| Triad Health Services, Llc | |
|
100 Debartolo Pl Ste 200 Youngstown OH 44512-6095 | |
| (330) 965-4540 | |
| Not Available |
| Full Name | Triad Health Services, Llc |
|---|---|
| Speciality | Plastic Surgery |
| Location | 100 Debartolo Pl Ste 200, Youngstown, Ohio |
| Authorized Official Name and Position | Edward W Muransky (CEO) |
| Authorized Official Contact | 3307297400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Triad Health Services, Llc 100 Debartolo Pl Ste 200 Youngstown OH 44512-6095 Ph: () - | Triad Health Services, Llc 100 Debartolo Pl Ste 200 Youngstown OH 44512-6095 Ph: (330) 965-4540 |
| NPI Number | 1588925457 |
|---|---|
| Provider Enumeration Date | 06/06/2012 |
| Last Update Date | 06/08/2023 |
| Medicare PECOS PAC ID | 9032367917 |
|---|---|
| Medicare Enrollment ID | O20120918000787 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588925457 | NPI | - | NPPES |
| Provider Name | Antonia L Santangelo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902901523 PECOS PAC ID: 8022910124 Enrollment ID: I20040121000078 |
| Provider Name | Leah C Frederick-toth |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1134215924 PECOS PAC ID: 9234032947 Enrollment ID: I20040129001166 |
| Provider Name | Shawn M Donatelli |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1649238072 PECOS PAC ID: 9931093499 Enrollment ID: I20040214000097 |
| Provider Name | Padmanand Y Solanki |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558338251 PECOS PAC ID: 2365337854 Enrollment ID: I20040216000171 |
| Provider Name | Marie A Morell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1619921582 PECOS PAC ID: 0941102651 Enrollment ID: I20040218000894 |
| Provider Name | Anthony J Candella |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1265427603 PECOS PAC ID: 1052207594 Enrollment ID: I20040223001099 |
| Provider Name | Lori A Crowl |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497757454 PECOS PAC ID: 6204827967 Enrollment ID: I20040520001362 |
| Provider Name | Mark A Brammer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265400444 PECOS PAC ID: 4284625872 Enrollment ID: I20040521000724 |
| Provider Name | Michael Thomas Engle |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1730186263 PECOS PAC ID: 0941284939 Enrollment ID: I20040616001261 |
| Provider Name | Lana Jean Scolieri |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1619934445 PECOS PAC ID: 2365427689 Enrollment ID: I20040621002008 |
| Provider Name | Vivian Iaderosa Starr |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851389282 PECOS PAC ID: 2264419134 Enrollment ID: I20040630000193 |
| Provider Name | Suvir P Kovoor |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316924657 PECOS PAC ID: 8527046564 Enrollment ID: I20040707001557 |
| Provider Name | Robert L Debernardo |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1891728309 PECOS PAC ID: 2961480827 Enrollment ID: I20040708000904 |
| Provider Name | Colleen L Frank |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1770550493 PECOS PAC ID: 4183603665 Enrollment ID: I20040717000421 |
| Provider Name | Brian David Shannon |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1891765673 PECOS PAC ID: 2769455252 Enrollment ID: I20040813000424 |
| Provider Name | Douglas H Musser |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1821091414 PECOS PAC ID: 8022081348 Enrollment ID: I20040816000720 |
| Provider Name | John W Babyak |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1891880597 PECOS PAC ID: 9436052131 Enrollment ID: I20040922000596 |
| Provider Name | Daniel Ebert |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1215096748 PECOS PAC ID: 7618937111 Enrollment ID: I20041019000962 |
| Provider Name | Louis S Lyras |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1083692040 PECOS PAC ID: 2062470578 Enrollment ID: I20041230000349 |
| Provider Name | Michael A Lileas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912904475 PECOS PAC ID: 1850287046 Enrollment ID: I20050121000315 |
| Provider Name | Adil Nazim Jaffer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699757781 PECOS PAC ID: 3577513985 Enrollment ID: I20050124000896 |
| Provider Name | Munir Ahmad |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1427113083 PECOS PAC ID: 1759331192 Enrollment ID: I20050125000306 |
| Provider Name | Jennifer J Leskovac |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1700830809 PECOS PAC ID: 7911957238 Enrollment ID: I20050125000530 |
| Provider Name | John Gianetti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437132933 PECOS PAC ID: 4183678089 Enrollment ID: I20050303000313 |
| Provider Name | Paul E Lesnoski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639109994 PECOS PAC ID: 7618921859 Enrollment ID: I20050310000052 |
| Provider Name | John Andrew Marakas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598799140 PECOS PAC ID: 9739133992 Enrollment ID: I20050310000184 |
| Provider Name | Michael Manuel Malmer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073597472 PECOS PAC ID: 7517904683 Enrollment ID: I20050411000391 |
| Provider Name | Scott M Agnew |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306876628 PECOS PAC ID: 1557394889 Enrollment ID: I20050916000039 |
| Provider Name | Richard Thomas Esper |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1215919071 PECOS PAC ID: 4183698384 Enrollment ID: I20051101000818 |
| Provider Name | Brock Generalovich |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1861583528 PECOS PAC ID: 0840218970 Enrollment ID: I20051108000282 |
| Provider Name | Kimberly Hash |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1396727772 PECOS PAC ID: 5799704920 Enrollment ID: I20051117000116 |
| Provider Name | Carla J Cestone |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467428391 PECOS PAC ID: 8527081975 Enrollment ID: I20060111000783 |
| Provider Name | John P Puskar |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1427092105 PECOS PAC ID: 7810910197 Enrollment ID: I20060112000716 |
| Provider Name | Necklall Khooblall |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225015506 PECOS PAC ID: 5597773887 Enrollment ID: I20060328000708 |
| Provider Name | James Nicholas Pantelakis |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1467440958 PECOS PAC ID: 4587685359 Enrollment ID: I20060531000049 |
| Provider Name | Mike G Corfias |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1841240116 PECOS PAC ID: 9133130354 Enrollment ID: I20060531000161 |
| Provider Name | Joshua S Gady |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1922085737 PECOS PAC ID: 1254334212 Enrollment ID: I20060810000599 |
| Provider Name | Theresa Sanderbeck-barone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083669154 PECOS PAC ID: 5193728616 Enrollment ID: I20060822000497 |
| Provider Name | Anna M Lang-clark |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1619922200 PECOS PAC ID: 5092718551 Enrollment ID: I20060823000181 |
| Provider Name | Tracy Lynn Dovich |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1528085479 PECOS PAC ID: 0840294476 Enrollment ID: I20060913000010 |
| Provider Name | Todd Andrew Henderson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1891774824 PECOS PAC ID: 6406875384 Enrollment ID: I20060914000310 |
| Provider Name | Joseph F Zeno |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972579928 PECOS PAC ID: 6406855089 Enrollment ID: I20061208000135 |
| Provider Name | Bridget D Romeo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174613228 PECOS PAC ID: 7416956008 Enrollment ID: I20061208000211 |
| Provider Name | Mehran Saboori |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1538157938 PECOS PAC ID: 8022096700 Enrollment ID: I20070216000062 |
| Provider Name | Dung B Nguyen |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1891736625 PECOS PAC ID: 3375537590 Enrollment ID: I20070322000372 |
| Provider Name | Mark Edward Rea |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1992849673 PECOS PAC ID: 8022112416 Enrollment ID: I20070323000372 |
| Provider Name | Nancy J Yemma |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1942221320 PECOS PAC ID: 9638169022 Enrollment ID: I20070531000001 |
| Provider Name | Mark D Plunkett |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1790715936 PECOS PAC ID: 3971601758 Enrollment ID: I20070601000007 |
| Provider Name | David R Buzzacco |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730113259 PECOS PAC ID: 0840398632 Enrollment ID: I20070601000128 |
| Provider Name | Manu Sethi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1508834326 PECOS PAC ID: 2062519945 Enrollment ID: I20070601000331 |
| Provider Name | Thomas M Gemma |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1861438426 PECOS PAC ID: 2668564873 Enrollment ID: I20070817000229 |
| Provider Name | Sean T Mcgrath |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1356567994 PECOS PAC ID: 2567555386 Enrollment ID: I20070910000478 |
| Provider Name | Patsy Buccino |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982673232 PECOS PAC ID: 1355436130 Enrollment ID: I20071009000633 |
| Provider Name | Ronald Michael Yarab |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1992702427 PECOS PAC ID: 4789668765 Enrollment ID: I20071012000479 |
| Provider Name | Candace Stefancin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063692069 PECOS PAC ID: 3476642950 Enrollment ID: I20071207000010 |
| Provider Name | Michael Anargeros Frangopoulos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952385965 PECOS PAC ID: 4183706625 Enrollment ID: I20080123000556 |
| Provider Name | Albert W Buch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609968734 PECOS PAC ID: 9133152887 Enrollment ID: I20080402000148 |
| Provider Name | John Joseph Stefancin |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1770772147 PECOS PAC ID: 9931286507 Enrollment ID: I20080407000375 |
| Provider Name | John Michael Koval |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992773451 PECOS PAC ID: 1557429099 Enrollment ID: I20081028000002 |
| Provider Name | Douglas J Smith Behn |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1679554273 PECOS PAC ID: 0547328080 Enrollment ID: I20081028000009 |
| Provider Name | Edward J Miller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891763355 PECOS PAC ID: 3779641212 Enrollment ID: I20081028000048 |
| Provider Name | Keith L Henson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023009412 PECOS PAC ID: 9032276266 Enrollment ID: I20090316000252 |
| Provider Name | Paul Ritenour |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1184668451 PECOS PAC ID: 8022175926 Enrollment ID: I20090320000029 |
| Provider Name | Margaret M Potts |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1487893251 PECOS PAC ID: 2860549086 Enrollment ID: I20090406000022 |
| Provider Name | Anita R Koch |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1316190556 PECOS PAC ID: 7618024514 Enrollment ID: I20090410000189 |
| Provider Name | Michael T Ciletti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750389011 PECOS PAC ID: 0446290290 Enrollment ID: I20091210000477 |
| Provider Name | Michael L Scavina |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1972593226 PECOS PAC ID: 6709869225 Enrollment ID: I20100208000341 |
| Provider Name | Raymond Scott Duffett |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1740270990 PECOS PAC ID: 5496717084 Enrollment ID: I20100224000869 |
| Provider Name | Edward Glenn Myers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205806304 PECOS PAC ID: 6507870649 Enrollment ID: I20100316000149 |
| Provider Name | Michael Shultz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649261868 PECOS PAC ID: 2961453121 Enrollment ID: I20100322000740 |
| Provider Name | Jeffrey Halley |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1003807025 PECOS PAC ID: 4486789989 Enrollment ID: I20100323000678 |
| Provider Name | Kristyn Alaine Essad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528067436 PECOS PAC ID: 9739215484 Enrollment ID: I20100405000044 |
| Provider Name | Michael P Stanich |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1114986015 PECOS PAC ID: 4385770908 Enrollment ID: I20100407000240 |
| Provider Name | Maria Rolinski Cochran |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265669766 PECOS PAC ID: 2961538541 Enrollment ID: I20100408000167 |
| Provider Name | Joseph Graziano |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1114917465 PECOS PAC ID: 6901932441 Enrollment ID: I20100412000006 |
| Provider Name | James J Enyeart |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811946536 PECOS PAC ID: 7810024189 Enrollment ID: I20100423000015 |
| Provider Name | Rashad H El-dabh |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1316949266 PECOS PAC ID: 5395780696 Enrollment ID: I20100528000001 |
| Provider Name | James R Stille |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1417964610 PECOS PAC ID: 1355470204 Enrollment ID: I20100602000492 |
| Provider Name | Frank N Grisafi |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1487865994 PECOS PAC ID: 0042340432 Enrollment ID: I20100610001113 |
| Provider Name | Paul Wickliffe Musselman |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1710994918 PECOS PAC ID: 2264475870 Enrollment ID: I20100611000421 |
| Provider Name | Richard Griffin Nord |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1881601086 PECOS PAC ID: 6800839416 Enrollment ID: I20100721000552 |
| Provider Name | Scott B Tofil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083618474 PECOS PAC ID: 5991759060 Enrollment ID: I20100804000735 |
| Provider Name | David J Dunch |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1457339376 PECOS PAC ID: 5698890325 Enrollment ID: I20100917000529 |
| Provider Name | Ralph Rothenberg |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1548266190 PECOS PAC ID: 9436274065 Enrollment ID: I20100920000277 |
| Provider Name | Magdy K Iskander |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1861550691 PECOS PAC ID: 2567654007 Enrollment ID: I20101004000003 |
| Provider Name | Sayed M Yossef |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1487657219 PECOS PAC ID: 8527023480 Enrollment ID: I20101004000486 |
| Provider Name | David A Lockshaw |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396728523 PECOS PAC ID: 2860685211 Enrollment ID: I20101019000371 |
| Provider Name | Andrew Joseph Lockshaw |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265415483 PECOS PAC ID: 6507059953 Enrollment ID: I20101019000418 |
| Provider Name | Jodi A Scalzo |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1215244157 PECOS PAC ID: 0547454639 Enrollment ID: I20101102001561 |
| Provider Name | Santuccio Ricciardi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437153830 PECOS PAC ID: 8729032891 Enrollment ID: I20101108000450 |
| Provider Name | Richard George Wise |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386610236 PECOS PAC ID: 5092900514 Enrollment ID: I20101110000719 |
| Provider Name | Mahish B Joshi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952384679 PECOS PAC ID: 5698960078 Enrollment ID: I20101110001521 |
| Provider Name | Kimberly Zuraw |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1750311023 PECOS PAC ID: 5294923983 Enrollment ID: I20101222000232 |
| Provider Name | Douglas R Keyser |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1902831688 PECOS PAC ID: 0345439568 Enrollment ID: I20110104000642 |
| Provider Name | William Bartels |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104805423 PECOS PAC ID: 8022207208 Enrollment ID: I20110105000003 |
| Provider Name | Ibrahim J Haddad |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366401960 PECOS PAC ID: 4082895636 Enrollment ID: I20110302000277 |
| Provider Name | Jonathan V Pulido |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1336397009 PECOS PAC ID: 4880876028 Enrollment ID: I20110309001024 |
| Provider Name | Luann Kraus |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1285935247 PECOS PAC ID: 5890977953 Enrollment ID: I20110310000338 |
| Provider Name | Thomas Edward Albani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407814452 PECOS PAC ID: 8224212741 Enrollment ID: I20110407000498 |
| Provider Name | Richard J Marina |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1144208380 PECOS PAC ID: 5395915904 Enrollment ID: I20110908001925 |
| Provider Name | Maged I Awadalla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043281090 PECOS PAC ID: 5395910194 Enrollment ID: I20111206000595 |
| Provider Name | Philip A Schneider |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1275568974 PECOS PAC ID: 9830123223 Enrollment ID: I20111208000277 |
| Provider Name | Joel H Elconin |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1801899927 PECOS PAC ID: 1153410733 Enrollment ID: I20120109000637 |
| Provider Name | Eugene L Potesta |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1316032097 PECOS PAC ID: 6709789407 Enrollment ID: I20120110000290 |
| Provider Name | Nancy A Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457599367 PECOS PAC ID: 9537327903 Enrollment ID: I20120215000460 |
| Provider Name | Peter A Andrews |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275541468 PECOS PAC ID: 1456329226 Enrollment ID: I20120301000599 |
| Provider Name | Stephen J Evan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1639141187 PECOS PAC ID: 6305808999 Enrollment ID: I20120503000159 |
| Provider Name | Timothy Domer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1417918111 PECOS PAC ID: 8527089499 Enrollment ID: I20120516000458 |
| Provider Name | Regina Wendel |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1780774703 PECOS PAC ID: 3274796404 Enrollment ID: I20120524000665 |
| Provider Name | Kimberly Hildebrand |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447506563 PECOS PAC ID: 5890942734 Enrollment ID: I20120828000228 |
| Provider Name | Igor Milosevic |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1285941765 PECOS PAC ID: 5799933610 Enrollment ID: I20120919000282 |
| Provider Name | Frances A Clark |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1285978460 PECOS PAC ID: 9638322134 Enrollment ID: I20130112000040 |
| Provider Name | Jenna L Sammartino |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1700214111 PECOS PAC ID: 9537396817 Enrollment ID: I20131211001554 |
| Provider Name | Jennifer L Fautas |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1235568403 PECOS PAC ID: 2567699432 Enrollment ID: I20131220001701 |
| Provider Name | Nicole Marie Pugh |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1629490354 PECOS PAC ID: 3173752565 Enrollment ID: I20140205001027 |
| Provider Name | Patricia Ratliff |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1750706305 PECOS PAC ID: 4880827922 Enrollment ID: I20140425001320 |
| Provider Name | Louis E Volino |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669736591 PECOS PAC ID: 6103040555 Enrollment ID: I20140605000667 |
| Provider Name | Maggie K Moracco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083032692 PECOS PAC ID: 0749405140 Enrollment ID: I20140626002371 |
| Provider Name | Aneta J Homer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659570448 PECOS PAC ID: 3173764578 Enrollment ID: I20140721002481 |
| Provider Name | Carl R Peterson |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1114151230 PECOS PAC ID: 2062639016 Enrollment ID: I20140814001662 |
| Provider Name | Kimberly Jackson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447536370 PECOS PAC ID: 3870711526 Enrollment ID: I20140821002469 |
| Provider Name | Lauren M Baluch |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1932442324 PECOS PAC ID: 1254579352 Enrollment ID: I20140920000050 |
| Provider Name | Mark E Little |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1306245303 PECOS PAC ID: 5597986364 Enrollment ID: I20141020001381 |
| Provider Name | Lisa M Elliott |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1447652458 PECOS PAC ID: 9830411065 Enrollment ID: I20141125001318 |
| Provider Name | Jodie A Stratton |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1992114920 PECOS PAC ID: 4385866623 Enrollment ID: I20150318000355 |
| Provider Name | Kristinn Marie Sergi |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1457744302 PECOS PAC ID: 9436476835 Enrollment ID: I20150324001158 |
| Provider Name | Jeremiah Noggle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669755005 PECOS PAC ID: 3971741604 Enrollment ID: I20150406000219 |
| Provider Name | Deborah J Nichols |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417394941 PECOS PAC ID: 9335467091 Enrollment ID: I20150608001724 |
| Provider Name | Amanda R Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326460205 PECOS PAC ID: 8224352414 Enrollment ID: I20150820010646 |
| Provider Name | Shaju Shamsuddin |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1982696878 PECOS PAC ID: 9931152014 Enrollment ID: I20151002001052 |
| Provider Name | Pamela Jean Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053789123 PECOS PAC ID: 3577864339 Enrollment ID: I20151221001115 |
| Provider Name | Lauren Wire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033584727 PECOS PAC ID: 5294038436 Enrollment ID: I20160122000637 |
| Provider Name | Jessica Eve Reiter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134569346 PECOS PAC ID: 7113216755 Enrollment ID: I20160817002391 |
| Provider Name | Jessica M Cassese |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1881136828 PECOS PAC ID: 8921388208 Enrollment ID: I20161201002352 |
| Provider Name | Laura D Melnick |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1255874301 PECOS PAC ID: 8224310941 Enrollment ID: I20170112002397 |
| Provider Name | Daniel L Ludwig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144778473 PECOS PAC ID: 9335422989 Enrollment ID: I20170206002819 |
| Provider Name | Justina M Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689112088 PECOS PAC ID: 4789968256 Enrollment ID: I20170228002201 |
| Provider Name | Gilbert D. A. Padula |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1255348454 PECOS PAC ID: 5496641011 Enrollment ID: I20170309002680 |
| Provider Name | Nicholas P Inchak |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588106454 PECOS PAC ID: 6204112345 Enrollment ID: I20170404001372 |
| Provider Name | Thomas Geisler |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1740608538 PECOS PAC ID: 9234431107 Enrollment ID: I20170404001911 |
| Provider Name | Joseph Williams |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1366709602 PECOS PAC ID: 1456645373 Enrollment ID: I20170706001142 |
| Provider Name | Jillian Zembower |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700300886 PECOS PAC ID: 8426321274 Enrollment ID: I20170830002302 |
| Provider Name | Amy Sugar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891210944 PECOS PAC ID: 5193098713 Enrollment ID: I20170901002478 |
| Provider Name | Suzanne Banner |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1225554983 PECOS PAC ID: 9032483292 Enrollment ID: I20170927000305 |
| Provider Name | Simone F Froelich |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528587110 PECOS PAC ID: 2466727573 Enrollment ID: I20170928003282 |
| Provider Name | Daniel J Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801312707 PECOS PAC ID: 8224303177 Enrollment ID: I20171003007432 |
| Provider Name | Maura Schaefer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1437696705 PECOS PAC ID: 0840577649 Enrollment ID: I20180328002273 |
| Provider Name | Maria Ann Hendrix |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841780467 PECOS PAC ID: 6507115631 Enrollment ID: I20180822001146 |
| Provider Name | Rachael Anne Visingardi |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1962980912 PECOS PAC ID: 5890047393 Enrollment ID: I20181011000713 |
| Provider Name | Deanna R Lyder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245719806 PECOS PAC ID: 8224372156 Enrollment ID: I20181204002770 |
| Provider Name | Joshua Steven Mcgaffic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053877951 PECOS PAC ID: 3870833452 Enrollment ID: I20190318001878 |
| Provider Name | Megan A Pitts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932668399 PECOS PAC ID: 7012258106 Enrollment ID: I20190418002059 |
| Provider Name | Kathryn Arrington |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1649787987 PECOS PAC ID: 7719249994 Enrollment ID: I20190430003155 |
| Provider Name | Monya Nyshell Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598328734 PECOS PAC ID: 0446586499 Enrollment ID: I20190729001699 |
| Provider Name | Alexandra N Butta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659933422 PECOS PAC ID: 8325375801 Enrollment ID: I20190806002893 |
| Provider Name | Kimberley A Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043872864 PECOS PAC ID: 4789911264 Enrollment ID: I20190806002917 |
| Provider Name | Jessica Sitler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205489382 PECOS PAC ID: 7810224888 Enrollment ID: I20190814000509 |
| Provider Name | Molly Corlew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144861857 PECOS PAC ID: 4183956659 Enrollment ID: I20191101002213 |
| Provider Name | Jeffrey Earl Branham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518501428 PECOS PAC ID: 8921433145 Enrollment ID: I20200116001733 |
| Provider Name | Brandy M Lacivita |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255964276 PECOS PAC ID: 3274961420 Enrollment ID: I20200321000332 |
| Provider Name | Sabrina Kifer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881153377 PECOS PAC ID: 3375973134 Enrollment ID: I20200417001825 |
| Provider Name | Alexandra Kristine Shivers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578193967 PECOS PAC ID: 2567893282 Enrollment ID: I20200513002782 |
| Provider Name | Lucas M Davanzo |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1437544905 PECOS PAC ID: 7113235599 Enrollment ID: I20200728002388 |
| Provider Name | Joshua Kyle Phillips |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1346652211 PECOS PAC ID: 1254638414 Enrollment ID: I20200810000948 |
| Provider Name | Jacklyn Marie Podolsky |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1649801861 PECOS PAC ID: 8628490927 Enrollment ID: I20200811000666 |
| Provider Name | Mary K Hardie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679181267 PECOS PAC ID: 7517383888 Enrollment ID: I20200817003750 |
| Provider Name | Priscilla A. Cambert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639786668 PECOS PAC ID: 5890114151 Enrollment ID: I20201006001769 |
| Provider Name | Judith L Hamilton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619590379 PECOS PAC ID: 5193145258 Enrollment ID: I20201012002583 |
| Provider Name | Ana Massiello |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1528535259 PECOS PAC ID: 0446594477 Enrollment ID: I20201202002517 |
| Provider Name | Dwight Earl Heron |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1578536397 PECOS PAC ID: 1153315023 Enrollment ID: I20201217000266 |
| Provider Name | Lauren Rainey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659982494 PECOS PAC ID: 2163836834 Enrollment ID: I20210121001287 |
| Provider Name | Vivek Verma |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1780926022 PECOS PAC ID: 8527308618 Enrollment ID: I20210127003428 |
| Provider Name | Rachel Testa |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1629668652 PECOS PAC ID: 9537575402 Enrollment ID: I20210302000757 |
| Provider Name | Elefterios M Kokkinos |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1508334269 PECOS PAC ID: 3476886649 Enrollment ID: I20210423000718 |
| Provider Name | Dillon R Gorby |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942874821 PECOS PAC ID: 1456750488 Enrollment ID: I20210525001636 |
| Provider Name | Katina Kokkinos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588225999 PECOS PAC ID: 9436487154 Enrollment ID: I20210720000140 |
| Provider Name | Lalitha Madhav Janaki |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508813247 PECOS PAC ID: 3173421468 Enrollment ID: I20210723001373 |
| Provider Name | Daniel Ronci |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588151609 PECOS PAC ID: 4880097864 Enrollment ID: I20210728002735 |
| Provider Name | Laura Selway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194307926 PECOS PAC ID: 5193128056 Enrollment ID: I20210729001955 |
| Provider Name | Maggie Yanulaitis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881274538 PECOS PAC ID: 1052714862 Enrollment ID: I20210730000238 |
| Provider Name | Paula J Mullins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982175337 PECOS PAC ID: 7113263419 Enrollment ID: I20210820000550 |
| Provider Name | Brandon Dessecker |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1558740589 PECOS PAC ID: 4880993914 Enrollment ID: I20210824000589 |
| Provider Name | Jordan M Diana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750952867 PECOS PAC ID: 8123423407 Enrollment ID: I20210825000598 |
| Provider Name | Michael Alexander Shumaker |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1285639484 PECOS PAC ID: 9133197502 Enrollment ID: I20210826000716 |
| Provider Name | Lindsey B Beffa |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1134415029 PECOS PAC ID: 7517193824 Enrollment ID: I20210916001563 |
| Provider Name | Darby Heiland |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1669022208 PECOS PAC ID: 0143627141 Enrollment ID: I20210917000803 |
| Provider Name | Patrizia Guerrieri |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1053696773 PECOS PAC ID: 8729255765 Enrollment ID: I20211004002198 |
| Provider Name | Kanwaldeep Kaur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578165528 PECOS PAC ID: 7315345147 Enrollment ID: I20211008002124 |
| Provider Name | Chad Andrew Cochran |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1639600695 PECOS PAC ID: 0244599777 Enrollment ID: I20211013002486 |
| Provider Name | Nikki T Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043785512 PECOS PAC ID: 8224381090 Enrollment ID: I20211018002575 |
| Provider Name | Nikki Theodora Patella |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700548187 PECOS PAC ID: 0345639894 Enrollment ID: I20211123000281 |
| Provider Name | Molly E Woodford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639841208 PECOS PAC ID: 2860882560 Enrollment ID: I20211213001969 |
| Provider Name | Carly Rae Tepsick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073268249 PECOS PAC ID: 9739575077 Enrollment ID: I20220413001020 |
| Provider Name | Nicholas Schiavoni |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1609262666 PECOS PAC ID: 5092020180 Enrollment ID: I20220728001758 |
| Provider Name | Michael R Dasu |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1407381130 PECOS PAC ID: 0042612749 Enrollment ID: I20220819002163 |
| Provider Name | Kathryn M Jurenovich |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1154781755 PECOS PAC ID: 1254714314 Enrollment ID: I20220823000833 |
| Provider Name | Stuart L Drew |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1750740023 PECOS PAC ID: 2264815349 Enrollment ID: I20220823001766 |
| Provider Name | Alberta S Kemper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801122809 PECOS PAC ID: 4688997919 Enrollment ID: I20220824000429 |
| Provider Name | Kendel R Christoff |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1518583632 PECOS PAC ID: 3375959562 Enrollment ID: I20221012001843 |
| Provider Name | Alexa E Tkacik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912627647 PECOS PAC ID: 4183090244 Enrollment ID: I20221014002567 |
| Provider Name | John F Smith |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1023085719 PECOS PAC ID: 0749474062 Enrollment ID: I20221115003508 |
| Provider Name | Zachary S Geiger |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1386145746 PECOS PAC ID: 4183971104 Enrollment ID: I20230801000521 |
| Provider Name | Colette M Mikula |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174216303 PECOS PAC ID: 5092176198 Enrollment ID: I20230807000657 |
| Provider Name | Tyler D Ames |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1194253591 PECOS PAC ID: 5597035444 Enrollment ID: I20230816000799 |
| Provider Name | James Hideg |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831221670 PECOS PAC ID: 5294823753 Enrollment ID: I20230911004166 |
| Provider Name | Melissa A Lariviere |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841075348 PECOS PAC ID: 5698120517 Enrollment ID: I20231012003499 |
| Provider Name | Gina M Sudol |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245873454 PECOS PAC ID: 0941656821 Enrollment ID: I20231030000198 |
| Provider Name | Margo M Milliron |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1770356446 PECOS PAC ID: 9638527500 Enrollment ID: I20231204000586 |
| Provider Name | Krista Kirkpatrick |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275921256 PECOS PAC ID: 9335583913 Enrollment ID: I20240222001867 |
Youngstown Ohio Physician Services Company Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 Gypsy Ln, Youngstown, OH 44504 Phone: 330-884-0120 Fax: 330-884-0175 | |
St. Elizabeth Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1053 Belmont Ave, Youngstown, OH 44504 Phone: 330-480-3605 | |
Primary Healthcare Associates, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2111 Belmont Ave, Youngstown, OH 44505 Phone: 330-744-0221 Fax: 330-744-4716 | |
Thomas A Bailey Md Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 25 N Canfield Niles Rd, Suite 160, Youngstown, OH 44515 Phone: 330-792-2976 Fax: 330-792-8707 | |
Youngstown Ohio Hospital Company Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 Gypsy Lane, Youngstown, OH 44504 Phone: 330-884-4571 | |
Humility Of Mary Health Partners Physician Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1044 Belmont Ave, Youngstown, OH 44504 Phone: 330-746-7211 | |
Nicholas P Depizzo Do Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4991 Belmont Ave, Youngstown, OH 44505 Phone: 330-759-0435 |