| 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 |
| Certification Date | 09/29/2020 |
| Medicare PECOS PAC ID | 6406112473 |
|---|---|
| Medicare Enrollment ID | O20171107002163 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770008849 | NPI | - | NPPES |
| Provider Name | Monica L Blanton-birzer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1225096670 PECOS PAC ID: 5496652893 Enrollment ID: I20031215000623 |
| 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 | Matthew S Hutchins |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1275618308 PECOS PAC ID: 4284525338 Enrollment ID: I20040320000335 |
| 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 | Seth a Morgan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811981244 PECOS PAC ID: 3375597800 Enrollment ID: I20050308000998 |
| 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 | 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 | Patrick G Sheehy |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1699704015 PECOS PAC ID: 4284671918 Enrollment ID: I20050413000990 |
| Provider Name | David a Oaks |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1053396473 PECOS PAC ID: 5597703439 Enrollment ID: I20050420001181 |
| Provider Name | Kathy L Hershberger |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1255332680 PECOS PAC ID: 8426097189 Enrollment ID: I20050502000955 |
| Provider Name | Mark R Heimerman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902891963 PECOS PAC ID: 2365482973 Enrollment ID: I20050503000941 |
| 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 | 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 | Thomas L Rosamond |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1356454912 PECOS PAC ID: 3870539380 Enrollment ID: I20050706001060 |
| 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 | Daniel Keleti |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1356325245 PECOS PAC ID: 8820055825 Enrollment ID: I20051027000657 |
| 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 | Steve W Bormann |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1881789139 PECOS PAC ID: 2062585540 Enrollment ID: I20080716000537 |
| Provider Name | Lee E Leinwetter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841412376 PECOS PAC ID: 4183797327 Enrollment ID: I20080721000554 |
| Provider Name | Klas D Miller |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1417122706 PECOS PAC ID: 4880754969 Enrollment ID: I20081119000336 |
| Provider Name | Rochelle L Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356588735 PECOS PAC ID: 6507921038 Enrollment ID: I20090218000044 |
| Provider Name | Lisa a Goularte |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265421481 PECOS PAC ID: 7517055635 Enrollment ID: I20090304000029 |
| 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 | John W Keller |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1578556726 PECOS PAC ID: 2668503863 Enrollment ID: I20100907000765 |
| 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 | Lindsey a Winterscheidt |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1053627174 PECOS PAC ID: 9436347556 Enrollment ID: I20101216000044 |
| Provider Name | Lewis Gilmer 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 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 | Debbie Ann Name |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386985091 PECOS PAC ID: 7416198254 Enrollment ID: I20130722000087 |
| Provider Name | Rebeka Leigh Weber |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851529390 PECOS PAC ID: 0345481560 Enrollment ID: I20130730000508 |
| 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 | 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 | Steven Matthew Hollenbeck |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1689832651 PECOS PAC ID: 1153570445 Enrollment ID: I20140716000450 |
| Provider Name | Mendy Ebberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477969590 PECOS PAC ID: 4486874294 Enrollment ID: I20140930000159 |
| Provider Name | Annette R Smith |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1336171297 PECOS PAC ID: 1951393040 Enrollment ID: I20150116002124 |
| Provider Name | Janie Peters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700274065 PECOS PAC ID: 6608194808 Enrollment ID: I20150420001813 |
| Provider Name | Margo a Chediak |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1972912947 PECOS PAC ID: 4183942238 Enrollment ID: I20150421001916 |
| 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 | Hayley N Golden |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1689027211 PECOS PAC ID: 7315234549 Enrollment ID: I20161003000187 |
| Provider Name | Crystal Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013452879 PECOS PAC ID: 0840573226 Enrollment ID: I20170209000055 |
| Provider Name | Taimur B Safder |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1235542317 PECOS PAC ID: 8325264062 Enrollment ID: I20170224002319 |
| 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 | Ahmed Saeed |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1033423744 PECOS PAC ID: 2062645542 Enrollment ID: I20180411002691 |
| Provider Name | Katherine Danielle Stadler |
|---|---|
| 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 | 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 | Jessica L Hampton |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1528554144 PECOS PAC ID: 6608129234 Enrollment ID: I20181030000646 |
| 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 | 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 | Nicole M Schwensow |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1467415273 PECOS PAC ID: 0749240380 Enrollment ID: I20190529002472 |
| 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 Richard 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 | 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 | 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 | 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 | Prateek Ghatage |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1295118594 PECOS PAC ID: 9133482482 Enrollment ID: I20200706001874 |
| Provider Name | Mejalli M Al-kofahi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1699203604 PECOS PAC ID: 7416229232 Enrollment ID: I20200722003469 |
| 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 | Brett Haarmann |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811909302 PECOS PAC ID: 2163415084 Enrollment ID: I20200923001369 |
| Provider Name | Thomas Feil |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1821187428 PECOS PAC ID: 4183690209 Enrollment ID: I20201001000819 |
| Provider Name | Fadi Mohammed Thaer Bdair |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1356383889 PECOS PAC ID: 1759308950 Enrollment ID: I20201203001401 |
| 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 Clifton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639706658 PECOS PAC ID: 1951717701 Enrollment ID: I20210303001011 |
| Provider Name | Amanda Murray |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1205218914 PECOS PAC ID: 0143534768 Enrollment ID: I20210503000521 |
| 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 | 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 | 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 | 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 | Shawna L Isakson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104433762 PECOS PAC ID: 1456740455 Enrollment ID: I20211112001467 |
| Provider Name | Sarah Pederson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1407313968 PECOS PAC ID: 6709126311 Enrollment ID: I20211221002325 |
| Provider Name | Octavio Pajaro |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1629065677 PECOS PAC ID: 3274532239 Enrollment ID: I20220304000501 |
| Provider Name | Gabriela Garza |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1912557844 PECOS PAC ID: 8325477276 Enrollment ID: I20220511001680 |
| 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 | 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 | Julia R White |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1356392385 PECOS PAC ID: 5991738718 Enrollment ID: I20221128002730 |
| Provider Name | Paul Brown |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1841294824 PECOS PAC ID: 4789574336 Enrollment ID: I20221206002254 |
| Provider Name | Joseph Mirville |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1043683311 PECOS PAC ID: 1456694892 Enrollment ID: I20230214000791 |
| 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 D Van Den Sigtenhorst |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1396745790 PECOS PAC ID: 6709949209 Enrollment ID: I20230411000803 |
| Provider Name | Megan Leeann Sommer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013660760 PECOS PAC ID: 2163818519 Enrollment ID: I20230414000301 |
| 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 | Jessalyn Dickerson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1225428105 PECOS PAC ID: 8820324700 Enrollment ID: I20230724002992 |
| Provider Name | Mackenzie Snyder |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1356098982 PECOS PAC ID: 8527420827 Enrollment ID: I20230818000894 |
| Provider Name | Derek Fritz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982264305 PECOS PAC ID: 0648634154 Enrollment ID: I20230918002054 |
| Provider Name | Ngozika Nzekwe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093497406 PECOS PAC ID: 9436503489 Enrollment ID: I20230926001292 |
| Provider Name | Brant Smith |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1992292205 PECOS PAC ID: 1052661253 Enrollment ID: I20231004000335 |
| Provider Name | Makayla Jo Wagner |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891486965 PECOS PAC ID: 8628424637 Enrollment ID: I20231027001000 |
| Provider Name | Marie Rosenberger |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366009243 PECOS PAC ID: 3274867064 Enrollment ID: I20231031000732 |
| Provider Name | Leigh T Gilpin |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1720437080 PECOS PAC ID: 8325399967 Enrollment ID: I20240122002547 |
| Provider Name | William a Cooper |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1669561452 PECOS PAC ID: 9931118775 Enrollment ID: I20240123003903 |
| Provider Name | Mark 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 | Emily Nicole Brent |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104514892 PECOS PAC ID: 2668811431 Enrollment ID: I20240413000282 |
| Provider Name | Kassie Lukasz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659132272 PECOS PAC ID: 8729428990 Enrollment ID: I20240506000113 |
| Provider Name | Omar Kousa |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1487133914 PECOS PAC ID: 0749532075 Enrollment ID: I20240510002274 |
| Provider Name | Gerard Joseph Pryor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972358471 PECOS PAC ID: 6305287996 Enrollment ID: I20240514002058 |
| Provider Name | Abhishek Chakraborti |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1366920597 PECOS PAC ID: 6406298785 Enrollment ID: I20240531003002 |
| Provider Name | Christina Jo Peterson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1144783390 PECOS PAC ID: 8527506914 Enrollment ID: I20240816000435 |
| Provider Name | Stephen Dickson |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1720086242 PECOS PAC ID: 7113831843 Enrollment ID: I20240823000101 |
| Provider Name | Elizabeth Wolfe-meyer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154996155 PECOS PAC ID: 1850792763 Enrollment ID: I20240911000101 |
| Provider Name | Olusegun Onibonoje |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1053804096 PECOS PAC ID: 5890157671 Enrollment ID: I20240913000622 |
| Provider Name | Natalee Yochum |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1679312201 PECOS PAC ID: 2365983095 Enrollment ID: I20240923000965 |
| Provider Name | Delaney R Holthaus |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891520987 PECOS PAC ID: 1557892965 Enrollment ID: I20241009000576 |
| Provider Name | Reid Alexander Williams |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750111274 PECOS PAC ID: 5991237034 Enrollment ID: I20241015001486 |
| Provider Name | Shashank Jolly |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1902047814 PECOS PAC ID: 3779634522 Enrollment ID: I20241115003014 |
| Provider Name | Crystal Dawn Kay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780365296 PECOS PAC ID: 2961937263 Enrollment ID: I20241122004024 |
| Provider Name | Amber Dreiling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962018234 PECOS PAC ID: 0042682072 Enrollment ID: I20250102003232 |
| Provider Name | Elizabeth Weilert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225537277 PECOS PAC ID: 3678836780 Enrollment ID: I20250102003404 |
| Provider Name | Chris Fillerup |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1922381219 PECOS PAC ID: 3971776444 Enrollment ID: I20250106000416 |
| Provider Name | Sarah Winer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669182044 PECOS PAC ID: 5193179240 Enrollment ID: I20250114000564 |
| Provider Name | Ariel Ann Chung |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174996029 PECOS PAC ID: 8729402730 Enrollment ID: I20250222000039 |
| Provider Name | Emmanuel Jean-jacques |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1023253648 PECOS PAC ID: 5294905618 Enrollment ID: I20250326001486 |
| Provider Name | Corey Michael True |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073360228 PECOS PAC ID: 6608394739 Enrollment ID: I20250513001843 |
| Provider Name | Akiko Rockers |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1023646692 PECOS PAC ID: 3476974056 Enrollment ID: I20250616000322 |
| Provider Name | Lauren Ann Buell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1871395962 PECOS PAC ID: 0042722894 Enrollment ID: I20250626000362 |
| Provider Name | Leanna M Streit Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891598777 PECOS PAC ID: 4587162102 Enrollment ID: I20250812002875 |
| Provider Name | Sholah P Pittman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083614259 PECOS PAC ID: 1850387499 Enrollment ID: I20250918001888 |
| Provider Name | Juan Geronimo Adames |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1245591650 PECOS PAC ID: 3870831266 Enrollment ID: I20251030003575 |
| Provider Name | Azaria Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144081969 PECOS PAC ID: 5193251619 Enrollment ID: I20251216000317 |
| Provider Name | Philip Hamby |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1992064372 PECOS PAC ID: 6305115411 Enrollment ID: I20260219004022 |
| Provider Name | Francis Yuri Maccedo |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1538379854 PECOS PAC ID: 5395883656 Enrollment ID: I20260604000618 |
Heartfelt Healthcare, LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3229 Sw Mcclure Rd, Topeka, KS 66614 Phone: 785-260-0264 Fax: 833-455-6871 |
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 |
Nightingale Family Health, LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1119 Sw Gage Blvd, Topeka, KS 66604 Phone: 785-271-6161 |
Altea Medical Kansas LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1001 Sw 29th St, Topeka, KS 66611 Phone: 888-408-7008 |
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 |