |
| Provider Name | Jedediah Joseph Doane |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124657903 PECOS PAC ID: 1052772639 Enrollment ID: I20230728002268 |
| Provider Name | Daisy Zhou |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801246053 PECOS PAC ID: 4981938743 Enrollment ID: I20230728002486 |
| Provider Name | Shannon Curran |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1518317262 PECOS PAC ID: 0244567618 Enrollment ID: I20230728002754 |
| Provider Name | Carolyn Schwartz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093315970 PECOS PAC ID: 7012329675 Enrollment ID: I20230728002896 |
| Provider Name | Olivia Wojtowicz Haymans |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750992251 PECOS PAC ID: 4385057827 Enrollment ID: I20230807000622 |
| Provider Name | Paige M Thomas |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1861166035 PECOS PAC ID: 2264817725 Enrollment ID: I20230814001174 |
| Provider Name | Ahmed Alshaban |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1720442650 PECOS PAC ID: 6103152046 Enrollment ID: I20230818002664 |
| Provider Name | Sonia Gozum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740493014 PECOS PAC ID: 7618075193 Enrollment ID: I20230821001415 |
| Provider Name | Stefano a Castagnola |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578185013 PECOS PAC ID: 6709248826 Enrollment ID: I20230821003492 |
| Provider Name | Shanta Pillai |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1558821686 PECOS PAC ID: 4082940325 Enrollment ID: I20230822001030 |
| Provider Name | James Liadis |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1770825127 PECOS PAC ID: 8921230913 Enrollment ID: I20230823001817 |
| Provider Name | Louis Justin Needleman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881221471 PECOS PAC ID: 3274996343 Enrollment ID: I20230823001894 |
| Provider Name | Jennifer Reh |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1174210538 PECOS PAC ID: 3072976984 Enrollment ID: I20230824004049 |
| Provider Name | Michael Luckow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578919072 PECOS PAC ID: 4688967722 Enrollment ID: I20230905002173 |
| Provider Name | Alexander J Kurdi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356877476 PECOS PAC ID: 6305116278 Enrollment ID: I20230913003550 |
| Provider Name | Mariel Liane Balboa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326676248 PECOS PAC ID: 0941654081 Enrollment ID: I20230923000708 |
| Provider Name | Courtney M Bennett |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508159492 PECOS PAC ID: 2860846474 Enrollment ID: I20231002001011 |
| Provider Name | Joshua Max Boguch |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154764223 PECOS PAC ID: 0244453884 Enrollment ID: I20231006001073 |
| Provider Name | Taylor Keiichi Chong |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1033887443 PECOS PAC ID: 0042665267 Enrollment ID: I20231009001201 |
| Provider Name | Sushitha Surendran |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912265760 PECOS PAC ID: 3971875881 Enrollment ID: I20231010002296 |
| Provider Name | Tabetha Kabler |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1043994866 PECOS PAC ID: 8628423662 Enrollment ID: I20231011004213 |
| Provider Name | Lloyd Licuanan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114019049 PECOS PAC ID: 0941331318 Enrollment ID: I20231012002360 |
| Provider Name | Toni Mesha Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992487250 PECOS PAC ID: 7012362825 Enrollment ID: I20231016000103 |
| Provider Name | Shaina Ann Tupas Santonil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679255731 PECOS PAC ID: 1658726179 Enrollment ID: I20231018001384 |
| Provider Name | Amelia Starr |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952861031 PECOS PAC ID: 3577930809 Enrollment ID: I20231018002543 |
| Provider Name | Khadijah a Toledano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356129498 PECOS PAC ID: 2567818859 Enrollment ID: I20231023002245 |
| Provider Name | Erik Wissner |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1508849340 PECOS PAC ID: 3072504034 Enrollment ID: I20231026001345 |
| Provider Name | Lai Lai Kwok |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407380884 PECOS PAC ID: 9830460187 Enrollment ID: I20231026004404 |
| Provider Name | Carlos G Moscoso |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1083148969 PECOS PAC ID: 9537414263 Enrollment ID: I20231027000707 |
| Provider Name | Kirkland Devers |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1174242879 PECOS PAC ID: 0941656953 Enrollment ID: I20231027000770 |
| Provider Name | Calvin Horace Knapp |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1225533458 PECOS PAC ID: 7214282862 Enrollment ID: I20231027001791 |
| Provider Name | Erik James Snider |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1962938712 PECOS PAC ID: 0941578678 Enrollment ID: I20231103003210 |
| Provider Name | Caitlin Vosburgh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922613074 PECOS PAC ID: 3870940307 Enrollment ID: I20231106001703 |
| Provider Name | Christopher R Fitzgerald |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558504902 PECOS PAC ID: 0042448938 Enrollment ID: I20231115003308 |
| Provider Name | Jessie Jiyeon Dziduch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265900591 PECOS PAC ID: 4082079728 Enrollment ID: I20231130002091 |
| Provider Name | Kinza Ahmad |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1174056246 PECOS PAC ID: 0244509529 Enrollment ID: I20231204002932 |
| Provider Name | Carol Hungerford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134578222 PECOS PAC ID: 0648564054 Enrollment ID: I20231205002258 |
| Provider Name | Andrew Phan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679102875 PECOS PAC ID: 4587064274 Enrollment ID: I20231214002845 |
| Provider Name | Kurt Duffens |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013003045 PECOS PAC ID: 4880880186 Enrollment ID: I20231227001506 |
| Provider Name | Hannah Sue Hults |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1619675329 PECOS PAC ID: 2860842044 Enrollment ID: I20231229002487 |
| Provider Name | James a Dauer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1760791958 PECOS PAC ID: 5092165183 Enrollment ID: I20240102003343 |
| Provider Name | Tara Lamb |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033652490 PECOS PAC ID: 5395195390 Enrollment ID: I20240102004009 |
| Provider Name | Oscar David Escalante |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043604887 PECOS PAC ID: 8123478187 Enrollment ID: I20240103001932 |
| Provider Name | Adam Sung Waldron |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1073949418 PECOS PAC ID: 6103276175 Enrollment ID: I20240103002373 |
| Provider Name | John Francis Schulze |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255443636 PECOS PAC ID: 4486005469 Enrollment ID: I20240104001615 |
| Provider Name | Kristina Louise Taylor |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1336519370 PECOS PAC ID: 5799136644 Enrollment ID: I20240104004660 |
| Provider Name | Melissa Bird |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922612688 PECOS PAC ID: 1759732258 Enrollment ID: I20240109003453 |
| Provider Name | Alecia S Richard |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1720198625 PECOS PAC ID: 0446601678 Enrollment ID: I20240111002850 |
| Provider Name | Rachel Nicole Burns |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770047896 PECOS PAC ID: 3678925765 Enrollment ID: I20240112004107 |
| Provider Name | Gaye George |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1497299002 PECOS PAC ID: 6709238553 Enrollment ID: I20240117004254 |
| Provider Name | Chantelle Chand |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750733549 PECOS PAC ID: 8426387325 Enrollment ID: I20240119001059 |
| Provider Name | Sydney Shaphren |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891205589 PECOS PAC ID: 0547612863 Enrollment ID: I20240122004100 |
| Provider Name | Jeffrey S Kennedy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063450369 PECOS PAC ID: 2466606850 Enrollment ID: I20240202001437 |
| Provider Name | Sheldon Nichols |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1609909548 PECOS PAC ID: 2860835196 Enrollment ID: I20240203000088 |
| Provider Name | Chelsea Ungvari |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245835222 PECOS PAC ID: 8325481187 Enrollment ID: I20240208001688 |
| Provider Name | James S Lang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528488798 PECOS PAC ID: 5092018721 Enrollment ID: I20240306002367 |
| Provider Name | Ayshea M De Smet |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487037305 PECOS PAC ID: 5496191165 Enrollment ID: I20240315003469 |
| Provider Name | Severine Dondina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639707516 PECOS PAC ID: 1557759271 Enrollment ID: I20240319003741 |
| Provider Name | Young Seol |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1700379203 PECOS PAC ID: 6800127606 Enrollment ID: I20240320003436 |
| Provider Name | Carrie Lynn Martinez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467960823 PECOS PAC ID: 8426496100 Enrollment ID: I20240401000252 |
| Provider Name | Jamie Lynn Bagley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700427663 PECOS PAC ID: 4688018336 Enrollment ID: I20240403003950 |
| Provider Name | Jennifer Vielhaber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003597865 PECOS PAC ID: 3274989579 Enrollment ID: I20240501003458 |
| Provider Name | Paul a Hanna |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1598843682 PECOS PAC ID: 4880656149 Enrollment ID: I20240501003546 |
| Provider Name | Shijie Guo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306448725 PECOS PAC ID: 0446653042 Enrollment ID: I20240515003903 |
| Provider Name | Eric Nguyen |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1487113791 PECOS PAC ID: 2365984689 Enrollment ID: I20240603000204 |
| Provider Name | Keith W. Harper |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194836528 PECOS PAC ID: 8123002987 Enrollment ID: I20240604002028 |
| Provider Name | Maryam Sabetian |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619591526 PECOS PAC ID: 7810310349 Enrollment ID: I20240605002656 |
| Provider Name | Katelyn M Justice |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1710641444 PECOS PAC ID: 6608318696 Enrollment ID: I20240605002847 |
| Provider Name | Dallin Johansen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831686740 PECOS PAC ID: 0345599551 Enrollment ID: I20240606001200 |
| Provider Name | Bennett Pafford |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255568366 PECOS PAC ID: 0749455731 Enrollment ID: I20240612001545 |
| Provider Name | Wei Shawn Ignatius Ang |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1013470079 PECOS PAC ID: 9931506078 Enrollment ID: I20240613000972 |
| Provider Name | Karine Zwicki Ingraham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699536219 PECOS PAC ID: 6800339292 Enrollment ID: I20240613001318 |
| Provider Name | Casey Edward Morrison |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1518455435 PECOS PAC ID: 9436692886 Enrollment ID: I20240613003979 |
| Provider Name | Brandon J Barrett |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1629283692 PECOS PAC ID: 7517142615 Enrollment ID: I20240624004289 |
| Provider Name | Michelle Antelo Denadel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033747902 PECOS PAC ID: 2567884034 Enrollment ID: I20240625001497 |
| Provider Name | Serena Bianca Fang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649845199 PECOS PAC ID: 4688073240 Enrollment ID: I20240717003120 |
| Provider Name | Anne Rhys Balentine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336764950 PECOS PAC ID: 2163968611 Enrollment ID: I20240722000960 |
| Provider Name | Matthieu Thierry Marie Haentjens |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487428702 PECOS PAC ID: 3577009992 Enrollment ID: I20240722003377 |
| Provider Name | Jennifer a Wagner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992022230 PECOS PAC ID: 9032342423 Enrollment ID: I20240729002269 |
| Provider Name | Lauren Cotton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942819826 PECOS PAC ID: 8628454386 Enrollment ID: I20240731000456 |
| Provider Name | Priyanka Makkar |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1841605540 PECOS PAC ID: 8820418635 Enrollment ID: I20240731004705 |
| Provider Name | Grant E Andrews |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396321741 PECOS PAC ID: 9537559653 Enrollment ID: I20240813000679 |
| Provider Name | Maya Raman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578955852 PECOS PAC ID: 1557763372 Enrollment ID: I20240814003161 |
| Provider Name | Samantha Cheyanne Sovich |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1861952996 PECOS PAC ID: 2365844545 Enrollment ID: I20240814004416 |
| Provider Name | Carlos L Green |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1891226130 PECOS PAC ID: 5193188118 Enrollment ID: I20240815001111 |
| Provider Name | Mary E Mitchell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013990860 PECOS PAC ID: 1951366749 Enrollment ID: I20240820000702 |
| Provider Name | Tan Luu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275115768 PECOS PAC ID: 9931501731 Enrollment ID: I20240821004783 |
| Provider Name | Brendan Harrison |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306330535 PECOS PAC ID: 1456717040 Enrollment ID: I20240828001325 |
| Provider Name | Stephanie M Coats |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467238287 PECOS PAC ID: 4688023112 Enrollment ID: I20240828003521 |
| Provider Name | Mary Lee Linares |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013751593 PECOS PAC ID: 0840730941 Enrollment ID: I20240904001062 |
| Provider Name | Alvan Ni |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578067385 PECOS PAC ID: 5991166977 Enrollment ID: I20240917001628 |
| Provider Name | Luke Stall |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376687954 PECOS PAC ID: 6608011762 Enrollment ID: I20240918004031 |
| Provider Name | Vi Tran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912403643 PECOS PAC ID: 5496081143 Enrollment ID: I20240924001564 |
| Provider Name | Huiling Zhu |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891371035 PECOS PAC ID: 1052852456 Enrollment ID: I20240925003849 |
| Provider Name | Claire E Bennett |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1073260584 PECOS PAC ID: 2062808199 Enrollment ID: I20240926001681 |
| Provider Name | Kristina C Braaten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699420026 PECOS PAC ID: 8820529795 Enrollment ID: I20241002002086 |
| Provider Name | Allyson Lohrmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558149401 PECOS PAC ID: 6507397403 Enrollment ID: I20241002003583 |
| Provider Name | Shih-yu Chou |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013528660 PECOS PAC ID: 9032640941 Enrollment ID: I20241002003669 |
| Provider Name | Brady Ann Coad |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104455369 PECOS PAC ID: 8224569066 Enrollment ID: I20241003001057 |
| Provider Name | Isla Sage Oliver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326766056 PECOS PAC ID: 1951832716 Enrollment ID: I20241003001963 |
| Provider Name | Neal Keeshin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063494599 PECOS PAC ID: 6305869058 Enrollment ID: I20241003003766 |
| Provider Name | Femina S Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124606892 PECOS PAC ID: 1557892049 Enrollment ID: I20241008003882 |
| Provider Name | Raisa J Epistola |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1417482910 PECOS PAC ID: 7618380445 Enrollment ID: I20241010003479 |
| Provider Name | Joshua Macaluso |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639755549 PECOS PAC ID: 6800296575 Enrollment ID: I20241016002951 |
| Provider Name | Ashlea Denise O'shea |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205542768 PECOS PAC ID: 4486186368 Enrollment ID: I20241016003300 |
| Provider Name | Katherine Haakana |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184201790 PECOS PAC ID: 5597297366 Enrollment ID: I20241017002781 |
| Provider Name | Rosalie Medina Carvalho |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1023899838 PECOS PAC ID: 1456883115 Enrollment ID: I20241018002000 |
| Provider Name | Rupinder Flora |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578135885 PECOS PAC ID: 4688077803 Enrollment ID: I20241022003312 |
| Provider Name | Matthew Nathan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598385601 PECOS PAC ID: 1254755218 Enrollment ID: I20241024003545 |
| Provider Name | Kayla Otworth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770137580 PECOS PAC ID: 8820328545 Enrollment ID: I20241026000118 |
| Provider Name | Shan Sze Chin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073344057 PECOS PAC ID: 4688107634 Enrollment ID: I20241029002400 |
| Provider Name | Isabelle Irene Lovato |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285345298 PECOS PAC ID: 2961935572 Enrollment ID: I20241104001376 |
| Provider Name | Susan Greenman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053948752 PECOS PAC ID: 9739556309 Enrollment ID: I20241108001922 |
| Provider Name | Christopher Alawode |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1063909703 PECOS PAC ID: 5294269395 Enrollment ID: I20241112003435 |
| Provider Name | Shannon Mccarty |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851965909 PECOS PAC ID: 9638578297 Enrollment ID: I20241113004364 |
| Provider Name | Ajitha Kommalapati |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1740630912 PECOS PAC ID: 1951677020 Enrollment ID: I20241127002955 |
| Provider Name | Sarah Adele Rucker |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548898224 PECOS PAC ID: 7517492309 Enrollment ID: I20241203002893 |
| Provider Name | Ashley L Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730846270 PECOS PAC ID: 8729514435 Enrollment ID: I20241204004128 |
| Provider Name | Tammy M Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407685977 PECOS PAC ID: 9739615493 Enrollment ID: I20241205001621 |
| Provider Name | Faiza Farrukh Butt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528642782 PECOS PAC ID: 6800299306 Enrollment ID: I20241210002036 |
| Provider Name | Kaylee Hamann |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1699510438 PECOS PAC ID: 0042746349 Enrollment ID: I20241210003318 |
| Provider Name | Matthew H Coyne |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659955474 PECOS PAC ID: 2466854286 Enrollment ID: I20241211001983 |
| Provider Name | Sravani Gajjala |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1609403260 PECOS PAC ID: 4789119280 Enrollment ID: I20241216003401 |
| Provider Name | Nicole M Cheng |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063863330 PECOS PAC ID: 4688100571 Enrollment ID: I20241216003476 |
| Provider Name | Bradly Clark |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1023098928 PECOS PAC ID: 2961465588 Enrollment ID: I20241217002422 |
| Provider Name | Alyssa Carvalho |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1861055642 PECOS PAC ID: 3779916440 Enrollment ID: I20241218001354 |
| Provider Name | William Marshall |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1427834779 PECOS PAC ID: 6406383256 Enrollment ID: I20241218002356 |
| Provider Name | Jillian Mclaughlin |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1225456684 PECOS PAC ID: 2769753516 Enrollment ID: I20241224000512 |
| Provider Name | Symone-d'auri Taylor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528447661 PECOS PAC ID: 9638414352 Enrollment ID: I20241230001784 |
| Provider Name | J'aime Moehlman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770080087 PECOS PAC ID: 9537513320 Enrollment ID: I20250128001156 |
| Provider Name | Kelly Nicole Lyp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326725276 PECOS PAC ID: 9032648464 Enrollment ID: I20250129002636 |
| Provider Name | Sara Yanmeng Zhang |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750119848 PECOS PAC ID: 9830628148 Enrollment ID: I20250130002402 |
| Provider Name | Joanne Chung |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1942055215 PECOS PAC ID: 3870013154 Enrollment ID: I20250218001742 |
| Provider Name | Jeremy Clay |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598297905 PECOS PAC ID: 0840694501 Enrollment ID: I20250226003870 |
| Provider Name | Autumn Bertschinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952082919 PECOS PAC ID: 1456793595 Enrollment ID: I20250227000928 |
| Provider Name | Margaret Kepler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184721136 PECOS PAC ID: 4284776378 Enrollment ID: I20250328001069 |
| Provider Name | Sarmad Aflatooni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548235518 PECOS PAC ID: 4789128166 Enrollment ID: I20250422003328 |
| Provider Name | David Timm |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114121746 PECOS PAC ID: 7113105263 Enrollment ID: I20250509001073 |
| Provider Name | Thomas Debauche |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1437248044 PECOS PAC ID: 0345395612 Enrollment ID: I20250514001391 |
| Provider Name | Hamlet Garcia Pena |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285046136 PECOS PAC ID: 2365706942 Enrollment ID: I20250514003019 |
| Provider Name | Niharika Pasumarty |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356862346 PECOS PAC ID: 9335485218 Enrollment ID: I20250605002280 |
| Provider Name | Akash Patel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215463583 PECOS PAC ID: 9931452679 Enrollment ID: I20250617003315 |
| Provider Name | Elisa Morris |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1770337016 PECOS PAC ID: 0244742468 Enrollment ID: I20250624002173 |
| Provider Name | Katrina Terry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912950718 PECOS PAC ID: 2264330018 Enrollment ID: I20250624003062 |
| Provider Name | Ashley Julian Kolrud |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053177899 PECOS PAC ID: 0446762165 Enrollment ID: I20250626001405 |
| Provider Name | Edward Liu |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1457449555 PECOS PAC ID: 6103909429 Enrollment ID: I20250626001815 |
| Provider Name | Lucas Roy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477013936 PECOS PAC ID: 7113342718 Enrollment ID: I20250703001632 |
| Provider Name | Kira Cager |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306639158 PECOS PAC ID: 3274047535 Enrollment ID: I20250709000781 |
| Provider Name | Nathan Thomas Mortensen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679825400 PECOS PAC ID: 6305085663 Enrollment ID: I20250709003120 |
| Provider Name | Nguyethang Vu Pham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548847916 PECOS PAC ID: 4688078660 Enrollment ID: I20250717000373 |
| Provider Name | Genevieve Sperling White |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457001471 PECOS PAC ID: 3375928815 Enrollment ID: I20250724000866 |
| Provider Name | Shivaraj Nagalli |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1073947818 PECOS PAC ID: 6103133608 Enrollment ID: I20250724002211 |
| Provider Name | Alesia Skinner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417561861 PECOS PAC ID: 3274040795 Enrollment ID: I20250729004515 |
| Provider Name | Shanna Emanuelson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346976040 PECOS PAC ID: 8022526086 Enrollment ID: I20250801002269 |
| Provider Name | David Marcus Wang |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1265936405 PECOS PAC ID: 8022364199 Enrollment ID: I20250804003724 |
| Provider Name | Joseph Michael Schripsema |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912642307 PECOS PAC ID: 0042699654 Enrollment ID: I20250808002369 |
| Provider Name | Deborah L Zaret |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548238355 PECOS PAC ID: 6103324181 Enrollment ID: I20250808002869 |
| Provider Name | Melinda Lou Church |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538187901 PECOS PAC ID: 7214930940 Enrollment ID: I20250811002475 |
| Provider Name | Taylor Barnett |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1487091005 PECOS PAC ID: 1456787993 Enrollment ID: I20250813001668 |
| Provider Name | Shirley Nie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679463434 PECOS PAC ID: 2769980234 Enrollment ID: I20250813001922 |
| Provider Name | Austen Lawrence |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063947919 PECOS PAC ID: 7810309036 Enrollment ID: I20250813002025 |
| Provider Name | Florence Jovero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679398838 PECOS PAC ID: 2264931443 Enrollment ID: I20250815000427 |
| Provider Name | Marcos Arreola |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164162368 PECOS PAC ID: 2668850926 Enrollment ID: I20250815001452 |
| Provider Name | Sara Colleen Babcock Driscoll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952106759 PECOS PAC ID: 7416456314 Enrollment ID: I20250818003172 |
| Provider Name | Sarah Mae Dickson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639903404 PECOS PAC ID: 2769981505 Enrollment ID: I20250818004260 |
| Provider Name | Celeste Jeannette Small |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538390356 PECOS PAC ID: 2668613530 Enrollment ID: I20250819004372 |
| Provider Name | Sarah Nguyen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1235020918 PECOS PAC ID: 6800395443 Enrollment ID: I20250819004856 |
| Provider Name | Joshua B Tennenbaum |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1356543441 PECOS PAC ID: 8921294943 Enrollment ID: I20250821002692 |
| Provider Name | John Astle |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1225324262 PECOS PAC ID: 3072806611 Enrollment ID: I20250822000883 |
| Provider Name | Rafal L Sosnowski |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699941039 PECOS PAC ID: 5294889275 Enrollment ID: I20250822002014 |
| Provider Name | Patrick Holmes Heffernan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972132520 PECOS PAC ID: 2062912116 Enrollment ID: I20250822002083 |
| Provider Name | Joshua Anthony Lee |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1184251134 PECOS PAC ID: 5597189795 Enrollment ID: I20250822003241 |
| Provider Name | Russom G Desta |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245971209 PECOS PAC ID: 4486041308 Enrollment ID: I20250828003359 |
| Provider Name | Keely Coxon |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831777218 PECOS PAC ID: 2466851209 Enrollment ID: I20250828003402 |
| Provider Name | Vincent Lock |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639819675 PECOS PAC ID: 1254719990 Enrollment ID: I20250828003514 |
| Provider Name | Linda Fan Wang |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1730747601 PECOS PAC ID: 4385970219 Enrollment ID: I20250829003829 |
| Provider Name | Whitney Lynn Cash |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124803754 PECOS PAC ID: 8628579612 Enrollment ID: I20250830000442 |
| Provider Name | Elizabeth Jordan Thomas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386384378 PECOS PAC ID: 9133507437 Enrollment ID: I20250902003163 |
| Provider Name | Christopher Shawn Osler |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598211732 PECOS PAC ID: 2062914591 Enrollment ID: I20250904004207 |
| Provider Name | Roberto Velazquez Amador |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578060901 PECOS PAC ID: 4880012053 Enrollment ID: I20250910004560 |
| Provider Name | Kandice Lynnette-zophia Crown-payne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336947639 PECOS PAC ID: 8820592538 Enrollment ID: I20250916004658 |
| Provider Name | Kara Zada |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1235638016 PECOS PAC ID: 2062760887 Enrollment ID: I20250918003199 |
| Provider Name | Junwoo Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972248169 PECOS PAC ID: 9234633439 Enrollment ID: I20250919002411 |
| Provider Name | Holly James |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083233258 PECOS PAC ID: 6406235365 Enrollment ID: I20250922003446 |
| Provider Name | Jeena George |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740930262 PECOS PAC ID: 9234518101 Enrollment ID: I20250924002718 |
| Provider Name | Lyndal Deanne Wilson-bishop |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1740021211 PECOS PAC ID: 5092210542 Enrollment ID: I20250925000762 |
| Provider Name | Jessica Wissenbach |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114676004 PECOS PAC ID: 7719410711 Enrollment ID: I20250929002566 |
| Provider Name | Debra a Arford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407733041 PECOS PAC ID: 0941706873 Enrollment ID: I20250930003956 |
| Provider Name | Margaret Mary Mass |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083343107 PECOS PAC ID: 7810377538 Enrollment ID: I20251001000186 |
| Provider Name | Saihou Jagne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063136927 PECOS PAC ID: 2466958129 Enrollment ID: I20251001002539 |
| Provider Name | Anna Moore |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1790518942 PECOS PAC ID: 9739685397 Enrollment ID: I20251002000367 |
| Provider Name | Christopher Tonn |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1487065926 PECOS PAC ID: 8022514603 Enrollment ID: I20251002000944 |
| Provider Name | Cameryn Grassanovits |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1134870207 PECOS PAC ID: 6901291988 Enrollment ID: I20251014004701 |
| Provider Name | Lefulesele Hycinth Kholoane |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780259648 PECOS PAC ID: 8729444765 Enrollment ID: I20251020000891 |
| Provider Name | Bobbie Sue Oxford |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790087682 PECOS PAC ID: 8426546938 Enrollment ID: I20251024002160 |
| Provider Name | Monica Carroll |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083243273 PECOS PAC ID: 1850889304 Enrollment ID: I20251024002726 |
| Provider Name | Jason W Wang |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1174400535 PECOS PAC ID: 8224527452 Enrollment ID: I20251029000284 |
| Provider Name | Mily Shakya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063384675 PECOS PAC ID: 6507355641 Enrollment ID: I20251029003338 |
| Provider Name | Duy Huynh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013896752 PECOS PAC ID: 2860981792 Enrollment ID: I20251030001651 |
| Provider Name | Kathryn Louise Buckman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669115010 PECOS PAC ID: 2264921022 Enrollment ID: I20251030004748 |
| Provider Name | Martha Caceres |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881294890 PECOS PAC ID: 3971999236 Enrollment ID: I20251104002252 |
| Provider Name | Belle Ngo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841876372 PECOS PAC ID: 4981095635 Enrollment ID: I20251107001610 |
| Provider Name | Bryce Civic |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558990093 PECOS PAC ID: 1153700331 Enrollment ID: I20251112003921 |
| Provider Name | Hiba Ambreen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750027942 PECOS PAC ID: 8325539562 Enrollment ID: I20251114002737 |
| Provider Name | Judy Eunhee Han |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265060743 PECOS PAC ID: 9830512193 Enrollment ID: I20251117003011 |
| Provider Name | John D O'connell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578456299 PECOS PAC ID: 6901398601 Enrollment ID: I20251120001942 |
| Provider Name | Deborah E Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437620630 PECOS PAC ID: 3870817216 Enrollment ID: I20251120002783 |
| Provider Name | Wynne Chen |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1518974351 PECOS PAC ID: 3072533504 Enrollment ID: I20251122000349 |
| Provider Name | Jennifer Gi-in Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306842554 PECOS PAC ID: 2466422902 Enrollment ID: I20251122001052 |
| Provider Name | Eric Michael Abarr |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598655292 PECOS PAC ID: 3173015427 Enrollment ID: I20251124002512 |
| Provider Name | Maryan Gelle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609519388 PECOS PAC ID: 5698267797 Enrollment ID: I20251125004246 |
| Provider Name | Emily Christine Rader |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598637126 PECOS PAC ID: 6103319009 Enrollment ID: I20251129000644 |
| Provider Name | Woodlyne Roquiz |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1730449125 PECOS PAC ID: 9739481227 Enrollment ID: I20251129000703 |
| Provider Name | Parinitha Neravanda Prasad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649912726 PECOS PAC ID: 8921591462 Enrollment ID: I20251203002901 |
| Provider Name | Steven J Penner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235234303 PECOS PAC ID: 4082605001 Enrollment ID: I20251204001548 |
| Provider Name | Lia Gedamu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1982052684 PECOS PAC ID: 6507256575 Enrollment ID: I20251204003405 |
| Provider Name | Anagha Gopakumar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891430179 PECOS PAC ID: 4587159447 Enrollment ID: I20251218002884 |
| Provider Name | Mehdi Nassiri |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1538335377 PECOS PAC ID: 9638241920 Enrollment ID: I20251226000558 |
| Provider Name | Angela L Sents |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891331708 PECOS PAC ID: 4688160260 Enrollment ID: I20260102003393 |
| Provider Name | Jenna Suzanne Babst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518828300 PECOS PAC ID: 1759867609 Enrollment ID: I20260109001807 |
| Provider Name | Jessica Woodard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952974024 PECOS PAC ID: 3577966555 Enrollment ID: I20260109003756 |
| Provider Name | Lisa Y Ito |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215331889 PECOS PAC ID: 2264653757 Enrollment ID: I20260119000871 |
| Provider Name | Leanne Schellhorn |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639594708 PECOS PAC ID: 7012495187 Enrollment ID: I20260129003934 |
| Provider Name | Lonnie Smucker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548293087 PECOS PAC ID: 2062326614 Enrollment ID: I20260206000161 |
| Provider Name | Jacqueline Lamme |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598884553 PECOS PAC ID: 9537487905 Enrollment ID: I20260206001191 |
| Provider Name | Gary Sulioti |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578053534 PECOS PAC ID: 4486909231 Enrollment ID: I20260210004318 |
| Provider Name | Julie Michelle Gass |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1730299579 PECOS PAC ID: 8325527179 Enrollment ID: I20260211002163 |
| Provider Name | Richard L Roberts |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1235398637 PECOS PAC ID: 0345417259 Enrollment ID: I20260218003352 |
| Provider Name | Willard Scamman |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1497761035 PECOS PAC ID: 3072784784 Enrollment ID: I20260221001037 |
| Provider Name | Wen-shi Shieh |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1568726222 PECOS PAC ID: 4183855216 Enrollment ID: I20260310003596 |
| Provider Name | Tiffany Mathias |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1891144580 PECOS PAC ID: 1052734985 Enrollment ID: I20260312000673 |
| Provider Name | Ehsan Chitsaz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285993576 PECOS PAC ID: 1052543451 Enrollment ID: I20260324000110 |
| Provider Name | Bonnie Leung |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447103015 PECOS PAC ID: 8022591916 Enrollment ID: I20260326003247 |
| Provider Name | Valorie Ann Campbell |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1285382804 PECOS PAC ID: 5496230351 Enrollment ID: I20260327003927 |
| Provider Name | Elizabeth Dominguez |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881427235 PECOS PAC ID: 1658802038 Enrollment ID: I20260406002656 |
| Provider Name | Ligaya Estoque |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1427650852 PECOS PAC ID: 5698183580 Enrollment ID: I20260407000469 |
| Provider Name | Karen Elizabeth Mcdowell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962053132 PECOS PAC ID: 1557836392 Enrollment ID: I20260408003897 |
| Provider Name | Xiaoyue Liu |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861200313 PECOS PAC ID: 2860910965 Enrollment ID: I20260410000760 |
| Provider Name | Kathleen Mary Hill |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124272554 PECOS PAC ID: 5496222713 Enrollment ID: I20260423002544 |
| Provider Name | Vanessa Prosper |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1720693484 PECOS PAC ID: 9234607144 Enrollment ID: I20260508003025 |
| Provider Name | Grace Sinae Song |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1457222895 PECOS PAC ID: 8820568264 Enrollment ID: I20260527003588 |
| Provider Name | Syed Saif |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942896386 PECOS PAC ID: 9436538709 Enrollment ID: I20260627000696 |
Pmg NW Wa MC Walk in Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12800 Bothell Everett Hwy, Suite 120, Everett, WA 98208 Phone: 425-316-5150 Fax: 425-225-1006 |
Western Wa Medical Group, Inc. Dept of Gastroenterology Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4225 Hoyt Ave Ste A, Everett, WA 98203 Phone: 425-259-3122 Fax: 425-252-9860 |
Vera Whole Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4933 Evergreen Way, Everett, WA 98203 Phone: 425-903-3070 Fax: 425-953-5768 |
Community Health Center of Snohomish County Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 801 E Casino Rd, Everett, WA 98203 Phone: 425-789-3700 |
Fqhc Enhancement Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5929 Evergreen Way, Everett, WA 98203 Phone: 425-789-3700 Fax: 425-789-3754 |
Molina Medical Group of Southern California Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3322 Broadway, Suite 200, Everett, WA 98201 Phone: 425-249-4922 Fax: 877-860-2284 |