| Trinity Health Of New England Medical Group | |
|
114 Woodland St Saint Francis Medical Group Inc. Hartford CT 06105-1208 | |
| (860) 714-1325 | |
| (860) 714-8078 |
| Full Name | Trinity Health Of New England Medical Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 114 Woodland St, Hartford, Connecticut |
| Authorized Official Name and Position | Carlos Martins (INTERIM PRESIDENT) |
| Authorized Official Contact | 4135230816 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Trinity Health Of New England Medical Group 1000 Asylum Ave Ste 4309a Hartford CT 06105-1704 Ph: (860) 714-1325 | Trinity Health Of New England Medical Group 114 Woodland St Saint Francis Medical Group Inc. Hartford CT 06105-1208 Ph: (860) 714-1325 |
| NPI Number | 1003882812 |
|---|---|
| Provider Enumeration Date | 02/23/2006 |
| Last Update Date | 09/17/2019 |
| Medicare PECOS PAC ID | 0941113567 |
|---|---|
| Medicare Enrollment ID | O20031110000651 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003882812 | NPI | - | NPPES |
| 004144474 | Medicaid | CT | |
| 004179067 | Medicaid | CT | |
| 004254504 | Medicaid | CT | |
| 004255742 | Medicaid | CT | |
| 008041399 | Medicaid | CT | |
| 008050163 | Medicaid | CT | |
| 008057685 | Medicaid | CT | |
| 004255221 | Medicaid | CT | |
| 008026230 | Medicaid | CT | |
| 008041438 | Medicaid | CT | |
| 008041543 | Medicaid | CT | |
| 008059165 | Medicaid | CT | |
| 008004638 | Medicaid | CT | |
| 008049989 | Medicaid | CT | |
| 004179059 | Medicaid | CT | |
| 008026251 | Medicaid | CT | |
| 008035513 | Medicaid | CT | |
| 008049887 | Medicaid | CT | |
| 008060133 | Medicaid | CT | |
| 004208957 | Medicaid | CT | |
| 008030966 | Medicaid | CT | |
| 008040858 | Medicaid | CT | |
| 004197689 | Medicaid | CT | |
| 004217619 | Medicaid | CT | |
| 008040926 | Medicaid | CT | |
| 008041385 | Medicaid | CT | |
| 008041511 | Medicaid | CT | |
| 004197621 | Medicaid | CT | |
| 008026223 | Medicaid | CT | |
| 008040940 | Medicaid | CT |
| Provider Name | Ronald A Zlotoff |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1346229556 PECOS PAC ID: 0143132464 Enrollment ID: I20031104000510 |
| Provider Name | Kanagaratnam Jegathesan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497859409 PECOS PAC ID: 0244144392 Enrollment ID: I20031113000713 |
| Provider Name | Andrew S Whyte |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629013123 PECOS PAC ID: 4981518545 Enrollment ID: I20031118000197 |
| Provider Name | Ronald Gross |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1184633034 PECOS PAC ID: 5092612556 Enrollment ID: I20031215000326 |
| Provider Name | Robert W Kugler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326064197 PECOS PAC ID: 3173421757 Enrollment ID: I20031219000757 |
| Provider Name | Muzibul G Chowdhury |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093730012 PECOS PAC ID: 9436059706 Enrollment ID: I20040112000265 |
| Provider Name | Ali Vaezy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396722575 PECOS PAC ID: 3577463710 Enrollment ID: I20040113000062 |
| Provider Name | Syed Bilgrami |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1710980735 PECOS PAC ID: 3173425766 Enrollment ID: I20040123000579 |
| Provider Name | Sailaja Puttagunta |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1306969282 PECOS PAC ID: 0244125557 Enrollment ID: I20040217000133 |
| Provider Name | David R Polke |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1649234840 PECOS PAC ID: 1456246644 Enrollment ID: I20040217000633 |
| Provider Name | Mark Albini |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518921907 PECOS PAC ID: 0143115337 Enrollment ID: I20040217000660 |
| Provider Name | David S Henry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134146574 PECOS PAC ID: 5496641755 Enrollment ID: I20040224000635 |
| Provider Name | Joseph P Morley |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1053349407 PECOS PAC ID: 3274429147 Enrollment ID: I20040226000588 |
| Provider Name | Robert W Kahan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1790871671 PECOS PAC ID: 6901792605 Enrollment ID: I20040227000948 |
| Provider Name | Lynn J Phillips |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801869706 PECOS PAC ID: 5092602623 Enrollment ID: I20040301000060 |
| Provider Name | Raymond J Chagnon |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1649332909 PECOS PAC ID: 2163310285 Enrollment ID: I20040309000945 |
| Provider Name | Monique T Sherman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841361227 PECOS PAC ID: 7810885886 Enrollment ID: I20040310000463 |
| Provider Name | Luis R Gonzalez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801863220 PECOS PAC ID: 2567350408 Enrollment ID: I20040310000888 |
| Provider Name | Kevin J Flanagan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013981471 PECOS PAC ID: 0143118091 Enrollment ID: I20040310000982 |
| Provider Name | Ronald J Bloom |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1548238835 PECOS PAC ID: 9739079047 Enrollment ID: I20040319000031 |
| Provider Name | Jill Sara Epstein-jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861566853 PECOS PAC ID: 6406746635 Enrollment ID: I20040319000257 |
| Provider Name | Michelle A Brisman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1770663460 PECOS PAC ID: 3476443672 Enrollment ID: I20040319000783 |
| Provider Name | Beverly Jean Carolan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235198128 PECOS PAC ID: 8426041484 Enrollment ID: I20040406000307 |
| Provider Name | Bruce S Chozick |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1386686897 PECOS PAC ID: 1153315999 Enrollment ID: I20040413001634 |
| Provider Name | Sina Raissi |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1053311662 PECOS PAC ID: 2961492616 Enrollment ID: I20040514000335 |
| Provider Name | Gerald Bayona |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780695692 PECOS PAC ID: 5193715381 Enrollment ID: I20040518000858 |
| Provider Name | Susan F Burroughs |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1790781078 PECOS PAC ID: 6608867841 Enrollment ID: I20040518001266 |
| Provider Name | Marc D Aronson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275632994 PECOS PAC ID: 8426039843 Enrollment ID: I20040601000139 |
| Provider Name | Anthony Kim |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1205890381 PECOS PAC ID: 7810978277 Enrollment ID: I20040601000467 |
| Provider Name | Walter P Trymbulak |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104824168 PECOS PAC ID: 0143202192 Enrollment ID: I20040603000293 |
| Provider Name | John M Montminy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558478305 PECOS PAC ID: 9032192596 Enrollment ID: I20040608000330 |
| Provider Name | Kathleen N Mueller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033219639 PECOS PAC ID: 2860475951 Enrollment ID: I20040610000191 |
| Provider Name | Eileen Levine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912909524 PECOS PAC ID: 3971587346 Enrollment ID: I20040614001563 |
| Provider Name | Prashant Grover |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1013939214 PECOS PAC ID: 4688659287 Enrollment ID: I20040618001183 |
| Provider Name | Jennifer A Colucci |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558364653 PECOS PAC ID: 1052396041 Enrollment ID: I20040623000519 |
| Provider Name | Danilo Pangilinan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184691800 PECOS PAC ID: 5991780793 Enrollment ID: I20040623001425 |
| Provider Name | John E Leavens |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730117367 PECOS PAC ID: 4981680402 Enrollment ID: I20040625000755 |
| Provider Name | Edward J White |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1104824788 PECOS PAC ID: 5294711230 Enrollment ID: I20040629000643 |
| Provider Name | Jeffrey H Gottlieb |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043292980 PECOS PAC ID: 0941108476 Enrollment ID: I20040629000954 |
| Provider Name | Robert M Smith |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1487617635 PECOS PAC ID: 9234117664 Enrollment ID: I20040712000538 |
| Provider Name | Dushyant N Gandhi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1689683138 PECOS PAC ID: 4789662008 Enrollment ID: I20040712001318 |
| Provider Name | Gladys Kagaoan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1265497143 PECOS PAC ID: 2860462173 Enrollment ID: I20040726001202 |
| Provider Name | Alessia C Donadio |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1144241746 PECOS PAC ID: 3476523093 Enrollment ID: I20040729001129 |
| Provider Name | Herbert Dimeola |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528024015 PECOS PAC ID: 6608855192 Enrollment ID: I20040802001437 |
| Provider Name | Philip Richard Corvo |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1821189267 PECOS PAC ID: 9931170909 Enrollment ID: I20040803001401 |
| Provider Name | Katerina M Michaels-bogdan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164484762 PECOS PAC ID: 9335111384 Enrollment ID: I20040810000754 |
| Provider Name | Pracha Eamranond |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073501656 PECOS PAC ID: 8224001326 Enrollment ID: I20040817000709 |
| Provider Name | Jaideep S Talwalkar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639152721 PECOS PAC ID: 7810961406 Enrollment ID: I20040820000110 |
| Provider Name | David Wolpaw |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811973332 PECOS PAC ID: 1153395348 Enrollment ID: I20040824000176 |
| Provider Name | Alberto Juan Rodriguez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316967037 PECOS PAC ID: 9830164623 Enrollment ID: I20040826000578 |
| Provider Name | Ann Navage |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1588751283 PECOS PAC ID: 0143295881 Enrollment ID: I20040827000066 |
| Provider Name | Ian S Tucker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538130836 PECOS PAC ID: 8325015894 Enrollment ID: I20040914000656 |
| Provider Name | Asher R Qureshi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1568460434 PECOS PAC ID: 9638147770 Enrollment ID: I20040917000180 |
| Provider Name | Agatha M Hecht |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730181348 PECOS PAC ID: 9830159441 Enrollment ID: I20041018000409 |
| Provider Name | Sondra I Bogursky |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790711059 PECOS PAC ID: 3678535176 Enrollment ID: I20041027000996 |
| Provider Name | Paul S Sullivan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740200377 PECOS PAC ID: 9931161254 Enrollment ID: I20041029000320 |
| Provider Name | Michael Grey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881777936 PECOS PAC ID: 3577526268 Enrollment ID: I20041110000676 |
| Provider Name | Julian Jose Esteban |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1447228770 PECOS PAC ID: 8628034543 Enrollment ID: I20041202000700 |
| Provider Name | Tasneem A Khan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679650378 PECOS PAC ID: 1456319284 Enrollment ID: I20041228000197 |
| Provider Name | Howard A Grayson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205813102 PECOS PAC ID: 0143288811 Enrollment ID: I20041228000563 |
| Provider Name | Jannette Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447272661 PECOS PAC ID: 8224096763 Enrollment ID: I20041229000966 |
| Provider Name | Kathleen P Burlison |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205862679 PECOS PAC ID: 6103874797 Enrollment ID: I20050111000161 |
| Provider Name | Atique A Mirza |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1497701072 PECOS PAC ID: 9133178601 Enrollment ID: I20050121000696 |
| Provider Name | Sharon S Hull |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801894563 PECOS PAC ID: 2062463326 Enrollment ID: I20050203000317 |
| Provider Name | Syed J Naqvi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861464109 PECOS PAC ID: 6507819349 Enrollment ID: I20050222000308 |
| Provider Name | Gregory M Colodner |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1881623288 PECOS PAC ID: 5991759607 Enrollment ID: I20050307000024 |
| Provider Name | Christine Barry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598739328 PECOS PAC ID: 3476507641 Enrollment ID: I20050310000247 |
| Provider Name | Lawrence Daskal |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518026574 PECOS PAC ID: 7214981232 Enrollment ID: I20050311000347 |
| Provider Name | Azhar Imam |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578516597 PECOS PAC ID: 0446205348 Enrollment ID: I20050314000701 |
| Provider Name | Chandra K Sacheti |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1124087655 PECOS PAC ID: 6800865247 Enrollment ID: I20050317000528 |
| Provider Name | Jeffrey Thompsen |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1598705832 PECOS PAC ID: 3173578515 Enrollment ID: I20050317000864 |
| Provider Name | Thomas I Knox |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1609838218 PECOS PAC ID: 4688611932 Enrollment ID: I20050408000601 |
| Provider Name | David C Stekler |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518060789 PECOS PAC ID: 8123065745 Enrollment ID: I20050414000465 |
| Provider Name | Alison L Carlson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689719460 PECOS PAC ID: 3971542218 Enrollment ID: I20050427000304 |
| Provider Name | Savita N Sheth |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902874076 PECOS PAC ID: 1355381401 Enrollment ID: I20050509000039 |
| Provider Name | Shah Nawaz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831128305 PECOS PAC ID: 4688614571 Enrollment ID: I20050510000917 |
| Provider Name | Paresh Limaye |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003883232 PECOS PAC ID: 9234172057 Enrollment ID: I20050602000987 |
| Provider Name | Thomas W Turbiak |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326046442 PECOS PAC ID: 9133163827 Enrollment ID: I20050614000505 |
| Provider Name | Ehsan Ansari |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1841236312 PECOS PAC ID: 5698719045 Enrollment ID: I20050616000095 |
| Provider Name | Suphichaya Muangman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1245398619 PECOS PAC ID: 6709820004 Enrollment ID: I20050617000167 |
| Provider Name | Yvonne Ali Ruddy-stein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992738116 PECOS PAC ID: 5698710929 Enrollment ID: I20050627000819 |
| Provider Name | Carolyn M Ray |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1174551840 PECOS PAC ID: 8123063351 Enrollment ID: I20050628000230 |
| Provider Name | Aris D Yannopoulos |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1881634632 PECOS PAC ID: 2365478559 Enrollment ID: I20050711000225 |
| Provider Name | Varinder Kumar |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1225040637 PECOS PAC ID: 7315974706 Enrollment ID: I20050718000454 |
| Provider Name | David M Silver |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437177870 PECOS PAC ID: 6002843471 Enrollment ID: I20050719000077 |
| Provider Name | Kamal C Shoukri |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1649277013 PECOS PAC ID: 2860429321 Enrollment ID: I20050726000953 |
| Provider Name | John A Palesty |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1942237516 PECOS PAC ID: 4880622612 Enrollment ID: I20050802000499 |
| Provider Name | Rebecca Newell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881620268 PECOS PAC ID: 3577545706 Enrollment ID: I20050815000876 |
| Provider Name | Aneesh V Tolat |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1053356519 PECOS PAC ID: 9537140447 Enrollment ID: I20050822001061 |
| Provider Name | Miri Daly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245211721 PECOS PAC ID: 9032141585 Enrollment ID: I20050906000328 |
| Provider Name | Kristen A Zarfos |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1710982491 PECOS PAC ID: 3971536533 Enrollment ID: I20050914000496 |
| Provider Name | Carlos Almeida |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588633036 PECOS PAC ID: 2567495633 Enrollment ID: I20050919000359 |
| Provider Name | Beth Ann Sieling |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1134145808 PECOS PAC ID: 7113951849 Enrollment ID: I20050922000463 |
| Provider Name | Lisabeth C Shlansky |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1962466656 PECOS PAC ID: 8022033844 Enrollment ID: I20051011000788 |
| Provider Name | Gene Freylikhman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184727265 PECOS PAC ID: 5698790152 Enrollment ID: I20051013000427 |
| Provider Name | Shawnette Alston |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568495604 PECOS PAC ID: 7618869033 Enrollment ID: I20051018000357 |
| Provider Name | Timothy E Goundrey |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1467426775 PECOS PAC ID: 1951320480 Enrollment ID: I20051115000008 |
| Provider Name | Kathryn R Goldman |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1831101278 PECOS PAC ID: 2264454925 Enrollment ID: I20051221000686 |
| Provider Name | Anna C Freitag |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1235113507 PECOS PAC ID: 3779505458 Enrollment ID: I20051221000921 |
| Provider Name | Gary A Lapolla |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922088699 PECOS PAC ID: 4183646870 Enrollment ID: I20051221000977 |
| Provider Name | Rebecca A Smart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669432068 PECOS PAC ID: 3072536382 Enrollment ID: I20060112000110 |
| Provider Name | Kathleen M Abbott |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1619901378 PECOS PAC ID: 3375585631 Enrollment ID: I20060127000480 |
| Provider Name | Mary E Leahy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669496113 PECOS PAC ID: 3971517772 Enrollment ID: I20060201000160 |
| Provider Name | Gary Kaml |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1104870534 PECOS PAC ID: 5597770768 Enrollment ID: I20060208000684 |
| Provider Name | Kurt Eric Roberts |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1477526440 PECOS PAC ID: 6709892649 Enrollment ID: I20060301000393 |
| Provider Name | Victorio G Te |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316918089 PECOS PAC ID: 0648252023 Enrollment ID: I20060308000693 |
| Provider Name | Ahmet Semih Gork |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376570606 PECOS PAC ID: 8224046628 Enrollment ID: I20060327000672 |
| Provider Name | Srimathi Manickaratnam |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1396800827 PECOS PAC ID: 1153330196 Enrollment ID: I20060419000351 |
| Provider Name | Robert S Wetmore |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1184688376 PECOS PAC ID: 4183633076 Enrollment ID: I20060421000003 |
| Provider Name | Gayle Barbara Harris |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407860661 PECOS PAC ID: 7719997501 Enrollment ID: I20060424000404 |
| Provider Name | Karl A Markuszka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336356294 PECOS PAC ID: 5799796678 Enrollment ID: I20060505000855 |
| Provider Name | Jeffrey R Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306840640 PECOS PAC ID: 8022081835 Enrollment ID: I20060615000051 |
| Provider Name | Jawad Haider |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1194773564 PECOS PAC ID: 0749292522 Enrollment ID: I20060616000169 |
| Provider Name | Eric A Silverstein |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1598719320 PECOS PAC ID: 0345252581 Enrollment ID: I20060707000042 |
| Provider Name | Stacy J Spiro |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588630974 PECOS PAC ID: 5991718447 Enrollment ID: I20060728000272 |
| Provider Name | Brian J Rosenhein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982678058 PECOS PAC ID: 6103829312 Enrollment ID: I20060808000408 |
| Provider Name | William T Marshall |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1174533061 PECOS PAC ID: 2466455803 Enrollment ID: I20060824000330 |
| Provider Name | Nancy M Krulikowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922011873 PECOS PAC ID: 8729082524 Enrollment ID: I20060911000220 |
| Provider Name | Ann-marie P Stawarky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790778330 PECOS PAC ID: 1254336563 Enrollment ID: I20060920000198 |
| Provider Name | Kenneth Borkowski |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730102260 PECOS PAC ID: 1658376629 Enrollment ID: I20060926000050 |
| Provider Name | Murali Dharan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1740294313 PECOS PAC ID: 7810992757 Enrollment ID: I20060927000105 |
| Provider Name | John R Pettini |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497778922 PECOS PAC ID: 9234134123 Enrollment ID: I20060928000031 |
| Provider Name | Sachin Parekh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285749952 PECOS PAC ID: 6204832314 Enrollment ID: I20061012000642 |
| Provider Name | Mary Beth Janicki |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407947526 PECOS PAC ID: 1850397977 Enrollment ID: I20061013000035 |
| Provider Name | Rebecca B Apollon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083729495 PECOS PAC ID: 5698771723 Enrollment ID: I20061013000112 |
| Provider Name | Karianne S Silverman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164435731 PECOS PAC ID: 5890692164 Enrollment ID: I20061013000425 |
| Provider Name | William E Traverse |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1760599971 PECOS PAC ID: 1658377601 Enrollment ID: I20061013000455 |
| Provider Name | Steven Curiale |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1649290834 PECOS PAC ID: 2062419708 Enrollment ID: I20061023000287 |
| Provider Name | Beth E. Nelson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093711954 PECOS PAC ID: 9638177306 Enrollment ID: I20061114000257 |
| Provider Name | Allan R Mayer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437153012 PECOS PAC ID: 0345248910 Enrollment ID: I20061114000287 |
| Provider Name | Geriann B Gallagher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689675423 PECOS PAC ID: 8527067305 Enrollment ID: I20061205000066 |
| Provider Name | Hemant Gupta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588763403 PECOS PAC ID: 1355340654 Enrollment ID: I20061214000438 |
| Provider Name | Guoyang Luo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033134093 PECOS PAC ID: 0143220640 Enrollment ID: I20070108000163 |
| Provider Name | Robin F Mccormack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215942636 PECOS PAC ID: 7113927450 Enrollment ID: I20070110000265 |
| Provider Name | Danyal Ibrahim |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437257805 PECOS PAC ID: 8820029887 Enrollment ID: I20070119000392 |
| Provider Name | Claudia N Bradley |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1467470898 PECOS PAC ID: 0648271312 Enrollment ID: I20070123000439 |
| Provider Name | Surendra Khera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467436519 PECOS PAC ID: 8921034828 Enrollment ID: I20070201000077 |
| Provider Name | Thomas A Brunell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467512715 PECOS PAC ID: 5496857435 Enrollment ID: I20070222000422 |
| Provider Name | Indira Panthagani |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639283542 PECOS PAC ID: 6608979802 Enrollment ID: I20070308000294 |
| Provider Name | Kenneth Merkatz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1891794905 PECOS PAC ID: 1355373556 Enrollment ID: I20070316000076 |
| Provider Name | Frank U Hermantin |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1861498453 PECOS PAC ID: 7113821653 Enrollment ID: I20070416000573 |
| Provider Name | Neal Lippman |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1487698866 PECOS PAC ID: 6204888431 Enrollment ID: I20070509000568 |
| Provider Name | Michael C Malinics |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1255499653 PECOS PAC ID: 4082526199 Enrollment ID: I20070620000140 |
| Provider Name | Surendra K Chawla |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1659363760 PECOS PAC ID: 8426011776 Enrollment ID: I20070622000286 |
| Provider Name | John O Thayer |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1942293956 PECOS PAC ID: 1951400563 Enrollment ID: I20070622000397 |
| Provider Name | Aseem Vashist |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1346335270 PECOS PAC ID: 5092815852 Enrollment ID: I20070709000324 |
| Provider Name | Lisa M Rossi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1275653933 PECOS PAC ID: 5991805335 Enrollment ID: I20070713000350 |
| Provider Name | Kofi Atta-mensah |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1871519264 PECOS PAC ID: 2860592037 Enrollment ID: I20070717000597 |
| Provider Name | Peggy Ku |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700087228 PECOS PAC ID: 3274634209 Enrollment ID: I20070720000618 |
| Provider Name | Raghuraman R Vidhun |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1578680062 PECOS PAC ID: 9032210901 Enrollment ID: I20070723000014 |
| Provider Name | Mira Rho |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1093936205 PECOS PAC ID: 3779674684 Enrollment ID: I20070807000563 |
| Provider Name | Anat Bergner |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700853371 PECOS PAC ID: 7214993765 Enrollment ID: I20070814000085 |
| Provider Name | Zoe C Casey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982805644 PECOS PAC ID: 1759473234 Enrollment ID: I20070829000118 |
| Provider Name | Raja S Manne |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518078831 PECOS PAC ID: 3375544406 Enrollment ID: I20070907000041 |
| Provider Name | Haris Athar |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1740300938 PECOS PAC ID: 3577657915 Enrollment ID: I20070917000355 |
| Provider Name | Jed Biondi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508901497 PECOS PAC ID: 6204920325 Enrollment ID: I20070920000414 |
| Provider Name | Peter J Jacoby |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457377228 PECOS PAC ID: 1557358116 Enrollment ID: I20070922000155 |
| Provider Name | Carl Kiyohiro Gjertson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1063472017 PECOS PAC ID: 5890707822 Enrollment ID: I20070924000036 |
| Provider Name | Rebecca M Scandrett |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1972720522 PECOS PAC ID: 9830284926 Enrollment ID: I20071004000336 |
| Provider Name | Filomena Ct Vagueiro |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1346434115 PECOS PAC ID: 1355436189 Enrollment ID: I20071009000132 |
| Provider Name | Ellen Polokoff |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1487671178 PECOS PAC ID: 9739275058 Enrollment ID: I20071018000303 |
| Provider Name | Douglas G Mcadoo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881652808 PECOS PAC ID: 6608846142 Enrollment ID: I20071026000126 |
| Provider Name | Daniel Jacoby |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1518092691 PECOS PAC ID: 3476640194 Enrollment ID: I20071029000034 |
| Provider Name | Rachel L Leonardi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669468534 PECOS PAC ID: 8729175377 Enrollment ID: I20071030000461 |
| Provider Name | Kavita Advani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598969990 PECOS PAC ID: 4385731884 Enrollment ID: I20071031000153 |
| Provider Name | Neil J Miller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154370401 PECOS PAC ID: 8123116829 Enrollment ID: I20071114000039 |
| Provider Name | Adrienne Clements |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235322728 PECOS PAC ID: 0143319285 Enrollment ID: I20071128000031 |
| Provider Name | Perry Dansky |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013019769 PECOS PAC ID: 5395835144 Enrollment ID: I20071217000342 |
| Provider Name | Nancy A. Scheetz |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1811943079 PECOS PAC ID: 3072519032 Enrollment ID: I20071227000158 |
| Provider Name | Danny A Korkmaz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1699967349 PECOS PAC ID: 5597845289 Enrollment ID: I20080108000206 |
| Provider Name | April Y Mcconner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861673519 PECOS PAC ID: 3577643287 Enrollment ID: I20080108000384 |
| Provider Name | Shay F Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255520060 PECOS PAC ID: 4486735685 Enrollment ID: I20080114000590 |
| Provider Name | Lois Alimonti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205040219 PECOS PAC ID: 2567543432 Enrollment ID: I20080116000710 |
| Provider Name | Adam D Corrado |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992769715 PECOS PAC ID: 9830118637 Enrollment ID: I20080128000026 |
| Provider Name | Brian J Riley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841481579 PECOS PAC ID: 4789767146 Enrollment ID: I20080208000326 |
| Provider Name | Carol Abbatiello |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275579732 PECOS PAC ID: 6204919137 Enrollment ID: I20080214000520 |
| Provider Name | Joseph Gnanaraj |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1720262736 PECOS PAC ID: 5698859593 Enrollment ID: I20080303000280 |
| Provider Name | Nieves Hornbeck |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780635771 PECOS PAC ID: 0648249862 Enrollment ID: I20080401000043 |
| Provider Name | Nancy Mayeda Brescia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215952015 PECOS PAC ID: 0143308221 Enrollment ID: I20080416000005 |
| Provider Name | Kayann A Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952371908 PECOS PAC ID: 1052325115 Enrollment ID: I20080508000580 |
| Provider Name | Daniel S Schwartz |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1376551739 PECOS PAC ID: 5799864203 Enrollment ID: I20080509000027 |
| Provider Name | Guy T Trono |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1487670071 PECOS PAC ID: 7113005596 Enrollment ID: I20080514000849 |
| Provider Name | Henry Schneiderman |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1083697726 PECOS PAC ID: 6204905904 Enrollment ID: I20080521000699 |
| Provider Name | Elizabeth Esstman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104885565 PECOS PAC ID: 1658440276 Enrollment ID: I20080521000713 |
| Provider Name | Luis F Diez-morales |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205838513 PECOS PAC ID: 1951471812 Enrollment ID: I20080604000057 |
| Provider Name | Nicole Sookhan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1629262712 PECOS PAC ID: 7810068525 Enrollment ID: I20080624000001 |
| Provider Name | Ralph A Martin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760484083 PECOS PAC ID: 6305917006 Enrollment ID: I20080624000731 |
| Provider Name | Weishali V Joshi |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1225036494 PECOS PAC ID: 5092886796 Enrollment ID: I20080624000767 |
| Provider Name | Alexander Mbewe |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1811053812 PECOS PAC ID: 3870665243 Enrollment ID: I20080630000147 |
| Provider Name | Shady Macaron |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1528241080 PECOS PAC ID: 1355413451 Enrollment ID: I20080707000611 |
| Provider Name | John Mcardle |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1124001284 PECOS PAC ID: 3678645330 Enrollment ID: I20080712000023 |
| Provider Name | Concepcion Cortes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679765275 PECOS PAC ID: 2062585623 Enrollment ID: I20080716000119 |
| Provider Name | Ricardo Ruiz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487774840 PECOS PAC ID: 3476626896 Enrollment ID: I20080718000047 |
| Provider Name | Vidya K Sylvester |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912097395 PECOS PAC ID: 9032181367 Enrollment ID: I20080718000161 |
| Provider Name | David Scott Shapiro |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1629278510 PECOS PAC ID: 7517030950 Enrollment ID: I20080723000136 |
| Provider Name | Adam Boruchov |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1851362883 PECOS PAC ID: 6406812072 Enrollment ID: I20080724000056 |
| Provider Name | James F Flaherty |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1518071513 PECOS PAC ID: 7113811852 Enrollment ID: I20080820000179 |
| Provider Name | William G Rabitaille |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558551655 PECOS PAC ID: 1557436862 Enrollment ID: I20080821000328 |
| Provider Name | Darlene A Saucier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982866141 PECOS PAC ID: 2769558428 Enrollment ID: I20080903000297 |
| Provider Name | Hazar Dahhan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1023077609 PECOS PAC ID: 7517031206 Enrollment ID: I20080930000129 |
| Provider Name | Mark C Lee |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1598717779 PECOS PAC ID: 6103820725 Enrollment ID: I20081003000311 |
| Provider Name | Dawn S Monahan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962690313 PECOS PAC ID: 6204994312 Enrollment ID: I20081017000667 |
| Provider Name | Golam R Gazi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1427076330 PECOS PAC ID: 1153489745 Enrollment ID: I20081029000459 |
| Provider Name | Flora Parvin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649420621 PECOS PAC ID: 0345309811 Enrollment ID: I20081113000017 |
| Provider Name | Robert A Green |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1578554499 PECOS PAC ID: 2062471279 Enrollment ID: I20081119000683 |
| Provider Name | Yaser Mushtaq |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801096193 PECOS PAC ID: 5799845772 Enrollment ID: I20081120000482 |
| Provider Name | Alok Bhargava |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1114980968 PECOS PAC ID: 7719047463 Enrollment ID: I20081125000515 |
| Provider Name | Susan E Ouellette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720164320 PECOS PAC ID: 4880611458 Enrollment ID: I20081209000740 |
| Provider Name | Sarah F Walsh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922253483 PECOS PAC ID: 1658434170 Enrollment ID: I20090109000464 |
| Provider Name | Christina K Stoloff |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548418858 PECOS PAC ID: 2062575186 Enrollment ID: I20090115000005 |
| Provider Name | Edmund P Quinn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306851720 PECOS PAC ID: 6204990054 Enrollment ID: I20090123000118 |
| Provider Name | Nicole M Huhn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508011529 PECOS PAC ID: 4082778469 Enrollment ID: I20090129000471 |
| Provider Name | Raghubinder K Bajwa |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1508817107 PECOS PAC ID: 0840190088 Enrollment ID: I20090202000000 |
| Provider Name | Jaykumar R Thumar |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1629259932 PECOS PAC ID: 1951465079 Enrollment ID: I20090204000003 |
| Provider Name | Robert Pepperman |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1922092162 PECOS PAC ID: 7911061973 Enrollment ID: I20090205000626 |
| Provider Name | Joseph B Sappington |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1285629410 PECOS PAC ID: 1153411996 Enrollment ID: I20090304000810 |
| Provider Name | Arjuna P Mannam |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1194927905 PECOS PAC ID: 9234295791 Enrollment ID: I20090309000000 |
| Provider Name | Heather M Platt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497714539 PECOS PAC ID: 1456418268 Enrollment ID: I20090324000005 |
| Provider Name | John Testa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609835735 PECOS PAC ID: 2365509692 Enrollment ID: I20090331000489 |
| Provider Name | James Uberti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083683544 PECOS PAC ID: 4880688381 Enrollment ID: I20090331000530 |
| Provider Name | Matthew E Cohen |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1548241490 PECOS PAC ID: 6305842972 Enrollment ID: I20090408000254 |
| Provider Name | Leo R Otake |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1770761025 PECOS PAC ID: 1850448358 Enrollment ID: I20090421000426 |
| Provider Name | Phillip Y Roland |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1780679969 PECOS PAC ID: 3274682950 Enrollment ID: I20090529000208 |
| Provider Name | Edgar R Naut |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467646166 PECOS PAC ID: 7810047347 Enrollment ID: I20090604000135 |
| Provider Name | Jessica H Clancy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124252804 PECOS PAC ID: 6709936990 Enrollment ID: I20090610000005 |
| Provider Name | Marybeth Norman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700023603 PECOS PAC ID: 0244380400 Enrollment ID: I20090616000764 |
| Provider Name | Jianhui Zhang |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1417170952 PECOS PAC ID: 1759431463 Enrollment ID: I20090617000667 |
| Provider Name | He Zhang |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1154593226 PECOS PAC ID: 2769532431 Enrollment ID: I20090618000403 |
| Provider Name | James Matino |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1063463313 PECOS PAC ID: 8022015684 Enrollment ID: I20090702000081 |
| Provider Name | Ladan Hamdheydari |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184816761 PECOS PAC ID: 2163573080 Enrollment ID: I20090706000183 |
| Provider Name | Arshad M Yekta |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1497954044 PECOS PAC ID: 8224180351 Enrollment ID: I20090721000014 |
| Provider Name | Sudeep Thumma |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952500167 PECOS PAC ID: 1759433717 Enrollment ID: I20090722000353 |
| Provider Name | John P Fojtik |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982642591 PECOS PAC ID: 4284787821 Enrollment ID: I20090730000087 |
| Provider Name | William Guinan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1144317520 PECOS PAC ID: 0345393799 Enrollment ID: I20090731000604 |
| Provider Name | Molly M Emott |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1164436127 PECOS PAC ID: 3173541091 Enrollment ID: I20090803000442 |
| Provider Name | Carla S Desantis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1467566380 PECOS PAC ID: 2567515885 Enrollment ID: I20090805000010 |
| Provider Name | George Bacall |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164519823 PECOS PAC ID: 0648323964 Enrollment ID: I20090805000021 |
| Provider Name | Gagandeep Singh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003055021 PECOS PAC ID: 0941353007 Enrollment ID: I20090806000603 |
| Provider Name | Mohammad A Shamsi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891807251 PECOS PAC ID: 5496808578 Enrollment ID: I20090807000006 |
| Provider Name | Jeffrey J Meter |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1023074796 PECOS PAC ID: 2365485174 Enrollment ID: I20090811000662 |
| Provider Name | Anne Massucco |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831292937 PECOS PAC ID: 9931253747 Enrollment ID: I20090813000187 |
| Provider Name | Yanna M Karabatsos |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679676761 PECOS PAC ID: 4183778996 Enrollment ID: I20090813000210 |
| Provider Name | Michael R Bourque |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760585855 PECOS PAC ID: 0648324467 Enrollment ID: I20090813000311 |
| Provider Name | Maria L Ellis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992819817 PECOS PAC ID: 1850445545 Enrollment ID: I20090814000231 |
| Provider Name | Kenneth W Elligers |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942303037 PECOS PAC ID: 8123172822 Enrollment ID: I20090814000308 |
| Provider Name | Maame Dankwah Quansah |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1962660134 PECOS PAC ID: 5496809980 Enrollment ID: I20090818000591 |
| Provider Name | Rachel Lamonica |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114127735 PECOS PAC ID: 9638224660 Enrollment ID: I20090827000240 |
| Provider Name | James St Pierre |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1891751228 PECOS PAC ID: 9133274855 Enrollment ID: I20090902000195 |
| Provider Name | Steven E Lane |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1477546018 PECOS PAC ID: 6305933664 Enrollment ID: I20090902000257 |
| Provider Name | Robert Borkowski |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1801852074 PECOS PAC ID: 9830244565 Enrollment ID: I20090902000327 |
| Provider Name | Steven R Cohen |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1043276454 PECOS PAC ID: 7719957034 Enrollment ID: I20090902000418 |
| Provider Name | Kathleen A Kennedy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1568455194 PECOS PAC ID: 3678628211 Enrollment ID: I20090902000483 |
| Provider Name | Robert D Malkin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1689630766 PECOS PAC ID: 1254336035 Enrollment ID: I20090902000552 |
| Provider Name | Randy Berke |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639272719 PECOS PAC ID: 9830244425 Enrollment ID: I20090903000232 |
| Provider Name | Thomas Freund |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093700221 PECOS PAC ID: 0840345351 Enrollment ID: I20090908000101 |
| Provider Name | Vincent F Romano |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1407824733 PECOS PAC ID: 5395891220 Enrollment ID: I20090918000065 |
| Provider Name | Carolyn M Kosack |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1659349942 PECOS PAC ID: 3173679008 Enrollment ID: I20090918000102 |
| Provider Name | Sandra C Johnson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962602359 PECOS PAC ID: 3971659814 Enrollment ID: I20090918000125 |
| Provider Name | Jonathan Andrew Zeisler |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346281375 PECOS PAC ID: 4183627763 Enrollment ID: I20090926000071 |
| Provider Name | David M. Spiro |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1932343324 PECOS PAC ID: 9335285683 Enrollment ID: I20090930000397 |
| Provider Name | Aubrey A Hepner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447481981 PECOS PAC ID: 5395881437 Enrollment ID: I20091005000141 |
| Provider Name | Dale T Toce |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1083608582 PECOS PAC ID: 7113014473 Enrollment ID: I20091009000106 |
| Provider Name | Peter P White |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1407812969 PECOS PAC ID: 2062558703 Enrollment ID: I20091009000118 |
| Provider Name | John S Galle |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1992798466 PECOS PAC ID: 1850488115 Enrollment ID: I20091009000494 |
| Provider Name | Rohit Beri |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1881892784 PECOS PAC ID: 5092851659 Enrollment ID: I20091013000120 |
| Provider Name | Patrick J Corcoran |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1144298415 PECOS PAC ID: 6709923808 Enrollment ID: I20091022000081 |
| Provider Name | Elizabeth Y Schiller |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396943916 PECOS PAC ID: 1759428329 Enrollment ID: I20091030000306 |
| Provider Name | Russell Anthony Ciafone |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1316930951 PECOS PAC ID: 4789637695 Enrollment ID: I20091102000254 |
| Provider Name | Murthappa N Prakash |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1588659767 PECOS PAC ID: 7517004047 Enrollment ID: I20091102000277 |
| Provider Name | Rachel Balloch |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1386808202 PECOS PAC ID: 5799850913 Enrollment ID: I20091105000667 |
| Provider Name | Anthony G Alessi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1174573612 PECOS PAC ID: 6204974983 Enrollment ID: I20091118000145 |
| Provider Name | Shishir Mathur |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1003016957 PECOS PAC ID: 8022156645 Enrollment ID: I20091118000620 |
| Provider Name | Brian M Vanlinda |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1578540100 PECOS PAC ID: 1759283823 Enrollment ID: I20091207000562 |
| Provider Name | Michael F Simms |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1265458061 PECOS PAC ID: 6103915699 Enrollment ID: I20091208000143 |
| Provider Name | Magdy Galal |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215910435 PECOS PAC ID: 7113066986 Enrollment ID: I20091208000413 |
| Provider Name | Magdy S El-hennawy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770568990 PECOS PAC ID: 8426009242 Enrollment ID: I20091208000469 |
| Provider Name | Benjamin R Doolittle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316920531 PECOS PAC ID: 4183763964 Enrollment ID: I20091208000544 |
| Provider Name | Muhammad Irfan Munawar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770787491 PECOS PAC ID: 8729128491 Enrollment ID: I20091211000124 |
| Provider Name | Edward Feliciano |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1265587802 PECOS PAC ID: 6103963426 Enrollment ID: I20091214000142 |
| Provider Name | Todd W Mailly |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1598833022 PECOS PAC ID: 8729173679 Enrollment ID: I20091215000694 |
| Provider Name | Adriana S Ghisa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467425371 PECOS PAC ID: 6608918560 Enrollment ID: I20100115000439 |
| Provider Name | Ava Boornazian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639105166 PECOS PAC ID: 2466594817 Enrollment ID: I20100122000394 |
| Provider Name | Nailia Vodovskaia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649461781 PECOS PAC ID: 2365585064 Enrollment ID: I20100203000410 |
| Provider Name | Robert D Bona |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124024559 PECOS PAC ID: 9335282904 Enrollment ID: I20100204000205 |
| Provider Name | Adam R Silverman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184621567 PECOS PAC ID: 7113060609 Enrollment ID: I20100205000354 |
| Provider Name | Henry F Crabbe |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144282898 PECOS PAC ID: 4284529306 Enrollment ID: I20100210000096 |
| Provider Name | Elizabeth L Cooney |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1588647705 PECOS PAC ID: 8325181571 Enrollment ID: I20100210000302 |
| Provider Name | Kendall L Dyer |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1124355946 PECOS PAC ID: 4486797669 Enrollment ID: I20100210000532 |
| Provider Name | Eric Kosofsky |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1295712891 PECOS PAC ID: 1254492085 Enrollment ID: I20100212000307 |
| Provider Name | Carla M Jacobson-kiel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235137316 PECOS PAC ID: 4486798162 Enrollment ID: I20100218000530 |
| Provider Name | John T Cappadona |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477667699 PECOS PAC ID: 9133121312 Enrollment ID: I20100222000207 |
| Provider Name | Paul F Kelly |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1548297930 PECOS PAC ID: 6204925050 Enrollment ID: I20100223000210 |
| Provider Name | Kevin G Kett |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1669417184 PECOS PAC ID: 7113016965 Enrollment ID: I20100224000899 |
| Provider Name | Stephen C Widman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1346278512 PECOS PAC ID: 1759470503 Enrollment ID: I20100225000737 |
| Provider Name | York P Moy |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1083678247 PECOS PAC ID: 2264435908 Enrollment ID: I20100318000055 |
| Provider Name | Robert P Dudek |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1942223045 PECOS PAC ID: 1951437227 Enrollment ID: I20100326000236 |
| Provider Name | William M Sanders |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356378541 PECOS PAC ID: 4183750227 Enrollment ID: I20100329000600 |
| Provider Name | Stephen Rubenstein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407960990 PECOS PAC ID: 5991727414 Enrollment ID: I20100410000057 |
| Provider Name | Jennifer Stern Hagen |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1114928959 PECOS PAC ID: 4385771633 Enrollment ID: I20100420000000 |
| Provider Name | Linda M Spiegel |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1902997158 PECOS PAC ID: 4385771401 Enrollment ID: I20100422000045 |
| Provider Name | Madhuri Manne |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1871815027 PECOS PAC ID: 5597893750 Enrollment ID: I20100507000591 |
| Provider Name | Douglas Gerard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295759363 PECOS PAC ID: 0749318939 Enrollment ID: I20100508000103 |
| Provider Name | Bimalin Lahiri |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1841298700 PECOS PAC ID: 0547398778 Enrollment ID: I20100510000530 |
| Provider Name | Richard Zuwallack |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1033111455 PECOS PAC ID: 6507994688 Enrollment ID: I20100511000561 |
| Provider Name | Mark G Wolf |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1023016185 PECOS PAC ID: 8921136011 Enrollment ID: I20100511000606 |
| Provider Name | Daniel A Gerardi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1538167424 PECOS PAC ID: 2567590664 Enrollment ID: I20100511000739 |
| Provider Name | Raul Mendelovici |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205834363 PECOS PAC ID: 3870621980 Enrollment ID: I20100511000828 |
| Provider Name | Thomas B Miller |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1851399794 PECOS PAC ID: 5395873210 Enrollment ID: I20100513000147 |
| Provider Name | Robert J Krug |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1215935168 PECOS PAC ID: 0244143667 Enrollment ID: I20100513000252 |
| Provider Name | Phyllis L Schatz |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1851393276 PECOS PAC ID: 8729116660 Enrollment ID: I20100513000311 |
| Provider Name | Maria C Renna |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1164750030 PECOS PAC ID: 5395873178 Enrollment ID: I20100514000877 |
| Provider Name | Diane Bussolini |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1306168489 PECOS PAC ID: 2264560960 Enrollment ID: I20100517000124 |
| Provider Name | Richard L Edwards |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1134122104 PECOS PAC ID: 4587793104 Enrollment ID: I20100520000131 |
| Provider Name | Judith Moskal Kanz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821001454 PECOS PAC ID: 1355482548 Enrollment ID: I20100609000364 |
| Provider Name | Kenrick E Hom |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447262498 PECOS PAC ID: 3971409822 Enrollment ID: I20100617000378 |
| Provider Name | Bernard T D'souza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104098789 PECOS PAC ID: 0749311355 Enrollment ID: I20100625000633 |
| Provider Name | Ulysses Wu |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1750582805 PECOS PAC ID: 2769564855 Enrollment ID: I20100626000234 |
| Provider Name | Richard I Stone |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1710093851 PECOS PAC ID: 3678473303 Enrollment ID: I20100702000469 |
| Provider Name | Jane P Srinivasan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942223169 PECOS PAC ID: 2961534797 Enrollment ID: I20100714000852 |
| Provider Name | Mark S Schaner |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760681639 PECOS PAC ID: 5799817185 Enrollment ID: I20100721000175 |
| Provider Name | Amanda S Ayers |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1528268182 PECOS PAC ID: 8527191014 Enrollment ID: I20100804000811 |
| Provider Name | Richard A Cagna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831153154 PECOS PAC ID: 2769408772 Enrollment ID: I20100809000052 |
| Provider Name | Mahendra S Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336244722 PECOS PAC ID: 2567464217 Enrollment ID: I20100816000907 |
| Provider Name | Paul L Preissler |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1285631630 PECOS PAC ID: 9032145016 Enrollment ID: I20100820000175 |
| Provider Name | Shilpa Shetty |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1316194517 PECOS PAC ID: 3870617970 Enrollment ID: I20100826000205 |
| Provider Name | Steven F Schutzer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1265439368 PECOS PAC ID: 4183697097 Enrollment ID: I20100827000761 |
| Provider Name | Keshav R Rao |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831206457 PECOS PAC ID: 0042361727 Enrollment ID: I20100830000639 |
| Provider Name | John M Dasilva |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1568475051 PECOS PAC ID: 6305730045 Enrollment ID: I20100901000870 |
| Provider Name | Sabeena Arora |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1316145840 PECOS PAC ID: 9234253816 Enrollment ID: I20100903000136 |
| Provider Name | Joseph E Marakovits |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1548225527 PECOS PAC ID: 8022133206 Enrollment ID: I20100910000808 |
| Provider Name | Alfredo A Arbulu |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1447244645 PECOS PAC ID: 9931224946 Enrollment ID: I20100914001304 |
| Provider Name | Freida Winnick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851457659 PECOS PAC ID: 6406971944 Enrollment ID: I20100921000504 |
| Provider Name | Robert Craig Gallagher |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1801894829 PECOS PAC ID: 7113043498 Enrollment ID: I20100923000927 |
| Provider Name | Michael C Trager |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811961014 PECOS PAC ID: 9638164791 Enrollment ID: I20100928000522 |
| Provider Name | Michael L Whaley |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1316989916 PECOS PAC ID: 4981720760 Enrollment ID: I20101011000261 |
| Provider Name | Barry J Gordon |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063515443 PECOS PAC ID: 5496806176 Enrollment ID: I20101012000664 |
| Provider Name | Paul Beauvais |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1487731998 PECOS PAC ID: 8123140803 Enrollment ID: I20101014000939 |
| Provider Name | Deepali Mathur |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720217961 PECOS PAC ID: 5890834360 Enrollment ID: I20101015000312 |
| Provider Name | Jayapriya Krishnaswamy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639337827 PECOS PAC ID: 9436342979 Enrollment ID: I20101018000291 |
| Provider Name | Thomas C Gniadek |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1972591931 PECOS PAC ID: 8527251982 Enrollment ID: I20101019000419 |
| Provider Name | Debra A Mcdermott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053626523 PECOS PAC ID: 4183818644 Enrollment ID: I20101029000203 |
| Provider Name | Mary E Marlowe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710216585 PECOS PAC ID: 8022202241 Enrollment ID: I20101102000531 |
| Provider Name | Emily L Obrien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417265091 PECOS PAC ID: 3274728076 Enrollment ID: I20101105000779 |
| Provider Name | Stacy Taylor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104837483 PECOS PAC ID: 6305031014 Enrollment ID: I20101108001001 |
| Provider Name | Thomas Terenzi |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1922001940 PECOS PAC ID: 3870788847 Enrollment ID: I20101116000882 |
| Provider Name | Anita M Kelsey |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1083617161 PECOS PAC ID: 3971798810 Enrollment ID: I20101117000601 |
| Provider Name | Jose M Arias Camison |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215935317 PECOS PAC ID: 0345435293 Enrollment ID: I20101117000729 |
| Provider Name | Daniel J Diver |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1346243474 PECOS PAC ID: 2062607922 Enrollment ID: I20101117000888 |
| Provider Name | Bernard A Clark |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1407858848 PECOS PAC ID: 8628981040 Enrollment ID: I20101117000920 |
| Provider Name | Scott R Fecteau |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1376582445 PECOS PAC ID: 2264473131 Enrollment ID: I20101118000261 |
| Provider Name | Susan N Rabinowe |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1447253422 PECOS PAC ID: 8123214962 Enrollment ID: I20101119000094 |
| Provider Name | Richard J Soucier |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1255334207 PECOS PAC ID: 9739375577 Enrollment ID: I20101119000127 |
| Provider Name | Harry A Conte |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1184626400 PECOS PAC ID: 9537355375 Enrollment ID: I20101119000155 |
| Provider Name | Linda A Preysner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093789745 PECOS PAC ID: 4587850524 Enrollment ID: I20101202000217 |
| Provider Name | Keith A Vomeigen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174535587 PECOS PAC ID: 3375730641 Enrollment ID: I20101213000566 |
| Provider Name | Ellen O Nestler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427060805 PECOS PAC ID: 4789871898 Enrollment ID: I20101214001273 |
| Provider Name | Adele Silhavy |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1992802037 PECOS PAC ID: 7517155906 Enrollment ID: I20101229000907 |
| Provider Name | Edward H Benjamin |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1780737262 PECOS PAC ID: 4082803895 Enrollment ID: I20110110000814 |
| Provider Name | Bhupinder Lyall |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1104874999 PECOS PAC ID: 9032308796 Enrollment ID: I20110111000601 |
| Provider Name | Tracey Wiles |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396899282 PECOS PAC ID: 9436338464 Enrollment ID: I20110124000713 |
| Provider Name | Magdi M Khalil |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1053362467 PECOS PAC ID: 1759561160 Enrollment ID: I20110202000138 |
| Provider Name | Sandra C Palmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316931249 PECOS PAC ID: 7911049838 Enrollment ID: I20110203001031 |
| Provider Name | John J Osowski |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205085719 PECOS PAC ID: 9133309719 Enrollment ID: I20110215000132 |
| Provider Name | Sallie A Carrington |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639275936 PECOS PAC ID: 6103007315 Enrollment ID: I20110222000247 |
| Provider Name | Mark L Kraus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851493969 PECOS PAC ID: 3476734690 Enrollment ID: I20110222000358 |
| Provider Name | Frank Kennison Longo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528171295 PECOS PAC ID: 6800077959 Enrollment ID: I20110222000783 |
| Provider Name | Gerard P Curran |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679655393 PECOS PAC ID: 4587845367 Enrollment ID: I20110228000223 |
| Provider Name | Anuradha Kapur |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023082781 PECOS PAC ID: 0547215428 Enrollment ID: I20110318000376 |
| Provider Name | Amber Cheema |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942409446 PECOS PAC ID: 7719160241 Enrollment ID: I20110322000204 |
| Provider Name | Cynthia C Elis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720287261 PECOS PAC ID: 7416130562 Enrollment ID: I20110326000062 |
| Provider Name | Elaine M Searle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841422367 PECOS PAC ID: 2264616515 Enrollment ID: I20110411000423 |
| Provider Name | Ofer N Sagiv |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1689810491 PECOS PAC ID: 7214111491 Enrollment ID: I20110413000077 |
| Provider Name | Syed S Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194923128 PECOS PAC ID: 4082782578 Enrollment ID: I20110413000506 |
| Provider Name | Kelly A Flynn |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831197896 PECOS PAC ID: 6800894403 Enrollment ID: I20110414000109 |
| Provider Name | Joseph F Mitchel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1609874627 PECOS PAC ID: 6901081736 Enrollment ID: I20110421000136 |
| Provider Name | Carolyn J O'connor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851328413 PECOS PAC ID: 0143259275 Enrollment ID: I20110422000299 |
| Provider Name | Sue Keefe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821098989 PECOS PAC ID: 9436334034 Enrollment ID: I20110426000115 |
| Provider Name | Joerg Rathmann |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1568465532 PECOS PAC ID: 5991726960 Enrollment ID: I20110503000288 |
| Provider Name | Abraham J Yaari |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386725364 PECOS PAC ID: 5496725715 Enrollment ID: I20110520000481 |
| Provider Name | Jose A Soriano |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1801069489 PECOS PAC ID: 6709063993 Enrollment ID: I20110616000234 |
| Provider Name | Andrew Heggland |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740482488 PECOS PAC ID: 9537347240 Enrollment ID: I20110629000059 |
| Provider Name | Theodore Hartenstein |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225256308 PECOS PAC ID: 5496888307 Enrollment ID: I20110630000020 |
| Provider Name | Zia U Rahman |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1417950494 PECOS PAC ID: 6901074202 Enrollment ID: I20110712000208 |
| Provider Name | Arjet Gega |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1487851317 PECOS PAC ID: 5698944775 Enrollment ID: I20110805000416 |
| Provider Name | Helen M Birkbeck |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1518037860 PECOS PAC ID: 3173792215 Enrollment ID: I20110808000326 |
| Provider Name | Carolina Ioana Borz Baba |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053602094 PECOS PAC ID: 7416126248 Enrollment ID: I20110811000249 |
| Provider Name | Sarah B Levin |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1790951648 PECOS PAC ID: 6507045788 Enrollment ID: I20110811000801 |
| Provider Name | Christina E Stevenson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1871753509 PECOS PAC ID: 9436328994 Enrollment ID: I20110818000131 |
| Provider Name | Erica H Lambert |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1285803528 PECOS PAC ID: 5092888479 Enrollment ID: I20110829000471 |
| Provider Name | Chung-yu Hsiao |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275796484 PECOS PAC ID: 5395915300 Enrollment ID: I20110831000196 |
| Provider Name | Shatya Chittoori |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982922332 PECOS PAC ID: 0547430274 Enrollment ID: I20110907000818 |
| Provider Name | Carlos A Enciso Chaves |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669635645 PECOS PAC ID: 1759551450 Enrollment ID: I20110908001689 |
| Provider Name | Shannon C Peterson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699975235 PECOS PAC ID: 4385815141 Enrollment ID: I20110927000778 |
| Provider Name | Hugh A Kennedy |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1841210531 PECOS PAC ID: 1759469133 Enrollment ID: I20110930000411 |
| Provider Name | Peter Bosco |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1992725683 PECOS PAC ID: 2668550047 Enrollment ID: I20110930000466 |
| Provider Name | Emily Anne Ryan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740205749 PECOS PAC ID: 4284650235 Enrollment ID: I20111005000293 |
| Provider Name | Jillian L Smith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043474372 PECOS PAC ID: 5799957296 Enrollment ID: I20111005000429 |
| Provider Name | Joseph Dell Orfano |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1053349746 PECOS PAC ID: 4688846975 Enrollment ID: I20111010000539 |
| Provider Name | Ellison Berns |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1225074412 PECOS PAC ID: 1759333982 Enrollment ID: I20111011000082 |
| Provider Name | Patricia Samuels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265721963 PECOS PAC ID: 0143492249 Enrollment ID: I20111014000282 |
| Provider Name | Emily P Stanford |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114190964 PECOS PAC ID: 4587836507 Enrollment ID: I20111017000145 |
| Provider Name | Allison M. Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891074910 PECOS PAC ID: 8224200183 Enrollment ID: I20111019000253 |
| Provider Name | Alisa Hardy-lukas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649559063 PECOS PAC ID: 9638342991 Enrollment ID: I20111101000595 |
| Provider Name | Saumitra R Banerjee |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1053373431 PECOS PAC ID: 0648263251 Enrollment ID: I20111102000831 |
| Provider Name | Christine M Raymond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124316419 PECOS PAC ID: 6002089182 Enrollment ID: I20111107000068 |
| Provider Name | Kent M Burgwardt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538192869 PECOS PAC ID: 0941356992 Enrollment ID: I20111121000051 |
| Provider Name | Gretha Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720398340 PECOS PAC ID: 7214101617 Enrollment ID: I20111121000916 |
| Provider Name | Richard M Newman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1578538559 PECOS PAC ID: 0547289100 Enrollment ID: I20111123000320 |
| Provider Name | Carmine Ciccarelli |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1285615393 PECOS PAC ID: 0749277119 Enrollment ID: I20111222000473 |
| Provider Name | Bret M Schipper |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1821296500 PECOS PAC ID: 6608059720 Enrollment ID: I20120131000052 |
| Provider Name | Theddeus Iheanacho |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922312503 PECOS PAC ID: 3779751300 Enrollment ID: I20120202000742 |
| Provider Name | Joan K Gelin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700974722 PECOS PAC ID: 1052308012 Enrollment ID: I20120203000542 |
| Provider Name | Bereshith Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497026066 PECOS PAC ID: 4284892597 Enrollment ID: I20120215000894 |
| Provider Name | Michael Oshea |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1831189927 PECOS PAC ID: 6901899442 Enrollment ID: I20120221000657 |
| Provider Name | Aura M Ardon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780839787 PECOS PAC ID: 2365600285 Enrollment ID: I20120223000749 |
| Provider Name | Mansour Afshani |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1447395454 PECOS PAC ID: 6204928682 Enrollment ID: I20120305000228 |
| Provider Name | Jamie K Gooch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871878090 PECOS PAC ID: 3678732948 Enrollment ID: I20120306000235 |
| Provider Name | Reinaldo Figueroa |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083607121 PECOS PAC ID: 9931194065 Enrollment ID: I20120308000347 |
| Provider Name | Anna Camacho |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558632257 PECOS PAC ID: 0446419105 Enrollment ID: I20120315000581 |
| Provider Name | Ashish Arora |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1255549622 PECOS PAC ID: 7911167747 Enrollment ID: I20120402000015 |
| Provider Name | Jennifer H Johnson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235165150 PECOS PAC ID: 1951315274 Enrollment ID: I20120411000599 |
| Provider Name | Tracey J Jablonski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619133873 PECOS PAC ID: 0547320590 Enrollment ID: I20120416000208 |
| Provider Name | Babette Sternat |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831460682 PECOS PAC ID: 0941461123 Enrollment ID: I20120416000298 |
| Provider Name | Laura E Beveridge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861765281 PECOS PAC ID: 5597926469 Enrollment ID: I20120420000019 |
| Provider Name | Amanda L Hurwitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376809244 PECOS PAC ID: 8426210592 Enrollment ID: I20120507000641 |
| Provider Name | Jin Song |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720312531 PECOS PAC ID: 0840454674 Enrollment ID: I20120607000286 |
| Provider Name | Asha A Dhamija |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306093240 PECOS PAC ID: 9436313269 Enrollment ID: I20120607000333 |
| Provider Name | Antarpreet Kaur |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1952578643 PECOS PAC ID: 0648434324 Enrollment ID: I20120608000119 |
| Provider Name | Maria Tsarouhas |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1275746836 PECOS PAC ID: 6103942024 Enrollment ID: I20120608000215 |
| Provider Name | Thomas J Gilmore |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063654614 PECOS PAC ID: 8628232311 Enrollment ID: I20120608000261 |
| Provider Name | Samuel D Buonocore |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1275701237 PECOS PAC ID: 2567626997 Enrollment ID: I20120614000232 |
| Provider Name | Rachelle V Dyquiangco |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1821280793 PECOS PAC ID: 6608030051 Enrollment ID: I20120614000422 |
| Provider Name | Jennifer A Martin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609073550 PECOS PAC ID: 7315115045 Enrollment ID: I20120614000748 |
| Provider Name | David Inyangetor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265692172 PECOS PAC ID: 6002071073 Enrollment ID: I20120626000576 |
| Provider Name | James Vredenburgh |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1609950575 PECOS PAC ID: 7416091871 Enrollment ID: I20120718000668 |
| Provider Name | Kimberly A Caprio |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1376789610 PECOS PAC ID: 6305002106 Enrollment ID: I20120724000021 |
| Provider Name | Sandra E Cordoba Vargas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508135914 PECOS PAC ID: 6103082896 Enrollment ID: I20120725000002 |
| Provider Name | Nayyara Malik |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275844987 PECOS PAC ID: 6103082581 Enrollment ID: I20120731000005 |
| Provider Name | Kristofer A Bagdasarian |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1588848774 PECOS PAC ID: 0749446045 Enrollment ID: I20120731000330 |
| Provider Name | Shayna B Burke |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1609078708 PECOS PAC ID: 7113183716 Enrollment ID: I20120801000271 |
| Provider Name | Kathryn E Pascucci |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215233044 PECOS PAC ID: 8426204686 Enrollment ID: I20120803000683 |
| Provider Name | Meghan M Slemmens |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124280631 PECOS PAC ID: 7719133834 Enrollment ID: I20120806000556 |
| Provider Name | Pooia Fattahi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1669625174 PECOS PAC ID: 1850547795 Enrollment ID: I20120809000253 |
| Provider Name | Lana M Friedman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417196007 PECOS PAC ID: 3476709049 Enrollment ID: I20120814000502 |
| Provider Name | Sharareh Amin Hanjani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831452523 PECOS PAC ID: 0749436046 Enrollment ID: I20120820000493 |
| Provider Name | John Hanna |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851605216 PECOS PAC ID: 2769639434 Enrollment ID: I20120831000188 |
| Provider Name | Molly Shipman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518129741 PECOS PAC ID: 6507014537 Enrollment ID: I20120918000192 |
| Provider Name | Irina Magidina |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1487815924 PECOS PAC ID: 1759531536 Enrollment ID: I20121102000010 |
| Provider Name | Mary A Bailey |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1558543686 PECOS PAC ID: 0941454805 Enrollment ID: I20130131000467 |
| Provider Name | Bruce H Hsu |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1932320876 PECOS PAC ID: 8527182682 Enrollment ID: I20130430000034 |
| Provider Name | Dawn Froonjian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891079190 PECOS PAC ID: 5597903856 Enrollment ID: I20130528000070 |
| Provider Name | Peter R Quinby |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558573832 PECOS PAC ID: 6406923671 Enrollment ID: I20130606000491 |
| Provider Name | Gabriel V Gambardella |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1447577309 PECOS PAC ID: 3678712379 Enrollment ID: I20130610000231 |
| Provider Name | Ray Victor Cabuslay |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1174837215 PECOS PAC ID: 9234378514 Enrollment ID: I20130618000048 |
| Provider Name | Brett Nowlan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1861688772 PECOS PAC ID: 2860631769 Enrollment ID: I20130626000311 |
| Provider Name | Suma S Magge |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1619134392 PECOS PAC ID: 6103975057 Enrollment ID: I20130711000116 |
| Provider Name | Geetha Bhumireddy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1265798474 PECOS PAC ID: 3274774831 Enrollment ID: I20130724000143 |
| Provider Name | Robert Beer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1821061813 PECOS PAC ID: 7416198817 Enrollment ID: I20130729000026 |
| Provider Name | Christopher J. Mozdzanowski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083866784 PECOS PAC ID: 7113181603 Enrollment ID: I20130731000781 |
| Provider Name | Angela Stein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730315458 PECOS PAC ID: 1658513536 Enrollment ID: I20130805000862 |
| Provider Name | Cristina E Dinicu |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548352099 PECOS PAC ID: 3173764602 Enrollment ID: I20130809000192 |
| Provider Name | Vanessa Pauig |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578877270 PECOS PAC ID: 8820230568 Enrollment ID: I20130809000216 |
| Provider Name | Swathi Rachoor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306164132 PECOS PAC ID: 4587806922 Enrollment ID: I20130814000204 |
| Provider Name | Matthew J Neulander |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548218407 PECOS PAC ID: 8921079294 Enrollment ID: I20130815000087 |
| Provider Name | Glen D Blomstrom |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336378991 PECOS PAC ID: 7719129055 Enrollment ID: I20130815000418 |
| Provider Name | Marie Lourdes Ynson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881915239 PECOS PAC ID: 1153564075 Enrollment ID: I20130826000211 |
| Provider Name | Soma Karak |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1134383334 PECOS PAC ID: 1759524465 Enrollment ID: I20130828000576 |
| Provider Name | Brian Koo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1346435930 PECOS PAC ID: 3476625344 Enrollment ID: I20130909000069 |
| Provider Name | Nicole Marie Zamani |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1497091771 PECOS PAC ID: 3678717584 Enrollment ID: I20130916000343 |
| Provider Name | Lakshmi P Magavi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538397559 PECOS PAC ID: 4981848330 Enrollment ID: I20130925000178 |
| Provider Name | H Robert Silverstein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033227392 PECOS PAC ID: 7416011796 Enrollment ID: I20130930000395 |
| Provider Name | Sama Alvi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437462991 PECOS PAC ID: 0547494726 Enrollment ID: I20131001000080 |
| Provider Name | Jessie Dewanjee |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649577560 PECOS PAC ID: 9436383502 Enrollment ID: I20131002000488 |
| Provider Name | Myrla L Sajo |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1710169065 PECOS PAC ID: 8224119938 Enrollment ID: I20131015000703 |
| Provider Name | Kimberly O Drakes |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1316373665 PECOS PAC ID: 4880828284 Enrollment ID: I20131017000557 |
| Provider Name | Michelle Boudreau |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1346534864 PECOS PAC ID: 7416182480 Enrollment ID: I20131029000111 |
| Provider Name | Cynthia M Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982038618 PECOS PAC ID: 6507092285 Enrollment ID: I20131203000040 |
| Provider Name | Marie Didario |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740591304 PECOS PAC ID: 3678700291 Enrollment ID: I20131205001132 |
| Provider Name | Alberto L Gonzalez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588959068 PECOS PAC ID: 0143457705 Enrollment ID: I20131206000030 |
| Provider Name | Tara M Ackerly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831331602 PECOS PAC ID: 0042448060 Enrollment ID: I20140120000031 |
| Provider Name | Jennifer M Schmidt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861822678 PECOS PAC ID: 1456580208 Enrollment ID: I20140128000358 |
| Provider Name | Robert T Lewis |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1124175070 PECOS PAC ID: 0840420840 Enrollment ID: I20140312001323 |
| Provider Name | Gena Elizabeth Coelho |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467882787 PECOS PAC ID: 8426280199 Enrollment ID: I20140410002173 |
| Provider Name | Andrea D Martelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720303464 PECOS PAC ID: 0648395632 Enrollment ID: I20140423000095 |
| Provider Name | Andrew C Davidson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1255503769 PECOS PAC ID: 1850524588 Enrollment ID: I20140505001806 |
| Provider Name | Janna C Zempsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376672360 PECOS PAC ID: 6406070929 Enrollment ID: I20140624000235 |
| Provider Name | Mi Y Hong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144539131 PECOS PAC ID: 0042435570 Enrollment ID: I20140625002096 |
| Provider Name | John J Fialkovich |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982921466 PECOS PAC ID: 5092940270 Enrollment ID: I20140627001721 |
| Provider Name | Che D Ward |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306084108 PECOS PAC ID: 6507980117 Enrollment ID: I20140701001144 |
| Provider Name | Amanda Zucker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023240512 PECOS PAC ID: 9436374618 Enrollment ID: I20140701001868 |
| Provider Name | Neelu Gill |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689620189 PECOS PAC ID: 0244233401 Enrollment ID: I20140702000188 |
| Provider Name | Mukti J Patel-prineas |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1083932990 PECOS PAC ID: 0840439840 Enrollment ID: I20140707000747 |
| Provider Name | Ellen O Duell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659783884 PECOS PAC ID: 8022233964 Enrollment ID: I20140708002410 |
| Provider Name | Moeid Khan |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1912218686 PECOS PAC ID: 7719129162 Enrollment ID: I20140711000321 |
| Provider Name | Sudhanshu Mulay |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1760643407 PECOS PAC ID: 4981720950 Enrollment ID: I20140717001660 |
| Provider Name | Shareen Rodriques |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396092425 PECOS PAC ID: 4789828559 Enrollment ID: I20140723000235 |
| Provider Name | Narrani Kanapathippillai |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952530420 PECOS PAC ID: 6608093240 Enrollment ID: I20140806000098 |
| Provider Name | Vijay Jayaraman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1568546786 PECOS PAC ID: 0446497010 Enrollment ID: I20140806000298 |
| Provider Name | Husnain Kermalli |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1912292483 PECOS PAC ID: 1254558455 Enrollment ID: I20140812001985 |
| Provider Name | Niamey P Wilson |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1942357496 PECOS PAC ID: 9537387402 Enrollment ID: I20140908000248 |
| Provider Name | Cara E Pittari |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548493273 PECOS PAC ID: 9537388228 Enrollment ID: I20140911000108 |
| Provider Name | John Kouch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801024476 PECOS PAC ID: 5294955787 Enrollment ID: I20141006000255 |
| Provider Name | Roy Kellerman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568758142 PECOS PAC ID: 3476773698 Enrollment ID: I20141009001842 |
| Provider Name | Ken Matsuo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053600429 PECOS PAC ID: 4082834163 Enrollment ID: I20141014000345 |
| Provider Name | Lauren A Ibrahim |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1790944239 PECOS PAC ID: 7810130630 Enrollment ID: I20141022000122 |
| Provider Name | Anita Chu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255590329 PECOS PAC ID: 7113148784 Enrollment ID: I20141023001585 |
| Provider Name | Margaret J Noonan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154635217 PECOS PAC ID: 4183854268 Enrollment ID: I20141023001934 |
| Provider Name | Praveen Joseph |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194010405 PECOS PAC ID: 2769603232 Enrollment ID: I20141027000857 |
| Provider Name | Lynne E Benjamin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134528946 PECOS PAC ID: 7012139645 Enrollment ID: I20141114000028 |
| Provider Name | Ariel G Ong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104257864 PECOS PAC ID: 5890917280 Enrollment ID: I20141120000572 |
| Provider Name | Jesse M Kavumpurath |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427451004 PECOS PAC ID: 3971825027 Enrollment ID: I20141201001437 |
| Provider Name | Jon R Pirrello |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1114961604 PECOS PAC ID: 9133123060 Enrollment ID: I20141216000365 |
| Provider Name | Konstadina Darsaklis |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1881037208 PECOS PAC ID: 4981928264 Enrollment ID: I20150114001341 |
| Provider Name | Jeri Steele |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245219526 PECOS PAC ID: 1355525684 Enrollment ID: I20150202000040 |
| Provider Name | Santhi Singanamala |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1316230469 PECOS PAC ID: 2668797168 Enrollment ID: I20150204000434 |
| Provider Name | Kwame O Asante |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1447570007 PECOS PAC ID: 0446575625 Enrollment ID: I20150210001630 |
| Provider Name | Sharynn D Hall |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1538276118 PECOS PAC ID: 7618976739 Enrollment ID: I20150223001113 |
| Provider Name | Sarah Rabbett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013305515 PECOS PAC ID: 4880910074 Enrollment ID: I20150305002007 |
| Provider Name | Jonathan Landry |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932311305 PECOS PAC ID: 4183764889 Enrollment ID: I20150401001457 |
| Provider Name | Charles Philip |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1255525754 PECOS PAC ID: 8325267107 Enrollment ID: I20150414002375 |
| Provider Name | Tracy Patel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1013144369 PECOS PAC ID: 0648591032 Enrollment ID: I20150611000014 |
| Provider Name | Maria Theresa Santos |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1821316274 PECOS PAC ID: 8628389350 Enrollment ID: I20150622000807 |
| Provider Name | Scott A Pompa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578824959 PECOS PAC ID: 6901124957 Enrollment ID: I20150623000631 |
| Provider Name | Christopher Sonnier |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1598732513 PECOS PAC ID: 6608877634 Enrollment ID: I20150707002824 |
| Provider Name | Hemal Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245506674 PECOS PAC ID: 1557674330 Enrollment ID: I20150722005898 |
| Provider Name | Christian A Kakowski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164782652 PECOS PAC ID: 9032422845 Enrollment ID: I20150723006979 |
| Provider Name | Thomas J Abbenante |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821232034 PECOS PAC ID: 6901110295 Enrollment ID: I20150730012343 |
| Provider Name | Silda James |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407105992 PECOS PAC ID: 3870807183 Enrollment ID: I20150730013165 |
| Provider Name | Michael J Lim |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1861787228 PECOS PAC ID: 9133377260 Enrollment ID: I20150806010051 |
| Provider Name | Andreea Neamtu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689929168 PECOS PAC ID: 4880908672 Enrollment ID: I20150807013222 |
| Provider Name | Sebastian Tosto |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811925696 PECOS PAC ID: 9638175904 Enrollment ID: I20150810001194 |
| Provider Name | Kaushal B Shah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265758981 PECOS PAC ID: 1254646029 Enrollment ID: I20150824000851 |
| Provider Name | Shafia Saba Memon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609097773 PECOS PAC ID: 5698958429 Enrollment ID: I20150824001543 |
| Provider Name | Daniel J Mullins |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1205063849 PECOS PAC ID: 5193031383 Enrollment ID: I20150902002603 |
| Provider Name | Jared D Wasser |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528334695 PECOS PAC ID: 2163745241 Enrollment ID: I20150910000237 |
| Provider Name | Katrina Elizabeth Monahan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699156315 PECOS PAC ID: 8022325596 Enrollment ID: I20150916000240 |
| Provider Name | Sudha Thiruvengadam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639433832 PECOS PAC ID: 5991012155 Enrollment ID: I20150921001363 |
| Provider Name | Resham S. Pawar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891040044 PECOS PAC ID: 2567779671 Enrollment ID: I20150922000257 |
| Provider Name | Shohan Shetty |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1073772356 PECOS PAC ID: 0648499277 Enrollment ID: I20150928002202 |
| Provider Name | Emily Mellor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215313796 PECOS PAC ID: 6608184403 Enrollment ID: I20150928002457 |
| Provider Name | Ahsan Fayyaz Malik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164718045 PECOS PAC ID: 8628387255 Enrollment ID: I20151022001559 |
| Provider Name | Ashish Upadhyay |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1689873457 PECOS PAC ID: 1355597345 Enrollment ID: I20151029002325 |
| Provider Name | Racha A Dermesropian |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1043484264 PECOS PAC ID: 2567782311 Enrollment ID: I20151030000306 |
| Provider Name | Jeffrey P Spear |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033371893 PECOS PAC ID: 7416127758 Enrollment ID: I20151110001009 |
| Provider Name | Consuelito Medrano |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1578664645 PECOS PAC ID: 2860639754 Enrollment ID: I20151116001547 |
| Provider Name | Victoria W Costello |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1265578280 PECOS PAC ID: 7012008055 Enrollment ID: I20151118000213 |
| Provider Name | Siobhan E Harder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588032866 PECOS PAC ID: 5092015297 Enrollment ID: I20151119001135 |
| Provider Name | Stephanie C Montgomery |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1932224607 PECOS PAC ID: 3870650062 Enrollment ID: I20151120000026 |
| Provider Name | Loreen M Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285003988 PECOS PAC ID: 5193025278 Enrollment ID: I20151120001785 |
| Provider Name | Amira M Mohamed Ahmed |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225024672 PECOS PAC ID: 2769457159 Enrollment ID: I20151123001973 |
| Provider Name | Kristina L Schaefer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861863870 PECOS PAC ID: 0244530871 Enrollment ID: I20151203000299 |
| Provider Name | Katherine Kedzierski |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548571110 PECOS PAC ID: 6204137672 Enrollment ID: I20151209002227 |
| Provider Name | Karl A Hellstrand |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649561614 PECOS PAC ID: 0547580805 Enrollment ID: I20151230000008 |
| Provider Name | Michelle M King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487033858 PECOS PAC ID: 4981906120 Enrollment ID: I20160106000191 |
| Provider Name | Dahlia A Thorpe |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497069942 PECOS PAC ID: 8123204005 Enrollment ID: I20160115001888 |
| Provider Name | Melissa R Stewart |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184917072 PECOS PAC ID: 9133347255 Enrollment ID: I20160126001155 |
| Provider Name | Gregory Warwick Taylor |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1144221607 PECOS PAC ID: 1254398647 Enrollment ID: I20160127001527 |
| Provider Name | Gregory S Heaphy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083050801 PECOS PAC ID: 7618280421 Enrollment ID: I20160225001347 |
| Provider Name | Bettina P Magliato |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467592527 PECOS PAC ID: 7618273392 Enrollment ID: I20160307000366 |
| Provider Name | Divya Gupta |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1134209695 PECOS PAC ID: 4486741147 Enrollment ID: I20160309000475 |
| Provider Name | Christine R Rizk |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1427092881 PECOS PAC ID: 0547273450 Enrollment ID: I20160309001196 |
| Provider Name | Fredo J Clermont |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649641150 PECOS PAC ID: 6002112455 Enrollment ID: I20160310000901 |
| Provider Name | Meghan E Malentacchi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235391749 PECOS PAC ID: 2668779331 Enrollment ID: I20160323001243 |
| Provider Name | Sandeep Gupta |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1831366632 PECOS PAC ID: 4880733773 Enrollment ID: I20160407001417 |
| Provider Name | Francine D York |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114397684 PECOS PAC ID: 6800194861 Enrollment ID: I20160408000049 |
| Provider Name | Susan S Giles |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1538132246 PECOS PAC ID: 9032418819 Enrollment ID: I20160428001908 |
| Provider Name | Kelly A Riggieri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073981841 PECOS PAC ID: 3678862190 Enrollment ID: I20160523000831 |
| Provider Name | Zofia Stec |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639567530 PECOS PAC ID: 9739408386 Enrollment ID: I20160524000162 |
| Provider Name | Timothy J Glew |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1356668388 PECOS PAC ID: 9234420316 Enrollment ID: I20160621000567 |
| Provider Name | Si Hyung Woo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497192413 PECOS PAC ID: 4082933635 Enrollment ID: I20160624000026 |
| Provider Name | Karen Pollard Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881777654 PECOS PAC ID: 4385813666 Enrollment ID: I20160624000881 |
| Provider Name | Gerard J Pregenzer |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1457647281 PECOS PAC ID: 0345531976 Enrollment ID: I20160629000037 |
| Provider Name | Abram C Damato |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1922326628 PECOS PAC ID: 2769773399 Enrollment ID: I20160629000152 |
| Provider Name | Vincent M Varilla |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1568750180 PECOS PAC ID: 7214247345 Enrollment ID: I20160629000521 |
| Provider Name | Aileen R Pangilinan |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1861770448 PECOS PAC ID: 4880909399 Enrollment ID: I20160629000595 |
| Provider Name | Neil M Young |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184060741 PECOS PAC ID: 0042530099 Enrollment ID: I20160629000954 |
| Provider Name | Kymberly E Mcdonald |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093154585 PECOS PAC ID: 6002135324 Enrollment ID: I20160629001056 |
| Provider Name | Shushunova R Sangia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700218476 PECOS PAC ID: 8224320882 Enrollment ID: I20160630001069 |
| Provider Name | Katherine Gielissen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871868182 PECOS PAC ID: 0446557052 Enrollment ID: I20160707001408 |
| Provider Name | Seth L Clohosey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861832107 PECOS PAC ID: 0244534022 Enrollment ID: I20160711000544 |
| Provider Name | Mahreen Raza |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154638815 PECOS PAC ID: 7416240122 Enrollment ID: I20160718002132 |
| Provider Name | Joseph Mark Pruner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427493048 PECOS PAC ID: 7315236585 Enrollment ID: I20160726002858 |
| Provider Name | Danielle N Butto |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1548524283 PECOS PAC ID: 4587978002 Enrollment ID: I20160805000249 |
| Provider Name | Joseph D. Fusco |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528404373 PECOS PAC ID: 0840510749 Enrollment ID: I20160805001636 |
| Provider Name | Lilyan Abraham |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447693254 PECOS PAC ID: 2668792748 Enrollment ID: I20160805001642 |
| Provider Name | Diana Beatrice Moise |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508166596 PECOS PAC ID: 9537453048 Enrollment ID: I20160805001737 |
| Provider Name | Sara R Tabtabai |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1346477833 PECOS PAC ID: 1052574472 Enrollment ID: I20160811000553 |
| Provider Name | Yueming Chang |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1629398904 PECOS PAC ID: 4688978281 Enrollment ID: I20160824001400 |
| Provider Name | Jonathan P Shepherd |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114048329 PECOS PAC ID: 3577741750 Enrollment ID: I20160825000034 |
| Provider Name | Gagan D. Singh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1073942462 PECOS PAC ID: 3577858737 Enrollment ID: I20160826000931 |
| Provider Name | Lauren M. Lewis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629334909 PECOS PAC ID: 3779879408 Enrollment ID: I20160907000945 |
| Provider Name | Anna Sastre |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346686136 PECOS PAC ID: 7719298074 Enrollment ID: I20160907000990 |
| Provider Name | Karyn J Hansen |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1700020062 PECOS PAC ID: 5698061117 Enrollment ID: I20160909001405 |
| Provider Name | Zack Williams |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861831505 PECOS PAC ID: 3476849803 Enrollment ID: I20160909002177 |
| Provider Name | Mirela Nicolescu |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1750601985 PECOS PAC ID: 2567690266 Enrollment ID: I20160916000101 |
| Provider Name | John P Russo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558708156 PECOS PAC ID: 5496075418 Enrollment ID: I20160919001689 |
| Provider Name | Patrick M Obeirne |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1215969753 PECOS PAC ID: 0648395483 Enrollment ID: I20160919001837 |
| Provider Name | Colleen Watters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356620165 PECOS PAC ID: 2668644659 Enrollment ID: I20160926000136 |
| Provider Name | Kristan A Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225581937 PECOS PAC ID: 7214224419 Enrollment ID: I20160930001285 |
| Provider Name | Suzanne Nicole Franzoni-kleeman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831548049 PECOS PAC ID: 0547558389 Enrollment ID: I20161012000200 |
| Provider Name | Christopher Herald Comey |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1689756447 PECOS PAC ID: 1254245541 Enrollment ID: I20161101000263 |
| Provider Name | Navkiran Brar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598100190 PECOS PAC ID: 6406176031 Enrollment ID: I20161116000441 |
| Provider Name | Sampada Acharya |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1033422662 PECOS PAC ID: 8325367774 Enrollment ID: I20161118001689 |
| Provider Name | Dorothy S Kozakowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588909196 PECOS PAC ID: 7113160847 Enrollment ID: I20161130000170 |
| Provider Name | Sanh Angkhavong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962855882 PECOS PAC ID: 8921388026 Enrollment ID: I20161207000929 |
| Provider Name | Laura Sabourin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487109617 PECOS PAC ID: 7618257536 Enrollment ID: I20161212002174 |
| Provider Name | Kristina Joy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063954170 PECOS PAC ID: 5991086407 Enrollment ID: I20161221000609 |
| Provider Name | Natalie M Cooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902254725 PECOS PAC ID: 2062793417 Enrollment ID: I20161227001047 |
| Provider Name | Pawan K Karanam |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1437380219 PECOS PAC ID: 5395991731 Enrollment ID: I20170117002225 |
| Provider Name | Asiya Mahmut |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1275971285 PECOS PAC ID: 9638471782 Enrollment ID: I20170418000401 |
| Provider Name | Jessica I Abrantes Figueiredo |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1962761569 PECOS PAC ID: 3375864788 Enrollment ID: I20170418002022 |
| Provider Name | Nitya S Chandra |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1013197995 PECOS PAC ID: 2567546153 Enrollment ID: I20170420002129 |
| Provider Name | Kulwinder N Bajwa |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1952833394 PECOS PAC ID: 8224315346 Enrollment ID: I20170427001267 |
| Provider Name | Paul Baldwin |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1578884409 PECOS PAC ID: 0143540369 Enrollment ID: I20170501000509 |
| Provider Name | Josh Mosdale |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528486875 PECOS PAC ID: 2860797214 Enrollment ID: I20170531000010 |
| Provider Name | Aubrey Ellen Rauktys |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437448909 PECOS PAC ID: 8820232374 Enrollment ID: I20170601001287 |
| Provider Name | Ruibo Wang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841600376 PECOS PAC ID: 5799053146 Enrollment ID: I20170608000586 |
| Provider Name | Stefan Kachala |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1538329578 PECOS PAC ID: 0143598219 Enrollment ID: I20170613002292 |
| Provider Name | Carissa Webster Lake |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1134448269 PECOS PAC ID: 9830467935 Enrollment ID: I20170614000363 |
| Provider Name | Amy Chai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710399548 PECOS PAC ID: 2466720339 Enrollment ID: I20170616002150 |
| Provider Name | Russell Parvin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1669710414 PECOS PAC ID: 4284902875 Enrollment ID: I20170623000568 |
| Provider Name | Arslan Johnghar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1568755700 PECOS PAC ID: 8123248135 Enrollment ID: I20170707000290 |
| Provider Name | Mariam S Azeem |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1053602672 PECOS PAC ID: 0749500692 Enrollment ID: I20170712001636 |
| Provider Name | Raphael Brancato |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700226198 PECOS PAC ID: 6406126648 Enrollment ID: I20170721000517 |
| Provider Name | Sarianne Lynn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730609561 PECOS PAC ID: 6800166638 Enrollment ID: I20170726003025 |
| Provider Name | Cheyenne Macnary Beach |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376854422 PECOS PAC ID: 9133412786 Enrollment ID: I20170801003225 |
| Provider Name | Samantha Smith |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659716223 PECOS PAC ID: 5496053670 Enrollment ID: I20170802003258 |
| Provider Name | Shehryar H Ashraf |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982966834 PECOS PAC ID: 9032439799 Enrollment ID: I20170810000843 |
| Provider Name | Christopher J Yi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467906966 PECOS PAC ID: 2860764685 Enrollment ID: I20170814003002 |
| Provider Name | Karishma K Mehra |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1861706939 PECOS PAC ID: 9931480969 Enrollment ID: I20170815000537 |
| Provider Name | Andrew C Raissis |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1316220429 PECOS PAC ID: 6507138062 Enrollment ID: I20170817001846 |
| Provider Name | Thomas Baird Fitzgerald |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366882037 PECOS PAC ID: 5890094304 Enrollment ID: I20170822000512 |
| Provider Name | Abigail Paige Tillman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326488347 PECOS PAC ID: 3577706431 Enrollment ID: I20170823002509 |
| Provider Name | Jessica Socha |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477973014 PECOS PAC ID: 4880914787 Enrollment ID: I20170825001852 |
| Provider Name | Natalie Hubbard |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376977660 PECOS PAC ID: 8729350723 Enrollment ID: I20170825003096 |
| Provider Name | Cassis Guy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629418058 PECOS PAC ID: 0547532475 Enrollment ID: I20170828000505 |
| Provider Name | Faraz Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417368325 PECOS PAC ID: 5092010413 Enrollment ID: I20170901001068 |
| Provider Name | Dhruti Mankodi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619392727 PECOS PAC ID: 4486927027 Enrollment ID: I20170905000082 |
| Provider Name | Yahya Al-mezrakchi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932594603 PECOS PAC ID: 9739452376 Enrollment ID: I20170905000131 |
| Provider Name | Madhav V Soni |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114230794 PECOS PAC ID: 1052530342 Enrollment ID: I20170906002459 |
| Provider Name | Wesley C Kyle |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326451303 PECOS PAC ID: 8820317209 Enrollment ID: I20170906002774 |
| Provider Name | Alph J Emmanuel |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1134416860 PECOS PAC ID: 4385949130 Enrollment ID: I20170907003312 |
| Provider Name | Saurav Chatterjee |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1295963072 PECOS PAC ID: 0648564112 Enrollment ID: I20170915000772 |
| Provider Name | Clifford Berg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346560406 PECOS PAC ID: 1052555612 Enrollment ID: I20170919001918 |
| Provider Name | Nikola Perosevic |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134536600 PECOS PAC ID: 8628342342 Enrollment ID: I20170919003838 |
| Provider Name | Melissa Henretta |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1518175173 PECOS PAC ID: 6709056278 Enrollment ID: I20170922000418 |
| Provider Name | Julee Higgins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932658903 PECOS PAC ID: 5799050779 Enrollment ID: I20170929002739 |
| Provider Name | Veronica Maria Pimentel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720309206 PECOS PAC ID: 0446482038 Enrollment ID: I20171004000880 |
| Provider Name | Mary E Atubra |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396867875 PECOS PAC ID: 6507967189 Enrollment ID: I20171004001028 |
| Provider Name | Himanshu Sharma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689089146 PECOS PAC ID: 0941520522 Enrollment ID: I20171010000168 |
| Provider Name | Joseph James Ingrassia |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1336432517 PECOS PAC ID: 7618295668 Enrollment ID: I20171023002553 |
| Provider Name | Helen Perakis |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1306068671 PECOS PAC ID: 4284878729 Enrollment ID: I20171113003050 |
| Provider Name | Keith David Clancy |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1164482303 PECOS PAC ID: 7012947039 Enrollment ID: I20171115000198 |
| Provider Name | Justus J Guerrieri |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386900975 PECOS PAC ID: 7012157480 Enrollment ID: I20171122000782 |
| Provider Name | Macaela Cirish |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558886671 PECOS PAC ID: 7113284282 Enrollment ID: I20171128000042 |
| Provider Name | Pamela Ohri Zizzamia |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568809416 PECOS PAC ID: 8325368913 Enrollment ID: I20180109001883 |
| Provider Name | Ryan Kaple |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1154580694 PECOS PAC ID: 7214240357 Enrollment ID: I20180124002310 |
| Provider Name | Tina M Hinchey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851808943 PECOS PAC ID: 5799045787 Enrollment ID: I20180213001442 |
| Provider Name | Shean L Barrett |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568780922 PECOS PAC ID: 2264669001 Enrollment ID: I20180223000498 |
| Provider Name | Elizabeth J Noyes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275649105 PECOS PAC ID: 4789907759 Enrollment ID: I20180328000211 |
| Provider Name | Jolanta Brankiewicz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629581525 PECOS PAC ID: 9032471156 Enrollment ID: I20180329000340 |
| Provider Name | Paul Henry Oppenheimer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073570560 PECOS PAC ID: 9335031186 Enrollment ID: I20180329001097 |
| Provider Name | Melissa C. O'donal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902315229 PECOS PAC ID: 3971866609 Enrollment ID: I20180411002064 |
| Provider Name | Nikhilesh R Sekhar |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1881645364 PECOS PAC ID: 4789660812 Enrollment ID: I20180412000075 |
| Provider Name | Sherard Chiu |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1790072932 PECOS PAC ID: 8224267174 Enrollment ID: I20180412000182 |
| Provider Name | Ji Ae Yoon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033539986 PECOS PAC ID: 4486924495 Enrollment ID: I20180424001797 |
| Provider Name | Gayle Jean Roussel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194233841 PECOS PAC ID: 1759645203 Enrollment ID: I20180509000303 |
| Provider Name | Vadim Zarubin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790188050 PECOS PAC ID: 7416236724 Enrollment ID: I20180514000261 |
| Provider Name | Asha Dusad |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427498120 PECOS PAC ID: 4981909231 Enrollment ID: I20180522001878 |
| Provider Name | Nayla Hariz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407298151 PECOS PAC ID: 6507121563 Enrollment ID: I20180523001232 |
| Provider Name | Joseph E. Flack |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1629095294 PECOS PAC ID: 0446274427 Enrollment ID: I20180529001190 |
| Provider Name | Nishanth Reddy Pundru |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205241288 PECOS PAC ID: 5395022644 Enrollment ID: I20180529002018 |
| Provider Name | Marija Kaljevic |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871975987 PECOS PAC ID: 4284999012 Enrollment ID: I20180529002113 |
| Provider Name | Varun Jain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750764379 PECOS PAC ID: 7911262613 Enrollment ID: I20180530001859 |
| Provider Name | Patricia Nasr |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740629005 PECOS PAC ID: 9234423278 Enrollment ID: I20180604000430 |
| Provider Name | Aileen Ingal |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1205035516 PECOS PAC ID: 9133384332 Enrollment ID: I20180605000483 |
| Provider Name | Vivek Kesar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1558629857 PECOS PAC ID: 2668727496 Enrollment ID: I20180620000752 |
| Provider Name | Rachna Kapoor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659767424 PECOS PAC ID: 9133474786 Enrollment ID: I20180622000121 |
| Provider Name | Damian Kalisiewicz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629459904 PECOS PAC ID: 1759693047 Enrollment ID: I20180622000668 |
| Provider Name | Mark Matthew Landreneau |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1659646875 PECOS PAC ID: 6305158809 Enrollment ID: I20180626000175 |
| Provider Name | Diane Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598150716 PECOS PAC ID: 9032413810 Enrollment ID: I20180627002300 |
| Provider Name | Nino Gigauri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487036802 PECOS PAC ID: 4183970528 Enrollment ID: I20180627002599 |
| Provider Name | Amarpreet Sanghera |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023427911 PECOS PAC ID: 2264739911 Enrollment ID: I20180629000225 |
| Provider Name | Joanne M Kennedy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972757987 PECOS PAC ID: 9133373970 Enrollment ID: I20180702001823 |
| Provider Name | Iris Chandler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487067435 PECOS PAC ID: 4183939416 Enrollment ID: I20180706001227 |
| Provider Name | Kenneth Munnerlyn |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1316172513 PECOS PAC ID: 8921246786 Enrollment ID: I20180713002410 |
| Provider Name | Thomas D'addario |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760877989 PECOS PAC ID: 9234441643 Enrollment ID: I20180717000628 |
| Provider Name | Bethel Girma Shiferaw |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1821432113 PECOS PAC ID: 9234423005 Enrollment ID: I20180724004003 |
| Provider Name | Manuel Anthony Moutinho |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1376838292 PECOS PAC ID: 4284939943 Enrollment ID: I20180802002345 |
| Provider Name | Michael J Blea |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1245591643 PECOS PAC ID: 7618225897 Enrollment ID: I20180803001273 |
| Provider Name | Saad Bin Jamil |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457721003 PECOS PAC ID: 5294083309 Enrollment ID: I20180807000799 |
| Provider Name | Soana Laguerre |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295147239 PECOS PAC ID: 1355699463 Enrollment ID: I20180807000944 |
| Provider Name | Dimitre Mirtchev |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1659614931 PECOS PAC ID: 5799087516 Enrollment ID: I20180808001371 |
| Provider Name | Iyanna Atwell Liles |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588083554 PECOS PAC ID: 4385964428 Enrollment ID: I20180809000146 |
| Provider Name | Manjot Reen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316324437 PECOS PAC ID: 2668776253 Enrollment ID: I20180809005442 |
| Provider Name | Andrew T Thorp |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013367515 PECOS PAC ID: 2163799453 Enrollment ID: I20180815002790 |
| Provider Name | Aneeqa Dar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558744920 PECOS PAC ID: 0143509794 Enrollment ID: I20180821002136 |
| Provider Name | Essam Nakhla |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1487910410 PECOS PAC ID: 0547519506 Enrollment ID: I20180823003238 |
| Provider Name | Patrick Axtmayer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659664860 PECOS PAC ID: 9638396914 Enrollment ID: I20180827000688 |
| Provider Name | Joan Elizabeth Kucienski |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982114914 PECOS PAC ID: 9830456540 Enrollment ID: I20180831001216 |
| Provider Name | Megan Schmidt |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912326992 PECOS PAC ID: 0648499566 Enrollment ID: I20180906000886 |
| Provider Name | Vamsidhar Venkata Surya Naraparaju |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447505169 PECOS PAC ID: 2163736893 Enrollment ID: I20180907001216 |
| Provider Name | Amanda Hunsicker Uva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205312881 PECOS PAC ID: 3577813765 Enrollment ID: I20180910001681 |
| Provider Name | Ichchha Madan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982862926 PECOS PAC ID: 1951476076 Enrollment ID: I20180924001472 |
| Provider Name | Sally Thi Nguyen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578883054 PECOS PAC ID: 2769733864 Enrollment ID: I20181001000417 |
| Provider Name | Nicholas Desorbo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285150946 PECOS PAC ID: 5092072413 Enrollment ID: I20181001002030 |
| Provider Name | Byomesh Kumar Tripathi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134536782 PECOS PAC ID: 9739440488 Enrollment ID: I20181002002781 |
| Provider Name | Anil Shankar Magge |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295154821 PECOS PAC ID: 2567782915 Enrollment ID: I20181012000694 |
| Provider Name | Joseph M Vinetz |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1306804513 PECOS PAC ID: 9436326022 Enrollment ID: I20181019000581 |
| Provider Name | Gholamreza Sadeghipour Roodsari |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821404591 PECOS PAC ID: 7315290004 Enrollment ID: I20181026000146 |
| Provider Name | Germine Sameh Labib Soliman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669812715 PECOS PAC ID: 8729383765 Enrollment ID: I20181030002224 |
| Provider Name | Nirav Desai |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1215293832 PECOS PAC ID: 2860766367 Enrollment ID: I20181203000589 |
| Provider Name | Julianna Dannenhoffer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780183988 PECOS PAC ID: 8123363751 Enrollment ID: I20181228002391 |
| Provider Name | Erin Michele Zaffis |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1225507361 PECOS PAC ID: 3476899923 Enrollment ID: I20190104000755 |
| Provider Name | Sara J Lebovitz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1710279856 PECOS PAC ID: 5890016869 Enrollment ID: I20190109001750 |
| Provider Name | Marc G Hochler |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225045784 PECOS PAC ID: 0244423952 Enrollment ID: I20190112000131 |
| Provider Name | Uma Mp Rao |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1578503017 PECOS PAC ID: 7719905629 Enrollment ID: I20190122000847 |
| Provider Name | Gabriel George Hakim |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1649235235 PECOS PAC ID: 8123325875 Enrollment ID: I20190205002799 |
| Provider Name | Su Gym Kim |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1235418369 PECOS PAC ID: 5395969943 Enrollment ID: I20190207002162 |
| Provider Name | Christina R Mclaughlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477027191 PECOS PAC ID: 8628316403 Enrollment ID: I20190221001005 |
| Provider Name | James Graham Bittner |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1215058870 PECOS PAC ID: 2163609488 Enrollment ID: I20190227001539 |
| Provider Name | Susan M Trocciola |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1831365345 PECOS PAC ID: 2769631183 Enrollment ID: I20190320002070 |
| Provider Name | Pankaj Kulshrestha |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1619900065 PECOS PAC ID: 9436154861 Enrollment ID: I20190328002392 |
| Provider Name | Andrew R Doben |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1144398926 PECOS PAC ID: 3870617228 Enrollment ID: I20190412001789 |
| Provider Name | Joyce Felice Pines |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1790817971 PECOS PAC ID: 1052596368 Enrollment ID: I20190418001743 |
| Provider Name | David Hersh |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1669764692 PECOS PAC ID: 3779880448 Enrollment ID: I20190508000733 |
| Provider Name | Faizan Hassaan Arshad |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619111614 PECOS PAC ID: 9234363417 Enrollment ID: I20190516001810 |
| Provider Name | Sopan Lahewala |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376910612 PECOS PAC ID: 1355693300 Enrollment ID: I20190605000670 |
| Provider Name | Mallory Finley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538723259 PECOS PAC ID: 3072846955 Enrollment ID: I20190607001335 |
| Provider Name | Donald Einck |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417319260 PECOS PAC ID: 6800180241 Enrollment ID: I20190613001556 |
| Provider Name | Uday Shankar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1578849519 PECOS PAC ID: 3072769694 Enrollment ID: I20190613002108 |
| Provider Name | Maisah Shaikh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679987259 PECOS PAC ID: 6406189901 Enrollment ID: I20190617001130 |
| Provider Name | Tatyana Lyapustina |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881934412 PECOS PAC ID: 5698069656 Enrollment ID: I20190626003483 |
| Provider Name | Fahad Juboori |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669868436 PECOS PAC ID: 1153671367 Enrollment ID: I20190717002269 |
| Provider Name | Andrew Franco |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922494210 PECOS PAC ID: 1951616226 Enrollment ID: I20190717002478 |
| Provider Name | Domenick Bianchi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407318637 PECOS PAC ID: 9830425461 Enrollment ID: I20190719001234 |
| Provider Name | Romana Dragojevic |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811345523 PECOS PAC ID: 5193052785 Enrollment ID: I20190805002562 |
| Provider Name | Syed Hassan Abbas |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285081398 PECOS PAC ID: 4789921529 Enrollment ID: I20190806001610 |
| Provider Name | Julie Nicole Rome |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639739915 PECOS PAC ID: 7012244437 Enrollment ID: I20190808000406 |
| Provider Name | Hannah C Jenkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346892775 PECOS PAC ID: 7911235056 Enrollment ID: I20190827002351 |
| Provider Name | Michael Hill |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1568789188 PECOS PAC ID: 2163679721 Enrollment ID: I20190829003857 |
| Provider Name | Whitney Young |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1831482934 PECOS PAC ID: 8123376670 Enrollment ID: I20190905001028 |
| Provider Name | Hania Shahid |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720531080 PECOS PAC ID: 5395081830 Enrollment ID: I20190906002240 |
| Provider Name | Beata E Belfield |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1023421625 PECOS PAC ID: 7911226998 Enrollment ID: I20190909000117 |
| Provider Name | Radhika Chaudhary |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366820235 PECOS PAC ID: 3779867544 Enrollment ID: I20190910000967 |
| Provider Name | Erin Greenberg Hartnett |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508129081 PECOS PAC ID: 4486950938 Enrollment ID: I20190910002194 |
| Provider Name | Kaitlin Noelle Erickson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821641671 PECOS PAC ID: 8729317193 Enrollment ID: I20190910002262 |
| Provider Name | Robert J Campbell |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1962583963 PECOS PAC ID: 8921032772 Enrollment ID: I20190918003386 |
| Provider Name | Linton Kinlock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154982684 PECOS PAC ID: 7012247893 Enrollment ID: I20190920000793 |
| Provider Name | Dianna Soucier-tagliavini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891357174 PECOS PAC ID: 4981934742 Enrollment ID: I20190923000864 |
| Provider Name | Danielle O'brien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013562784 PECOS PAC ID: 4385974872 Enrollment ID: I20190926000271 |
| Provider Name | Lisa A Weisinger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891095188 PECOS PAC ID: 0446580823 Enrollment ID: I20190927000746 |
| Provider Name | Muhammad Fahd Farooq |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740630417 PECOS PAC ID: 4082908926 Enrollment ID: I20190930002797 |
| Provider Name | Anton Shimanovsky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164884219 PECOS PAC ID: 6608160031 Enrollment ID: I20191001000996 |
| Provider Name | Giovanna Craveiro-setaro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235784554 PECOS PAC ID: 1052642147 Enrollment ID: I20191003001104 |
| Provider Name | Rachel Benedetto Scott |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1184915860 PECOS PAC ID: 1355649609 Enrollment ID: I20191007003104 |
| Provider Name | Kim M Clabbers |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1245225234 PECOS PAC ID: 7113903972 Enrollment ID: I20191017000118 |
| Provider Name | Robert Dowler Meyers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982984787 PECOS PAC ID: 9931421856 Enrollment ID: I20191021002846 |
| Provider Name | Susan Dalrymple |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275793184 PECOS PAC ID: 6103999586 Enrollment ID: I20191104002296 |
| Provider Name | Deirdre Donaldson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1164482923 PECOS PAC ID: 9638368228 Enrollment ID: I20191105002336 |
| Provider Name | Kyle Cecil Mciver |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760025613 PECOS PAC ID: 7416389580 Enrollment ID: I20191111001205 |
| Provider Name | Hongling Du |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508266438 PECOS PAC ID: 8224387295 Enrollment ID: I20191119003190 |
| Provider Name | Susan Elizabeth Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891337952 PECOS PAC ID: 4183057383 Enrollment ID: I20191202001126 |
| Provider Name | Katie Vigil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093359119 PECOS PAC ID: 1850724535 Enrollment ID: I20191211000625 |
| Provider Name | Emad Soliman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1568498640 PECOS PAC ID: 6709777576 Enrollment ID: I20191212002532 |
| Provider Name | Leopold J Streletz |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1114264413 PECOS PAC ID: 3577997030 Enrollment ID: I20191217000897 |
| Provider Name | Meagan Platt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871135962 PECOS PAC ID: 3476987843 Enrollment ID: I20191218002684 |
| Provider Name | Wesley Neal Klein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609193366 PECOS PAC ID: 1759405251 Enrollment ID: I20191220000430 |
| Provider Name | Ryan A Gorman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770556367 PECOS PAC ID: 2668363789 Enrollment ID: I20200103000242 |
| Provider Name | Swati R Dhanireddy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740620426 PECOS PAC ID: 5496987455 Enrollment ID: I20200130001767 |
| Provider Name | Syed Ali |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1174751267 PECOS PAC ID: 0547308934 Enrollment ID: I20200203002297 |
| Provider Name | Alyssa Rose Porter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437793098 PECOS PAC ID: 6002242252 Enrollment ID: I20200206000432 |
| Provider Name | Diane Graham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760021539 PECOS PAC ID: 4183050909 Enrollment ID: I20200213002499 |
| Provider Name | Emily Garth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104462555 PECOS PAC ID: 3678900297 Enrollment ID: I20200220001716 |
| Provider Name | Brenda Gilmore |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1851485486 PECOS PAC ID: 0840322004 Enrollment ID: I20200302001029 |
| Provider Name | Lalida Long |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285271072 PECOS PAC ID: 8628405644 Enrollment ID: I20200303001295 |
| Provider Name | Yael Calle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033755095 PECOS PAC ID: 2567890973 Enrollment ID: I20200318002043 |
| Provider Name | Arkady Yusupov |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1497150148 PECOS PAC ID: 3274870332 Enrollment ID: I20200324002418 |
| Provider Name | Harsh Rawal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164804670 PECOS PAC ID: 3779815196 Enrollment ID: I20200401002740 |
| Provider Name | Salvatore Criscuolo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417589656 PECOS PAC ID: 1456780980 Enrollment ID: I20200406000481 |
| Provider Name | Christina Audet Solomito |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508375080 PECOS PAC ID: 5799115663 Enrollment ID: I20200416000237 |
| Provider Name | David Stroh |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1518232875 PECOS PAC ID: 4688926314 Enrollment ID: I20200417000217 |
| Provider Name | Daylin Chaplin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629523485 PECOS PAC ID: 3072895762 Enrollment ID: I20200420000766 |
| Provider Name | Manpreet Kaur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477182566 PECOS PAC ID: 8426488933 Enrollment ID: I20200424000897 |
| Provider Name | Evan Nadler |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1508208091 PECOS PAC ID: 8022337369 Enrollment ID: I20200427002210 |
| Provider Name | Grace Lee |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1528381282 PECOS PAC ID: 0244478402 Enrollment ID: I20200507000480 |
| Provider Name | Vyacheslav Verbetsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548736648 PECOS PAC ID: 5799020327 Enrollment ID: I20200518001602 |
| Provider Name | David Michael Vermette |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902254915 PECOS PAC ID: 2769776442 Enrollment ID: I20200527002645 |
| Provider Name | Nathalie Marie Mcconnell |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1184257701 PECOS PAC ID: 1951722941 Enrollment ID: I20200529000966 |
| Provider Name | Priyanka Chugh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1700147915 PECOS PAC ID: 2668720228 Enrollment ID: I20200608002051 |
| Provider Name | Duyen Tran |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356874481 PECOS PAC ID: 4981976156 Enrollment ID: I20200625002372 |
| Provider Name | Suut Gokturk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891215174 PECOS PAC ID: 1759653108 Enrollment ID: I20200707003024 |
| Provider Name | Jonathan Winkler |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1528470267 PECOS PAC ID: 4587881172 Enrollment ID: I20200708001284 |
| Provider Name | Magdalena Kazmierczak |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740696293 PECOS PAC ID: 7416370507 Enrollment ID: I20200708001302 |
| Provider Name | Muhammad Umer Azeem |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1922481902 PECOS PAC ID: 0941508840 Enrollment ID: I20200710000577 |
| Provider Name | Manjula Cherukuri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477632016 PECOS PAC ID: 1850493743 Enrollment ID: I20200710001127 |
| Provider Name | Sean Devanney |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750743464 PECOS PAC ID: 4688968134 Enrollment ID: I20200717001396 |
| Provider Name | Mukesh Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104347665 PECOS PAC ID: 5799022596 Enrollment ID: I20200723000304 |
| Provider Name | Saad Jameel Gondal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306379243 PECOS PAC ID: 6406270214 Enrollment ID: I20200724002650 |
| Provider Name | Steven Montag |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265888069 PECOS PAC ID: 8628493335 Enrollment ID: I20200728003759 |
| Provider Name | Oluwole O Jegede |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063717775 PECOS PAC ID: 1759527542 Enrollment ID: I20200729000963 |
| Provider Name | Caitlin Ann Wojciehoski |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346696556 PECOS PAC ID: 1557786092 Enrollment ID: I20200731000523 |
| Provider Name | Anna Maria Fleischman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093337867 PECOS PAC ID: 4082039946 Enrollment ID: I20200810001182 |
| Provider Name | Eytan R Barnea |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316055932 PECOS PAC ID: 3072563311 Enrollment ID: I20200811001070 |
| Provider Name | Veeresh Kumar Nanjangud Shivamurthy |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1871908871 PECOS PAC ID: 5496171142 Enrollment ID: I20200812002750 |
| Provider Name | Sean Orourke |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184019275 PECOS PAC ID: 8729398359 Enrollment ID: I20200813000883 |
| Provider Name | Benjamin Litman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235585928 PECOS PAC ID: 1658667902 Enrollment ID: I20200818002896 |
| Provider Name | Brianne Doherty |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639601545 PECOS PAC ID: 4385060540 Enrollment ID: I20200818003001 |
| Provider Name | Rajwardhan Yadav |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1134445653 PECOS PAC ID: 2264750256 Enrollment ID: I20200828002309 |
| Provider Name | Zachary Cavanaugh |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1972915072 PECOS PAC ID: 9830419050 Enrollment ID: I20200831001662 |
| Provider Name | Fatima Jalil |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1487086625 PECOS PAC ID: 0244526622 Enrollment ID: I20200902001608 |
| Provider Name | Nicole Marie Rogucki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780168435 PECOS PAC ID: 4880011949 Enrollment ID: I20200903001635 |
| Provider Name | Julia P Mayne |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922535186 PECOS PAC ID: 3072931013 Enrollment ID: I20200908002715 |
| Provider Name | Sara Kabir |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568902377 PECOS PAC ID: 2961820204 Enrollment ID: I20200917002434 |
| Provider Name | Amy Bruce |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1679969273 PECOS PAC ID: 7517295272 Enrollment ID: I20200918001655 |
| Provider Name | Binbin Yi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619592466 PECOS PAC ID: 2769800903 Enrollment ID: I20200921000440 |
| Provider Name | Xuanthao Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215545793 PECOS PAC ID: 7810316189 Enrollment ID: I20201006002102 |
| Provider Name | Sarah B Flynn-savoie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598383556 PECOS PAC ID: 9931529096 Enrollment ID: I20201012002446 |
| Provider Name | Stephanie Jessica Dupree |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982233128 PECOS PAC ID: 0446660666 Enrollment ID: I20201029000745 |
| Provider Name | Matthew Bennett Wood Edwards |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891220406 PECOS PAC ID: 2769754944 Enrollment ID: I20201117003189 |
| Provider Name | Laurie Jean Deciantis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083220362 PECOS PAC ID: 0345651139 Enrollment ID: I20201130002647 |
| Provider Name | James Rielly |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1386638005 PECOS PAC ID: 3577564228 Enrollment ID: I20201130002980 |
| Provider Name | Alok Kumar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023459807 PECOS PAC ID: 5991008336 Enrollment ID: I20201208001869 |
| Provider Name | Nasser Majid Shirazi |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1811228976 PECOS PAC ID: 0840456521 Enrollment ID: I20201209000678 |
| Provider Name | Glen J Schwartzberg |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1194746800 PECOS PAC ID: 3577651884 Enrollment ID: I20201211000236 |
| Provider Name | Olayemi Ajayi-lamanna |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1629455654 PECOS PAC ID: 8224330360 Enrollment ID: I20201216000840 |
| Provider Name | Christopher Wolf |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1093178709 PECOS PAC ID: 3870887573 Enrollment ID: I20201218001775 |
| Provider Name | Brooke M P Chaves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003425745 PECOS PAC ID: 6002228855 Enrollment ID: I20201218001876 |
| Provider Name | Maria Victoria Recio-restrepo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245214766 PECOS PAC ID: 9931122835 Enrollment ID: I20201224000289 |
| Provider Name | Jessica R Ramachandran |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720508229 PECOS PAC ID: 1052724549 Enrollment ID: I20201229002953 |
| Provider Name | Elie S Semaan |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1336208792 PECOS PAC ID: 7416002183 Enrollment ID: I20210108002286 |
| Provider Name | Harmandeep Tinna |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881045359 PECOS PAC ID: 1557656113 Enrollment ID: I20210120001733 |
| Provider Name | Edward Detweiler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588152789 PECOS PAC ID: 6002220639 Enrollment ID: I20210122000616 |
| Provider Name | Sharon Lucille Zabriskie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912595174 PECOS PAC ID: 0042624959 Enrollment ID: I20210203002177 |
| Provider Name | Padmalatha Akkireddi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881869659 PECOS PAC ID: 6901186840 Enrollment ID: I20210209000590 |
| Provider Name | Matthew Feller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659323970 PECOS PAC ID: 2567532930 Enrollment ID: I20210217001594 |
| Provider Name | Thomas Oconnell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548622160 PECOS PAC ID: 9436563475 Enrollment ID: I20210224002278 |
| Provider Name | Ashraf M Oloufa |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285689901 PECOS PAC ID: 4183606106 Enrollment ID: I20210301002305 |
| Provider Name | Efrat Feldman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1821303959 PECOS PAC ID: 2264705540 Enrollment ID: I20210302001568 |
| Provider Name | Crystal Bastedo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619552163 PECOS PAC ID: 5799192209 Enrollment ID: I20210330001668 |
| Provider Name | Megan Dushek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609248012 PECOS PAC ID: 6901214428 Enrollment ID: I20210422002082 |
| Provider Name | Tiffany M Fieldings |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205286184 PECOS PAC ID: 8123451465 Enrollment ID: I20210426000167 |
| Provider Name | Neil Bidon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225644966 PECOS PAC ID: 0840609772 Enrollment ID: I20210506000065 |
| Provider Name | Janet Anderson Ray |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003021064 PECOS PAC ID: 6507945334 Enrollment ID: I20210510001026 |
| Provider Name | Elan Jeremitsky |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1821050113 PECOS PAC ID: 2860495801 Enrollment ID: I20210511001993 |
| Provider Name | Osarugue Otasowie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699363564 PECOS PAC ID: 7618386236 Enrollment ID: I20210512001433 |
| Provider Name | George Miller |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1356549877 PECOS PAC ID: 7113059833 Enrollment ID: I20210517000783 |
| Provider Name | Carina Biggs |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1508832304 PECOS PAC ID: 5395642987 Enrollment ID: I20210517001624 |
| Provider Name | Syed Areej Alam |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1174058028 PECOS PAC ID: 8325308570 Enrollment ID: I20210520000826 |
| Provider Name | Christopher El Khuri |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154841427 PECOS PAC ID: 9335418136 Enrollment ID: I20210526002872 |
| Provider Name | Vinod Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457845778 PECOS PAC ID: 9234488834 Enrollment ID: I20210526003275 |
| Provider Name | Hira Shahzad |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1679955686 PECOS PAC ID: 6204149065 Enrollment ID: I20210603002427 |
| Provider Name | Anna J Mangiafico |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366027286 PECOS PAC ID: 0446650253 Enrollment ID: I20210616001832 |
| Provider Name | Ashmanie A Mahatoo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1699124156 PECOS PAC ID: 6305132820 Enrollment ID: I20210616002309 |
| Provider Name | Anastasia Hallisey |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1548261456 PECOS PAC ID: 6305836362 Enrollment ID: I20210616002350 |
| Provider Name | Nirav Sanghani |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1396198743 PECOS PAC ID: 5991135972 Enrollment ID: I20210616002864 |
| Provider Name | Anna Natenzon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1073893459 PECOS PAC ID: 9032422431 Enrollment ID: I20210616003021 |
| Provider Name | Raymond Larocque |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982081683 PECOS PAC ID: 8426356429 Enrollment ID: I20210628001048 |
| Provider Name | Srijan Shrestha |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1285981316 PECOS PAC ID: 9537496567 Enrollment ID: I20210628001167 |
| Provider Name | Johnathan Lee Nieves |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275039067 PECOS PAC ID: 5597013664 Enrollment ID: I20210628001555 |
| Provider Name | Benjamin Velardi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386142040 PECOS PAC ID: 5496004426 Enrollment ID: I20210709002714 |
| Provider Name | Pimen Kurashvili |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740776764 PECOS PAC ID: 2163824111 Enrollment ID: I20210713002264 |
| Provider Name | Ellie Sader |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003260761 PECOS PAC ID: 9830486992 Enrollment ID: I20210713002381 |
| Provider Name | Xiao Jun Weng |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1407219371 PECOS PAC ID: 9739581794 Enrollment ID: I20210713002610 |
| Provider Name | Abigail Elizabeth Gurall |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275066292 PECOS PAC ID: 1456753284 Enrollment ID: I20210715001848 |
| Provider Name | Ahmed Kazi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437643871 PECOS PAC ID: 0648529248 Enrollment ID: I20210716000154 |
| Provider Name | Ibrahim Asghar Abid |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922586049 PECOS PAC ID: 2466855747 Enrollment ID: I20210723001795 |
| Provider Name | Annie Rose Ong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376040550 PECOS PAC ID: 4183989940 Enrollment ID: I20210726003621 |
| Provider Name | Jackson Chen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710480892 PECOS PAC ID: 3678976735 Enrollment ID: I20210727001951 |
| Provider Name | Bonnie Campbell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497288450 PECOS PAC ID: 7012310097 Enrollment ID: I20210728002523 |
| Provider Name | Joshua Namm |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1386902617 PECOS PAC ID: 3577812486 Enrollment ID: I20210730001818 |
| Provider Name | Yitzchok Lederman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619473253 PECOS PAC ID: 4082962980 Enrollment ID: I20210730001833 |
| Provider Name | Eric Cohen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1396984159 PECOS PAC ID: 8527284611 Enrollment ID: I20210730001897 |
| Provider Name | Abdul Qazi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1699115691 PECOS PAC ID: 3173826963 Enrollment ID: I20210730002233 |
| Provider Name | Nana Yaa N Chihombori-quao |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295269744 PECOS PAC ID: 3779853528 Enrollment ID: I20210802000845 |
| Provider Name | Disha Mascarenhas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528563517 PECOS PAC ID: 7113272873 Enrollment ID: I20210803003423 |
| Provider Name | Rizwan Ishtiaq |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730683038 PECOS PAC ID: 3072917699 Enrollment ID: I20210804001872 |
| Provider Name | Danielle Day Rawal |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750874970 PECOS PAC ID: 5799189296 Enrollment ID: I20210805001451 |
| Provider Name | Theresa Sheahan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871023341 PECOS PAC ID: 4082989330 Enrollment ID: I20210810003128 |
| Provider Name | Tammie C Carey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205398286 PECOS PAC ID: 6002140407 Enrollment ID: I20210812002352 |
| Provider Name | Thomas Milam |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669457677 PECOS PAC ID: 5294727889 Enrollment ID: I20210816002858 |
| Provider Name | Mark Schuchman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467517300 PECOS PAC ID: 2961683487 Enrollment ID: I20210816002943 |
| Provider Name | Praneet Wander |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1922427426 PECOS PAC ID: 3577807973 Enrollment ID: I20210817003511 |
| Provider Name | Chen-wen Heh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467449629 PECOS PAC ID: 6507885670 Enrollment ID: I20210819001472 |
| Provider Name | Emily Collier |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1295963387 PECOS PAC ID: 2466601240 Enrollment ID: I20210825003625 |
| Provider Name | Fastina Khan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851898498 PECOS PAC ID: 2264837475 Enrollment ID: I20210826002167 |
| Provider Name | Krista Santilli |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114412053 PECOS PAC ID: 6800100728 Enrollment ID: I20210827000399 |
| Provider Name | Megan Smith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356847909 PECOS PAC ID: 3870846967 Enrollment ID: I20210831000930 |
| Provider Name | Maura Munoz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720407364 PECOS PAC ID: 8729206529 Enrollment ID: I20210913001441 |
| Provider Name | Courtney Bearden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992015572 PECOS PAC ID: 7719160050 Enrollment ID: I20210914002513 |
| Provider Name | Angie Ruth Hylton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043634009 PECOS PAC ID: 1951529254 Enrollment ID: I20210920002372 |
| Provider Name | Jeffrey Vinocur |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326246380 PECOS PAC ID: 7113160128 Enrollment ID: I20210920002553 |
| Provider Name | Debra J Giesen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518549229 PECOS PAC ID: 8325446008 Enrollment ID: I20211011001497 |
| Provider Name | Diane Mladjen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457991333 PECOS PAC ID: 3779981451 Enrollment ID: I20211011001553 |
| Provider Name | Chasen Greig |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649513466 PECOS PAC ID: 2961638861 Enrollment ID: I20211018002004 |
| Provider Name | Erin Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285126185 PECOS PAC ID: 3072865658 Enrollment ID: I20211021002382 |
| Provider Name | Zachary Tallent Solomon |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1003261553 PECOS PAC ID: 3375837354 Enrollment ID: I20211101001340 |
| Provider Name | Kaveh Barami |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1255373528 PECOS PAC ID: 6204828775 Enrollment ID: I20211102003152 |
| Provider Name | Nicole L Alex |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497424527 PECOS PAC ID: 8921496316 Enrollment ID: I20211104001871 |
| Provider Name | Hildred Rochon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699193870 PECOS PAC ID: 7911256623 Enrollment ID: I20211111002611 |
| Provider Name | Andre Daniel Immanuel |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1396273355 PECOS PAC ID: 9234528993 Enrollment ID: I20211118000679 |
| Provider Name | Salvatore J Dimino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114681004 PECOS PAC ID: 6103216494 Enrollment ID: I20211130002331 |
| Provider Name | Donna Brunson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710434055 PECOS PAC ID: 6709168081 Enrollment ID: I20211214002558 |
| Provider Name | Karisa Harpe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629304050 PECOS PAC ID: 2567501463 Enrollment ID: I20211215000030 |
| Provider Name | Brian Mccarthy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336461813 PECOS PAC ID: 3072644228 Enrollment ID: I20211220001049 |
| Provider Name | Lauren Bey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710137716 PECOS PAC ID: 3173749371 Enrollment ID: I20211229000622 |
| Provider Name | Kevin Croce |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1417983172 PECOS PAC ID: 8820061575 Enrollment ID: I20220106000503 |
| Provider Name | Arupreet Singh Kochar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457839433 PECOS PAC ID: 0042602419 Enrollment ID: I20220114000399 |
| Provider Name | Elizabeth Cappiello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124799465 PECOS PAC ID: 8426440298 Enrollment ID: I20220128001032 |
| Provider Name | Brittany Mary Zarrella |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710651005 PECOS PAC ID: 7517350069 Enrollment ID: I20220207000778 |
| Provider Name | Kendall Lauren Buraimoh |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1295153294 PECOS PAC ID: 1052611530 Enrollment ID: I20220309000968 |
| Provider Name | Spencer James Cross |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083078398 PECOS PAC ID: 3678867082 Enrollment ID: I20220319000084 |
| Provider Name | Nicholas Crall |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316262645 PECOS PAC ID: 3274761333 Enrollment ID: I20220321001888 |
| Provider Name | Nicole Barbash |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649708678 PECOS PAC ID: 0446673982 Enrollment ID: I20220323001236 |
| Provider Name | Julie A Tenbrook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164417606 PECOS PAC ID: 6709876279 Enrollment ID: I20220328001602 |
| Provider Name | Kofoworola Ojo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942658075 PECOS PAC ID: 4981000262 Enrollment ID: I20220329000072 |
| Provider Name | Carol Wiediger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033285242 PECOS PAC ID: 2567546773 Enrollment ID: I20220407000867 |
| Provider Name | Shakaib Qureshi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1982126512 PECOS PAC ID: 8325319775 Enrollment ID: I20220512001962 |
| Provider Name | Abdul Wasio |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598327348 PECOS PAC ID: 1951708122 Enrollment ID: I20220517001797 |
| Provider Name | Chitreaka Udit |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1821551144 PECOS PAC ID: 0749668069 Enrollment ID: I20220527000612 |
| Provider Name | Cheryl Ann Dostie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811221898 PECOS PAC ID: 6103204359 Enrollment ID: I20220601000367 |
| Provider Name | Anuj Malik |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427332980 PECOS PAC ID: 6103129275 Enrollment ID: I20220601001183 |
| Provider Name | William Gionfriddo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497167936 PECOS PAC ID: 2668761255 Enrollment ID: I20220602000506 |
| Provider Name | Faheem Ul Haq |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1255747994 PECOS PAC ID: 9931443066 Enrollment ID: I20220607000260 |
| Provider Name | Neelam Tailor |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1013371756 PECOS PAC ID: 4587098777 Enrollment ID: I20220609000474 |
| Provider Name | Jogeet Singh Sekhon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447710793 PECOS PAC ID: 1658606249 Enrollment ID: I20220609002382 |
| Provider Name | Maryam Tanweer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760941736 PECOS PAC ID: 5193066736 Enrollment ID: I20220705000468 |
| Provider Name | Andrew J Loza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366931982 PECOS PAC ID: 0547515132 Enrollment ID: I20220708002019 |
| Provider Name | Danielle Pilarte |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164083978 PECOS PAC ID: 6507195302 Enrollment ID: I20220713002406 |
| Provider Name | Mitchell Perry Friedman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851061808 PECOS PAC ID: 4587052550 Enrollment ID: I20220714000400 |
| Provider Name | Soo Hyun Kae |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700347010 PECOS PAC ID: 8224368600 Enrollment ID: I20220715001217 |
| Provider Name | Lisa Grady |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518351832 PECOS PAC ID: 0840504387 Enrollment ID: I20220715001586 |
| Provider Name | Florentino Abueg |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1649372558 PECOS PAC ID: 4880592146 Enrollment ID: I20220719003564 |
| Provider Name | Monia Chopra |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1235651449 PECOS PAC ID: 8325429525 Enrollment ID: I20220719003766 |
| Provider Name | Aleksandr Isakov |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1902339153 PECOS PAC ID: 7315287133 Enrollment ID: I20220720003140 |
| Provider Name | Waqar Khalid |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033671110 PECOS PAC ID: 2668853623 Enrollment ID: I20220721002666 |
| Provider Name | Wess Cohen |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1972879120 PECOS PAC ID: 0042691032 Enrollment ID: I20220721003840 |
| Provider Name | Hashem Kalbouneh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679133425 PECOS PAC ID: 1355676305 Enrollment ID: I20220725003355 |
| Provider Name | James H Fortune |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811450869 PECOS PAC ID: 5799166559 Enrollment ID: I20220726000413 |
| Provider Name | Swati Vijay Dhobale |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801444047 PECOS PAC ID: 4981086675 Enrollment ID: I20220727002339 |
| Provider Name | Muhammad Bilal Mahmood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124670419 PECOS PAC ID: 2062810427 Enrollment ID: I20220727002405 |
| Provider Name | Seyed Shahab Jazayeri Moghaddas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487113551 PECOS PAC ID: 1153662697 Enrollment ID: I20220727003027 |
| Provider Name | Shirin Claudia Nouri Guendsechadze |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1861913964 PECOS PAC ID: 2365866811 Enrollment ID: I20220727003397 |
| Provider Name | Dennis Jacob |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831750454 PECOS PAC ID: 8820329139 Enrollment ID: I20220728000045 |
| Provider Name | Corrine Blumling Miller |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1013216530 PECOS PAC ID: 0345544409 Enrollment ID: I20220728001186 |
| Provider Name | Damian Moskal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1528590395 PECOS PAC ID: 3971842337 Enrollment ID: I20220728003059 |
| Provider Name | Javed Khader Eliyas |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1396991881 PECOS PAC ID: 9739482852 Enrollment ID: I20220802001508 |
| Provider Name | Sabo Uba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508106873 PECOS PAC ID: 4385889849 Enrollment ID: I20220802003410 |
| Provider Name | Andrew Hurwich |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649707852 PECOS PAC ID: 3072880939 Enrollment ID: I20220803003622 |
| Provider Name | Amritha Rahul Alapati |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982164588 PECOS PAC ID: 3870828957 Enrollment ID: I20220804001489 |
| Provider Name | Angela Yuan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316325244 PECOS PAC ID: 0042519068 Enrollment ID: I20220805001147 |
| Provider Name | Leena Rahmat |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1962799957 PECOS PAC ID: 4385878487 Enrollment ID: I20220809001135 |
| Provider Name | Joan Tankou |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912398744 PECOS PAC ID: 4880076736 Enrollment ID: I20220809002184 |
| Provider Name | Nani Phillips Moss |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730574807 PECOS PAC ID: 9830435718 Enrollment ID: I20220809002223 |
| Provider Name | Christina E Lillywhite |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295467181 PECOS PAC ID: 1850774738 Enrollment ID: I20220810003580 |
| Provider Name | Swagoto Mukhopadhyay |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1568724409 PECOS PAC ID: 3476825514 Enrollment ID: I20220812000687 |
| Provider Name | Syed J Naqvi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649739806 PECOS PAC ID: 3072854298 Enrollment ID: I20220901000162 |
| Provider Name | Pedro Bauza-feliciano |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104135128 PECOS PAC ID: 7810114840 Enrollment ID: I20220908003274 |
| Provider Name | Sarah Posillico |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649698382 PECOS PAC ID: 7315233210 Enrollment ID: I20220913003824 |
| Provider Name | Naga Aditya Teja Vemparala |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689829798 PECOS PAC ID: 2860878766 Enrollment ID: I20220929002950 |
| Provider Name | Nicole Constance O'connell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649538968 PECOS PAC ID: 6507120052 Enrollment ID: I20221012002031 |
| Provider Name | Daniela Valenzuela Tirado |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326579566 PECOS PAC ID: 5890116768 Enrollment ID: I20221014000817 |
| Provider Name | Rachel Weinreb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245960236 PECOS PAC ID: 6406222850 Enrollment ID: I20221026002075 |
| Provider Name | Nita Kofchock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174851695 PECOS PAC ID: 9234382136 Enrollment ID: I20221114003030 |
| Provider Name | Aleksandra Ogrodnik |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1861782765 PECOS PAC ID: 3779874235 Enrollment ID: I20221115001891 |
| Provider Name | Latonya King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023579885 PECOS PAC ID: 9931531423 Enrollment ID: I20221116001019 |
| Provider Name | Laki Rousou |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1871680918 PECOS PAC ID: 2567553233 Enrollment ID: I20221116002902 |
| Provider Name | Saima Husain |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1427237007 PECOS PAC ID: 0345403473 Enrollment ID: I20221205001463 |
| Provider Name | Katlin E Hunt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487168662 PECOS PAC ID: 2466713474 Enrollment ID: I20221222001011 |
| Provider Name | Sophie C Feller |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134514540 PECOS PAC ID: 0446580260 Enrollment ID: I20221222001257 |
| Provider Name | Loyd Tomlinson |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1811341811 PECOS PAC ID: 9931453255 Enrollment ID: I20230119000910 |
| Provider Name | Veronica Weatherspoon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619398245 PECOS PAC ID: 7810210622 Enrollment ID: I20230119002409 |
| Provider Name | Mark Stevens |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134145105 PECOS PAC ID: 7911165659 Enrollment ID: I20230120000738 |
| Provider Name | Nicole Cariglio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982004735 PECOS PAC ID: 7719392398 Enrollment ID: I20230124002351 |
| Provider Name | Kodjovi Kodjo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780100958 PECOS PAC ID: 7517203177 Enrollment ID: I20230125002856 |
| Provider Name | Janette Coelho Leal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992090708 PECOS PAC ID: 4981844305 Enrollment ID: I20230127002308 |
| Provider Name | Frederick Comrie |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1376780387 PECOS PAC ID: 1759518442 Enrollment ID: I20230221002707 |
| Provider Name | Ibitoro Osakwe |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1245338474 PECOS PAC ID: 8527038074 Enrollment ID: I20230221002889 |
| Provider Name | Solange Marie Marcel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679602536 PECOS PAC ID: 9335200153 Enrollment ID: I20230303001692 |
| Provider Name | Marlo Derla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013628031 PECOS PAC ID: 0941674097 Enrollment ID: I20230313002360 |
| Provider Name | M. Lisa Attebery |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649385626 PECOS PAC ID: 2365492527 Enrollment ID: I20230317002187 |
| Provider Name | Denise J White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477624294 PECOS PAC ID: 4880921667 Enrollment ID: I20230317002351 |
| Provider Name | Mark Sprague |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1003942699 PECOS PAC ID: 2860422078 Enrollment ID: I20230323001871 |
| Provider Name | Hannah Remillard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255031852 PECOS PAC ID: 8224403027 Enrollment ID: I20230410001279 |
| Provider Name | Heather Lovelace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275008021 PECOS PAC ID: 0941616924 Enrollment ID: I20230418000835 |
| Provider Name | Kevin Duignan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053940684 PECOS PAC ID: 5395110613 Enrollment ID: I20230418002274 |
| Provider Name | Donald L Pierce |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790197523 PECOS PAC ID: 4880811264 Enrollment ID: I20230425001265 |
| Provider Name | Alex I Roytburg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417680984 PECOS PAC ID: 6305201443 Enrollment ID: I20230425002158 |
| Provider Name | Harrison Strom |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841753696 PECOS PAC ID: 6305201872 Enrollment ID: I20230505001203 |
| Provider Name | Malik Ahmed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770557985 PECOS PAC ID: 5294752648 Enrollment ID: I20230510001489 |
| Provider Name | Syed Mohammad Mazhar Uddin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215534524 PECOS PAC ID: 8325405970 Enrollment ID: I20230613001864 |
| Provider Name | Ryan James Sorkin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134758675 PECOS PAC ID: 1658739081 Enrollment ID: I20230616001683 |
| Provider Name | Gurleen Kaur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861853707 PECOS PAC ID: 8921434416 Enrollment ID: I20230620000572 |
| Provider Name | Saeed Ahmed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275920845 PECOS PAC ID: 7517206055 Enrollment ID: I20230622001848 |
| Provider Name | Hinette Shelby Rosario |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346805173 PECOS PAC ID: 3274867171 Enrollment ID: I20230705003390 |
| Provider Name | Karina Takinan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104573047 PECOS PAC ID: 4385039494 Enrollment ID: I20230710001667 |
| Provider Name | Junwoo Kim |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689201386 PECOS PAC ID: 9537529326 Enrollment ID: I20230712000141 |
| Provider Name | Nicholas M Frederico |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811526411 PECOS PAC ID: 0244690766 Enrollment ID: I20230717000220 |
| Provider Name | Ryan Cole |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295231884 PECOS PAC ID: 6204184377 Enrollment ID: I20230724002318 |
| Provider Name | Jose Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669086641 PECOS PAC ID: 4183043383 Enrollment ID: I20230725000944 |
| Provider Name | Timothy Morley |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1003348061 PECOS PAC ID: 9436429131 Enrollment ID: I20230803001495 |
| Provider Name | Agnes Konadu Arhin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780371971 PECOS PAC ID: 1254792484 Enrollment ID: I20230803001605 |
| Provider Name | Elisha Danzig |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396360509 PECOS PAC ID: 4587025713 Enrollment ID: I20230803001766 |
| Provider Name | Brooj Awan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558989681 PECOS PAC ID: 8123444585 Enrollment ID: I20230803001953 |
| Provider Name | Sherifat I Forcey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043861438 PECOS PAC ID: 8022442235 Enrollment ID: I20230807003330 |
| Provider Name | Kay Siglos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396053104 PECOS PAC ID: 6103057518 Enrollment ID: I20230814000275 |
| Provider Name | Ashley L Demory |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104481654 PECOS PAC ID: 8123353232 Enrollment ID: I20230824002563 |
| Provider Name | Kathleen Marie Lessard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790466993 PECOS PAC ID: 9032563978 Enrollment ID: I20230927000985 |
| Provider Name | Jeana Monteiro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558077032 PECOS PAC ID: 2961857248 Enrollment ID: I20231005002090 |
| Provider Name | George N Batty |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1003020413 PECOS PAC ID: 2163675810 Enrollment ID: I20231020000522 |
| Provider Name | Kathryn Capasso |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1366896987 PECOS PAC ID: 9335595669 Enrollment ID: I20231024000154 |
| Provider Name | Yukari Ueda |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922637917 PECOS PAC ID: 5395191563 Enrollment ID: I20231024002280 |
| Provider Name | Sharon Shiu-ming Sung |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619130192 PECOS PAC ID: 9537315924 Enrollment ID: I20231025003407 |
| Provider Name | Toni Ann Ryan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396461182 PECOS PAC ID: 2860848959 Enrollment ID: I20231025003611 |
| Provider Name | Michael Burke |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1265829741 PECOS PAC ID: 1658775572 Enrollment ID: I20231031000966 |
| Provider Name | Jamie Shawver |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508424854 PECOS PAC ID: 0345572624 Enrollment ID: I20231114001147 |
| Provider Name | Evan Scott |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669735494 PECOS PAC ID: 1052603107 Enrollment ID: I20240209002395 |
| Provider Name | Grace Gillette Staines |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134908163 PECOS PAC ID: 6406291996 Enrollment ID: I20240223001916 |
| Provider Name | Dara Kass |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043398480 PECOS PAC ID: 7517055155 Enrollment ID: I20240229001913 |
| Provider Name | Jessica Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669892881 PECOS PAC ID: 7618195298 Enrollment ID: I20240311002097 |
| Provider Name | Hannah Dean Wolfe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316719883 PECOS PAC ID: 5597101717 Enrollment ID: I20240311002252 |
| Provider Name | Amy Beth Dumais |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972379360 PECOS PAC ID: 0345686580 Enrollment ID: I20240311002876 |
South Park Inn Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 21 Grand St, Hartford, CT 06106 Phone: 860-550-7500 | |
Connecticut Gi Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 85 Seymour St, 1000, Hartford, CT 06106 Phone: 860-246-2571 Fax: 860-246-3691 | |
Community Health Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 Albany Ave, Hartford, CT 06120 Phone: 860-249-9625 Fax: 860-808-1540 | |
Cleanslate Medical Group Of Connecticut Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 85 Gillett St, Hartford, CT 06105 Phone: 615-425-0220 Fax: 413-727-3619 | |
Robert E. Koorse Md Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 Asylum Ave, Suite 4303, Hartford, CT 06105 Phone: 860-524-5083 Fax: 860-524-5085 | |
Immaculate Conception Shelter Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 574 Park St, Hartford, CT 06106 Phone: 860-550-7500 |