| Tidewater Physicians Multispecialty Group Pc | |
|
860 Omni Blvd Ste 401 Newport News VA 23606-4430 | |
| (757) 232-8764 | |
| Not Available |
| Full Name | Tidewater Physicians Multispecialty Group Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 860 Omni Blvd Ste 401, Newport News, Virginia |
| Authorized Official Name and Position | Angela Walker (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 7572328769 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tidewater Physicians Multispecialty Group Pc 860 Omni Blvd Ste 128 Newport News VA 23606-4483 Ph: (757) 232-8769 | Tidewater Physicians Multispecialty Group Pc 860 Omni Blvd Ste 401 Newport News VA 23606-4430 Ph: (757) 232-8764 |
| NPI Number | 1902848294 |
|---|---|
| Provider Enumeration Date | 06/12/2006 |
| Last Update Date | 12/15/2023 |
| Medicare PECOS PAC ID | 2860398526 |
|---|---|
| Medicare Enrollment ID | O20031211000980 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902848294 | NPI | - | NPPES |
| CA6708 | Other | VA | RAILROAD MEDICARE |
| Provider Name | Steven Hopson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1437155165 PECOS PAC ID: 0547166217 Enrollment ID: I20031211001005 |
| Provider Name | Anne Nicholson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669484994 PECOS PAC ID: 1759288285 Enrollment ID: I20031215000158 |
| Provider Name | Lisa R Cash |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487635181 PECOS PAC ID: 1850290396 Enrollment ID: I20040105000399 |
| Provider Name | Keith Taylor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356322333 PECOS PAC ID: 8527953926 Enrollment ID: I20040216000819 |
| Provider Name | Kenneth B Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033158340 PECOS PAC ID: 6709876550 Enrollment ID: I20040514000245 |
| Provider Name | Pranav H Parikh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821064544 PECOS PAC ID: 6103722665 Enrollment ID: I20040526001155 |
| Provider Name | Christian W Mosemann |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992759799 PECOS PAC ID: 4385625854 Enrollment ID: I20040528001217 |
| Provider Name | James J Neiman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1902868128 PECOS PAC ID: 5193700631 Enrollment ID: I20040621000368 |
| Provider Name | Carla Patrice Perry |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154417699 PECOS PAC ID: 0749266526 Enrollment ID: I20040624001085 |
| Provider Name | Ann Marie Defiglio-smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265422570 PECOS PAC ID: 9032170923 Enrollment ID: I20041025000040 |
| Provider Name | Cheryl Ann Wray |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1356383558 PECOS PAC ID: 9234192923 Enrollment ID: I20041104000126 |
| Provider Name | Katharine M Van Slyke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609020973 PECOS PAC ID: 0749244556 Enrollment ID: I20041112000011 |
| Provider Name | Caroline K Han |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750328258 PECOS PAC ID: 1658335476 Enrollment ID: I20041112000026 |
| Provider Name | William Beneke |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1023164522 PECOS PAC ID: 5294714895 Enrollment ID: I20041115000532 |
| Provider Name | Glenn Rauchwarg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851366959 PECOS PAC ID: 3173581758 Enrollment ID: I20041229000467 |
| Provider Name | Yolanda Pearson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1346246311 PECOS PAC ID: 5395794226 Enrollment ID: I20050119000022 |
| Provider Name | Thomas B. Hoag |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356316640 PECOS PAC ID: 2466403076 Enrollment ID: I20050201000440 |
| Provider Name | Itrish J Scott Brown |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750501979 PECOS PAC ID: 1153372453 Enrollment ID: I20050203000619 |
| Provider Name | Geoffrey B Kostiner |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1235123530 PECOS PAC ID: 2163476185 Enrollment ID: I20050311000317 |
| Provider Name | Laura Cordes |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609860998 PECOS PAC ID: 8325094030 Enrollment ID: I20050325000291 |
| Provider Name | Sherita K Edwards |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1962594259 PECOS PAC ID: 4587604939 Enrollment ID: I20050505000424 |
| Provider Name | Gloria Jackson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235123423 PECOS PAC ID: 5698715639 Enrollment ID: I20050509000878 |
| Provider Name | Nzinga Z Teule Hekima |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851399901 PECOS PAC ID: 4587608013 Enrollment ID: I20050615001013 |
| Provider Name | Patricia F N Mayes |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851363147 PECOS PAC ID: 4183669526 Enrollment ID: I20050624001120 |
| Provider Name | Mark W Newman |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1871767459 PECOS PAC ID: 4880622679 Enrollment ID: I20050802001066 |
| Provider Name | Jeffrey G Blanchard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720079742 PECOS PAC ID: 1759310311 Enrollment ID: I20050804000691 |
| Provider Name | Jana C Nussen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528004371 PECOS PAC ID: 0244269082 Enrollment ID: I20050811000525 |
| Provider Name | Jeffrey D Moore |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1023099702 PECOS PAC ID: 6406832633 Enrollment ID: I20050901000801 |
| Provider Name | Eric M Byman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962457275 PECOS PAC ID: 7911924253 Enrollment ID: I20051026000993 |
| Provider Name | Charlotte A Moore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275512360 PECOS PAC ID: 4284655960 Enrollment ID: I20051208000988 |
| Provider Name | Valerie M Harvey |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1427027978 PECOS PAC ID: 5698796704 Enrollment ID: I20051215000724 |
| Provider Name | Anthony J Derosa |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1235134214 PECOS PAC ID: 6103849302 Enrollment ID: I20060112000966 |
| Provider Name | Eric J Simko |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1245201367 PECOS PAC ID: 3173535010 Enrollment ID: I20060615000136 |
| Provider Name | Sanford Kent Marcuson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710952676 PECOS PAC ID: 6507760683 Enrollment ID: I20060714000192 |
| Provider Name | Patricia L Marcuson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609841485 PECOS PAC ID: 5991609075 Enrollment ID: I20060721000066 |
| Provider Name | Kimberley W Gipson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790733830 PECOS PAC ID: 6305841628 Enrollment ID: I20060920000223 |
| Provider Name | Fred N Thomas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518958420 PECOS PAC ID: 8022013689 Enrollment ID: I20061003000657 |
| Provider Name | Ronald H Post |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1639121437 PECOS PAC ID: 1557360419 Enrollment ID: I20061204000525 |
| Provider Name | Cheryl Lyda D Almirante |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1245329804 PECOS PAC ID: 0941282230 Enrollment ID: I20070223000279 |
| Provider Name | Brad E Skelding |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861597692 PECOS PAC ID: 1850496464 Enrollment ID: I20070410000314 |
| Provider Name | Pierre Thomas Martin |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1225010143 PECOS PAC ID: 5395636054 Enrollment ID: I20070430000472 |
| Provider Name | Anita Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982745840 PECOS PAC ID: 3779516760 Enrollment ID: I20070511000303 |
| Provider Name | Ramon A Matawaran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467427773 PECOS PAC ID: 7416058219 Enrollment ID: I20070724000299 |
| Provider Name | Sharon H Rhodes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043391824 PECOS PAC ID: 4385736875 Enrollment ID: I20070829000202 |
| Provider Name | Amudaha Palani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952428682 PECOS PAC ID: 8224121942 Enrollment ID: I20070911000289 |
| Provider Name | Nicholas A Smerlis |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1376673103 PECOS PAC ID: 0042306540 Enrollment ID: I20071015000211 |
| Provider Name | Joy Marie Gianvittorio |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285609768 PECOS PAC ID: 9335030527 Enrollment ID: I20080104000441 |
| Provider Name | Barbara A Garner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881885499 PECOS PAC ID: 5395827497 Enrollment ID: I20080129000151 |
| Provider Name | Frank Harrison Huffman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467443549 PECOS PAC ID: 9234212176 Enrollment ID: I20080214000588 |
| Provider Name | Benjamin R Proto |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1073506291 PECOS PAC ID: 0749364388 Enrollment ID: I20080221000159 |
| Provider Name | Rebecca A Erlich |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245312859 PECOS PAC ID: 1850476524 Enrollment ID: I20080306000108 |
| Provider Name | Cynthia C Romero |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376659300 PECOS PAC ID: 9335218643 Enrollment ID: I20080513000198 |
| Provider Name | Marie Annette Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780887091 PECOS PAC ID: 1557430402 Enrollment ID: I20080519000049 |
| Provider Name | Scott Edward Colton |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1447421466 PECOS PAC ID: 1759451966 Enrollment ID: I20080530000324 |
| Provider Name | Christopher A Dawson |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1003028812 PECOS PAC ID: 8729158779 Enrollment ID: I20080602000917 |
| Provider Name | Jason P Browder |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821135443 PECOS PAC ID: 9335210368 Enrollment ID: I20080619000270 |
| Provider Name | Jeremy W Baldwin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780750885 PECOS PAC ID: 0244301109 Enrollment ID: I20080619000676 |
| Provider Name | Mohamed B El-safadi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1679750657 PECOS PAC ID: 2961573555 Enrollment ID: I20080625000734 |
| Provider Name | Jeffrey A Vandesand |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972712115 PECOS PAC ID: 2264506021 Enrollment ID: I20080729000211 |
| Provider Name | Apostolos I Hiotellis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831390822 PECOS PAC ID: 2163599986 Enrollment ID: I20080920000182 |
| Provider Name | Subramanian Malaisamy |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1861698185 PECOS PAC ID: 4880752393 Enrollment ID: I20081027000607 |
| Provider Name | Teresa X Tan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316149214 PECOS PAC ID: 3870652019 Enrollment ID: I20081103000740 |
| Provider Name | Linda Gp Schneider |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699711242 PECOS PAC ID: 8921162074 Enrollment ID: I20090204000271 |
| Provider Name | Caroline R Triepel |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1952348252 PECOS PAC ID: 7214903913 Enrollment ID: I20090319000598 |
| Provider Name | Ricardo Moscoso |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1376599316 PECOS PAC ID: 5890842892 Enrollment ID: I20090408000574 |
| Provider Name | Saunora V Prom |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1619179363 PECOS PAC ID: 8921155334 Enrollment ID: I20090421000659 |
| Provider Name | Jennifer L Mclean |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730169541 PECOS PAC ID: 9335172790 Enrollment ID: I20090612000504 |
| Provider Name | Ahmed Amini |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1053528307 PECOS PAC ID: 7719052778 Enrollment ID: I20090806000022 |
| Provider Name | Matthew V Backens |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972766996 PECOS PAC ID: 6608920541 Enrollment ID: I20090812000442 |
| Provider Name | Elena Viterbo-noble |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992802722 PECOS PAC ID: 3971697723 Enrollment ID: I20090818000173 |
| Provider Name | David M Hartke |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1972706356 PECOS PAC ID: 1850464546 Enrollment ID: I20090820000314 |
| Provider Name | Matthew A Hopson |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1164692877 PECOS PAC ID: 6800940065 Enrollment ID: I20090821000624 |
| Provider Name | Katherine M Devries |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689875346 PECOS PAC ID: 2163577792 Enrollment ID: I20090903000585 |
| Provider Name | Megan L Buckley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174625123 PECOS PAC ID: 1456359421 Enrollment ID: I20090904000420 |
| Provider Name | Sinclair B Mccracken |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689631707 PECOS PAC ID: 6901946516 Enrollment ID: I20091211000523 |
| Provider Name | Amit D Patel |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1699944314 PECOS PAC ID: 1456492297 Enrollment ID: I20091230000654 |
| Provider Name | William E Brown |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073715736 PECOS PAC ID: 9133262983 Enrollment ID: I20100202000908 |
| Provider Name | Harriett Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073559407 PECOS PAC ID: 2961431705 Enrollment ID: I20100216000304 |
| Provider Name | John V Nixon |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1841305109 PECOS PAC ID: 5092859280 Enrollment ID: I20100226000046 |
| Provider Name | Joanne L Christie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447256185 PECOS PAC ID: 1456487644 Enrollment ID: I20100326000508 |
| Provider Name | Christopher Ciccone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659377356 PECOS PAC ID: 5698801777 Enrollment ID: I20100327000620 |
| Provider Name | Mark Winters |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144201062 PECOS PAC ID: 8628104742 Enrollment ID: I20100329000425 |
| Provider Name | Jesus L Lizarzaburu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861490682 PECOS PAC ID: 3971639097 Enrollment ID: I20100329000452 |
| Provider Name | Allen Fenderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205832979 PECOS PAC ID: 2860528999 Enrollment ID: I20100329000477 |
| Provider Name | Charles Seager |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366442634 PECOS PAC ID: 9335275486 Enrollment ID: I20100329000663 |
| Provider Name | Eric Darby |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1104822865 PECOS PAC ID: 6204962293 Enrollment ID: I20100329001110 |
| Provider Name | Kent E Willyard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023009214 PECOS PAC ID: 9739215732 Enrollment ID: I20100330000032 |
| Provider Name | Michael B Potter |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1730189077 PECOS PAC ID: 6406982420 Enrollment ID: I20100330000210 |
| Provider Name | Jeffrey D Morrison |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942281985 PECOS PAC ID: 5698801520 Enrollment ID: I20100330001359 |
| Provider Name | John P Bryant |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952308249 PECOS PAC ID: 5496882805 Enrollment ID: I20100416000031 |
| Provider Name | Donald D Carver |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841296571 PECOS PAC ID: 4688701972 Enrollment ID: I20100419000202 |
| Provider Name | Pamela M Capps |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285630913 PECOS PAC ID: 5193852499 Enrollment ID: I20100419000250 |
| Provider Name | Elizabeth Cooper |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275579617 PECOS PAC ID: 0143358580 Enrollment ID: I20100505001080 |
| Provider Name | Sarah Younger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881630291 PECOS PAC ID: 6406984731 Enrollment ID: I20100507000074 |
| Provider Name | Richard A Parisi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1104813765 PECOS PAC ID: 2163455437 Enrollment ID: I20100511000624 |
| Provider Name | Dorcas A Zuniga |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497700488 PECOS PAC ID: 0244369163 Enrollment ID: I20100602000180 |
| Provider Name | Suellen Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275758203 PECOS PAC ID: 8426180456 Enrollment ID: I20100709000534 |
| Provider Name | Ann P Zilliox |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1841284650 PECOS PAC ID: 1759413990 Enrollment ID: I20100723000111 |
| Provider Name | Karen M Hart |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396784674 PECOS PAC ID: 8123151750 Enrollment ID: I20100803001302 |
| Provider Name | Alex Zawoloka |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750544144 PECOS PAC ID: 0143354159 Enrollment ID: I20100812000765 |
| Provider Name | Patricia K Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780901132 PECOS PAC ID: 6507990975 Enrollment ID: I20100820000467 |
| Provider Name | Aleisha J Johnson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427251073 PECOS PAC ID: 5193840890 Enrollment ID: I20100918000075 |
| Provider Name | Jonathan David Eisner |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1881686004 PECOS PAC ID: 5799800298 Enrollment ID: I20100920001144 |
| Provider Name | Eugene Link |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619975414 PECOS PAC ID: 4688790553 Enrollment ID: I20100928001462 |
| Provider Name | Bryan Baines |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205839461 PECOS PAC ID: 4183740079 Enrollment ID: I20100928001661 |
| Provider Name | Scott Banning |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487659801 PECOS PAC ID: 5890780712 Enrollment ID: I20100928001689 |
| Provider Name | Philip A Hoyt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710946645 PECOS PAC ID: 4688686421 Enrollment ID: I20101005001269 |
| Provider Name | Maria L Guina-byrne |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093879157 PECOS PAC ID: 5799670717 Enrollment ID: I20101021000993 |
| Provider Name | Jenna N Justen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073759981 PECOS PAC ID: 9830383199 Enrollment ID: I20101101000024 |
| Provider Name | Karen L Knudsen |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1659574309 PECOS PAC ID: 0244424489 Enrollment ID: I20101101001113 |
| Provider Name | Yu Guan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801091236 PECOS PAC ID: 4981898871 Enrollment ID: I20101104001054 |
| Provider Name | Robert B Laibstain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396755948 PECOS PAC ID: 5597950360 Enrollment ID: I20101108000308 |
| Provider Name | Larry H Kagan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326052986 PECOS PAC ID: 2769677533 Enrollment ID: I20101108000334 |
| Provider Name | Elias Thomas Freeman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689688244 PECOS PAC ID: 2860687639 Enrollment ID: I20101108000420 |
| Provider Name | Mohammed A Amer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821293903 PECOS PAC ID: 0143415117 Enrollment ID: I20101116000878 |
| Provider Name | Mark Joseph Kanter |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1801810866 PECOS PAC ID: 2769679034 Enrollment ID: I20101215001244 |
| Provider Name | Nabeel A Mohamed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205968732 PECOS PAC ID: 1759579972 Enrollment ID: I20110103000483 |
| Provider Name | Susan Anthony |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225002959 PECOS PAC ID: 9335292333 Enrollment ID: I20110118000304 |
| Provider Name | Dana Crosby Blake |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629379789 PECOS PAC ID: 8224210463 Enrollment ID: I20110310000017 |
| Provider Name | Robert Butcher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396735767 PECOS PAC ID: 3577745587 Enrollment ID: I20110314000023 |
| Provider Name | Sally Lee Beazlie-walker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437312980 PECOS PAC ID: 7315122272 Enrollment ID: I20110419001009 |
| Provider Name | Lonna Krout-cole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457326704 PECOS PAC ID: 4587849245 Enrollment ID: I20110425000393 |
| Provider Name | Lara E Pawlow Quinlan |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1205082039 PECOS PAC ID: 7618023243 Enrollment ID: I20110504000440 |
| Provider Name | Mei-chun Yuen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1750680419 PECOS PAC ID: 9234315508 Enrollment ID: I20110523000013 |
| Provider Name | Susan V Szulc |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841453982 PECOS PAC ID: 1052598281 Enrollment ID: I20110615000489 |
| Provider Name | Kimberly L Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619130200 PECOS PAC ID: 0941488464 Enrollment ID: I20110701000029 |
| Provider Name | Masood Ahmed |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1093796310 PECOS PAC ID: 5799718870 Enrollment ID: I20110804000001 |
| Provider Name | Jacob D Almeida |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609039080 PECOS PAC ID: 7719157775 Enrollment ID: I20110830000384 |
| Provider Name | Susan N Walkley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164703401 PECOS PAC ID: 5991977761 Enrollment ID: I20111020000792 |
| Provider Name | Pamela W Kennedy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497037493 PECOS PAC ID: 1254504871 Enrollment ID: I20111027000014 |
| Provider Name | Jason M Mchugh |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1528261674 PECOS PAC ID: 6002954039 Enrollment ID: I20111027000450 |
| Provider Name | Ruth H. Innes |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1417955204 PECOS PAC ID: 6204009467 Enrollment ID: I20111103000292 |
| Provider Name | Dana L Bachtell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376547737 PECOS PAC ID: 3779758917 Enrollment ID: I20111216000101 |
| Provider Name | Dawnielle J Kerner |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1881653616 PECOS PAC ID: 9234207374 Enrollment ID: I20120105000988 |
| Provider Name | Conceicao Berkowitz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1124015391 PECOS PAC ID: 5799773008 Enrollment ID: I20120322000522 |
| Provider Name | Ryan Light |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912136946 PECOS PAC ID: 5597928291 Enrollment ID: I20120516000392 |
| Provider Name | Lisa Shea Kennedy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578570743 PECOS PAC ID: 7719142876 Enrollment ID: I20120625000032 |
| Provider Name | Thomas Durbin |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1740451251 PECOS PAC ID: 2264614627 Enrollment ID: I20120713000288 |
| Provider Name | Shelly Auerbach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548515554 PECOS PAC ID: 0547416208 Enrollment ID: I20120813000015 |
| Provider Name | Derryn Bray |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295081743 PECOS PAC ID: 1456509934 Enrollment ID: I20120907000748 |
| Provider Name | Maricel Lilian Ridella |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1740472646 PECOS PAC ID: 4082862560 Enrollment ID: I20120907000767 |
| Provider Name | Reymond Damasco Pascual |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457520090 PECOS PAC ID: 7012170764 Enrollment ID: I20120912000069 |
| Provider Name | Carl R Burgan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1447578281 PECOS PAC ID: 0547410268 Enrollment ID: I20121015000489 |
| Provider Name | Maryann Cheuvront |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1225371685 PECOS PAC ID: 5799922308 Enrollment ID: I20130517000462 |
| Provider Name | Jessica Kindall Hollowell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548282072 PECOS PAC ID: 6103064746 Enrollment ID: I20130521000459 |
| Provider Name | Xia Li |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023273745 PECOS PAC ID: 9032357611 Enrollment ID: I20130522000155 |
| Provider Name | Sara E. Zelinskas |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1013229897 PECOS PAC ID: 5597907303 Enrollment ID: I20130807000602 |
| Provider Name | Darany Toy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396941852 PECOS PAC ID: 4880741420 Enrollment ID: I20130819000832 |
| Provider Name | Chhayaben V Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497997076 PECOS PAC ID: 0244473858 Enrollment ID: I20130829000890 |
| Provider Name | Matthew T Doherty |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356501068 PECOS PAC ID: 3173767381 Enrollment ID: I20130909000809 |
| Provider Name | Kristi Mizelle |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1457490955 PECOS PAC ID: 9032378674 Enrollment ID: I20131009000107 |
| Provider Name | Margaret Gaglione |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235109547 PECOS PAC ID: 8224275102 Enrollment ID: I20140130001148 |
| Provider Name | Amanda Jetty |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376838433 PECOS PAC ID: 5395974653 Enrollment ID: I20140207000208 |
| Provider Name | Anil N Patel |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1063425585 PECOS PAC ID: 2769484633 Enrollment ID: I20140313000946 |
| Provider Name | Stephen Cummings |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1881840569 PECOS PAC ID: 5496995888 Enrollment ID: I20140514001630 |
| Provider Name | Lori S Palcic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427474014 PECOS PAC ID: 3779706981 Enrollment ID: I20140515001168 |
| Provider Name | Ifeanyichukwu Ani |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1992967046 PECOS PAC ID: 8921221789 Enrollment ID: I20140523000212 |
| Provider Name | Alana D Pringle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770879686 PECOS PAC ID: 9931323987 Enrollment ID: I20140612000994 |
| Provider Name | Ugur Yilmaz Anatolian |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063641835 PECOS PAC ID: 9436375029 Enrollment ID: I20140716001237 |
| Provider Name | Meagan Roenker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336438951 PECOS PAC ID: 2961626221 Enrollment ID: I20140804000302 |
| Provider Name | Aaron Marshall Wilson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043519879 PECOS PAC ID: 6204070600 Enrollment ID: I20140920000304 |
| Provider Name | Kenneth Richmond |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184891277 PECOS PAC ID: 6608015342 Enrollment ID: I20141016000420 |
| Provider Name | Nancy S Kamel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477852952 PECOS PAC ID: 7810219425 Enrollment ID: I20141210002209 |
| Provider Name | Agnieszka Petersen |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1467612291 PECOS PAC ID: 9032269469 Enrollment ID: I20150224001472 |
| Provider Name | Carly B Tyler |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1376948281 PECOS PAC ID: 5991016370 Enrollment ID: I20150626000238 |
| Provider Name | Megan M Cutler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336532878 PECOS PAC ID: 9537471420 Enrollment ID: I20150707001138 |
| Provider Name | Ivan Marchena-mendez |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1760794259 PECOS PAC ID: 1254580772 Enrollment ID: I20150819006395 |
| Provider Name | Nadege T Gunn |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1902822281 PECOS PAC ID: 4880849959 Enrollment ID: I20150821013776 |
| Provider Name | Jeffrey J Budrovic |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558752287 PECOS PAC ID: 9032425426 Enrollment ID: I20150831002174 |
| Provider Name | Latisha C Murray |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134481708 PECOS PAC ID: 6204142409 Enrollment ID: I20150902002920 |
| Provider Name | Lesli Hughes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114322054 PECOS PAC ID: 1456667559 Enrollment ID: I20150904000050 |
| Provider Name | Joseph R Habibi |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1912227471 PECOS PAC ID: 3476793761 Enrollment ID: I20150908000662 |
| Provider Name | Joseph Baust |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972598795 PECOS PAC ID: 8729058193 Enrollment ID: I20160125000319 |
| Provider Name | Sheree Savage-artis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841665163 PECOS PAC ID: 2264739879 Enrollment ID: I20160328000221 |
| Provider Name | Elise Mclawhorn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437519600 PECOS PAC ID: 9830498021 Enrollment ID: I20160421001797 |
| Provider Name | Mary L Huntley Wagner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376775098 PECOS PAC ID: 9830313170 Enrollment ID: I20160526002556 |
| Provider Name | Jeffrey Harris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023457991 PECOS PAC ID: 6800011743 Enrollment ID: I20160725002033 |
| Provider Name | Jennifer Hoyt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578826301 PECOS PAC ID: 8921248261 Enrollment ID: I20160726000773 |
| Provider Name | Laurie Harris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215375191 PECOS PAC ID: 3779708615 Enrollment ID: I20160801000021 |
| Provider Name | Jessica Lynn Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982020160 PECOS PAC ID: 2769776566 Enrollment ID: I20160802001050 |
| Provider Name | Timothy Charles Petersen |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1639468887 PECOS PAC ID: 5294035200 Enrollment ID: I20160804002638 |
| Provider Name | Stephen O Hunley |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1700868916 PECOS PAC ID: 0143242115 Enrollment ID: I20160810001726 |
| Provider Name | Latoya Shant'e Kearney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861856577 PECOS PAC ID: 6901191097 Enrollment ID: I20160829002068 |
| Provider Name | Sarah Louise Rollins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427503846 PECOS PAC ID: 9830486414 Enrollment ID: I20160926000864 |
| Provider Name | Michael Hanger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215484753 PECOS PAC ID: 5890083034 Enrollment ID: I20161004001542 |
| Provider Name | Mrugesh Soni |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1508028937 PECOS PAC ID: 3577734243 Enrollment ID: I20161104001125 |
| Provider Name | Deneishia Fisher |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891878914 PECOS PAC ID: 4385708668 Enrollment ID: I20161123000905 |
| Provider Name | Christopher Webb |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922444793 PECOS PAC ID: 8123329844 Enrollment ID: I20161213000619 |
| Provider Name | Lisa Coleman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1457433450 PECOS PAC ID: 8729200274 Enrollment ID: I20161229001548 |
| Provider Name | Colette S Palmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245773951 PECOS PAC ID: 9032493515 Enrollment ID: I20170228002742 |
| Provider Name | Dana Edwards Stallings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770021545 PECOS PAC ID: 5799052809 Enrollment ID: I20170522000133 |
| Provider Name | Kevin M Hesse |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104819812 PECOS PAC ID: 7416912563 Enrollment ID: I20170531001440 |
| Provider Name | Frances J Jones |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1952590408 PECOS PAC ID: 9436464187 Enrollment ID: I20170722000018 |
| Provider Name | Flint Walker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215356894 PECOS PAC ID: 6204136658 Enrollment ID: I20170828000933 |
| Provider Name | Tharini Gunapalan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558776427 PECOS PAC ID: 0840500286 Enrollment ID: I20171016003361 |
| Provider Name | Kathy Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295287639 PECOS PAC ID: 4284919218 Enrollment ID: I20180109002240 |
| Provider Name | Gary D Jones |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1184663668 PECOS PAC ID: 3870529308 Enrollment ID: I20180109003258 |
| Provider Name | Lee James Gotthardt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902311319 PECOS PAC ID: 0143589150 Enrollment ID: I20180122000290 |
| Provider Name | Medha Joshi |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1174838916 PECOS PAC ID: 8426206822 Enrollment ID: I20180205000386 |
| Provider Name | Rebecca Ryan Shoemaker |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1275978017 PECOS PAC ID: 3779886221 Enrollment ID: I20180612000952 |
| Provider Name | Christina F Ortiz |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1629335641 PECOS PAC ID: 1456580141 Enrollment ID: I20180619000997 |
| Provider Name | Angel Rochelle Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578958211 PECOS PAC ID: 3577863901 Enrollment ID: I20180710001890 |
| Provider Name | Wen Chen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992123764 PECOS PAC ID: 1254650096 Enrollment ID: I20180821001624 |
| Provider Name | Zachary Leland Rasor |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1235525890 PECOS PAC ID: 1557673506 Enrollment ID: I20180823000010 |
| Provider Name | Matthew D Fenlason |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790148039 PECOS PAC ID: 5698056307 Enrollment ID: I20180921002294 |
| Provider Name | Jennifer Ann Vannoy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356880041 PECOS PAC ID: 5890047120 Enrollment ID: I20181015000817 |
| Provider Name | Leanna O West |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730669979 PECOS PAC ID: 8426301565 Enrollment ID: I20181019000661 |
| Provider Name | Debbie V Greenidge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679051684 PECOS PAC ID: 5890048102 Enrollment ID: I20181101002791 |
| Provider Name | Jennifer Hatfield Farris |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1457741308 PECOS PAC ID: 4789928748 Enrollment ID: I20181130002442 |
| Provider Name | Sabrina Nicole Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366990475 PECOS PAC ID: 8224373246 Enrollment ID: I20181219003500 |
| Provider Name | Barbara Leigh Route |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083186332 PECOS PAC ID: 4587902093 Enrollment ID: I20190207002575 |
| Provider Name | David J Zelinskas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083935209 PECOS PAC ID: 0345487468 Enrollment ID: I20190312000025 |
| Provider Name | Arthur J Greenwood |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922091966 PECOS PAC ID: 9830321538 Enrollment ID: I20190531001057 |
| Provider Name | Kimberly B Caldwell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609001346 PECOS PAC ID: 2264601558 Enrollment ID: I20190615000280 |
| Provider Name | Michael Bolosan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720648595 PECOS PAC ID: 3971830183 Enrollment ID: I20190812001186 |
| Provider Name | Meghan Pollard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790338531 PECOS PAC ID: 1456680230 Enrollment ID: I20190903002998 |
| Provider Name | Sarah E Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639723893 PECOS PAC ID: 6608108832 Enrollment ID: I20191021003059 |
| Provider Name | Christina Gonzalez-wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689830986 PECOS PAC ID: 9436582160 Enrollment ID: I20191210001996 |
| Provider Name | Kaylee L Zapata |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629618871 PECOS PAC ID: 2365878253 Enrollment ID: I20200213000948 |
| Provider Name | Ingrid J Ortiz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225669138 PECOS PAC ID: 2769810266 Enrollment ID: I20200316002493 |
| Provider Name | Matthew G Balderston |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316386394 PECOS PAC ID: 3779800966 Enrollment ID: I20200429002833 |
| Provider Name | Libby Palumbo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013449479 PECOS PAC ID: 8325310972 Enrollment ID: I20200602001884 |
| Provider Name | Anjali Sobti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275953937 PECOS PAC ID: 6901039569 Enrollment ID: I20200608002068 |
| Provider Name | Monika Schaub Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023632510 PECOS PAC ID: 9830513001 Enrollment ID: I20200721002073 |
| Provider Name | Sarah Aley Chacko |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336636893 PECOS PAC ID: 2567711138 Enrollment ID: I20200908002132 |
| Provider Name | Sudip Ghimire |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1942536222 PECOS PAC ID: 6709036601 Enrollment ID: I20201007001299 |
| Provider Name | Lauren Reynolds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407466741 PECOS PAC ID: 7416376652 Enrollment ID: I20201016001314 |
| Provider Name | Natalie M Lipscomb |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740786656 PECOS PAC ID: 9739432444 Enrollment ID: I20201109001163 |
| Provider Name | Skylar Tate Poland |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1548885874 PECOS PAC ID: 4183034788 Enrollment ID: I20201111000690 |
| Provider Name | Rosemarie Eason Mcfather |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316565179 PECOS PAC ID: 2365852720 Enrollment ID: I20201113001725 |
| Provider Name | Megan Lord |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1558973966 PECOS PAC ID: 8921419722 Enrollment ID: I20201130002995 |
| Provider Name | Mary C Roberts-curran |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1518578897 PECOS PAC ID: 9234540972 Enrollment ID: I20201201001703 |
| Provider Name | Sarah E Chen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841642634 PECOS PAC ID: 4789096231 Enrollment ID: I20201208000419 |
| Provider Name | Andrew C Mcnally |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1972099067 PECOS PAC ID: 1658621677 Enrollment ID: I20201221002449 |
| Provider Name | Jordan Lee |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801386735 PECOS PAC ID: 7618380098 Enrollment ID: I20201231001239 |
| Provider Name | Jennifer Bulloch Hahn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487269452 PECOS PAC ID: 3779992292 Enrollment ID: I20210512001994 |
| Provider Name | Michael Gen |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1487623906 PECOS PAC ID: 6800874785 Enrollment ID: I20210518001028 |
| Provider Name | Susan Zelda Buckley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942883038 PECOS PAC ID: 8022417815 Enrollment ID: I20210527001499 |
| Provider Name | Nana Owusu Winbush |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497349922 PECOS PAC ID: 6709285455 Enrollment ID: I20210528001342 |
| Provider Name | Nicole Tiefel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326438599 PECOS PAC ID: 8123392586 Enrollment ID: I20210602000250 |
| Provider Name | Sherrard Marrow |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154903508 PECOS PAC ID: 4385044296 Enrollment ID: I20210615001691 |
| Provider Name | Leslie Faye Kendrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346812880 PECOS PAC ID: 2365845930 Enrollment ID: I20210721000676 |
| Provider Name | Isabelle Turner Smoot |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972175115 PECOS PAC ID: 5991101917 Enrollment ID: I20210831000467 |
| Provider Name | Mary Beth Newsome |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396090122 PECOS PAC ID: 0547411894 Enrollment ID: I20210913001154 |
| Provider Name | Susan Melissa Coxson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1518636836 PECOS PAC ID: 8527465715 Enrollment ID: I20210930003179 |
| Provider Name | Jennifer Joyce Fisher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093487217 PECOS PAC ID: 7517356769 Enrollment ID: I20211110000874 |
| Provider Name | Stefanie B Schwarz |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1730721291 PECOS PAC ID: 1658707104 Enrollment ID: I20211216002226 |
| Provider Name | Vinit Kumar Jha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710561527 PECOS PAC ID: 1850782137 Enrollment ID: I20211221000886 |
| Provider Name | Kindra Lerae Shafer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902408826 PECOS PAC ID: 2769873884 Enrollment ID: I20211229000069 |
| Provider Name | Lydia M James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902561053 PECOS PAC ID: 9931592193 Enrollment ID: I20220210001819 |
| Provider Name | Stephanie Michelle Cox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508510553 PECOS PAC ID: 5092109819 Enrollment ID: I20220221002225 |
| Provider Name | Adrienne M Jones |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1134591639 PECOS PAC ID: 5193022606 Enrollment ID: I20220228001862 |
| Provider Name | Paula Garcia Pittinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235896820 PECOS PAC ID: 7810381944 Enrollment ID: I20220305000019 |
| Provider Name | Lakisha Nakita Swindell-glenn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811404122 PECOS PAC ID: 6406241314 Enrollment ID: I20220311000252 |
| Provider Name | Heidi C Houston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265180020 PECOS PAC ID: 8022404474 Enrollment ID: I20220412000388 |
| Provider Name | Derrick C Whiting |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063906477 PECOS PAC ID: 9931457207 Enrollment ID: I20220429001742 |
| Provider Name | Nicole Michelle Marshall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295497709 PECOS PAC ID: 7810375268 Enrollment ID: I20220526000593 |
| Provider Name | Emma Robl |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922560218 PECOS PAC ID: 1052642220 Enrollment ID: I20220613002891 |
| Provider Name | Mary K Scaggs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376290429 PECOS PAC ID: 0042698805 Enrollment ID: I20220628000690 |
| Provider Name | Joshua Alan Albert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740809235 PECOS PAC ID: 3577987817 Enrollment ID: I20220715000002 |
| Provider Name | Kevin Lavender |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811450638 PECOS PAC ID: 0547599953 Enrollment ID: I20220804002538 |
| Provider Name | Kalain Workman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1124470109 PECOS PAC ID: 9830482264 Enrollment ID: I20220830002171 |
| Provider Name | Caitlyn A Peribonio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801514898 PECOS PAC ID: 4789068396 Enrollment ID: I20220831002104 |
| Provider Name | Megan D Mckay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477281210 PECOS PAC ID: 3072998137 Enrollment ID: I20220911000038 |
| Provider Name | Janna Quiling |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649767740 PECOS PAC ID: 9436573292 Enrollment ID: I20220929003415 |
| Provider Name | Stephen Israel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669190377 PECOS PAC ID: 7719363175 Enrollment ID: I20221007002646 |
| Provider Name | Erin E Briscoe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770202939 PECOS PAC ID: 1759767734 Enrollment ID: I20221028001082 |
| Provider Name | Caroline Heath Daley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538884010 PECOS PAC ID: 8224406798 Enrollment ID: I20221115002080 |
| Provider Name | Amanda Jean Trevino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871203448 PECOS PAC ID: 1850761263 Enrollment ID: I20221229001489 |
| Provider Name | Lane Bell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831512417 PECOS PAC ID: 4981827250 Enrollment ID: I20230310002212 |
| Provider Name | Dawn Margaret Lambert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659678084 PECOS PAC ID: 3173795374 Enrollment ID: I20230406001350 |
| Provider Name | Bethszaida Lee England |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1962193342 PECOS PAC ID: 4688031560 Enrollment ID: I20230608000772 |
| Provider Name | Joshua Aaron Hemenway |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568155323 PECOS PAC ID: 8022478270 Enrollment ID: I20230719001995 |
| Provider Name | Travis Lipscomb |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639798903 PECOS PAC ID: 6901220276 Enrollment ID: I20230726003281 |
| Provider Name | Lauren Bull |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1740969138 PECOS PAC ID: 1456714351 Enrollment ID: I20230824003435 |
| Provider Name | Rosemary F Slutsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952021735 PECOS PAC ID: 3375919053 Enrollment ID: I20231221003918 |
Bon Secours Liver Institute Of Hampton Roads Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12720 Mcmanus Blvd Ste 313, Newport News, VA 23602 Phone: 757-947-3190 Fax: 757-947-3195 | |
Bruton Avenue Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12 Bruton Ave, Newport News, VA 23601 Phone: 757-594-4111 Fax: 757-594-4115 | |
Peninsula Institute For Community Health Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1033 28th St, 2nd Floor, Newport News, VA 23607 Phone: 757-591-0643 Fax: 757-591-0682 | |
Riverside Medical Specialists Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12420 Warwick Blvd, Bldg. 3 Suite 4a, Newport News, VA 23606 Phone: 757-534-5509 Fax: 757-534-6096 | |
Riverside Hospital Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 856 J Clyde Morris Blvd, Suite A, Newport News, VA 23601 Phone: 757-594-4006 Fax: 757-534-5190 | |
I&o Medical Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 704 Thimble Shoals Blvd, Suite 200, Newport News, VA 23606 Phone: 757-240-5580 Fax: 757-240-5578 | |
Riverside Lifelong Health & Aging Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 Old Denbigh Blvd, 1020a, Newport News, VA 23602 Phone: 757-875-2050 Fax: 757-875-2070 |