| Thedacare Physicians | |
|
1405 Mill St New London WI 54961-2155 | |
| (920) 830-5900 | |
| (920) 830-5910 |
| Full Name | Thedacare Physicians |
|---|---|
| Speciality | Family Medicine |
| Location | 1405 Mill St, New London, Wisconsin |
| Authorized Official Name and Position | William Flett (CFO) |
| Authorized Official Contact | 9204544013 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thedacare Physicians 3 Neenah Ctr Neenah WI 54956-3070 Ph: (920) 454-4229 | Thedacare Physicians 1405 Mill St New London WI 54961-2155 Ph: (920) 830-5900 |
| NPI Number | 1376656959 |
|---|---|
| Provider Enumeration Date | 08/16/2006 |
| Last Update Date | 01/02/2024 |
| Medicare PECOS PAC ID | 1759294887 |
|---|---|
| Medicare Enrollment ID | O20031106000088 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376656959 | NPI | - | NPPES |
| 32883500 | Medicaid | WI | |
| WI2721 | Other | WI | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Rimas V Janusonis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558389890 PECOS PAC ID: 7517866106 Enrollment ID: I20040102000431 |
| Provider Name | Ty D Thornock |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1720098197 PECOS PAC ID: 5698675379 Enrollment ID: I20040109000675 |
| Provider Name | John D Scharine |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1891705364 PECOS PAC ID: 9739089418 Enrollment ID: I20040109000704 |
| Provider Name | Julie R Fredrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932100849 PECOS PAC ID: 8123921939 Enrollment ID: I20040129000553 |
| Provider Name | Anthony W Phillips |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1780729020 PECOS PAC ID: 3870496409 Enrollment ID: I20040130000089 |
| Provider Name | Amandeep S Gill |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1144271925 PECOS PAC ID: 6204739659 Enrollment ID: I20040202000021 |
| Provider Name | Angelica M Gronke |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1851313852 PECOS PAC ID: 1355234568 Enrollment ID: I20040203000409 |
| Provider Name | David B Anderla |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750318523 PECOS PAC ID: 6406743285 Enrollment ID: I20040304000633 |
| Provider Name | Rosanna Ranieri |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1407802002 PECOS PAC ID: 1850280512 Enrollment ID: I20040311001267 |
| Provider Name | Andrew J Collins |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730197187 PECOS PAC ID: 5092606632 Enrollment ID: I20040323000600 |
| Provider Name | Nancy Mclaughlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972584324 PECOS PAC ID: 0840182911 Enrollment ID: I20040325000923 |
| Provider Name | Chandler Donald Caves |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548256019 PECOS PAC ID: 7012909757 Enrollment ID: I20040401000742 |
| Provider Name | Paul D Nelsen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699767301 PECOS PAC ID: 4284626961 Enrollment ID: I20040401000997 |
| Provider Name | Denis I Jackson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1013000561 PECOS PAC ID: 8527962323 Enrollment ID: I20040405000204 |
| Provider Name | Deogracias R Estrada |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174557417 PECOS PAC ID: 2163415183 Enrollment ID: I20040406000759 |
| Provider Name | Thomas K Vansistine |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1679593669 PECOS PAC ID: 2860485497 Enrollment ID: I20040407001307 |
| Provider Name | John W Silkey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073506192 PECOS PAC ID: 7214921402 Enrollment ID: I20040412000638 |
| Provider Name | Craig M Batley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679574453 PECOS PAC ID: 1951399450 Enrollment ID: I20040504000504 |
| Provider Name | Paul Michael Shattuck |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740273630 PECOS PAC ID: 9638167141 Enrollment ID: I20040504000545 |
| Provider Name | David S Budde |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245231034 PECOS PAC ID: 3678561198 Enrollment ID: I20040504000593 |
| Provider Name | Eric C Bingner |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093827628 PECOS PAC ID: 0648261164 Enrollment ID: I20040521001072 |
| Provider Name | Brian J Erdmann |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679689582 PECOS PAC ID: 2264413780 Enrollment ID: I20040528000863 |
| Provider Name | Nicholas V Augelli |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1174592414 PECOS PAC ID: 1951383462 Enrollment ID: I20040607000866 |
| Provider Name | Ifueko B Okundaye |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467460410 PECOS PAC ID: 9638152101 Enrollment ID: I20040609000226 |
| Provider Name | Kimberly A Berg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962438960 PECOS PAC ID: 8123004165 Enrollment ID: I20040629000684 |
| Provider Name | Dirk H Steinert |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033137294 PECOS PAC ID: 2567434897 Enrollment ID: I20040817000059 |
| Provider Name | Steven Schwimmer |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1841253143 PECOS PAC ID: 3173582251 Enrollment ID: I20041005000601 |
| Provider Name | Carolyn M Blanc |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790711620 PECOS PAC ID: 0446210108 Enrollment ID: I20041016000162 |
| Provider Name | Atif A Qureshi |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1629014790 PECOS PAC ID: 5597726489 Enrollment ID: I20041025000028 |
| Provider Name | Paul T Hoell |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1982615431 PECOS PAC ID: 9335101195 Enrollment ID: I20041103000450 |
| Provider Name | John Thomas Beld |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144397845 PECOS PAC ID: 3577526029 Enrollment ID: I20041105000886 |
| Provider Name | Heather R Gruszynski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386664423 PECOS PAC ID: 3870550890 Enrollment ID: I20041211000006 |
| Provider Name | Corey J Zeller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710955299 PECOS PAC ID: 8123085883 Enrollment ID: I20041214000669 |
| Provider Name | Richard J Timmons |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1366481897 PECOS PAC ID: 9638136922 Enrollment ID: I20041221000507 |
| Provider Name | Mary L Bartel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003831314 PECOS PAC ID: 3971551797 Enrollment ID: I20050108000149 |
| Provider Name | Nathan C Grunwald |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073549887 PECOS PAC ID: 8325097496 Enrollment ID: I20050114000696 |
| Provider Name | Luke J Tremble |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427186899 PECOS PAC ID: 7214987924 Enrollment ID: I20050129000198 |
| Provider Name | Michael F Maguire |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1124186721 PECOS PAC ID: 8729028634 Enrollment ID: I20050510001157 |
| Provider Name | Steven S Roh |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1750314795 PECOS PAC ID: 5698716868 Enrollment ID: I20050518000331 |
| Provider Name | Timothy J Houlihan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346260494 PECOS PAC ID: 6901840024 Enrollment ID: I20050620000052 |
| Provider Name | Patrick Hughes |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1013995281 PECOS PAC ID: 2668418278 Enrollment ID: I20050706000149 |
| Provider Name | Stephen M Bejvan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356379762 PECOS PAC ID: 0941236848 Enrollment ID: I20050712000920 |
| Provider Name | Yong Li |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003977836 PECOS PAC ID: 7416985585 Enrollment ID: I20050729000781 |
| Provider Name | Michael C Beckett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417941337 PECOS PAC ID: 4789612656 Enrollment ID: I20050801001256 |
| Provider Name | Laura L Adams Burkley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477566768 PECOS PAC ID: 9133158769 Enrollment ID: I20050804000474 |
| Provider Name | Matthew A Bayer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558438259 PECOS PAC ID: 6507895448 Enrollment ID: I20050810000913 |
| Provider Name | Gregrey G Hiltgen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437266053 PECOS PAC ID: 1951331511 Enrollment ID: I20050815000341 |
| Provider Name | Ghazwan Katmeh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518945831 PECOS PAC ID: 3375432933 Enrollment ID: I20050829000050 |
| Provider Name | Deborah S Stone |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1821102476 PECOS PAC ID: 3375574338 Enrollment ID: I20050830000147 |
| Provider Name | Robert Edward Gehringer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831183821 PECOS PAC ID: 8022042555 Enrollment ID: I20050923000097 |
| Provider Name | Lori L Knapp |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1144355751 PECOS PAC ID: 1557396793 Enrollment ID: I20050927001001 |
| Provider Name | Julie P Wilson |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1790759215 PECOS PAC ID: 5294760682 Enrollment ID: I20051005000084 |
| Provider Name | David J Shinkunas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407883275 PECOS PAC ID: 6103899240 Enrollment ID: I20051006000406 |
| Provider Name | Jennifer L Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962438937 PECOS PAC ID: 7517934607 Enrollment ID: I20051031000117 |
| Provider Name | Stephen W Shea |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1245226935 PECOS PAC ID: 3870588692 Enrollment ID: I20051121000074 |
| Provider Name | Kasra A Milani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124089750 PECOS PAC ID: 7911927306 Enrollment ID: I20051130000446 |
| Provider Name | Lenore K Wespetal |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1467892075 PECOS PAC ID: 0749201697 Enrollment ID: I20051207000885 |
| Provider Name | Douglas P Moard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720140536 PECOS PAC ID: 1759303787 Enrollment ID: I20051219000775 |
| Provider Name | Montgomery J Elmer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063439420 PECOS PAC ID: 3173436151 Enrollment ID: I20051219000830 |
| Provider Name | Suzanne C Bloomhuff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093744245 PECOS PAC ID: 2961430202 Enrollment ID: I20051219000873 |
| Provider Name | Sandra K Groenewold |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881620722 PECOS PAC ID: 3678595527 Enrollment ID: I20051220000845 |
| Provider Name | Lisa M Gunderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558379909 PECOS PAC ID: 6305868266 Enrollment ID: I20051220000932 |
| Provider Name | Sourasack K Vongsa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619945524 PECOS PAC ID: 8224051131 Enrollment ID: I20060106000116 |
| Provider Name | Chad E Voskuil |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639147424 PECOS PAC ID: 8729094099 Enrollment ID: I20060223000234 |
| Provider Name | Jean M Mandel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336267160 PECOS PAC ID: 0244249456 Enrollment ID: I20060417000736 |
| Provider Name | Thomas H Zukowski |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1912989260 PECOS PAC ID: 2466353370 Enrollment ID: I20060427000463 |
| Provider Name | Paul C Burney |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982674081 PECOS PAC ID: 1052323631 Enrollment ID: I20060623000058 |
| Provider Name | Peter J Mason |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1144282120 PECOS PAC ID: 7810900081 Enrollment ID: I20060711000466 |
| Provider Name | Rogelio O Pante |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780626051 PECOS PAC ID: 0840203022 Enrollment ID: I20060712000055 |
| Provider Name | Beth Gillis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245262351 PECOS PAC ID: 0941110829 Enrollment ID: I20060803000469 |
| Provider Name | Lisa F Schiller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457387474 PECOS PAC ID: 6507869864 Enrollment ID: I20060807000372 |
| Provider Name | Eric Erickson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1134151335 PECOS PAC ID: 7113950981 Enrollment ID: I20060807000432 |
| Provider Name | Michael R Staudinger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467420968 PECOS PAC ID: 1355345620 Enrollment ID: I20060830000164 |
| Provider Name | Shari A Vanstraten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154333409 PECOS PAC ID: 7315941044 Enrollment ID: I20060911000520 |
| Provider Name | Laurin A Bellg |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1073542221 PECOS PAC ID: 3971507427 Enrollment ID: I20060914000316 |
| Provider Name | Agron S Ismaili |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922093707 PECOS PAC ID: 9638106057 Enrollment ID: I20061003000136 |
| Provider Name | Timothy R Roberts |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386612836 PECOS PAC ID: 1759388218 Enrollment ID: I20061026000373 |
| Provider Name | Jacqueline S Moe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902995251 PECOS PAC ID: 4385642081 Enrollment ID: I20061113000238 |
| Provider Name | Krista S Cornelius |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619082021 PECOS PAC ID: 7012915549 Enrollment ID: I20061117000138 |
| Provider Name | David L Jarvis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548365844 PECOS PAC ID: 6406855063 Enrollment ID: I20061207000414 |
| Provider Name | Christa Andrews-fike |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1821191156 PECOS PAC ID: 0547269169 Enrollment ID: I20061208000477 |
| Provider Name | Kristin Neilsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902841497 PECOS PAC ID: 8628036050 Enrollment ID: I20061211000478 |
| Provider Name | Michelle M Lehr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851478853 PECOS PAC ID: 5890794150 Enrollment ID: I20061214000071 |
| Provider Name | Steven E Knaus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457332215 PECOS PAC ID: 7315947009 Enrollment ID: I20070103000070 |
| Provider Name | Michael T Werner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811965494 PECOS PAC ID: 3476553777 Enrollment ID: I20070111000088 |
| Provider Name | Thomas K Duncan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588641039 PECOS PAC ID: 1355343666 Enrollment ID: I20070215000018 |
| Provider Name | Theresa L Chinnery |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962568014 PECOS PAC ID: 0547262867 Enrollment ID: I20070215000100 |
| Provider Name | Jessie M Grasse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447280714 PECOS PAC ID: 7416959747 Enrollment ID: I20070215000238 |
| Provider Name | Scott M Schuldes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104846179 PECOS PAC ID: 7113029836 Enrollment ID: I20070227000712 |
| Provider Name | Kathy A Galvez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972671147 PECOS PAC ID: 2961507652 Enrollment ID: I20070425000487 |
| Provider Name | Mary J Spiller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639153877 PECOS PAC ID: 7113029505 Enrollment ID: I20070502000022 |
| Provider Name | Yaw D Berko |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003952995 PECOS PAC ID: 6608974050 Enrollment ID: I20070607000528 |
| Provider Name | Jessica L Baumbach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285854950 PECOS PAC ID: 5496854028 Enrollment ID: I20070622000426 |
| Provider Name | Anthony Eclavea |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447319702 PECOS PAC ID: 1951400423 Enrollment ID: I20070625000204 |
| Provider Name | James Alfred Pellegrini |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1457375016 PECOS PAC ID: 9234130972 Enrollment ID: I20070714000110 |
| Provider Name | Susan Sung |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1942425590 PECOS PAC ID: 5698875003 Enrollment ID: I20070714000125 |
| Provider Name | Jennifer A Lavia |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1871797977 PECOS PAC ID: 4486755451 Enrollment ID: I20070720000083 |
| Provider Name | Michelle L Schacht |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164490629 PECOS PAC ID: 1658472568 Enrollment ID: I20070723000312 |
| Provider Name | Deborah A Ihde |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053317594 PECOS PAC ID: 1052403094 Enrollment ID: I20070822001334 |
| Provider Name | Kevin F Quinn |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1154352078 PECOS PAC ID: 8325130172 Enrollment ID: I20070823000945 |
| Provider Name | Kevin E Gentile |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134185861 PECOS PAC ID: 8820180367 Enrollment ID: I20070828000861 |
| Provider Name | Mindy M Frimodig |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013044833 PECOS PAC ID: 8123111416 Enrollment ID: I20070831000364 |
| Provider Name | Ellen T Wenberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235349077 PECOS PAC ID: 8921192493 Enrollment ID: I20070915000084 |
| Provider Name | Orlando L Taleon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194814285 PECOS PAC ID: 5496849630 Enrollment ID: I20070919000703 |
| Provider Name | Judd Pulley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437195245 PECOS PAC ID: 1951304104 Enrollment ID: I20070926000861 |
| Provider Name | Daisy A Boehm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194925479 PECOS PAC ID: 0840385399 Enrollment ID: I20070928000556 |
| Provider Name | Gianina L Sibla |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275736530 PECOS PAC ID: 7315032315 Enrollment ID: I20071005000448 |
| Provider Name | Verghese Mathew |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1093795627 PECOS PAC ID: 9436245594 Enrollment ID: I20071019000602 |
| Provider Name | Naveed Bari |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1578665949 PECOS PAC ID: 5193811263 Enrollment ID: I20071019000671 |
| Provider Name | Lisa R Hoger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700070612 PECOS PAC ID: 4183711930 Enrollment ID: I20071026000232 |
| Provider Name | Ladonna J Henslee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972797694 PECOS PAC ID: 3072600600 Enrollment ID: I20071030000274 |
| Provider Name | Moshood A Lawal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457559296 PECOS PAC ID: 7416044664 Enrollment ID: I20071105000141 |
| Provider Name | Anna Capelli Knight Silenzi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1639365661 PECOS PAC ID: 2961592746 Enrollment ID: I20071217000577 |
| Provider Name | Brett D Young |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1770578189 PECOS PAC ID: 2567543747 Enrollment ID: I20080114000417 |
| Provider Name | Craig S Hendel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427023084 PECOS PAC ID: 1850334053 Enrollment ID: I20080118000476 |
| Provider Name | Scott E Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669400099 PECOS PAC ID: 7315028016 Enrollment ID: I20080119000089 |
| Provider Name | Kevin J Hayes |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831140326 PECOS PAC ID: 4981785474 Enrollment ID: I20080123000174 |
| Provider Name | David Cullinane |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1770589236 PECOS PAC ID: 6709776370 Enrollment ID: I20080126000023 |
| Provider Name | Jose C Dias |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255325916 PECOS PAC ID: 9335222496 Enrollment ID: I20080212000632 |
| Provider Name | Edgar J Massabni |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1649236829 PECOS PAC ID: 1153379557 Enrollment ID: I20080223000079 |
| Provider Name | Kari J Sheldon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891722435 PECOS PAC ID: 3870662133 Enrollment ID: I20080513000556 |
| Provider Name | John P Modrzynski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962475434 PECOS PAC ID: 5597834424 Enrollment ID: I20080519000635 |
| Provider Name | Farid F Zayed |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1417913690 PECOS PAC ID: 1254226822 Enrollment ID: I20080528000370 |
| Provider Name | Deanna L Lindner |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1740461953 PECOS PAC ID: 8123198397 Enrollment ID: I20080530000003 |
| Provider Name | Wendy G Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841467560 PECOS PAC ID: 3072683762 Enrollment ID: I20080606000696 |
| Provider Name | Curtis C Baltz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316939325 PECOS PAC ID: 6800968421 Enrollment ID: I20080626000308 |
| Provider Name | Melanie J Rohloff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528002326 PECOS PAC ID: 2961576509 Enrollment ID: I20080731000110 |
| Provider Name | Jennifer A Norden |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952396368 PECOS PAC ID: 3870667306 Enrollment ID: I20080801000174 |
| Provider Name | David L Schiedermayer |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1699748285 PECOS PAC ID: 8820162191 Enrollment ID: I20080805000077 |
| Provider Name | Ann M Papendorf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558526269 PECOS PAC ID: 4284700030 Enrollment ID: I20080903000153 |
| Provider Name | Daniel J Kaiser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437133824 PECOS PAC ID: 8325038946 Enrollment ID: I20080911000144 |
| Provider Name | Kofi A Asiamah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427221621 PECOS PAC ID: 2466528567 Enrollment ID: I20080912000470 |
| Provider Name | Lance A Grammont |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063459790 PECOS PAC ID: 6305912429 Enrollment ID: I20080913000046 |
| Provider Name | Kelly M Pucillo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548200595 PECOS PAC ID: 6305913583 Enrollment ID: I20080930000622 |
| Provider Name | Honnie Bermas |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1346249323 PECOS PAC ID: 6002892353 Enrollment ID: I20081010000558 |
| Provider Name | Suzanne V Powell |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265458053 PECOS PAC ID: 6709777444 Enrollment ID: I20081030000730 |
| Provider Name | Daniel Storzer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689824583 PECOS PAC ID: 4880756964 Enrollment ID: I20081224000313 |
| Provider Name | Rebecca L Steger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457523375 PECOS PAC ID: 1355405606 Enrollment ID: I20090130000467 |
| Provider Name | Michael J Panzer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225161516 PECOS PAC ID: 8325102593 Enrollment ID: I20090203000327 |
| Provider Name | Kristin E Clemons |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1376530618 PECOS PAC ID: 5698830115 Enrollment ID: I20090217000676 |
| Provider Name | Richard Arnold |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437132131 PECOS PAC ID: 7315934411 Enrollment ID: I20090218000594 |
| Provider Name | Abdelghaffar M Elobeid |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922267582 PECOS PAC ID: 5991854580 Enrollment ID: I20090602000156 |
| Provider Name | Frederick A Abrokwah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003098989 PECOS PAC ID: 2961554605 Enrollment ID: I20090710000311 |
| Provider Name | Michelle A Soto |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396731410 PECOS PAC ID: 7012069347 Enrollment ID: I20090717000458 |
| Provider Name | Philip A Keith |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831275890 PECOS PAC ID: 1557434354 Enrollment ID: I20090723000368 |
| Provider Name | Merici A Awe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225083488 PECOS PAC ID: 1355494139 Enrollment ID: I20090727000205 |
| Provider Name | Jason Chon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376702852 PECOS PAC ID: 7315090933 Enrollment ID: I20090729000834 |
| Provider Name | Karen A Hulbert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679524409 PECOS PAC ID: 7416001128 Enrollment ID: I20090814000371 |
| Provider Name | Benjamin Duffy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144210857 PECOS PAC ID: 2961557772 Enrollment ID: I20090831000558 |
| Provider Name | Vicki C Ray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326277344 PECOS PAC ID: 7214082858 Enrollment ID: I20090902000486 |
| Provider Name | Thomas A Klinkhammer |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1851479067 PECOS PAC ID: 7517969728 Enrollment ID: I20090904000363 |
| Provider Name | Jill D Olsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750510103 PECOS PAC ID: 9335294594 Enrollment ID: I20090911000507 |
| Provider Name | Syed T Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023207586 PECOS PAC ID: 9638268865 Enrollment ID: I20090914000419 |
| Provider Name | Emmanuel O Nwadike |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962686485 PECOS PAC ID: 1456407618 Enrollment ID: I20090914000503 |
| Provider Name | Peter D Holzwarth |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629001912 PECOS PAC ID: 7012063878 Enrollment ID: I20090918000485 |
| Provider Name | Sarah C Durst |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114967312 PECOS PAC ID: 7517030232 Enrollment ID: I20090929000187 |
| Provider Name | Julianne Falleroni |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669452280 PECOS PAC ID: 9234276486 Enrollment ID: I20091021000373 |
| Provider Name | David B Hale |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811943509 PECOS PAC ID: 6305903139 Enrollment ID: I20091027000588 |
| Provider Name | Norma K Turk |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710904784 PECOS PAC ID: 4486792686 Enrollment ID: I20091109000415 |
| Provider Name | Sheila W Thiel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265452296 PECOS PAC ID: 9638217839 Enrollment ID: I20091109000445 |
| Provider Name | Lou Ann Mokwa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366775488 PECOS PAC ID: 2466590393 Enrollment ID: I20091112000444 |
| Provider Name | Sarah K Marcoe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306886601 PECOS PAC ID: 4981742517 Enrollment ID: I20091118000674 |
| Provider Name | Joseph Longo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023057320 PECOS PAC ID: 2961406053 Enrollment ID: I20100109000381 |
| Provider Name | Deborah A Wagner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316275746 PECOS PAC ID: 8820139868 Enrollment ID: I20100112000790 |
| Provider Name | Leonard L Leveille |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205871779 PECOS PAC ID: 5991846933 Enrollment ID: I20100112000816 |
| Provider Name | Deborah L Ferguson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982636544 PECOS PAC ID: 6002958923 Enrollment ID: I20100114000823 |
| Provider Name | Christine J St Mary |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619913696 PECOS PAC ID: 2961545538 Enrollment ID: I20100204000218 |
| Provider Name | Victoria L Cross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902807803 PECOS PAC ID: 0042353211 Enrollment ID: I20100210000413 |
| Provider Name | John E Ganser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922035658 PECOS PAC ID: 0244374635 Enrollment ID: I20100223000852 |
| Provider Name | Kurt M Bloomhuff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598708844 PECOS PAC ID: 9739117888 Enrollment ID: I20100226000581 |
| Provider Name | Paul W Sletten |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861422123 PECOS PAC ID: 3375436280 Enrollment ID: I20100309000878 |
| Provider Name | Renae S Schuler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366462335 PECOS PAC ID: 2961537212 Enrollment ID: I20100312000090 |
| Provider Name | Tina M Bettin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851311955 PECOS PAC ID: 0749315984 Enrollment ID: I20100312000973 |
| Provider Name | Michael E Griffith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427000991 PECOS PAC ID: 2365455268 Enrollment ID: I20100316000609 |
| Provider Name | Ronald Schreiber |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588658595 PECOS PAC ID: 6709911696 Enrollment ID: I20100317000551 |
| Provider Name | Luiza Irina N Florescu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093820177 PECOS PAC ID: 5799810552 Enrollment ID: I20100318000172 |
| Provider Name | Richard D Klamm |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598791451 PECOS PAC ID: 4183750664 Enrollment ID: I20100414000264 |
| Provider Name | Karen E Hansen |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1316914492 PECOS PAC ID: 4981731866 Enrollment ID: I20100424000040 |
| Provider Name | Khalid Monzer |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1689873358 PECOS PAC ID: 9830265115 Enrollment ID: I20100515000123 |
| Provider Name | Paul H Russo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164488458 PECOS PAC ID: 8123028420 Enrollment ID: I20100524000036 |
| Provider Name | John R Spencer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598720575 PECOS PAC ID: 5890824056 Enrollment ID: I20100526000425 |
| Provider Name | Jennifer L Schoening |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679539589 PECOS PAC ID: 9032119334 Enrollment ID: I20100527000371 |
| Provider Name | Patti A Kile |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235291048 PECOS PAC ID: 2567592306 Enrollment ID: I20100604000888 |
| Provider Name | Earl L Anderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942220058 PECOS PAC ID: 8820128663 Enrollment ID: I20100604000900 |
| Provider Name | Ronald S Grant |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558476291 PECOS PAC ID: 1759386444 Enrollment ID: I20100608000872 |
| Provider Name | Chris J Matula |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881761567 PECOS PAC ID: 6103956396 Enrollment ID: I20100615000352 |
| Provider Name | Olusolape A Adegbehingbe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679756977 PECOS PAC ID: 5890825095 Enrollment ID: I20100615000528 |
| Provider Name | Craig E Babiarz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1235114307 PECOS PAC ID: 3870570641 Enrollment ID: I20100617000651 |
| Provider Name | Matthias Weiss |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1245336759 PECOS PAC ID: 1254466964 Enrollment ID: I20100623000197 |
| Provider Name | Erica L Stoeger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447574165 PECOS PAC ID: 3678604980 Enrollment ID: I20100701000024 |
| Provider Name | Brian A Hebl |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578599684 PECOS PAC ID: 3971685835 Enrollment ID: I20100708000533 |
| Provider Name | Gregory J Knudson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1457395519 PECOS PAC ID: 2860437647 Enrollment ID: I20100708000603 |
| Provider Name | Mary A Connelly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841274636 PECOS PAC ID: 1456483353 Enrollment ID: I20100712000579 |
| Provider Name | Joanne L Snow |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1073585568 PECOS PAC ID: 3274594049 Enrollment ID: I20100724000133 |
| Provider Name | Colleen D Duval |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659695708 PECOS PAC ID: 4789717836 Enrollment ID: I20100727000490 |
| Provider Name | Norris A Norman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245473172 PECOS PAC ID: 7810021482 Enrollment ID: I20100818000289 |
| Provider Name | Nancy L Buchholz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609067388 PECOS PAC ID: 5991839516 Enrollment ID: I20100818001055 |
| Provider Name | Ross A Hazlewood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316948847 PECOS PAC ID: 6002940442 Enrollment ID: I20100819001260 |
| Provider Name | Adetunji A Adejumo |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1942532528 PECOS PAC ID: 9638294986 Enrollment ID: I20100910000295 |
| Provider Name | Mark T Weidemann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194030981 PECOS PAC ID: 8426173501 Enrollment ID: I20100913000819 |
| Provider Name | Matas Morkevicius |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1235312067 PECOS PAC ID: 9638361058 Enrollment ID: I20101004001181 |
| Provider Name | Amy L Schroeder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285942185 PECOS PAC ID: 4587856760 Enrollment ID: I20101006000498 |
| Provider Name | Emmanuel O Odeyemi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346566460 PECOS PAC ID: 7810189925 Enrollment ID: I20101007000972 |
| Provider Name | Shefiu O Shittu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154646727 PECOS PAC ID: 5799977401 Enrollment ID: I20101012001243 |
| Provider Name | Nahel N Saied |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1649295452 PECOS PAC ID: 7113993064 Enrollment ID: I20101020001172 |
| Provider Name | Okechukwu N Kanu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1871817593 PECOS PAC ID: 1850584772 Enrollment ID: I20101022000966 |
| Provider Name | Ali Mahdavi |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1578628350 PECOS PAC ID: 3779517834 Enrollment ID: I20101101001528 |
| Provider Name | Nishad J Nadkarni |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447392840 PECOS PAC ID: 0941237762 Enrollment ID: I20101123000989 |
| Provider Name | Melissa J Pecor |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1538488218 PECOS PAC ID: 8729274261 Enrollment ID: I20101123001208 |
| Provider Name | Erin B Trost |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134244585 PECOS PAC ID: 5799971925 Enrollment ID: I20101130000285 |
| Provider Name | Chinwe Oraka |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710042395 PECOS PAC ID: 1456548106 Enrollment ID: I20101208000240 |
| Provider Name | Olatunji Sarafadeen Olaoye |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962668970 PECOS PAC ID: 2961690839 Enrollment ID: I20101217000896 |
| Provider Name | Rebekah R Schroeder |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1265549554 PECOS PAC ID: 8921296716 Enrollment ID: I20101221000254 |
| Provider Name | Erin R Hills |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689987372 PECOS PAC ID: 7214125038 Enrollment ID: I20101221000606 |
| Provider Name | Danielle L Vanevenhoven |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326356361 PECOS PAC ID: 3375732811 Enrollment ID: I20110113000882 |
| Provider Name | Nancy A Pejsa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255646725 PECOS PAC ID: 1850576521 Enrollment ID: I20110421000730 |
| Provider Name | Amanda C Sommerfeldt |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1740473651 PECOS PAC ID: 8325223787 Enrollment ID: I20110428000276 |
| Provider Name | Bababo O Opaneye |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255621710 PECOS PAC ID: 7810174935 Enrollment ID: I20110526000619 |
| Provider Name | Navid A Majid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225327828 PECOS PAC ID: 9931386406 Enrollment ID: I20110609000346 |
| Provider Name | Cynthia Fisher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588824908 PECOS PAC ID: 3577602267 Enrollment ID: I20110629000185 |
| Provider Name | Robert W Sedlacek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003072687 PECOS PAC ID: 3173792579 Enrollment ID: I20110801000376 |
| Provider Name | Mohamed Fouzi Abdul Hameed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255590899 PECOS PAC ID: 8527239128 Enrollment ID: I20110912000077 |
| Provider Name | Shelli A Meyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952699217 PECOS PAC ID: 6002080553 Enrollment ID: I20111117000647 |
| Provider Name | Victoria Neuman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225315062 PECOS PAC ID: 1254506132 Enrollment ID: I20111203000175 |
| Provider Name | Wendy C Hill |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932207636 PECOS PAC ID: 8527233022 Enrollment ID: I20111212000842 |
| Provider Name | Todd Mckenzie |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528090990 PECOS PAC ID: 7214194497 Enrollment ID: I20120130000782 |
| Provider Name | Kenneth L Branstetter |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427139575 PECOS PAC ID: 0648437822 Enrollment ID: I20120130000817 |
| Provider Name | Sharon L Rink |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174552244 PECOS PAC ID: 8224295951 Enrollment ID: I20120207000594 |
| Provider Name | Andre M Krainik |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003848698 PECOS PAC ID: 5991962631 Enrollment ID: I20120207000677 |
| Provider Name | Annika K Ridlehoover |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942239009 PECOS PAC ID: 5597922237 Enrollment ID: I20120207000721 |
| Provider Name | Wendy J Barton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316979008 PECOS PAC ID: 0648438648 Enrollment ID: I20120222000489 |
| Provider Name | Michael L Jakubowski |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306878970 PECOS PAC ID: 1254599970 Enrollment ID: I20120225000126 |
| Provider Name | Hilary J Webster |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346260338 PECOS PAC ID: 3971761693 Enrollment ID: I20120225000137 |
| Provider Name | Ann B Jones |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437181013 PECOS PAC ID: 9335308709 Enrollment ID: I20120306000068 |
| Provider Name | Jennifer A Hunt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447282017 PECOS PAC ID: 5193984177 Enrollment ID: I20120312000038 |
| Provider Name | Zachary J Baeseman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649597501 PECOS PAC ID: 2365602620 Enrollment ID: I20120322000705 |
| Provider Name | Chasity A Henry |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992731822 PECOS PAC ID: 9537320965 Enrollment ID: I20120412000108 |
| Provider Name | Shannon L Schmidt |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1033351465 PECOS PAC ID: 7214193200 Enrollment ID: I20120718000922 |
| Provider Name | Megan J Kane |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356577647 PECOS PAC ID: 9638326929 Enrollment ID: I20120821000634 |
| Provider Name | Angela D Divjak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639343973 PECOS PAC ID: 5991973976 Enrollment ID: I20120829000361 |
| Provider Name | Jeremy R Luedtke |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1891900783 PECOS PAC ID: 1850549031 Enrollment ID: I20120912000819 |
| Provider Name | Tiffany J Schraufrangel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841434362 PECOS PAC ID: 8224286463 Enrollment ID: I20120913000452 |
| Provider Name | Dacia L Hermes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871840058 PECOS PAC ID: 8527216514 Enrollment ID: I20120917000641 |
| Provider Name | Lachin Hajhosseini |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922242445 PECOS PAC ID: 9931357506 Enrollment ID: I20120924000820 |
| Provider Name | Jared M Kohlenberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548498298 PECOS PAC ID: 2264613132 Enrollment ID: I20120925000477 |
| Provider Name | Katherine L Erstad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497033609 PECOS PAC ID: 6002088531 Enrollment ID: I20120926000783 |
| Provider Name | Joel A Mccauley |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1730366774 PECOS PAC ID: 7911079520 Enrollment ID: I20121023000128 |
| Provider Name | Kathryn M Hanson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811245210 PECOS PAC ID: 2466602628 Enrollment ID: I20121024000177 |
| Provider Name | Hope M Mcpeake |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114278934 PECOS PAC ID: 2961652045 Enrollment ID: I20121025000812 |
| Provider Name | Jamie L Lodes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649522368 PECOS PAC ID: 9739330077 Enrollment ID: I20121113000649 |
| Provider Name | Jason K Krueger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306182118 PECOS PAC ID: 2769636323 Enrollment ID: I20130206000512 |
| Provider Name | Cynthia L Saario |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063766921 PECOS PAC ID: 1153576020 Enrollment ID: I20130226000069 |
| Provider Name | Andrea R Carberry |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225357122 PECOS PAC ID: 7315182698 Enrollment ID: I20130315000203 |
| Provider Name | Sara Aerts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750628970 PECOS PAC ID: 7517105984 Enrollment ID: I20130523000481 |
| Provider Name | Lesley A Fuerst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548516941 PECOS PAC ID: 2769620640 Enrollment ID: I20130605000125 |
| Provider Name | Muhammad Munir |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588844286 PECOS PAC ID: 9931393766 Enrollment ID: I20130611000072 |
| Provider Name | Anthony J Marquis |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679898233 PECOS PAC ID: 0648410209 Enrollment ID: I20130703000250 |
| Provider Name | Andrew A Maes |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1841496619 PECOS PAC ID: 9830339043 Enrollment ID: I20130711000837 |
| Provider Name | Olasunkanmi Kolawole Oyetunde |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598962722 PECOS PAC ID: 6507953510 Enrollment ID: I20130716000336 |
| Provider Name | Wilson Igbrude |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659501989 PECOS PAC ID: 7315188877 Enrollment ID: I20130725000286 |
| Provider Name | Mikhail A Barchugov |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952614521 PECOS PAC ID: 0749421923 Enrollment ID: I20130731000191 |
| Provider Name | David N Conrad |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1356545396 PECOS PAC ID: 6608011416 Enrollment ID: I20130807000462 |
| Provider Name | Douglas J Connor |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1467677278 PECOS PAC ID: 1658537790 Enrollment ID: I20130807000608 |
| Provider Name | Lesley J Kieffer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053638916 PECOS PAC ID: 1658513221 Enrollment ID: I20130809000733 |
| Provider Name | Qiaofang Chen |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1619161890 PECOS PAC ID: 5991948697 Enrollment ID: I20130828000502 |
| Provider Name | Nicole M Wolfgram |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447593454 PECOS PAC ID: 9931333119 Enrollment ID: I20131001000043 |
| Provider Name | Gregg R Brewer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124465620 PECOS PAC ID: 1153555974 Enrollment ID: I20131010001199 |
| Provider Name | Bridget C Halenda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518394246 PECOS PAC ID: 8325273998 Enrollment ID: I20131107000567 |
| Provider Name | Daniel K Lemberger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023442605 PECOS PAC ID: 4486880713 Enrollment ID: I20131115000288 |
| Provider Name | Dorrie M Happ |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144547027 PECOS PAC ID: 0143493536 Enrollment ID: I20131121001882 |
| Provider Name | Jennifer L Schaffer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164850780 PECOS PAC ID: 5496981011 Enrollment ID: I20131203001926 |
| Provider Name | Cheryle J Schultz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174951453 PECOS PAC ID: 2860629763 Enrollment ID: I20131223000657 |
| Provider Name | Michele Prevost |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1700877875 PECOS PAC ID: 9032262670 Enrollment ID: I20140310002024 |
| Provider Name | Allison R Stache |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063835288 PECOS PAC ID: 5890926570 Enrollment ID: I20140321000705 |
| Provider Name | Kristine M Doemel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972925170 PECOS PAC ID: 8527299148 Enrollment ID: I20140325001266 |
| Provider Name | Lynn A Ringenoldus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053740761 PECOS PAC ID: 7416188842 Enrollment ID: I20140327000525 |
| Provider Name | Nina Malm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336562172 PECOS PAC ID: 5799916953 Enrollment ID: I20140401001593 |
| Provider Name | Krystal Alanna Schepp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427477868 PECOS PAC ID: 4880817873 Enrollment ID: I20140520001330 |
| Provider Name | Anthony Kehr |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629225099 PECOS PAC ID: 5395918304 Enrollment ID: I20140521000689 |
| Provider Name | Samantha J Fox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225457526 PECOS PAC ID: 3173746047 Enrollment ID: I20140521001749 |
| Provider Name | Adam R Olson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235405176 PECOS PAC ID: 8729201132 Enrollment ID: I20140603000452 |
| Provider Name | Emily A Olson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437448131 PECOS PAC ID: 9032333687 Enrollment ID: I20140623000099 |
| Provider Name | Richard Amankwah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164712741 PECOS PAC ID: 6901022540 Enrollment ID: I20140717000527 |
| Provider Name | Laura L Baehnman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700195567 PECOS PAC ID: 8325265515 Enrollment ID: I20140812001683 |
| Provider Name | Brice Nelson Alvord |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679734669 PECOS PAC ID: 7911149794 Enrollment ID: I20140818000587 |
| Provider Name | Jorge Y Darwich |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891082087 PECOS PAC ID: 0648498360 Enrollment ID: I20140821001473 |
| Provider Name | Patricia Anne Schick |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1427081637 PECOS PAC ID: 2466672696 Enrollment ID: I20141009001897 |
| Provider Name | Maryam Shittu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689922882 PECOS PAC ID: 1456572155 Enrollment ID: I20141022000761 |
| Provider Name | Sarah L Holets |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124380803 PECOS PAC ID: 3779704242 Enrollment ID: I20141027000814 |
| Provider Name | Jessica L Van Lannen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649671181 PECOS PAC ID: 4284855701 Enrollment ID: I20141028000019 |
| Provider Name | Brian James Zirgibel |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1780815696 PECOS PAC ID: 8224273248 Enrollment ID: I20141105000596 |
| Provider Name | James R Bargenquast |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386689537 PECOS PAC ID: 6709844939 Enrollment ID: I20141119000381 |
| Provider Name | Joshua R Blomberg |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1801090071 PECOS PAC ID: 6406083815 Enrollment ID: I20141119000790 |
| Provider Name | Jessica L Brunner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427451459 PECOS PAC ID: 6507188497 Enrollment ID: I20141203002398 |
| Provider Name | Nelida N Sjak Shie |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1174511703 PECOS PAC ID: 9739278946 Enrollment ID: I20150115001332 |
| Provider Name | Cornelius W Hyzer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275933418 PECOS PAC ID: 1254655335 Enrollment ID: I20150120001686 |
| Provider Name | Petra Maria Laeven-sessions |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689675563 PECOS PAC ID: 3779623194 Enrollment ID: I20150206000610 |
| Provider Name | Andrea L Ebben |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891192639 PECOS PAC ID: 7315262144 Enrollment ID: I20150218002393 |
| Provider Name | Luke E Menet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588063390 PECOS PAC ID: 4183940935 Enrollment ID: I20150313000968 |
| Provider Name | Michael A Larkey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851622005 PECOS PAC ID: 7012234966 Enrollment ID: I20150402001178 |
| Provider Name | Melissa A Habeck |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255722526 PECOS PAC ID: 7719204601 Enrollment ID: I20150403000486 |
| Provider Name | Yazhini Vallatharasu |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1508207895 PECOS PAC ID: 4385872712 Enrollment ID: I20150409001197 |
| Provider Name | Benjamin D Schlais |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699017913 PECOS PAC ID: 3072832120 Enrollment ID: I20150512001507 |
| Provider Name | Christopher M Luty |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891921813 PECOS PAC ID: 4183864390 Enrollment ID: I20150526000096 |
| Provider Name | Amanda K Douma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043697048 PECOS PAC ID: 9739409954 Enrollment ID: I20150528002432 |
| Provider Name | Tara Hilmanowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164825469 PECOS PAC ID: 4789642059 Enrollment ID: I20150611001618 |
| Provider Name | Eric S Winkel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265799290 PECOS PAC ID: 9537199898 Enrollment ID: I20150626001509 |
| Provider Name | Amy K Wondra |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346643426 PECOS PAC ID: 6204148539 Enrollment ID: I20150630000279 |
| Provider Name | Paul D Hartleben |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1487622510 PECOS PAC ID: 2466532486 Enrollment ID: I20150702000877 |
| Provider Name | Kayode J Bello |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427306935 PECOS PAC ID: 0345553384 Enrollment ID: I20150720001368 |
| Provider Name | Ashley Nicole Schumacher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225413347 PECOS PAC ID: 4183930803 Enrollment ID: I20150826000752 |
| Provider Name | Alisha F Fahley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255691515 PECOS PAC ID: 9537301601 Enrollment ID: I20150902003094 |
| Provider Name | James P Spencer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457619348 PECOS PAC ID: 4789990789 Enrollment ID: I20150908000837 |
| Provider Name | Shirley N Tetteh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114210473 PECOS PAC ID: 9638318504 Enrollment ID: I20150911000555 |
| Provider Name | Sam Valid |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1912318783 PECOS PAC ID: 1456668185 Enrollment ID: I20150914001296 |
| Provider Name | Richmond Gyamfi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700089414 PECOS PAC ID: 1951426386 Enrollment ID: I20150916001161 |
| Provider Name | Rebecca J Philpot |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568839009 PECOS PAC ID: 8628385895 Enrollment ID: I20150921001848 |
| Provider Name | Crystal M Guttman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629446331 PECOS PAC ID: 2769791102 Enrollment ID: I20151026000761 |
| Provider Name | John-jeremiah Kretchy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487902805 PECOS PAC ID: 3274842570 Enrollment ID: I20151028001445 |
| Provider Name | Stefanie M Zuleger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346672888 PECOS PAC ID: 1759690993 Enrollment ID: I20151028003037 |
| Provider Name | Ashley M Krautkramer |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1386046860 PECOS PAC ID: 8628388618 Enrollment ID: I20151103001676 |
| Provider Name | Stephen P Taylor |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1881751329 PECOS PAC ID: 4486683752 Enrollment ID: I20151105001718 |
| Provider Name | Suranga M Dharmaratne |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124321658 PECOS PAC ID: 2062681505 Enrollment ID: I20151110000092 |
| Provider Name | Jessica E Radtke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427421783 PECOS PAC ID: 0547562688 Enrollment ID: I20160108000487 |
| Provider Name | David W Kabel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1114971744 PECOS PAC ID: 7315037579 Enrollment ID: I20160111000682 |
| Provider Name | Jennifer R Haen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295193282 PECOS PAC ID: 1951606698 Enrollment ID: I20160218000258 |
| Provider Name | Laurie A Radojevich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851486518 PECOS PAC ID: 7911203740 Enrollment ID: I20160304000316 |
| Provider Name | Kary L Cappaert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467810770 PECOS PAC ID: 5991001505 Enrollment ID: I20160308002011 |
| Provider Name | Kristin M Roesler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679932750 PECOS PAC ID: 5799081899 Enrollment ID: I20160316001268 |
| Provider Name | Kimberly S Hoenecke |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184068181 PECOS PAC ID: 3577786912 Enrollment ID: I20160329001039 |
| Provider Name | Tara M Burich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780044347 PECOS PAC ID: 2163720756 Enrollment ID: I20160414002035 |
| Provider Name | Bruce Andrew Lynch |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1356403885 PECOS PAC ID: 9335301043 Enrollment ID: I20160523001273 |
| Provider Name | Imran Shafi Syed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487626909 PECOS PAC ID: 3779549845 Enrollment ID: I20160608002148 |
| Provider Name | Jennifer M Halbach-giese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598112963 PECOS PAC ID: 2466743109 Enrollment ID: I20160627002621 |
| Provider Name | Brian W Mendenhall |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366700213 PECOS PAC ID: 0143453811 Enrollment ID: I20160715001366 |
| Provider Name | Jennifer L Reichardt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811188683 PECOS PAC ID: 0345533733 Enrollment ID: I20160722000398 |
| Provider Name | Jayden Der |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1659659282 PECOS PAC ID: 2961635057 Enrollment ID: I20160804002273 |
| Provider Name | Jesse Moskowitz |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1619131125 PECOS PAC ID: 2567537954 Enrollment ID: I20160809000267 |
| Provider Name | Allison M Stephenson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508216367 PECOS PAC ID: 0840584074 Enrollment ID: I20160810001147 |
| Provider Name | Isha Salva |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801819016 PECOS PAC ID: 2466469218 Enrollment ID: I20160823001935 |
| Provider Name | Jagdeep Sabharwal |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1871518282 PECOS PAC ID: 9739187881 Enrollment ID: I20160829001817 |
| Provider Name | Kristin Kay Lundine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316336811 PECOS PAC ID: 2264757889 Enrollment ID: I20160919000608 |
| Provider Name | Katie Ann Ruppenthal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316399918 PECOS PAC ID: 8224325980 Enrollment ID: I20160922002574 |
| Provider Name | Samuel J Pierre |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295167690 PECOS PAC ID: 6406144518 Enrollment ID: I20161005001342 |
| Provider Name | Krystina M Pischke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003259649 PECOS PAC ID: 2860780814 Enrollment ID: I20161007000475 |
| Provider Name | Thomas H Nichols |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346351228 PECOS PAC ID: 9436330263 Enrollment ID: I20161014001148 |
| Provider Name | David Albert Liebelt |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1205132321 PECOS PAC ID: 9830315746 Enrollment ID: I20161017000080 |
| Provider Name | Herbert A Nolan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245781889 PECOS PAC ID: 6305124462 Enrollment ID: I20161025002406 |
| Provider Name | Crystal A Weyers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609325570 PECOS PAC ID: 0143508002 Enrollment ID: I20161027000362 |
| Provider Name | Laura A Voigt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467902528 PECOS PAC ID: 7113206772 Enrollment ID: I20161122002013 |
| Provider Name | Cynthia F Susedik |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043358914 PECOS PAC ID: 0941257802 Enrollment ID: I20170109000478 |
| Provider Name | Gina R Rekers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134571003 PECOS PAC ID: 0446543482 Enrollment ID: I20170203001343 |
| Provider Name | Richard Stayner |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1588842744 PECOS PAC ID: 2567613060 Enrollment ID: I20170209000774 |
| Provider Name | Nathan Fleming |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679864912 PECOS PAC ID: 0446498133 Enrollment ID: I20170224001837 |
| Provider Name | Kristen N Russell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306384268 PECOS PAC ID: 0244515096 Enrollment ID: I20170318000238 |
| Provider Name | Rachel A Savage |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285173799 PECOS PAC ID: 8325323173 Enrollment ID: I20170320000044 |
| Provider Name | Nicole Gutman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104364637 PECOS PAC ID: 6507141124 Enrollment ID: I20170322002229 |
| Provider Name | Jasmine R Wiley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568889020 PECOS PAC ID: 9739481268 Enrollment ID: I20170418000903 |
| Provider Name | Natalie L Gehringer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639164130 PECOS PAC ID: 8820365216 Enrollment ID: I20170607000720 |
| Provider Name | Kezia E Cottenoir |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982930731 PECOS PAC ID: 2062551641 Enrollment ID: I20170609001072 |
| Provider Name | Olatunji D Oladeji |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689985350 PECOS PAC ID: 9638313448 Enrollment ID: I20170613000968 |
| Provider Name | Bonnie B Hoersch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093241879 PECOS PAC ID: 7315215316 Enrollment ID: I20170615002109 |
| Provider Name | Harsha V Poola |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1801174354 PECOS PAC ID: 2163727447 Enrollment ID: I20170616001504 |
| Provider Name | Andrew C Schmitt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235123902 PECOS PAC ID: 5395781439 Enrollment ID: I20170703000593 |
| Provider Name | Ryan M Schmidt |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679865919 PECOS PAC ID: 4385943828 Enrollment ID: I20170718003211 |
| Provider Name | Efe M Akpoigbe |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023365152 PECOS PAC ID: 9032334891 Enrollment ID: I20170719003840 |
| Provider Name | Katherine K Nonweiler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598183089 PECOS PAC ID: 2961790589 Enrollment ID: I20170726001931 |
| Provider Name | Xala Yang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962923292 PECOS PAC ID: 2961773296 Enrollment ID: I20170804002461 |
| Provider Name | Gbolahan D Oyinloye |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255695888 PECOS PAC ID: 4385870757 Enrollment ID: I20170807002962 |
| Provider Name | Daniel R Kehler |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801188149 PECOS PAC ID: 7315237880 Enrollment ID: I20170808003071 |
| Provider Name | Erik S Ray |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477740009 PECOS PAC ID: 7517035744 Enrollment ID: I20170814000038 |
| Provider Name | Monica S Szymanski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609303023 PECOS PAC ID: 9537431267 Enrollment ID: I20170816000036 |
| Provider Name | Taylor B Doberstein |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1215291075 PECOS PAC ID: 6002047628 Enrollment ID: I20170818000199 |
| Provider Name | Khalid Al Katranji |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063852762 PECOS PAC ID: 0042453045 Enrollment ID: I20170818001382 |
| Provider Name | George Manatt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407144207 PECOS PAC ID: 3274762919 Enrollment ID: I20170818001464 |
| Provider Name | Kristian V Lozev |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326465519 PECOS PAC ID: 5092019877 Enrollment ID: I20170829001690 |
| Provider Name | Jacqueline Christianson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427581909 PECOS PAC ID: 7416220900 Enrollment ID: I20170905002525 |
| Provider Name | Rachel M Novotny |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063935450 PECOS PAC ID: 3072886183 Enrollment ID: I20170911002560 |
| Provider Name | David Michael Schrier |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1811035447 PECOS PAC ID: 6103873146 Enrollment ID: I20170914003779 |
| Provider Name | Megan E Kendall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780127563 PECOS PAC ID: 5799059648 Enrollment ID: I20170916000164 |
| Provider Name | Jake E Kendall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295104305 PECOS PAC ID: 8123392990 Enrollment ID: I20170918000600 |
| Provider Name | Amanda C Janosik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952827008 PECOS PAC ID: 4082988803 Enrollment ID: I20170918002592 |
| Provider Name | David A Krueger |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821025081 PECOS PAC ID: 6204849912 Enrollment ID: I20170923000512 |
| Provider Name | Kirsten E Grove |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396162285 PECOS PAC ID: 8123316700 Enrollment ID: I20170927002124 |
| Provider Name | Kelly A Mathes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427462985 PECOS PAC ID: 2769608017 Enrollment ID: I20170927002424 |
| Provider Name | Tricia A Gilling |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265847313 PECOS PAC ID: 5395019418 Enrollment ID: I20170927003683 |
| Provider Name | Hannah J Jochman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275056285 PECOS PAC ID: 4789958836 Enrollment ID: I20170928000422 |
| Provider Name | Julie A Reynolds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497054464 PECOS PAC ID: 0749555449 Enrollment ID: I20171005002235 |
| Provider Name | Abigail K Puglisi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366852550 PECOS PAC ID: 8224341383 Enrollment ID: I20171011001552 |
| Provider Name | Kerry L Bayes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275927923 PECOS PAC ID: 1153632757 Enrollment ID: I20171018000633 |
| Provider Name | Amanda B Bernath |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083024277 PECOS PAC ID: 5092091405 Enrollment ID: I20171019001276 |
| Provider Name | Kathleen M Erdahl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043748189 PECOS PAC ID: 6709142714 Enrollment ID: I20171108000463 |
| Provider Name | Brian J Robertson-dick |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1033452453 PECOS PAC ID: 9133419021 Enrollment ID: I20171205001966 |
| Provider Name | Regan R Eberhart |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508911959 PECOS PAC ID: 0244496461 Enrollment ID: I20171205002561 |
| Provider Name | Amy M Fradel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881671345 PECOS PAC ID: 1153502349 Enrollment ID: I20171218002219 |
| Provider Name | Ryan J Wagner |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1275087207 PECOS PAC ID: 0547558041 Enrollment ID: I20180206002309 |
| Provider Name | Carmen L Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104339001 PECOS PAC ID: 6002177417 Enrollment ID: I20180228000208 |
| Provider Name | Ayhan A Zia |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1275632713 PECOS PAC ID: 0143371781 Enrollment ID: I20180309000264 |
| Provider Name | Steven Taylor Rasmussen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700222064 PECOS PAC ID: 9234433434 Enrollment ID: I20180321002015 |
| Provider Name | Sarah A Truesdale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114432259 PECOS PAC ID: 0042572380 Enrollment ID: I20180326000898 |
| Provider Name | Craig S Chertack |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1811979487 PECOS PAC ID: 9931141223 Enrollment ID: I20180416002455 |
| Provider Name | Melissa M Smits |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679075634 PECOS PAC ID: 3375807357 Enrollment ID: I20180426002643 |
| Provider Name | Elizabeth A Barthel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003318437 PECOS PAC ID: 6608130976 Enrollment ID: I20180514002912 |
| Provider Name | Brent A Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265940365 PECOS PAC ID: 7810243052 Enrollment ID: I20180702001482 |
| Provider Name | Denise C Klubertanz-berge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508379405 PECOS PAC ID: 9638425234 Enrollment ID: I20180712001840 |
| Provider Name | Anupam Verma |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1770522500 PECOS PAC ID: 8729974837 Enrollment ID: I20180725001145 |
| Provider Name | Paul R Stevens |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548657067 PECOS PAC ID: 2163737941 Enrollment ID: I20180802002048 |
| Provider Name | Michael Alan Wack |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1043294077 PECOS PAC ID: 6002946522 Enrollment ID: I20180807002715 |
| Provider Name | Shanique Nastassja Jarrett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841678216 PECOS PAC ID: 6305194234 Enrollment ID: I20180808002750 |
| Provider Name | Kathleen J Sheridan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316423569 PECOS PAC ID: 2567711203 Enrollment ID: I20180814001819 |
| Provider Name | Rachel L Vangrunsven |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1841591468 PECOS PAC ID: 0244589554 Enrollment ID: I20180820003700 |
| Provider Name | Jose Mauricio Hernandez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720473432 PECOS PAC ID: 7911274998 Enrollment ID: I20180823002834 |
| Provider Name | Bryan J Roberts |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275929010 PECOS PAC ID: 8820360498 Enrollment ID: I20180828004186 |
| Provider Name | Emily A Pohl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265910533 PECOS PAC ID: 9638429418 Enrollment ID: I20180829003150 |
| Provider Name | Molly M Schumacher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922591221 PECOS PAC ID: 9032469754 Enrollment ID: I20180830000693 |
| Provider Name | Jennifer E Szmanda |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023404621 PECOS PAC ID: 4183928567 Enrollment ID: I20180911003704 |
| Provider Name | Rebecca Kristeen Doro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740578855 PECOS PAC ID: 3971734591 Enrollment ID: I20180913002972 |
| Provider Name | Matthew J Kortes |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1881034627 PECOS PAC ID: 8921300120 Enrollment ID: I20180928000223 |
| Provider Name | Abby L Smolcich |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669866505 PECOS PAC ID: 1153693825 Enrollment ID: I20181001003437 |
| Provider Name | Shannon Marie Sullivan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972998680 PECOS PAC ID: 8820365976 Enrollment ID: I20181002000755 |
| Provider Name | Nina Goncarovs Quicksell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619356128 PECOS PAC ID: 8325351257 Enrollment ID: I20181005001982 |
| Provider Name | Shannon M Duvernell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265813562 PECOS PAC ID: 1850697079 Enrollment ID: I20181102002635 |
| Provider Name | Casandra L Zummallen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356737209 PECOS PAC ID: 2769754340 Enrollment ID: I20181105000303 |
| Provider Name | Claudia G Nevarez Flores |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689089534 PECOS PAC ID: 4183921042 Enrollment ID: I20181109000268 |
| Provider Name | Hanaa Al-khansa B Nik Rushdi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073809216 PECOS PAC ID: 8921322694 Enrollment ID: I20181113000630 |
| Provider Name | Iyad K Azzam |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1811216229 PECOS PAC ID: 6103004106 Enrollment ID: I20181211001267 |
| Provider Name | Michael Patney |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1922069053 PECOS PAC ID: 1850297599 Enrollment ID: I20190124002238 |
| Provider Name | Roger B Collins |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1073504973 PECOS PAC ID: 6204834500 Enrollment ID: I20190128000315 |
| Provider Name | Trina M Hernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902373103 PECOS PAC ID: 5597003830 Enrollment ID: I20190213000228 |
| Provider Name | Bryan P Mathieson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205022555 PECOS PAC ID: 3476620238 Enrollment ID: I20190220001116 |
| Provider Name | Lloyd C Cassidy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457795569 PECOS PAC ID: 7810213451 Enrollment ID: I20190418001271 |
| Provider Name | Dessia J Laxton-reinke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013454164 PECOS PAC ID: 9739440827 Enrollment ID: I20190422001074 |
| Provider Name | Caitlyn F Krenz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669934246 PECOS PAC ID: 0042552382 Enrollment ID: I20190507000715 |
| Provider Name | Amanda Marie Baright |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1598971772 PECOS PAC ID: 6901077841 Enrollment ID: I20190509002108 |
| Provider Name | Elizabeth Nicole Borchardt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821556424 PECOS PAC ID: 4880937838 Enrollment ID: I20190515001856 |
| Provider Name | Corinne Nadine Klein |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1730492992 PECOS PAC ID: 3678708310 Enrollment ID: I20190612001768 |
| Provider Name | Heather A Lutz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114585270 PECOS PAC ID: 0446583009 Enrollment ID: I20190613000951 |
| Provider Name | Roni Sharon |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548581275 PECOS PAC ID: 4385863877 Enrollment ID: I20190617001176 |
| Provider Name | Michal Kozanek |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1386937001 PECOS PAC ID: 8022275387 Enrollment ID: I20190703001385 |
| Provider Name | Salvior Mok |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1790921930 PECOS PAC ID: 3375859960 Enrollment ID: I20190715002089 |
| Provider Name | Brittany A Waters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932673696 PECOS PAC ID: 7214262013 Enrollment ID: I20190717000031 |
| Provider Name | Richard Francis Warren |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1013981349 PECOS PAC ID: 3678529450 Enrollment ID: I20190724000500 |
| Provider Name | Ashley A Rodrian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174187884 PECOS PAC ID: 8921335001 Enrollment ID: I20190813000054 |
| Provider Name | Michelle R Felan Palmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851798805 PECOS PAC ID: 6305146820 Enrollment ID: I20190813000589 |
| Provider Name | Babar Parvez |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1346404076 PECOS PAC ID: 8820325699 Enrollment ID: I20190816001489 |
| Provider Name | Bradley Klein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114579612 PECOS PAC ID: 0648508093 Enrollment ID: I20190822001828 |
| Provider Name | Angie M Schiesser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235691718 PECOS PAC ID: 4284962333 Enrollment ID: I20190827002910 |
| Provider Name | Chelsey S Mcnabb Pender |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932580784 PECOS PAC ID: 6002129046 Enrollment ID: I20190923002447 |
| Provider Name | Chelsea N Fay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699337824 PECOS PAC ID: 1759611486 Enrollment ID: I20190924000817 |
| Provider Name | Amanda Anne Kossak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154783256 PECOS PAC ID: 3072876747 Enrollment ID: I20190927002029 |
| Provider Name | Amy E Bjorkman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588224919 PECOS PAC ID: 2860722170 Enrollment ID: I20191001000024 |
| Provider Name | Heather Marie Nennig |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174902209 PECOS PAC ID: 6800158775 Enrollment ID: I20191008002454 |
| Provider Name | Jodi R Owen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1225166408 PECOS PAC ID: 0648375071 Enrollment ID: I20191010000332 |
| Provider Name | Courtney M Yenter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801441910 PECOS PAC ID: 6901138437 Enrollment ID: I20191101000295 |
| Provider Name | Marina Polur |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639302078 PECOS PAC ID: 0446406904 Enrollment ID: I20191101000956 |
| Provider Name | Venkata S Udayagiri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992250336 PECOS PAC ID: 3274829759 Enrollment ID: I20191104000329 |
| Provider Name | David A Milbourne Jr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992157044 PECOS PAC ID: 0143501346 Enrollment ID: I20191111001435 |
| Provider Name | John R Briggs |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1578620761 PECOS PAC ID: 6305864075 Enrollment ID: I20191118000662 |
| Provider Name | David Milo Hirschi |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1891109039 PECOS PAC ID: 7719104926 Enrollment ID: I20191125000247 |
| Provider Name | Thomas C Isaacson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1104884311 PECOS PAC ID: 9335156462 Enrollment ID: I20191125002816 |
| Provider Name | Purnima Hirudayaraj |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1548308117 PECOS PAC ID: 3577784669 Enrollment ID: I20191206001788 |
| Provider Name | Brittany E Goodrich Braun |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013362631 PECOS PAC ID: 8729376835 Enrollment ID: I20191216002224 |
| Provider Name | Karla Lynn Stumpp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336621713 PECOS PAC ID: 9739432352 Enrollment ID: I20200103000528 |
| Provider Name | Jennifer A Naiser |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1114074135 PECOS PAC ID: 2769581040 Enrollment ID: I20200117001411 |
| Provider Name | Ronald Emerson |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1073526356 PECOS PAC ID: 7517142284 Enrollment ID: I20200121000419 |
| Provider Name | Julia A Stoffel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659911329 PECOS PAC ID: 7517393838 Enrollment ID: I20200205001927 |
| Provider Name | Katalin Vanegas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780097139 PECOS PAC ID: 6002100484 Enrollment ID: I20200206000008 |
| Provider Name | Lee A Kutchenriter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376069930 PECOS PAC ID: 0648606715 Enrollment ID: I20200208000180 |
| Provider Name | Charissa K Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700426079 PECOS PAC ID: 1850727884 Enrollment ID: I20200211000076 |
| Provider Name | Kerry L Baird |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952932972 PECOS PAC ID: 0749617231 Enrollment ID: I20200221001958 |
| Provider Name | Madhur Roberts |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1114275997 PECOS PAC ID: 1355585050 Enrollment ID: I20200225002662 |
| Provider Name | Heather Kristine Elertson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619523115 PECOS PAC ID: 3678901444 Enrollment ID: I20200311000061 |
| Provider Name | Kayla L Schuh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053944785 PECOS PAC ID: 3476981044 Enrollment ID: I20200313000041 |
| Provider Name | Vicki Wilcoxson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215912027 PECOS PAC ID: 0941285134 Enrollment ID: I20200331001159 |
| Provider Name | Kelly Bowman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386180354 PECOS PAC ID: 2961786678 Enrollment ID: I20200403001371 |
| Provider Name | James Kneller |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1861641581 PECOS PAC ID: 1153570296 Enrollment ID: I20200406001765 |
| Provider Name | Sanjay Mughal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538199781 PECOS PAC ID: 9234187261 Enrollment ID: I20200407000997 |
| Provider Name | Martin J Greenberg |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1669698528 PECOS PAC ID: 6406944230 Enrollment ID: I20200414000661 |
| Provider Name | Marvin Roger Mcbride |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730189499 PECOS PAC ID: 4981684685 Enrollment ID: I20200427000967 |
| Provider Name | Cheryl E Christensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215556824 PECOS PAC ID: 2365872611 Enrollment ID: I20200428002317 |
| Provider Name | Daria Lisa Muzychka |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356374433 PECOS PAC ID: 0749174134 Enrollment ID: I20200602001408 |
| Provider Name | Monica Martin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417904962 PECOS PAC ID: 9537258710 Enrollment ID: I20200616002322 |
| Provider Name | Manoj Kumar Pilla |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629453915 PECOS PAC ID: 2264782499 Enrollment ID: I20200710003056 |
| Provider Name | Alain F Broccard |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1164498739 PECOS PAC ID: 8224106372 Enrollment ID: I20200713000478 |
| Provider Name | Ibrahim H Abou Daya |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1790950715 PECOS PAC ID: 8022154921 Enrollment ID: I20200727002961 |
| Provider Name | Dong Bo Yu |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1043624026 PECOS PAC ID: 6204051840 Enrollment ID: I20200729003868 |
| Provider Name | Rachell R Ayers |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316472210 PECOS PAC ID: 6305116435 Enrollment ID: I20200730003338 |
| Provider Name | Kehua Zhou |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649604695 PECOS PAC ID: 3476839408 Enrollment ID: I20200803001773 |
| Provider Name | Amir Bista |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1427466655 PECOS PAC ID: 8628349701 Enrollment ID: I20200803001896 |
| Provider Name | Matthew J Fischer |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1083000319 PECOS PAC ID: 8123339678 Enrollment ID: I20200803002548 |
| Provider Name | Abbey M Buchberger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386261618 PECOS PAC ID: 3274958517 Enrollment ID: I20200804002870 |
| Provider Name | Nicholas Anthony Poponea |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1538579776 PECOS PAC ID: 5092935163 Enrollment ID: I20200805000199 |
| Provider Name | Sarah T Saleemi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922422807 PECOS PAC ID: 7517207160 Enrollment ID: I20200806001025 |
| Provider Name | Sindhu Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871710483 PECOS PAC ID: 4082860663 Enrollment ID: I20200810000541 |
| Provider Name | Amy Beth Felberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124644935 PECOS PAC ID: 9032534995 Enrollment ID: I20200810001017 |
| Provider Name | Lawrence Tse |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972035517 PECOS PAC ID: 3375871635 Enrollment ID: I20200810002774 |
| Provider Name | Alyssa J Mader |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205459211 PECOS PAC ID: 9638594450 Enrollment ID: I20200810003052 |
| Provider Name | Jean-sebastien K Rachoin |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1174796213 PECOS PAC ID: 6608991401 Enrollment ID: I20200811000146 |
| Provider Name | Michael L Hooker |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689679953 PECOS PAC ID: 2860400892 Enrollment ID: I20200811000414 |
| Provider Name | Fredrik Jenssen |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1881007656 PECOS PAC ID: 7113224833 Enrollment ID: I20200819003755 |
| Provider Name | Medhat T Hamed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447788021 PECOS PAC ID: 0547687212 Enrollment ID: I20200826000953 |
| Provider Name | Matthew Dawson |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1003159021 PECOS PAC ID: 9638475122 Enrollment ID: I20200828000028 |
| Provider Name | Sneha Subbarayan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467847715 PECOS PAC ID: 5890097075 Enrollment ID: I20200909000062 |
| Provider Name | Felix Ofori-gyebi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366675480 PECOS PAC ID: 1052567641 Enrollment ID: I20200909000704 |
| Provider Name | Anna Jane Gauthier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194342709 PECOS PAC ID: 5193143931 Enrollment ID: I20200910003486 |
| Provider Name | Felix Jolly Odathil |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467983833 PECOS PAC ID: 4880963123 Enrollment ID: I20200911001824 |
| Provider Name | Rony N Lahoud |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1659534212 PECOS PAC ID: 5890963920 Enrollment ID: I20200914002592 |
| Provider Name | Steven Hamel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023526498 PECOS PAC ID: 7315209921 Enrollment ID: I20200916000313 |
| Provider Name | Long Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962817700 PECOS PAC ID: 1658606777 Enrollment ID: I20200917002959 |
| Provider Name | Ezra Lyon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669906004 PECOS PAC ID: 0547530388 Enrollment ID: I20200921000050 |
| Provider Name | Michelle E Gerow |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306377155 PECOS PAC ID: 8325310188 Enrollment ID: I20200922001825 |
| Provider Name | Kimberly Idoko |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003080896 PECOS PAC ID: 2769605344 Enrollment ID: I20200922003082 |
| Provider Name | Amy N Mandeville |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225478126 PECOS PAC ID: 5294051041 Enrollment ID: I20200929001402 |
| Provider Name | Diane Kuehl |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598286940 PECOS PAC ID: 0749559532 Enrollment ID: I20201002001592 |
| Provider Name | Holly L Haberman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922457803 PECOS PAC ID: 3072842301 Enrollment ID: I20201002002553 |
| Provider Name | Matthew T Mcshane |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316366701 PECOS PAC ID: 0749585552 Enrollment ID: I20201015001045 |
| Provider Name | Yvette Samantha Goebel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1023628203 PECOS PAC ID: 9032529235 Enrollment ID: I20201029000097 |
| Provider Name | Nichole R Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013530724 PECOS PAC ID: 3173933173 Enrollment ID: I20201103000958 |
| Provider Name | Samantha M Huzzar-tembei |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891226445 PECOS PAC ID: 3476963000 Enrollment ID: I20201110000874 |
| Provider Name | Tracey O'neal Hooker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730141029 PECOS PAC ID: 1759488703 Enrollment ID: I20201116002251 |
| Provider Name | Andrew Stanley Goebel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609320209 PECOS PAC ID: 8820408719 Enrollment ID: I20201125000012 |
| Provider Name | Eddie Nelson Powell |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1992909543 PECOS PAC ID: 9234230624 Enrollment ID: I20201203001006 |
| Provider Name | Nicole Anne Vannoie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053918524 PECOS PAC ID: 5799196200 Enrollment ID: I20201203002961 |
| Provider Name | Nicholas L Anderson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366976409 PECOS PAC ID: 4486065968 Enrollment ID: I20201205000124 |
| Provider Name | Timmy Alan Ferrell |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1467563460 PECOS PAC ID: 2567632821 Enrollment ID: I20201214002743 |
| Provider Name | Emily Bicanic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174020788 PECOS PAC ID: 7810252269 Enrollment ID: I20201223001436 |
| Provider Name | Mitchell Robert Weber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245833185 PECOS PAC ID: 7416360409 Enrollment ID: I20210112002931 |
| Provider Name | Amanda Elizabeth Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154919769 PECOS PAC ID: 8123432101 Enrollment ID: I20210203000347 |
| Provider Name | Leslie D Reynolds |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265511554 PECOS PAC ID: 1759373715 Enrollment ID: I20210218000155 |
| Provider Name | Tariq Alam |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1144419144 PECOS PAC ID: 3870746399 Enrollment ID: I20210303003067 |
| Provider Name | Fawad Mian |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1306006242 PECOS PAC ID: 0042364622 Enrollment ID: I20210308000402 |
| Provider Name | Daniel R Meldrum |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1861507253 PECOS PAC ID: 3678633468 Enrollment ID: I20210310000840 |
| Provider Name | Yuriy Zeylikman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003255357 PECOS PAC ID: 8921233875 Enrollment ID: I20210311001519 |
| Provider Name | Anthony M Kunze |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942893284 PECOS PAC ID: 7315353620 Enrollment ID: I20210311001725 |
| Provider Name | Kelly Marie Bechard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972193241 PECOS PAC ID: 4981010139 Enrollment ID: I20210312000710 |
| Provider Name | Jonathon M Gutzeit |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154828812 PECOS PAC ID: 8224467113 Enrollment ID: I20210401000019 |
| Provider Name | Laxmi Dhakal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1598997348 PECOS PAC ID: 0446490056 Enrollment ID: I20210420001089 |
| Provider Name | Michelle Marie Radtke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821687385 PECOS PAC ID: 1658780218 Enrollment ID: I20210511002231 |
| Provider Name | Julie A Wilson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063917748 PECOS PAC ID: 7517382831 Enrollment ID: I20210519002061 |
| Provider Name | Molly Ann Szymanski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215511712 PECOS PAC ID: 1658770623 Enrollment ID: I20210524002118 |
| Provider Name | Jeffrey Allen Fillmore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992382873 PECOS PAC ID: 7315346889 Enrollment ID: I20210603001325 |
| Provider Name | Tori C Beyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184290611 PECOS PAC ID: 1658772751 Enrollment ID: I20210628000604 |
| Provider Name | Samantha D Burmeister |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992370142 PECOS PAC ID: 0345642831 Enrollment ID: I20210706003377 |
| Provider Name | Rachel Klepps |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811564073 PECOS PAC ID: 0345642526 Enrollment ID: I20210709002478 |
| Provider Name | Jalel Abera Hunde |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194220558 PECOS PAC ID: 5597167569 Enrollment ID: I20210713003344 |
| Provider Name | Matthew T Boese |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1073018180 PECOS PAC ID: 6507269263 Enrollment ID: I20210720000154 |
| Provider Name | Kahli J Compton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558846220 PECOS PAC ID: 2567865470 Enrollment ID: I20210729000215 |
| Provider Name | Solomon Zerga |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487159273 PECOS PAC ID: 9830592682 Enrollment ID: I20210730001662 |
| Provider Name | Scott Kenneth Hetzel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417444589 PECOS PAC ID: 9537416144 Enrollment ID: I20210803002242 |
| Provider Name | Carlye Reichert |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1063945236 PECOS PAC ID: 7810261815 Enrollment ID: I20210804004243 |
| Provider Name | Frances Norene Lein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841864188 PECOS PAC ID: 9537563051 Enrollment ID: I20210805002287 |
| Provider Name | Heather Marie Hodkiewicz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932771714 PECOS PAC ID: 5294130977 Enrollment ID: I20210818001590 |
| Provider Name | Rebecca Taulbee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144521063 PECOS PAC ID: 0345420675 Enrollment ID: I20210820001656 |
| Provider Name | Joyce R Philip |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1235524406 PECOS PAC ID: 6406163039 Enrollment ID: I20210823000031 |
| Provider Name | Nickolas T Linkous |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1285015834 PECOS PAC ID: 9335450014 Enrollment ID: I20210823000479 |
| Provider Name | Alyssa Rose Forslin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730756909 PECOS PAC ID: 7618372608 Enrollment ID: I20210830002158 |
| Provider Name | Morgan Renae Koffke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487220042 PECOS PAC ID: 5991101099 Enrollment ID: I20210914002656 |
| Provider Name | Joseph N Kuchler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275202624 PECOS PAC ID: 1153728951 Enrollment ID: I20210921003096 |
| Provider Name | Shayna L Stoop |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508532565 PECOS PAC ID: 3375941958 Enrollment ID: I20211012002699 |
| Provider Name | Abisoye A Adebayo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942720727 PECOS PAC ID: 2860762192 Enrollment ID: I20211020000898 |
| Provider Name | Trisha Loehrke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023782356 PECOS PAC ID: 1557759651 Enrollment ID: I20211021002728 |
| Provider Name | Daniel Galban |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215432661 PECOS PAC ID: 4284036153 Enrollment ID: I20211026000099 |
| Provider Name | Carol Schermer |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1114952520 PECOS PAC ID: 4183654148 Enrollment ID: I20211105001646 |
| Provider Name | Catherine A Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952971285 PECOS PAC ID: 7012306962 Enrollment ID: I20211115001123 |
| Provider Name | Patrick D Terry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659806255 PECOS PAC ID: 6800207754 Enrollment ID: I20211130002097 |
| Provider Name | Sarah Elizabeth Bauwens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881350759 PECOS PAC ID: 1850781717 Enrollment ID: I20211208001182 |
| Provider Name | Oleg Chebotarev |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1780647552 PECOS PAC ID: 4284626631 Enrollment ID: I20211222001413 |
| Provider Name | Debra Kay Degroot |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225707953 PECOS PAC ID: 1951792167 Enrollment ID: I20211223000732 |
| Provider Name | Bentley Thomason |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699112482 PECOS PAC ID: 7618258526 Enrollment ID: I20220112001007 |
| Provider Name | Ann M Hefter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003584145 PECOS PAC ID: 6507258175 Enrollment ID: I20220112001197 |
| Provider Name | Leah Karaliunas-kempen |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1831569979 PECOS PAC ID: 9133511660 Enrollment ID: I20220113000926 |
| Provider Name | Kristen M Kelly-williams |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1659532265 PECOS PAC ID: 6305093873 Enrollment ID: I20220121001539 |
| Provider Name | Sara Marie Staffeldt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871264713 PECOS PAC ID: 0042603854 Enrollment ID: I20220131000572 |
| Provider Name | Umer Saleem |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1376626085 PECOS PAC ID: 3375542137 Enrollment ID: I20220207001529 |
| Provider Name | Stephanie Ann Stoegbauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689332835 PECOS PAC ID: 4082008925 Enrollment ID: I20220218001392 |
| Provider Name | Bo Carl Leung |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1932635539 PECOS PAC ID: 4688087513 Enrollment ID: I20220221001176 |
| Provider Name | Michele Meszaros |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740207661 PECOS PAC ID: 2567857287 Enrollment ID: I20220316001399 |
| Provider Name | Nicole Lee Ruske |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750721148 PECOS PAC ID: 3375869225 Enrollment ID: I20220318001539 |
| Provider Name | Madhavi Reddy Cherukula |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265847396 PECOS PAC ID: 6204107089 Enrollment ID: I20220405002269 |
| Provider Name | Julie Ann Markowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760135289 PECOS PAC ID: 6608263256 Enrollment ID: I20220428001705 |
| Provider Name | Ryan B Dick-perez |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1982962783 PECOS PAC ID: 7719295872 Enrollment ID: I20220614000988 |
| Provider Name | Zoua Yang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033883509 PECOS PAC ID: 1456730837 Enrollment ID: I20220615000090 |
| Provider Name | Megan E Mclean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154779106 PECOS PAC ID: 4981995644 Enrollment ID: I20220629000341 |
| Provider Name | Mac Roman Weninger |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1114422359 PECOS PAC ID: 5395094098 Enrollment ID: I20220707003724 |
| Provider Name | Christopher Lynch |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1710474879 PECOS PAC ID: 5395070411 Enrollment ID: I20220712000667 |
| Provider Name | Christina Brooks |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1609307958 PECOS PAC ID: 1951782879 Enrollment ID: I20220722001521 |
| Provider Name | Christopher Weirtz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447630595 PECOS PAC ID: 3375925225 Enrollment ID: I20220809001989 |
| Provider Name | Katie Boerst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154067239 PECOS PAC ID: 3577946938 Enrollment ID: I20220817002153 |
| Provider Name | Lisa Kaiser |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1508811738 PECOS PAC ID: 6709810302 Enrollment ID: I20220822001054 |
| Provider Name | Trevor D Argall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467915942 PECOS PAC ID: 5496138604 Enrollment ID: I20220822001904 |
| Provider Name | Gina Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740740893 PECOS PAC ID: 6305229402 Enrollment ID: I20220823002533 |
| Provider Name | Ramakant Sharma |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1013137918 PECOS PAC ID: 7618162249 Enrollment ID: I20220831001324 |
| Provider Name | Hany Shokry Shenouda |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1346232246 PECOS PAC ID: 4789610361 Enrollment ID: I20220831002976 |
| Provider Name | James E Starr |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245292549 PECOS PAC ID: 6002700283 Enrollment ID: I20220906003011 |
| Provider Name | Michael J Ziegele |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1831553825 PECOS PAC ID: 5395008924 Enrollment ID: I20220912000643 |
| Provider Name | Andrew C Pfaffenbach |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740654862 PECOS PAC ID: 6406231315 Enrollment ID: I20220913003235 |
| Provider Name | Saif Anwaruddin |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1275658114 PECOS PAC ID: 4587788054 Enrollment ID: I20220923001258 |
| Provider Name | Chelsea Leigh Kohlbeck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396464434 PECOS PAC ID: 8325424302 Enrollment ID: I20220928001312 |
| Provider Name | Avery J Allard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154057214 PECOS PAC ID: 9436535424 Enrollment ID: I20220928001772 |
| Provider Name | Mina H Iskander |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1639584832 PECOS PAC ID: 4688970213 Enrollment ID: I20220928002663 |
| Provider Name | Huitzilin Mauricio Olmecah |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1821181553 PECOS PAC ID: 9638277239 Enrollment ID: I20220930000651 |
| Provider Name | Nicole A Wagaman |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1689011405 PECOS PAC ID: 8820229222 Enrollment ID: I20221004002377 |
| Provider Name | Jennifer M Sonnentag |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992427686 PECOS PAC ID: 4082090550 Enrollment ID: I20221006001768 |
| Provider Name | Stacie A Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326769498 PECOS PAC ID: 2365818176 Enrollment ID: I20221019002645 |
| Provider Name | Thaslim Kassim |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1518116680 PECOS PAC ID: 1456502590 Enrollment ID: I20221024001286 |
| Provider Name | Torri Franz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164155339 PECOS PAC ID: 1850768292 Enrollment ID: I20221027002565 |
| Provider Name | Danielle Annette Danforth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245961432 PECOS PAC ID: 1759758790 Enrollment ID: I20221104001219 |
| Provider Name | Rebecca L Sirna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548983281 PECOS PAC ID: 3678940343 Enrollment ID: I20221109001690 |
| Provider Name | Henry Osso-rivera |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1942557863 PECOS PAC ID: 5991125981 Enrollment ID: I20221110002622 |
| Provider Name | Mikayla Marie Unger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255058004 PECOS PAC ID: 4880061308 Enrollment ID: I20221111002065 |
| Provider Name | Keelyn M Wallenfang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669198313 PECOS PAC ID: 9234507609 Enrollment ID: I20221116002700 |
| Provider Name | Madison Marie Stern |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780301416 PECOS PAC ID: 0143698795 Enrollment ID: I20221201002693 |
| Provider Name | Leah R Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710600317 PECOS PAC ID: 4789053299 Enrollment ID: I20221205003102 |
| Provider Name | Jamie Lauren Bauer Heise |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942926134 PECOS PAC ID: 3274902739 Enrollment ID: I20221206001931 |
| Provider Name | Patricia Rubin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1942244520 PECOS PAC ID: 9638061765 Enrollment ID: I20221207000570 |
| Provider Name | Ashley Erin Crowe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043927833 PECOS PAC ID: 0648649681 Enrollment ID: I20221213002704 |
| Provider Name | Syed M Imam |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699202408 PECOS PAC ID: 8527339514 Enrollment ID: I20221216000693 |
| Provider Name | Emily Beyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720795313 PECOS PAC ID: 9234508078 Enrollment ID: I20221216002200 |
| Provider Name | Jessica Rice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255058897 PECOS PAC ID: 0840669693 Enrollment ID: I20221216002368 |
| Provider Name | Suzanne Nadra Havican |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235368309 PECOS PAC ID: 2264626407 Enrollment ID: I20221219001518 |
| Provider Name | Travis John La Barre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598474108 PECOS PAC ID: 8123497815 Enrollment ID: I20221220002314 |
| Provider Name | Maria Hanneman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366859977 PECOS PAC ID: 8325269475 Enrollment ID: I20221228002250 |
| Provider Name | Lindsay Lee Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598474314 PECOS PAC ID: 0547631855 Enrollment ID: I20230125000608 |
| Provider Name | Christy Lingnofski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841901949 PECOS PAC ID: 5698146827 Enrollment ID: I20230125001908 |
| Provider Name | Jeffrey Lee Steffen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104487024 PECOS PAC ID: 6406228139 Enrollment ID: I20230207000543 |
| Provider Name | Stella Macharia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114630183 PECOS PAC ID: 8123490869 Enrollment ID: I20230207001082 |
| Provider Name | Douglas S Bell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548750284 PECOS PAC ID: 9335565779 Enrollment ID: I20230208002455 |
| Provider Name | Prasanna Kumar Reddy Tadi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1689962441 PECOS PAC ID: 3678791241 Enrollment ID: I20230222001931 |
| Provider Name | Hillary Schultz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699471029 PECOS PAC ID: 3779956941 Enrollment ID: I20230309000311 |
| Provider Name | D'ann Arthur |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1285049890 PECOS PAC ID: 5597187906 Enrollment ID: I20230310000726 |
| Provider Name | Cherie Jarolimek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700162765 PECOS PAC ID: 5991970360 Enrollment ID: I20230315002295 |
| Provider Name | Mariareve Rucinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124084355 PECOS PAC ID: 7517331713 Enrollment ID: I20230329000761 |
| Provider Name | Ifeanyi Iwuchukwu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215169974 PECOS PAC ID: 6608056312 Enrollment ID: I20230428000587 |
| Provider Name | David Blackwell Jessup |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1477502136 PECOS PAC ID: 0042207219 Enrollment ID: I20230429000071 |
| Provider Name | Don Fontana |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1124003421 PECOS PAC ID: 7113116955 Enrollment ID: I20230429000311 |
| Provider Name | Derek Phan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1598184244 PECOS PAC ID: 1355612136 Enrollment ID: I20230509001908 |
| Provider Name | Jamaluddin Saeed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144858762 PECOS PAC ID: 2264898667 Enrollment ID: I20230509001921 |
| Provider Name | Robert Niedermeyer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1629460746 PECOS PAC ID: 3577864479 Enrollment ID: I20230510000877 |
| Provider Name | John Park |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811255268 PECOS PAC ID: 7416264866 Enrollment ID: I20230522002811 |
| Provider Name | Andrew H Goldstein |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1518951284 PECOS PAC ID: 4385629062 Enrollment ID: I20230622000527 |
| Provider Name | Elizabeth Sue Hietpas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962193508 PECOS PAC ID: 5496114746 Enrollment ID: I20230705000200 |
| Provider Name | Andrew Dunn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093078420 PECOS PAC ID: 2567680598 Enrollment ID: I20230710001456 |
| Provider Name | Briana Zoe Mcauly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366132193 PECOS PAC ID: 9335509678 Enrollment ID: I20230718001249 |
| Provider Name | Amina Adil |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1336482314 PECOS PAC ID: 7911206461 Enrollment ID: I20230718001714 |
| Provider Name | Joseph Arthur Mayefski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992489843 PECOS PAC ID: 2769843671 Enrollment ID: I20230725001956 |
| Provider Name | Firas R Karmo |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1679673289 PECOS PAC ID: 5294724415 Enrollment ID: I20230725003729 |
| Provider Name | Ifeoma Victoria Oriaku |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417319526 PECOS PAC ID: 6901131812 Enrollment ID: I20230725004071 |
| Provider Name | Seth L Mcintire |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891255857 PECOS PAC ID: 3072840156 Enrollment ID: I20230726001522 |
| Provider Name | Emily Ann Wolfe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407531056 PECOS PAC ID: 5193186518 Enrollment ID: I20230802000936 |
| Provider Name | Yitzchok Greenberg |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1538587928 PECOS PAC ID: 5799182820 Enrollment ID: I20230803002989 |
| Provider Name | Chelsea Marie Wellens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821773011 PECOS PAC ID: 5597126532 Enrollment ID: I20230807002723 |
| Provider Name | Ahmed Rashed |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1851656755 PECOS PAC ID: 3274837661 Enrollment ID: I20230809000533 |
| Provider Name | Courtney K Mcclintic |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467080739 PECOS PAC ID: 3577925346 Enrollment ID: I20230810000965 |
| Provider Name | Maria Victoria Recio-restrepo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245214766 PECOS PAC ID: 9931122835 Enrollment ID: I20230814002413 |
| Provider Name | Tyler Wolf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205524220 PECOS PAC ID: 5193187797 Enrollment ID: I20230814003687 |
| Provider Name | Kristi Ann Skrinska |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891471009 PECOS PAC ID: 2961864566 Enrollment ID: I20230814003892 |
| Provider Name | Becky J Aus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639854052 PECOS PAC ID: 2365804713 Enrollment ID: I20230816002711 |
| Provider Name | Robert D Brooks |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1619472834 PECOS PAC ID: 9133463847 Enrollment ID: I20230821000864 |
| Provider Name | Anas Alakkam |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972036630 PECOS PAC ID: 0345519419 Enrollment ID: I20230821001230 |
| Provider Name | Mark Cockley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669456422 PECOS PAC ID: 2163336645 Enrollment ID: I20230823000448 |
| Provider Name | Jessica A Grant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255018370 PECOS PAC ID: 4880057868 Enrollment ID: I20230823002556 |
| Provider Name | Nikola Marko Dobrasevic |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1336358787 PECOS PAC ID: 2567643851 Enrollment ID: I20230831004511 |
| Provider Name | Amber Nusz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326724683 PECOS PAC ID: 0840653234 Enrollment ID: I20230901000874 |
| Provider Name | Mark Norris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356979231 PECOS PAC ID: 7810373909 Enrollment ID: I20230901003012 |
| Provider Name | Zulfiqar A Turk |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972794014 PECOS PAC ID: 8628233194 Enrollment ID: I20230906001309 |
| Provider Name | Jacob Gorney |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760001150 PECOS PAC ID: 8022434885 Enrollment ID: I20230911003484 |
| Provider Name | Nicole Lynn Augsburger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326729666 PECOS PAC ID: 8921462649 Enrollment ID: I20230914000764 |
| Provider Name | Heather Ann Gallant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912692872 PECOS PAC ID: 1355795410 Enrollment ID: I20230925001017 |
| Provider Name | Angela K Amos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295363554 PECOS PAC ID: 7517348956 Enrollment ID: I20230926002638 |
| Provider Name | Joshua R Gorney |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306465794 PECOS PAC ID: 0143646992 Enrollment ID: I20230929001402 |
| Provider Name | Qaiser Toqeer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093079048 PECOS PAC ID: 3173764446 Enrollment ID: I20231004003130 |
| Provider Name | Samuel Beschta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881277549 PECOS PAC ID: 1951774660 Enrollment ID: I20231005002980 |
| Provider Name | Reena Motwani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831704451 PECOS PAC ID: 0840645073 Enrollment ID: I20231009001375 |
| Provider Name | Hillary D Busch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437830627 PECOS PAC ID: 8628423761 Enrollment ID: I20231010003551 |
| Provider Name | Tierra Janay Simmons |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306306006 PECOS PAC ID: 5496100117 Enrollment ID: I20231016000842 |
| Provider Name | Joann Tart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548293103 PECOS PAC ID: 9032151378 Enrollment ID: I20231016001042 |
| Provider Name | Jonathan William Marin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1104600824 PECOS PAC ID: 8729434139 Enrollment ID: I20231020001964 |
| Provider Name | Ajay Labroo |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1831199371 PECOS PAC ID: 7416924279 Enrollment ID: I20231023001419 |
| Provider Name | Glenn Vogelsang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538245642 PECOS PAC ID: 6103811302 Enrollment ID: I20231023002924 |
| Provider Name | Marisa Kreuzer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205467800 PECOS PAC ID: 4688001951 Enrollment ID: I20231031002849 |
| Provider Name | Jason R Jean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881605327 PECOS PAC ID: 5092786517 Enrollment ID: I20231102000217 |
| Provider Name | Mohamed Hassan Abdelazim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760266696 PECOS PAC ID: 0345697900 Enrollment ID: I20231103002704 |
| Provider Name | Jai Lee |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1861467037 PECOS PAC ID: 1355243114 Enrollment ID: I20231107001901 |
| Provider Name | Alaina Michelle Tanck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427832286 PECOS PAC ID: 1951758259 Enrollment ID: I20231108001210 |
| Provider Name | Katie Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851074637 PECOS PAC ID: 4880041193 Enrollment ID: I20231108001653 |
| Provider Name | Kelley Lynn Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205610862 PECOS PAC ID: 0042667222 Enrollment ID: I20231109000997 |
| Provider Name | Anup K Lahiry |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1083694954 PECOS PAC ID: 0840283925 Enrollment ID: I20231109002148 |
| Provider Name | Mbonu N Ikezuagu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871721696 PECOS PAC ID: 8527223858 Enrollment ID: I20231116000594 |
| Provider Name | Adam Rizvi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841551355 PECOS PAC ID: 1456657451 Enrollment ID: I20231116002241 |
| Provider Name | Appaji Rayi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184930133 PECOS PAC ID: 4981915824 Enrollment ID: I20231117002413 |
| Provider Name | Michaela N James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114610706 PECOS PAC ID: 4587012216 Enrollment ID: I20231119000088 |
| Provider Name | Jamilynn Y Blachowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497534036 PECOS PAC ID: 0941658611 Enrollment ID: I20231120001212 |
| Provider Name | Crystal Sommerfeld |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083490239 PECOS PAC ID: 6901254507 Enrollment ID: I20231120002968 |
| Provider Name | Stephanie Frances Samson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164207346 PECOS PAC ID: 0648628909 Enrollment ID: I20231127002261 |
| Provider Name | Smita Indrasingh Negi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1447446844 PECOS PAC ID: 0446515589 Enrollment ID: I20231129002517 |
| Provider Name | Kalyan Sajja |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1346682861 PECOS PAC ID: 1052542347 Enrollment ID: I20231207001766 |
| Provider Name | Brittany N Vanden Heuvel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881103893 PECOS PAC ID: 5193174654 Enrollment ID: I20231208001483 |
| Provider Name | Jason R Sebesto |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1861786246 PECOS PAC ID: 0749416238 Enrollment ID: I20231208002478 |
| Provider Name | Cara M Benner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245003805 PECOS PAC ID: 3870942741 Enrollment ID: I20231218002722 |
| Provider Name | Jennifer Minor |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1851745103 PECOS PAC ID: 8022370063 Enrollment ID: I20231220002656 |
| Provider Name | Natalie Elizabeth Hartfiel |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831782697 PECOS PAC ID: 1557711066 Enrollment ID: I20231226001147 |
| Provider Name | Christine M Hansen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104930940 PECOS PAC ID: 0840640132 Enrollment ID: I20231228003059 |
| Provider Name | Anne T Cahill |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1326066036 PECOS PAC ID: 5092711465 Enrollment ID: I20240104003050 |
| Provider Name | Ameer Kabour |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1861485104 PECOS PAC ID: 1254326606 Enrollment ID: I20240108004117 |
| Provider Name | Angela M Gurlik |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578707709 PECOS PAC ID: 3971954280 Enrollment ID: I20240111001758 |
| Provider Name | Jeanine Rae Rysewyk |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457999104 PECOS PAC ID: 6608228721 Enrollment ID: I20240113000819 |
| Provider Name | Elizabeth A Altenbern |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225483977 PECOS PAC ID: 8123470267 Enrollment ID: I20240115000186 |
| Provider Name | Lisa Bredael |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003978859 PECOS PAC ID: 1658723739 Enrollment ID: I20240115001544 |
| Provider Name | Korah Lee Petrasko |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346741345 PECOS PAC ID: 9133571193 Enrollment ID: I20240116002116 |
| Provider Name | Mark A Stahl |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1760567184 PECOS PAC ID: 2163664004 Enrollment ID: I20240116002348 |
| Provider Name | Oluwaseun Adetayo |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1710190285 PECOS PAC ID: 6507029444 Enrollment ID: I20240117002754 |
| Provider Name | Samantha M Raboin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316713787 PECOS PAC ID: 9537511258 Enrollment ID: I20240118002267 |
| Provider Name | Ashley Thomas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376108134 PECOS PAC ID: 1456769744 Enrollment ID: I20240122003882 |
| Provider Name | Abdul-wahab Shararah |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1912393315 PECOS PAC ID: 1557632924 Enrollment ID: I20240123000789 |
| Provider Name | Ann Hulme |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1124402920 PECOS PAC ID: 6103133632 Enrollment ID: I20240123000866 |
| Provider Name | Jennifer A Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073279816 PECOS PAC ID: 4486044047 Enrollment ID: I20240123001921 |
| Provider Name | Farah Hashemi |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1790893881 PECOS PAC ID: 4981684644 Enrollment ID: I20240126000552 |
| Provider Name | Kara L Palasz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1144682964 PECOS PAC ID: 4880047240 Enrollment ID: I20240201001879 |
| Provider Name | Andrea Lynn Von Aragon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740060797 PECOS PAC ID: 9537502117 Enrollment ID: I20240212000164 |
| Provider Name | Abdul A Mazin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1477500056 PECOS PAC ID: 0749352268 Enrollment ID: I20240212000196 |
| Provider Name | Michelle A Hastings |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053603696 PECOS PAC ID: 5092158568 Enrollment ID: I20240212003309 |
| Provider Name | Stephen Umhoefer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558017103 PECOS PAC ID: 3274977814 Enrollment ID: I20240222000231 |
| Provider Name | James Leschke |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851822233 PECOS PAC ID: 3678952769 Enrollment ID: I20240223002156 |
| Provider Name | Rachel L Bresler |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841544285 PECOS PAC ID: 8022453554 Enrollment ID: I20240223003052 |
| Provider Name | Melissa A Schmidt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568018604 PECOS PAC ID: 5890130272 Enrollment ID: I20240226000123 |
| Provider Name | Michele K Moldenhauer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386947646 PECOS PAC ID: 5698110070 Enrollment ID: I20240226000173 |
| Provider Name | Michelle Lynn Delorey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699137349 PECOS PAC ID: 0941645329 Enrollment ID: I20240226000210 |
| Provider Name | Nola D Stanley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861838880 PECOS PAC ID: 5395180772 Enrollment ID: I20240226000261 |
| Provider Name | Kim D Prusha |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114223542 PECOS PAC ID: 9739524935 Enrollment ID: I20240227004184 |
| Provider Name | Fayyaz Hashmi |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1790757847 PECOS PAC ID: 5193788446 Enrollment ID: I20240312000813 |
| Provider Name | Cassandra Evon Weisnicht |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639948466 PECOS PAC ID: 3779929880 Enrollment ID: I20240312001602 |
| Provider Name | Brian Bruggeman |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1356344626 PECOS PAC ID: 6305937392 Enrollment ID: I20240314000372 |
| Provider Name | Anna Lee Nushart |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1124797188 PECOS PAC ID: 3274979182 Enrollment ID: I20240314001256 |
| Provider Name | Kevin Daniel Sheier |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1760568992 PECOS PAC ID: 7416393186 Enrollment ID: I20240315003356 |
Ascension Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1420 Algoma St, New London, WI 54961 Phone: 920-982-8300 | |
Brian L Van Hoozen, D.o. S.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1505 Mill St, New London, WI 54961 Phone: 920-982-7900 Fax: 920-982-7995 | |
Integrity Medical Group, S.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1370 N. Shawano St, Ste A, New London, WI 54961 Phone: 920-531-1100 Fax: 920-531-8310 | |
Brian Van Hoozen Do Sc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1505 Mill St, New London, WI 54961 Phone: 920-982-7900 Fax: 920-982-7995 |