| Topeka Physician Group, Llc | |
|
1700 Sw 7th St Topeka KS 66606-2489 | |
| (785) 295-8108 | |
| (785) 231-5991 |
| Full Name | Topeka Physician Group, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1700 Sw 7th St, Topeka, Kansas |
| Authorized Official Name and Position | Stephen C Petrovich (EVP AND SECRETARY) |
| Authorized Official Contact | 6152963000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Topeka Physician Group, Llc 1 Burton Hills Blvd Ste 250 Nashville TN 37215-6195 Ph: (615) 296-3000 | Topeka Physician Group, Llc 1700 Sw 7th St Topeka KS 66606-2489 Ph: (785) 295-8108 |
| NPI Number | 1770008849 |
|---|---|
| Provider Enumeration Date | 08/09/2017 |
| Last Update Date | 09/29/2020 |
| Medicare PECOS PAC ID | 6406112473 |
|---|---|
| Medicare Enrollment ID | O20171107002163 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770008849 | NPI | - | NPPES |
| Provider Name | Brian M Beard |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1982671244 PECOS PAC ID: 1557261393 Enrollment ID: I20040109000453 |
| Provider Name | James V Rider |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215968870 PECOS PAC ID: 9537051768 Enrollment ID: I20040325000140 |
| Provider Name | Larry L Campbell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659302370 PECOS PAC ID: 0840282588 Enrollment ID: I20040401000767 |
| Provider Name | Ronald W Carson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346294659 PECOS PAC ID: 4183617384 Enrollment ID: I20040405000918 |
| Provider Name | Charles G Nelson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508847161 PECOS PAC ID: 6103806294 Enrollment ID: I20040721000005 |
| Provider Name | Adrian A Caracioni |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1952313850 PECOS PAC ID: 0749252294 Enrollment ID: I20040806000411 |
| Provider Name | Sidney Y Hu |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1922076330 PECOS PAC ID: 7416929963 Enrollment ID: I20040806000450 |
| Provider Name | Sushmita Veloor |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1154391126 PECOS PAC ID: 8527032606 Enrollment ID: I20040824000853 |
| Provider Name | Damien Ryker Stevens |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548262322 PECOS PAC ID: 3476447897 Enrollment ID: I20041104000430 |
| Provider Name | Diane Y Wilkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407816267 PECOS PAC ID: 8527022748 Enrollment ID: I20041117000713 |
| Provider Name | Kimberly Sue Teske |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1548269921 PECOS PAC ID: 7618925314 Enrollment ID: I20050113000983 |
| Provider Name | Angela T Bachelor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841259207 PECOS PAC ID: 1153376645 Enrollment ID: I20050317000470 |
| Provider Name | John L Joliff |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1053370585 PECOS PAC ID: 8921053455 Enrollment ID: I20050317000758 |
| Provider Name | Richard N Isaacson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1376656330 PECOS PAC ID: 7113972472 Enrollment ID: I20050318000775 |
| Provider Name | Alfredo T Iloreta |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1790751576 PECOS PAC ID: 4183661465 Enrollment ID: I20050408000875 |
| Provider Name | Guy M Giroux |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1780610774 PECOS PAC ID: 7113964024 Enrollment ID: I20050412001304 |
| Provider Name | Kathryn D Eaton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043242621 PECOS PAC ID: 0446297295 Enrollment ID: I20050413000203 |
| Provider Name | Patrick G Sheehy |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1699704015 PECOS PAC ID: 4284671918 Enrollment ID: I20050413000990 |
| Provider Name | Thomas J Hamilton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871592246 PECOS PAC ID: 3173565595 Enrollment ID: I20050525001227 |
| Provider Name | Ivan C Ketter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194724500 PECOS PAC ID: 7517909625 Enrollment ID: I20050531000402 |
| Provider Name | Thomas M Wiley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386643765 PECOS PAC ID: 5294778791 Enrollment ID: I20050606000917 |
| Provider Name | Charles Eric Schroeder |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1841265667 PECOS PAC ID: 3476507773 Enrollment ID: I20050607001034 |
| Provider Name | Craig L Vosburgh |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1689659005 PECOS PAC ID: 4789627050 Enrollment ID: I20050607001223 |
| Provider Name | Bernita M Berntsen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1811965213 PECOS PAC ID: 1153364310 Enrollment ID: I20050608000552 |
| Provider Name | James J Hamilton |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1275500282 PECOS PAC ID: 5597708750 Enrollment ID: I20050608000569 |
| Provider Name | Kenneth E Teter |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1952386385 PECOS PAC ID: 1557304664 Enrollment ID: I20050608001063 |
| Provider Name | Teresa Marie Kellerman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023078615 PECOS PAC ID: 6305862731 Enrollment ID: I20051014000827 |
| Provider Name | Kelly L Rhodes-stark |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1871556423 PECOS PAC ID: 2668421157 Enrollment ID: I20051026001185 |
| Provider Name | Lorraine Annette Lindstrom |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1093786808 PECOS PAC ID: 7810954997 Enrollment ID: I20051027000638 |
| Provider Name | Daniel Keleti |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1356325245 PECOS PAC ID: 8820055825 Enrollment ID: I20051027000657 |
| Provider Name | Franklin Quijano |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1801982350 PECOS PAC ID: 6305872128 Enrollment ID: I20051031000879 |
| Provider Name | John A Gillen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1881696136 PECOS PAC ID: 4789653783 Enrollment ID: I20051031000968 |
| Provider Name | Douglas J Brehm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760442537 PECOS PAC ID: 9436171618 Enrollment ID: I20060103000299 |
| Provider Name | Mark S Newth |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689644569 PECOS PAC ID: 7113940826 Enrollment ID: I20060109000834 |
| Provider Name | Nicole A Hanson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326001926 PECOS PAC ID: 7113938606 Enrollment ID: I20060515000030 |
| Provider Name | Sowjanya Duthuluru |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1427074889 PECOS PAC ID: 1355344714 Enrollment ID: I20060824000544 |
| Provider Name | Shalina D Gupta-burt |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1639140288 PECOS PAC ID: 6406824416 Enrollment ID: I20061120000218 |
| Provider Name | Marius Pacioianu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881689594 PECOS PAC ID: 6406955632 Enrollment ID: I20070628000268 |
| Provider Name | Matthew R Sharpe |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1285775049 PECOS PAC ID: 1951402874 Enrollment ID: I20070723000390 |
| Provider Name | Arnold R Graham |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1427010305 PECOS PAC ID: 7719952308 Enrollment ID: I20070913000270 |
| Provider Name | David P Fritz |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1902878887 PECOS PAC ID: 9830275262 Enrollment ID: I20080326000527 |
| Provider Name | Michael S Crosser |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1417098294 PECOS PAC ID: 4587736228 Enrollment ID: I20080711000542 |
| Provider Name | Lee E Leinwetter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841412376 PECOS PAC ID: 4183797327 Enrollment ID: I20080721000554 |
| Provider Name | Lisa A Goularte |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265421481 PECOS PAC ID: 7517055635 Enrollment ID: I20090304000029 |
| Provider Name | Teresa M Hoff |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457590358 PECOS PAC ID: 2769549260 Enrollment ID: I20090327000470 |
| Provider Name | Mary Elaine Hiatt |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922241447 PECOS PAC ID: 2163571100 Enrollment ID: I20090521000107 |
| Provider Name | Cassandra J Steinlage |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104069665 PECOS PAC ID: 8224187265 Enrollment ID: I20090521000125 |
| Provider Name | Sara B Blake |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801951942 PECOS PAC ID: 2163575804 Enrollment ID: I20090729000134 |
| Provider Name | Roger M Gibson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083681043 PECOS PAC ID: 1850439498 Enrollment ID: I20091119000070 |
| Provider Name | Brian E Gibson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740257138 PECOS PAC ID: 6204974850 Enrollment ID: I20091119000082 |
| Provider Name | Angela M Becker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407871783 PECOS PAC ID: 1456491000 Enrollment ID: I20091214000065 |
| Provider Name | Jeffrey B Kramer |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1275644114 PECOS PAC ID: 8022153287 Enrollment ID: I20100226000861 |
| Provider Name | Thomas D Smith |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1174584148 PECOS PAC ID: 5092718841 Enrollment ID: I20100318000947 |
| Provider Name | Patricia Klassen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073522868 PECOS PAC ID: 5799735593 Enrollment ID: I20100519000771 |
| Provider Name | Wade B Welch |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1518962851 PECOS PAC ID: 8224129192 Enrollment ID: I20100611000569 |
| Provider Name | Carlyle M Dunshee |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1952379364 PECOS PAC ID: 1254364797 Enrollment ID: I20100621000662 |
| Provider Name | Claire M Pearl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588663991 PECOS PAC ID: 0749313641 Enrollment ID: I20100729000013 |
| Provider Name | Joel D Mermis |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1396814430 PECOS PAC ID: 2466585013 Enrollment ID: I20100803000341 |
| Provider Name | James S Bear |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346467230 PECOS PAC ID: 9931232592 Enrollment ID: I20100803000458 |
| Provider Name | Fen Wang |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1598830176 PECOS PAC ID: 3173656584 Enrollment ID: I20100805000943 |
| Provider Name | Cheryl M Dultmeier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639178015 PECOS PAC ID: 8426182403 Enrollment ID: I20100812000348 |
| Provider Name | Cheryl Jo Allen |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1275779183 PECOS PAC ID: 6901921949 Enrollment ID: I20100915000343 |
| Provider Name | Christopher E Lominska |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1366683864 PECOS PAC ID: 6002931599 Enrollment ID: I20100921001141 |
| Provider Name | Matthew A Rendel |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1386868123 PECOS PAC ID: 1850425406 Enrollment ID: I20101115000526 |
| Provider Name | Lewis G Satterwhite |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1932385358 PECOS PAC ID: 8921286220 Enrollment ID: I20110708000214 |
| Provider Name | Usman Nazir |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1023299849 PECOS PAC ID: 3476731779 Enrollment ID: I20110708000222 |
| Provider Name | Lucas R Pitts |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1639399199 PECOS PAC ID: 3173791324 Enrollment ID: I20110714000482 |
| Provider Name | Jennifer D Mcallaster |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1851411466 PECOS PAC ID: 5799953675 Enrollment ID: I20110720000229 |
| Provider Name | Monica D Hart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093015026 PECOS PAC ID: 5092983791 Enrollment ID: I20110725000483 |
| Provider Name | Swapna Mamidipally |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1083896880 PECOS PAC ID: 7315116787 Enrollment ID: I20110802000232 |
| Provider Name | Bahaa Abu Bakr |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1285879775 PECOS PAC ID: 2365611464 Enrollment ID: I20110805000644 |
| Provider Name | Charlotte L Perry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184911893 PECOS PAC ID: 8022288364 Enrollment ID: I20110824000636 |
| Provider Name | Bret E Heskett |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306054952 PECOS PAC ID: 3577736842 Enrollment ID: I20111102000020 |
| Provider Name | Amy S Greenfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629366349 PECOS PAC ID: 6608040415 Enrollment ID: I20111114000078 |
| Provider Name | Sumer K Dhir |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1336344134 PECOS PAC ID: 9032208608 Enrollment ID: I20120128000022 |
| Provider Name | Farid Mehdizadeh Namin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1770546483 PECOS PAC ID: 4183635121 Enrollment ID: I20120229000899 |
| Provider Name | Jody C Olson |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1659565943 PECOS PAC ID: 5597837930 Enrollment ID: I20120727000706 |
| Provider Name | Benedict F Figuerres |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1407013071 PECOS PAC ID: 7810145455 Enrollment ID: I20120924000502 |
| Provider Name | Xinglei Shen |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1972797967 PECOS PAC ID: 8527218197 Enrollment ID: I20121017000699 |
| Provider Name | Kierston N Bocquin |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1598039307 PECOS PAC ID: 0345486379 Enrollment ID: I20130418000273 |
| Provider Name | Maria E Cangiani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457691354 PECOS PAC ID: 4981841178 Enrollment ID: I20130507000427 |
| Provider Name | Anna E Marshall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821330291 PECOS PAC ID: 6002056025 Enrollment ID: I20130715000620 |
| Provider Name | Michael P Gaume |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1407804495 PECOS PAC ID: 7315062056 Enrollment ID: I20130801000552 |
| Provider Name | Jamie N Rempe |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720215262 PECOS PAC ID: 8426290974 Enrollment ID: I20130812000842 |
| Provider Name | Kyle R Brownback |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1619192291 PECOS PAC ID: 0749331874 Enrollment ID: I20130819000066 |
| Provider Name | Yeruva Veera Madhu Mohan Reddy |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1275755886 PECOS PAC ID: 5890939078 Enrollment ID: I20130910000844 |
| Provider Name | Dustin J Loyd |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871932277 PECOS PAC ID: 2466696513 Enrollment ID: I20130911000851 |
| Provider Name | Kristin K Poage |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811329774 PECOS PAC ID: 7113154311 Enrollment ID: I20131213001554 |
| Provider Name | Kristi M Sloan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881029700 PECOS PAC ID: 4082841721 Enrollment ID: I20131230000446 |
| Provider Name | Rita J Kennedy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043645898 PECOS PAC ID: 8224265905 Enrollment ID: I20131230001983 |
| Provider Name | Leslie A Leifer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679905939 PECOS PAC ID: 6002044757 Enrollment ID: I20140102000974 |
| Provider Name | Nichole M Potts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174957666 PECOS PAC ID: 6103054184 Enrollment ID: I20140121001079 |
| Provider Name | Amber R Hart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033533989 PECOS PAC ID: 9830321496 Enrollment ID: I20140414000558 |
| Provider Name | Annette R Smith |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1336171297 PECOS PAC ID: 1951393040 Enrollment ID: I20150116002124 |
| Provider Name | Andre Z Oulai |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1174657910 PECOS PAC ID: 5395841399 Enrollment ID: I20150318000438 |
| Provider Name | Janie Peters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700274065 PECOS PAC ID: 6608194808 Enrollment ID: I20150420001813 |
| Provider Name | Jennifer L Antrim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710370697 PECOS PAC ID: 7911226352 Enrollment ID: I20150506000700 |
| Provider Name | Peter Lawrence Loo |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1275828535 PECOS PAC ID: 1658519392 Enrollment ID: I20150721000943 |
| Provider Name | Nicole Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336533025 PECOS PAC ID: 6204141567 Enrollment ID: I20150814013971 |
| Provider Name | Andrew C Hoover |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1831418276 PECOS PAC ID: 8729227723 Enrollment ID: I20150909002749 |
| Provider Name | Hemant R Boolani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952557753 PECOS PAC ID: 5496063752 Enrollment ID: I20151006002364 |
| Provider Name | Shannel Anae Millard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326404245 PECOS PAC ID: 8426357336 Enrollment ID: I20160427001996 |
| Provider Name | Bhanu Prakash Gupta |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1437314903 PECOS PAC ID: 7618045022 Enrollment ID: I20160805001503 |
| Provider Name | Rachael Loyd |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154769495 PECOS PAC ID: 3678854742 Enrollment ID: I20170103001851 |
| Provider Name | Crystal Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013452879 PECOS PAC ID: 0840573226 Enrollment ID: I20170209000055 |
| Provider Name | Elizabeth J Kamprath |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1346788338 PECOS PAC ID: 5193009538 Enrollment ID: I20170302000118 |
| Provider Name | Edelis Ocasio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942746482 PECOS PAC ID: 4082990114 Enrollment ID: I20170404001048 |
| Provider Name | Moshe Kincade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407397086 PECOS PAC ID: 7012285299 Enrollment ID: I20170612001351 |
| Provider Name | Bertram W Maidment |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1043579410 PECOS PAC ID: 8022247857 Enrollment ID: I20170616002185 |
| Provider Name | Whitney Blanton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861865131 PECOS PAC ID: 6103198213 Enrollment ID: I20170824002367 |
| Provider Name | Katherine Danielle Egnoske |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629578943 PECOS PAC ID: 8527322692 Enrollment ID: I20180426001786 |
| Provider Name | Arthur J Rabinowitz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1780638148 PECOS PAC ID: 4688666266 Enrollment ID: I20180507001332 |
| Provider Name | Jace Lowe |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831689983 PECOS PAC ID: 8729333018 Enrollment ID: I20180608000849 |
| Provider Name | Zubair I Shah |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1386942126 PECOS PAC ID: 2567769532 Enrollment ID: I20180716001050 |
| Provider Name | Laura Elizabeth Tate |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1013322528 PECOS PAC ID: 9335496629 Enrollment ID: I20180718000303 |
| Provider Name | Danielle Kaye Rudder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093200909 PECOS PAC ID: 3072860790 Enrollment ID: I20180725003258 |
| Provider Name | Crischelle Vilbar Magaspi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1265723027 PECOS PAC ID: 9335437201 Enrollment ID: I20180803000642 |
| Provider Name | Maykol Postigo Jasahui |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1023305661 PECOS PAC ID: 6103122031 Enrollment ID: I20180803001648 |
| Provider Name | Chase S Hall |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1659666709 PECOS PAC ID: 8921236928 Enrollment ID: I20180809003981 |
| Provider Name | Kara Sue Hoffman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942794714 PECOS PAC ID: 3375895899 Enrollment ID: I20181011001429 |
| Provider Name | Jenna Collins |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1457803207 PECOS PAC ID: 2860745536 Enrollment ID: I20181025002420 |
| Provider Name | Jane Sibley Titterington |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1366768749 PECOS PAC ID: 3779836309 Enrollment ID: I20181030000681 |
| Provider Name | Kristen E Dinkel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144716242 PECOS PAC ID: 1850641358 Enrollment ID: I20181108001866 |
| Provider Name | Cindy Jean Condray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932675162 PECOS PAC ID: 2668726696 Enrollment ID: I20181110000153 |
| Provider Name | Saxton R Gragg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023319415 PECOS PAC ID: 9537405949 Enrollment ID: I20190107000389 |
| Provider Name | Charles M Koliner |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1477531069 PECOS PAC ID: 7618878661 Enrollment ID: I20190129000653 |
| Provider Name | Megan R Floberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386129344 PECOS PAC ID: 5294073623 Enrollment ID: I20190211001795 |
| Provider Name | Allison Rendel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477970796 PECOS PAC ID: 2668695081 Enrollment ID: I20190312001813 |
| Provider Name | Shiloh R Hamilton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821578899 PECOS PAC ID: 3577806769 Enrollment ID: I20190509001420 |
| Provider Name | Rigoberto Ramirez |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1467742114 PECOS PAC ID: 0042512378 Enrollment ID: I20190618002424 |
| Provider Name | Amanda L Jobe |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1275980641 PECOS PAC ID: 4789979543 Enrollment ID: I20190626001948 |
| Provider Name | Jennifer Warren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821659061 PECOS PAC ID: 9234464025 Enrollment ID: I20190716003324 |
| Provider Name | Shane R Stecklein |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1730506932 PECOS PAC ID: 8921333642 Enrollment ID: I20190717001255 |
| Provider Name | Amber Coleman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396307922 PECOS PAC ID: 1153656731 Enrollment ID: I20190718002541 |
| Provider Name | Charles D Bengtson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1902244965 PECOS PAC ID: 4486959152 Enrollment ID: I20190723002997 |
| Provider Name | Kathan Mehta |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1427391887 PECOS PAC ID: 6305064775 Enrollment ID: I20190812000450 |
| Provider Name | Ashley Ann Mann |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1578853214 PECOS PAC ID: 1759682669 Enrollment ID: I20190814000709 |
| Provider Name | Mark George Sankoorikal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356795868 PECOS PAC ID: 7113214933 Enrollment ID: I20190822004556 |
| Provider Name | Cindy Priscilla Valdez-smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164088514 PECOS PAC ID: 7012246796 Enrollment ID: I20190905000804 |
| Provider Name | David Akhavan |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1992185334 PECOS PAC ID: 7113257791 Enrollment ID: I20190924003639 |
| Provider Name | Gregory N Gan |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1568698561 PECOS PAC ID: 5193967875 Enrollment ID: I20190927002916 |
| Provider Name | Benjamin Rawalt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861058455 PECOS PAC ID: 1759611981 Enrollment ID: I20191001001418 |
| Provider Name | Carolyn Kim Savioz |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1285989590 PECOS PAC ID: 2860764198 Enrollment ID: I20191028000845 |
| Provider Name | Hazem Alhawasli |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1215287164 PECOS PAC ID: 2365757283 Enrollment ID: I20191108001131 |
| Provider Name | Melisa G. Boersma |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1104048933 PECOS PAC ID: 9436244084 Enrollment ID: I20191116000434 |
| Provider Name | Ashley Biggs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942843198 PECOS PAC ID: 8123451168 Enrollment ID: I20191205002660 |
| Provider Name | Brooke Nichole Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659921815 PECOS PAC ID: 0345673299 Enrollment ID: I20191206000160 |
| Provider Name | Ronald Chingyun Chen |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1265510309 PECOS PAC ID: 2466508320 Enrollment ID: I20200102002365 |
| Provider Name | Syed Shahryar |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1982613097 PECOS PAC ID: 0547443566 Enrollment ID: I20200107001127 |
| Provider Name | Nancy V H Stewart |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1093957680 PECOS PAC ID: 8224285937 Enrollment ID: I20200129003078 |
| Provider Name | Charles J Leistner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669002978 PECOS PAC ID: 0547697500 Enrollment ID: I20200304000329 |
| Provider Name | John J Cascone |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1013911999 PECOS PAC ID: 2961436464 Enrollment ID: I20200311001655 |
| Provider Name | Pornpimol Anprasertporn |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265743462 PECOS PAC ID: 8325268592 Enrollment ID: I20200322000082 |
| Provider Name | Siobhan Hyland |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1376567982 PECOS PAC ID: 2062414105 Enrollment ID: I20200623002473 |
| Provider Name | Prateek Ghatage |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1295118594 PECOS PAC ID: 9133482482 Enrollment ID: I20200706001874 |
| Provider Name | Erin E Groves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689122798 PECOS PAC ID: 4284057118 Enrollment ID: I20200709003361 |
| Provider Name | Joel Vandervelde |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1871913426 PECOS PAC ID: 3476801176 Enrollment ID: I20200819003090 |
| Provider Name | Krishna Reddy |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1710129036 PECOS PAC ID: 2062654833 Enrollment ID: I20200824002670 |
| Provider Name | Shih-wen Chang |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1629084579 PECOS PAC ID: 6608821921 Enrollment ID: I20201230000079 |
| Provider Name | Tara Elizabeth Schooler |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1528658168 PECOS PAC ID: 4587078431 Enrollment ID: I20210204000973 |
| Provider Name | Brandi Jo Clifton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639706658 PECOS PAC ID: 1951717701 Enrollment ID: I20210303001011 |
| Provider Name | Tricia Marie Pope |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356932545 PECOS PAC ID: 5698182483 Enrollment ID: I20210323000931 |
| Provider Name | Osama Diab |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1528443397 PECOS PAC ID: 3678855582 Enrollment ID: I20210712001543 |
| Provider Name | Vimalkumar Patel |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1750776704 PECOS PAC ID: 0143526830 Enrollment ID: I20210713001515 |
| Provider Name | Derek M Low |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1245644376 PECOS PAC ID: 1456573526 Enrollment ID: I20210715001868 |
| Provider Name | Steven Schwartz |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1275574832 PECOS PAC ID: 8628142809 Enrollment ID: I20210716000604 |
| Provider Name | Manidhar Reddy Lekkala |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1932585023 PECOS PAC ID: 8820387996 Enrollment ID: I20210722001639 |
| Provider Name | Tiffany M Kinnison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174115182 PECOS PAC ID: 3577965789 Enrollment ID: I20210727003984 |
| Provider Name | Ameer Shams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639369960 PECOS PAC ID: 8325133374 Enrollment ID: I20210730002433 |
| Provider Name | Alan Gonzalez Zapata |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134658321 PECOS PAC ID: 2961806328 Enrollment ID: I20210806000642 |
| Provider Name | Kirk Redger |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1548689052 PECOS PAC ID: 6103152020 Enrollment ID: I20210811002535 |
| Provider Name | Yiqing S Butler-xu |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1659720225 PECOS PAC ID: 5698066520 Enrollment ID: I20210816001271 |
| Provider Name | Christen R Elledge |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1730533886 PECOS PAC ID: 9931458932 Enrollment ID: I20210823001401 |
| Provider Name | Vandan Panchal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487181079 PECOS PAC ID: 3375812498 Enrollment ID: I20210908003956 |
| Provider Name | Raazia Aftab |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629554696 PECOS PAC ID: 7315298601 Enrollment ID: I20210915001952 |
| Provider Name | Jamal Akhtar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336692953 PECOS PAC ID: 5193146025 Enrollment ID: I20211025000671 |
| Provider Name | Jennifer Hull |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144990979 PECOS PAC ID: 6709283245 Enrollment ID: I20211025002120 |
| Provider Name | Shelly Bansal |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1174793111 PECOS PAC ID: 4688801806 Enrollment ID: I20211027001115 |
| Provider Name | Shawna L Isakson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104433762 PECOS PAC ID: 1456740455 Enrollment ID: I20211112001467 |
| Provider Name | Octavio Pajaro |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1629065677 PECOS PAC ID: 3274532239 Enrollment ID: I20220304000501 |
| Provider Name | Brandy Nicole Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477291458 PECOS PAC ID: 5294114831 Enrollment ID: I20220628001159 |
| Provider Name | Tiffany Annette Fyler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457810954 PECOS PAC ID: 5092196055 Enrollment ID: I20220721002823 |
| Provider Name | Ali Nayfeh |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1932655651 PECOS PAC ID: 7810262227 Enrollment ID: I20220802002074 |
| Provider Name | Patricio Alzamora |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1255715967 PECOS PAC ID: 9234431404 Enrollment ID: I20220803002577 |
| Provider Name | Prasanna Venkatesan Eswaradass |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1952823981 PECOS PAC ID: 8628450731 Enrollment ID: I20220806000287 |
| Provider Name | Sindhu Avula |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1811371974 PECOS PAC ID: 5092118513 Enrollment ID: I20220820000099 |
| Provider Name | Jessa Kennedy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679879571 PECOS PAC ID: 0749441814 Enrollment ID: I20220823003854 |
| Provider Name | Ashley Adell Tyler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942936992 PECOS PAC ID: 4385028554 Enrollment ID: I20220907002697 |
| Provider Name | Ahmed Souka |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1790154185 PECOS PAC ID: 2264809508 Enrollment ID: I20221031000682 |
| Provider Name | Jay C Shiao |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1063947653 PECOS PAC ID: 7719360759 Enrollment ID: I20221109000421 |
| Provider Name | John P Einck |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1831133321 PECOS PAC ID: 9638138217 Enrollment ID: I20221115002995 |
| Provider Name | Hannah Jesse Colstrom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720722622 PECOS PAC ID: 8820466048 Enrollment ID: I20221119000217 |
| Provider Name | Paul Sherman Brown |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1841294824 PECOS PAC ID: 4789574336 Enrollment ID: I20221206002254 |
| Provider Name | Heather Michelle Wurdeman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093420234 PECOS PAC ID: 2365816303 Enrollment ID: I20230315000316 |
| Provider Name | Georg Van Den Sigtenhorst |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1396745790 PECOS PAC ID: 6709949209 Enrollment ID: I20230411000803 |
| Provider Name | Ann M Morris |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1831325844 PECOS PAC ID: 8921226408 Enrollment ID: I20230414000637 |
| Provider Name | Raja Gopaldas |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1982849451 PECOS PAC ID: 7911031836 Enrollment ID: I20230509002130 |
| Provider Name | Shelby Marie Moe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902596398 PECOS PAC ID: 4789044983 Enrollment ID: I20230719003888 |
| Provider Name | David Gutman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1376507079 PECOS PAC ID: 8921012113 Enrollment ID: I20230802000119 |
| Provider Name | Derek Fritz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982264305 PECOS PAC ID: 0648634154 Enrollment ID: I20230918002054 |
| Provider Name | Brant Smith |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1992292205 PECOS PAC ID: 1052661253 Enrollment ID: I20231004000335 |
| Provider Name | Marie Rosenberger |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366009243 PECOS PAC ID: 3274867064 Enrollment ID: I20231031000732 |
| Provider Name | Michael Fiocco |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1295738508 PECOS PAC ID: 4486781523 Enrollment ID: I20231214002562 |
| Provider Name | Dale Levy |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1487639043 PECOS PAC ID: 6709823644 Enrollment ID: I20231222001181 |
| Provider Name | Leigh T Gilpin |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1720437080 PECOS PAC ID: 8325399967 Enrollment ID: I20240122002547 |
| Provider Name | William Cooper |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1669561452 PECOS PAC ID: 9931118775 Enrollment ID: I20240123003903 |
| Provider Name | Mark H Middleton |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1710977202 PECOS PAC ID: 6608838230 Enrollment ID: I20240220002837 |
| Provider Name | Navin S Thakur |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1639146566 PECOS PAC ID: 9830127448 Enrollment ID: I20240308001116 |
| Provider Name | Meagan Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689247488 PECOS PAC ID: 7012311061 Enrollment ID: I20240323000383 |
| Provider Name | Mark Allard |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1235102724 PECOS PAC ID: 2163558255 Enrollment ID: I20240327003968 |
| Provider Name | Emily Nicole Brent |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104514892 PECOS PAC ID: 2668811431 Enrollment ID: I20240413000282 |
| Provider Name | Anne Cahill |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1326066036 PECOS PAC ID: 5092711465 Enrollment ID: I20240426000527 |
| Provider Name | Uttam Tripathy |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1144285966 PECOS PAC ID: 9032131040 Enrollment ID: I20240429000952 |
| Provider Name | Kassie Lukasz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659132272 PECOS PAC ID: 8729428990 Enrollment ID: I20240506000113 |
| Provider Name | Gerard Joseph Pryor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972358471 PECOS PAC ID: 6305287996 Enrollment ID: I20240514002058 |
Topeka Infectious Disease & Endocrinology Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 631 Sw Horne St, Suite 420, Topeka, KS 66606 Phone: 785-234-8405 Fax: 785-235-1702 | |
Promedt Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1125 Sw Gage Blvd, Suite C, Topeka, KS 66604 Phone: 785-783-3706 | |
Marian Dental Clinic - Scl Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3164 Se 6th Ave, Topeka, KS 66607 Phone: 785-233-2800 Fax: 785-233-5116 | |
Chester R Davis Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1125 Sw Gage Blvd, Ste C, Topeka, KS 66604 Phone: 785-232-7324 Fax: 785-354-7155 | |
Topeka Consulting Physicians Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3520 Sw Alameda Dr, Topeka, KS 66614 Phone: 785-438-0073 | |
Minor Med Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1119 Sw Gage Blvd, Topeka, KS 66604 Phone: 785-272-4000 Fax: 785-272-0894 | |
Department Of Veteran Affairs Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2200 Sw Gage Blvd, Attn: Hud-vash, Topeka, KS 66622 Phone: 785-350-3111 |