| Trinity Medical Group | |
|
1 Burdick Expy W Minot ND 58701-4406 | |
| (701) 857-5000 | |
| Not Available |
| Full Name | Trinity Medical Group |
|---|---|
| Speciality | Clinic/Center |
| Location | 1 Burdick Expy W, Minot, North Dakota |
| Authorized Official Name and Position | John Kutch (CEO) |
| Authorized Official Contact | 7018575000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Trinity Medical Group Po Box 5020 Minot ND 58702-5020 Ph: (701) 857-5118 | Trinity Medical Group 1 Burdick Expy W Minot ND 58701-4406 Ph: (701) 857-5000 |
| NPI Number | 1083653752 |
|---|---|
| Provider Enumeration Date | 06/06/2006 |
| Last Update Date | 04/25/2023 |
| Medicare PECOS PAC ID | 7911816020 |
|---|---|
| Medicare Enrollment ID | O20031106000316 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083653752 | NPI | - | NPPES |
| 1459697 | Medicaid | ND | |
| 13854 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| Provider Name | Hedi Rime |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144391608 PECOS PAC ID: 2668384785 Enrollment ID: I20031105000537 |
| Provider Name | David A Desautel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1841389160 PECOS PAC ID: 7911804539 Enrollment ID: I20031212000658 |
| Provider Name | Edward Fogarty |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902826340 PECOS PAC ID: 7012814643 Enrollment ID: I20031212000714 |
| Provider Name | Bruce L Roach |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255402301 PECOS PAC ID: 6901705250 Enrollment ID: I20040106000345 |
| Provider Name | Luann M Cederstrom |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1184712515 PECOS PAC ID: 4880597947 Enrollment ID: I20040128000360 |
| Provider Name | Mark R Lundgren |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1700996857 PECOS PAC ID: 5193610111 Enrollment ID: I20040218000893 |
| Provider Name | Kraig W Brandt |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1609817139 PECOS PAC ID: 6103711031 Enrollment ID: I20040218001006 |
| Provider Name | Brian Tin Maung |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1558346882 PECOS PAC ID: 6507751450 Enrollment ID: I20040218001127 |
| Provider Name | Kari L Berentson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1760570196 PECOS PAC ID: 2769379106 Enrollment ID: I20040302000030 |
| Provider Name | Debra J Lukenbill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265456370 PECOS PAC ID: 5294622569 Enrollment ID: I20040302000284 |
| Provider Name | Thomas D Carver |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1275621609 PECOS PAC ID: 9335036672 Enrollment ID: I20040302000632 |
| Provider Name | Erdal Diri |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1245328681 PECOS PAC ID: 0345130530 Enrollment ID: I20040319000737 |
| Provider Name | Michael J Holland |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104913045 PECOS PAC ID: 5890685994 Enrollment ID: I20040319000817 |
| Provider Name | Renee K Harju |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750478780 PECOS PAC ID: 6800787904 Enrollment ID: I20040319001549 |
| Provider Name | Robert D Heninger |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821179847 PECOS PAC ID: 0042101149 Enrollment ID: I20040319001578 |
| Provider Name | Bonnie S Ler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336239490 PECOS PAC ID: 7810888781 Enrollment ID: I20040322000553 |
| Provider Name | Bradley J Schimke |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1316018468 PECOS PAC ID: 4981595881 Enrollment ID: I20040322000711 |
| Provider Name | Howard E Reeve |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538230677 PECOS PAC ID: 2769373695 Enrollment ID: I20040322000895 |
| Provider Name | Samir M Turk |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1770657157 PECOS PAC ID: 5991696767 Enrollment ID: I20040322001237 |
| Provider Name | Ann M Cadwalader |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922196351 PECOS PAC ID: 6305737131 Enrollment ID: I20040322001690 |
| Provider Name | Paul D Olson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730250879 PECOS PAC ID: 8921902438 Enrollment ID: I20040405000116 |
| Provider Name | Scott E Knutson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972690865 PECOS PAC ID: 7618960931 Enrollment ID: I20040405000372 |
| Provider Name | Chad J Wolsky |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1508931676 PECOS PAC ID: 1850385857 Enrollment ID: I20040413000408 |
| Provider Name | Denise M Zahn |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1891970083 PECOS PAC ID: 5496740417 Enrollment ID: I20040419001101 |
| Provider Name | Tonya M Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538234455 PECOS PAC ID: 6507853785 Enrollment ID: I20040429000084 |
| Provider Name | Bruce I Errett |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063565802 PECOS PAC ID: 2062403520 Enrollment ID: I20040521001361 |
| Provider Name | Mathew L Stayman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548217268 PECOS PAC ID: 0547241531 Enrollment ID: I20040526000500 |
| Provider Name | Wade R Talley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801994629 PECOS PAC ID: 6305828773 Enrollment ID: I20040601001329 |
| Provider Name | Ayaz J. Chaudhary |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1639289382 PECOS PAC ID: 5991788291 Enrollment ID: I20040609000080 |
| Provider Name | Anthony A Udekwe |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740354646 PECOS PAC ID: 0749260388 Enrollment ID: I20040723000171 |
| Provider Name | Frederick W Jones |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013004969 PECOS PAC ID: 6002887262 Enrollment ID: I20040803000438 |
| Provider Name | Steven D Johnson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053390849 PECOS PAC ID: 3678487360 Enrollment ID: I20040804001876 |
| Provider Name | Kelly J Turneau |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326134685 PECOS PAC ID: 0941262802 Enrollment ID: I20041102000940 |
| Provider Name | Terri R Brown |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114015542 PECOS PAC ID: 3678538931 Enrollment ID: I20041129000312 |
| Provider Name | Maria Shih-kwang Li |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1235203415 PECOS PAC ID: 9537139639 Enrollment ID: I20041221001050 |
| Provider Name | Kari L Rist |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1619048766 PECOS PAC ID: 1153374137 Enrollment ID: I20050302000449 |
| Provider Name | Valentine C Chikwendu |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1356439798 PECOS PAC ID: 3870498884 Enrollment ID: I20050706000138 |
| Provider Name | Scott B Lewis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679663744 PECOS PAC ID: 8123080991 Enrollment ID: I20050706000310 |
| Provider Name | Abdulhamid Alkhalaf |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1043237035 PECOS PAC ID: 2365471554 Enrollment ID: I20050808001069 |
| Provider Name | Wayne L Martinsen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851352504 PECOS PAC ID: 5092744888 Enrollment ID: I20050811000684 |
| Provider Name | David A Billings |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588752919 PECOS PAC ID: 2365472883 Enrollment ID: I20050815000884 |
| Provider Name | Thomas A Haldis |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1588681449 PECOS PAC ID: 6305748260 Enrollment ID: I20050920000772 |
| Provider Name | Ann M Welch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962577411 PECOS PAC ID: 1759337967 Enrollment ID: I20051007000847 |
| Provider Name | Jeffrey A Sather |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508937657 PECOS PAC ID: 2668497710 Enrollment ID: I20051018001163 |
| Provider Name | Jason L Ellingson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1366535973 PECOS PAC ID: 0941220321 Enrollment ID: I20051130000409 |
| Provider Name | Jill R Martinson Redekopp |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1659469351 PECOS PAC ID: 7214943927 Enrollment ID: I20060303000328 |
| Provider Name | Jason L Meister |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1356315642 PECOS PAC ID: 6800848052 Enrollment ID: I20060412000127 |
| Provider Name | Wayne L Jansen |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1962424721 PECOS PAC ID: 0547264160 Enrollment ID: I20060912000560 |
| Provider Name | Ellen Sigauke |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1740200336 PECOS PAC ID: 0345245593 Enrollment ID: I20060922000167 |
| Provider Name | Thompson T Kamba |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548279003 PECOS PAC ID: 8123062478 Enrollment ID: I20061106000471 |
| Provider Name | John Adan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1295709665 PECOS PAC ID: 5799747002 Enrollment ID: I20061106000568 |
| Provider Name | Friday U Osuala |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700972973 PECOS PAC ID: 4587664867 Enrollment ID: I20070110000552 |
| Provider Name | Shana D Guilbert |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1861619439 PECOS PAC ID: 2567569510 Enrollment ID: I20070525000365 |
| Provider Name | Kevin T Franks |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144294216 PECOS PAC ID: 3971602277 Enrollment ID: I20070627000577 |
| Provider Name | James A Schmidt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073720983 PECOS PAC ID: 3678664554 Enrollment ID: I20070807000385 |
| Provider Name | Farzodd E Hanjani |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255530853 PECOS PAC ID: 0840381315 Enrollment ID: I20070813000523 |
| Provider Name | Heidi A Bender |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942400726 PECOS PAC ID: 9830282409 Enrollment ID: I20070912000744 |
| Provider Name | Mark C Raymond |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1649249723 PECOS PAC ID: 9739167941 Enrollment ID: I20070913000177 |
| Provider Name | Darrell P Williams |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1598830051 PECOS PAC ID: 3072609445 Enrollment ID: I20071016000277 |
| Provider Name | Dawn D Mattern |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1962590661 PECOS PAC ID: 2264527548 Enrollment ID: I20071023000344 |
| Provider Name | Marcel P Young |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1659446730 PECOS PAC ID: 9830286293 Enrollment ID: I20071101000118 |
| Provider Name | Casmiar I Nwaigwe |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1902832041 PECOS PAC ID: 5890798268 Enrollment ID: I20080121000142 |
| Provider Name | George Chiang |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1093773954 PECOS PAC ID: 7517048192 Enrollment ID: I20080122000273 |
| Provider Name | Tammy J Grosulak |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1083892095 PECOS PAC ID: 2163505058 Enrollment ID: I20080226000260 |
| Provider Name | Danial R Padgett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013124981 PECOS PAC ID: 4789758061 Enrollment ID: I20080805000231 |
| Provider Name | Bruce F Andersen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043307697 PECOS PAC ID: 3173683034 Enrollment ID: I20081121000314 |
| Provider Name | Robert Dicken |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1568554285 PECOS PAC ID: 8022043280 Enrollment ID: I20081125000148 |
| Provider Name | Badie Alakech |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1700899580 PECOS PAC ID: 5092710780 Enrollment ID: I20090112000570 |
| Provider Name | Michael Knowland |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1477574887 PECOS PAC ID: 8921042094 Enrollment ID: I20090121000192 |
| Provider Name | John G Nelson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952481723 PECOS PAC ID: 4385708544 Enrollment ID: I20090203000169 |
| Provider Name | Lea J Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336376029 PECOS PAC ID: 3971654716 Enrollment ID: I20090708000000 |
| Provider Name | Brenda Reems |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1548400260 PECOS PAC ID: 6204988892 Enrollment ID: I20090713000205 |
| Provider Name | Cullen T Kehoe |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013166925 PECOS PAC ID: 5496808289 Enrollment ID: I20090727000342 |
| Provider Name | Ann M Hoff |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1962629006 PECOS PAC ID: 9436243722 Enrollment ID: I20090904000541 |
| Provider Name | Bahram Nico |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1821054347 PECOS PAC ID: 8022164672 Enrollment ID: I20090923000218 |
| Provider Name | Allison R Auch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295968022 PECOS PAC ID: 9537205372 Enrollment ID: I20091007000643 |
| Provider Name | Karen Jean Kelly |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1649504242 PECOS PAC ID: 6800933235 Enrollment ID: I20091016000384 |
| Provider Name | Linda K Chase |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215993365 PECOS PAC ID: 0244377232 Enrollment ID: I20091023000315 |
| Provider Name | Nicole A Underdahl |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1598090250 PECOS PAC ID: 0547308066 Enrollment ID: I20091103000491 |
| Provider Name | Alicia M Norby |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558589994 PECOS PAC ID: 1557400454 Enrollment ID: I20091207000425 |
| Provider Name | Diane R Schmidt-krings |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1346347531 PECOS PAC ID: 9537189923 Enrollment ID: I20091215000504 |
| Provider Name | Margaret C Nordell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598891178 PECOS PAC ID: 8527108851 Enrollment ID: I20091217000651 |
| Provider Name | Rashpal Singh |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1285629014 PECOS PAC ID: 9739122128 Enrollment ID: I20091222000326 |
| Provider Name | James A Kennedy |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1225102304 PECOS PAC ID: 8729129457 Enrollment ID: I20100104000304 |
| Provider Name | Mark A Olson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023182110 PECOS PAC ID: 2860533593 Enrollment ID: I20100104000332 |
| Provider Name | Nasser Saffarian |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1073684122 PECOS PAC ID: 7517009459 Enrollment ID: I20100115000223 |
| Provider Name | Jeffrey Verhey |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1962577486 PECOS PAC ID: 7214846336 Enrollment ID: I20100127000064 |
| Provider Name | Karen L Johnson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1073841227 PECOS PAC ID: 2264575281 Enrollment ID: I20100129000532 |
| Provider Name | Carol M Schaffner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780755835 PECOS PAC ID: 8628112547 Enrollment ID: I20100216000567 |
| Provider Name | Tyson D Williams |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1679648745 PECOS PAC ID: 3870637713 Enrollment ID: I20100216000726 |
| Provider Name | Sarah Mullin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174613038 PECOS PAC ID: 3173667029 Enrollment ID: I20100216000927 |
| Provider Name | Sandeep D Sule |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1972512325 PECOS PAC ID: 5294760609 Enrollment ID: I20100311000360 |
| Provider Name | Tammy L Uleberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710051628 PECOS PAC ID: 5395880686 Enrollment ID: I20100311000492 |
| Provider Name | Douglas L Lowe |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1194755728 PECOS PAC ID: 7012910003 Enrollment ID: I20100312001030 |
| Provider Name | Thomas Chweh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073702361 PECOS PAC ID: 1557442852 Enrollment ID: I20100820000115 |
| Provider Name | Alexandre S Kindy |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1437246303 PECOS PAC ID: 1456476068 Enrollment ID: I20100918000329 |
| Provider Name | Jessica A Skjolden |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285845917 PECOS PAC ID: 6800912676 Enrollment ID: I20100929000969 |
| Provider Name | Martin L Rothberg |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1538247721 PECOS PAC ID: 5092624106 Enrollment ID: I20101008001107 |
| Provider Name | Rebecca A Heilman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1619080751 PECOS PAC ID: 8820281199 Enrollment ID: I20101019000794 |
| Provider Name | Elizabeth A Larsen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174603856 PECOS PAC ID: 1153514443 Enrollment ID: I20101019000989 |
| Provider Name | Kristy J Leier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093028334 PECOS PAC ID: 9335332451 Enrollment ID: I20101021000879 |
| Provider Name | Patanit Watanaboonyakhet |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1629143169 PECOS PAC ID: 5698836120 Enrollment ID: I20101102000576 |
| Provider Name | Jerrica L Maxson |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1366699779 PECOS PAC ID: 6709070568 Enrollment ID: I20101105000301 |
| Provider Name | Kiley R Andreas |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1598072035 PECOS PAC ID: 2961697719 Enrollment ID: I20101108000081 |
| Provider Name | Heather L Bedell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447474994 PECOS PAC ID: 5890980353 Enrollment ID: I20101109001516 |
| Provider Name | Timothy H Bedell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356565964 PECOS PAC ID: 1153516612 Enrollment ID: I20101109001526 |
| Provider Name | Lori K Scholz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386662948 PECOS PAC ID: 1456547249 Enrollment ID: I20101118000944 |
| Provider Name | Robert David Guttormson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1427222033 PECOS PAC ID: 1052508611 Enrollment ID: I20101208000448 |
| Provider Name | Jennifer K Henjum |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1598071185 PECOS PAC ID: 8820286032 Enrollment ID: I20110103000382 |
| Provider Name | Christine Nelson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1972819563 PECOS PAC ID: 1759570443 Enrollment ID: I20110111000883 |
| Provider Name | Emuejevoke Okoh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1013970482 PECOS PAC ID: 2567645484 Enrollment ID: I20110330000237 |
| Provider Name | Samantha Frigstad |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1619275013 PECOS PAC ID: 8022291913 Enrollment ID: I20110330000995 |
| Provider Name | Diana L Peterson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811068950 PECOS PAC ID: 2062696511 Enrollment ID: I20110407000895 |
| Provider Name | Lonna Potter |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1538312590 PECOS PAC ID: 7810058195 Enrollment ID: I20110415000188 |
| Provider Name | Michael W Reder |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1700837259 PECOS PAC ID: 2567409378 Enrollment ID: I20110415000664 |
| Provider Name | Melinda A Howe |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1306145628 PECOS PAC ID: 6305021577 Enrollment ID: I20110503000645 |
| Provider Name | Olivia Carcoana |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1093800344 PECOS PAC ID: 1658559141 Enrollment ID: I20110705000439 |
| Provider Name | Aaron C Herington |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629236369 PECOS PAC ID: 2769651835 Enrollment ID: I20110805000306 |
| Provider Name | Chantel K Hillestad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043508526 PECOS PAC ID: 7618147752 Enrollment ID: I20110829000728 |
| Provider Name | Katharyn A Burgardt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720376452 PECOS PAC ID: 8527238666 Enrollment ID: I20110829000729 |
| Provider Name | John D Amsbury |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336304906 PECOS PAC ID: 0648440420 Enrollment ID: I20110906000156 |
| Provider Name | Mary Ann Sadler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821300153 PECOS PAC ID: 6103941661 Enrollment ID: I20110912000013 |
| Provider Name | Roxann M Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679861520 PECOS PAC ID: 0244401891 Enrollment ID: I20110912000791 |
| Provider Name | Amber Lyn Szczepanski |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1073760237 PECOS PAC ID: 3779651559 Enrollment ID: I20110913000524 |
| Provider Name | Ruth A Stanley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558659292 PECOS PAC ID: 0648442996 Enrollment ID: I20111010000038 |
| Provider Name | Erica R Riordan |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1932480282 PECOS PAC ID: 8729252465 Enrollment ID: I20111115000811 |
| Provider Name | Michael G Mcmahon |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1700967890 PECOS PAC ID: 8527225036 Enrollment ID: I20120209000802 |
| Provider Name | Todd Gray |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1679587422 PECOS PAC ID: 1759399025 Enrollment ID: I20120210000633 |
| Provider Name | Shannon R Foisy |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1659640159 PECOS PAC ID: 3274790753 Enrollment ID: I20120210000784 |
| Provider Name | Melanie A Bossert |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1740551365 PECOS PAC ID: 1759549843 Enrollment ID: I20120221000462 |
| Provider Name | Micheal John Templer |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1386839041 PECOS PAC ID: 1759477920 Enrollment ID: I20120410000199 |
| Provider Name | Kristi J Johnson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1336496579 PECOS PAC ID: 7113183468 Enrollment ID: I20120731000795 |
| Provider Name | Durand S Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346501046 PECOS PAC ID: 3779739800 Enrollment ID: I20120806000620 |
| Provider Name | Robert G Thomas |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1720284508 PECOS PAC ID: 3173770831 Enrollment ID: I20120831000131 |
| Provider Name | Allison D Lesmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699036392 PECOS PAC ID: 1153579123 Enrollment ID: I20120917000438 |
| Provider Name | Sean D Stanga |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1306040134 PECOS PAC ID: 1153571823 Enrollment ID: I20121016000267 |
| Provider Name | Annie J Steen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962759464 PECOS PAC ID: 0446400865 Enrollment ID: I20121022000073 |
| Provider Name | Tricia M Nechodom |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1902197411 PECOS PAC ID: 6800046145 Enrollment ID: I20121023000776 |
| Provider Name | George M Wilson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396092219 PECOS PAC ID: 5799935979 Enrollment ID: I20121024000485 |
| Provider Name | Jon S Solberg |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588830418 PECOS PAC ID: 3072796671 Enrollment ID: I20121024000778 |
| Provider Name | Blendi C Cumani |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1164744942 PECOS PAC ID: 7315126984 Enrollment ID: I20121121000279 |
| Provider Name | Sridhar Naidu |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1629236690 PECOS PAC ID: 3274549423 Enrollment ID: I20121228000344 |
| Provider Name | Myca L Kleespie |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1003151564 PECOS PAC ID: 8022261270 Enrollment ID: I20130121000133 |
| Provider Name | Joshua J Staiger |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1548507197 PECOS PAC ID: 8224283361 Enrollment ID: I20130221000284 |
| Provider Name | Bradley A Horner |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1205172921 PECOS PAC ID: 8628213436 Enrollment ID: I20130327000537 |
| Provider Name | Duk H Kim |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760423354 PECOS PAC ID: 7618904616 Enrollment ID: I20130412000331 |
| Provider Name | Amy Bakke |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1750340360 PECOS PAC ID: 6709891534 Enrollment ID: I20130529000932 |
| Provider Name | Ashley N Wallner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952748923 PECOS PAC ID: 7214178169 Enrollment ID: I20130718000795 |
| Provider Name | Aaron J Albers |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1295044212 PECOS PAC ID: 1951543487 Enrollment ID: I20130813000910 |
| Provider Name | Charles Owen Wood |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1528064144 PECOS PAC ID: 3678650371 Enrollment ID: I20131113001954 |
| Provider Name | Michael E Grant |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1003027582 PECOS PAC ID: 9638224470 Enrollment ID: I20140409001601 |
| Provider Name | Cody Chathams |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528485141 PECOS PAC ID: 0143444893 Enrollment ID: I20140619000526 |
| Provider Name | Evonne A Hickok |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013322387 PECOS PAC ID: 8022236827 Enrollment ID: I20140819002859 |
| Provider Name | James A Miller |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104054477 PECOS PAC ID: 5799923504 Enrollment ID: I20140820002676 |
| Provider Name | Ryan M Siewert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528355500 PECOS PAC ID: 2668690058 Enrollment ID: I20140827000028 |
| Provider Name | Chittaranjan Routray |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548548498 PECOS PAC ID: 0547493645 Enrollment ID: I20140828000026 |
| Provider Name | Jerel J Brandt |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1104051101 PECOS PAC ID: 8426276585 Enrollment ID: I20140902002215 |
| Provider Name | Lynette Vondal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740696483 PECOS PAC ID: 9335367499 Enrollment ID: I20140902002216 |
| Provider Name | Jessica M Fricke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881000131 PECOS PAC ID: 7911126339 Enrollment ID: I20140917002468 |
| Provider Name | Ashley L Evanoff |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1982983300 PECOS PAC ID: 6002035383 Enrollment ID: I20140918001429 |
| Provider Name | Evelyne Bouchard-kindy |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1396833729 PECOS PAC ID: 9638075096 Enrollment ID: I20140929002811 |
| Provider Name | Amanda R Weidler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407262124 PECOS PAC ID: 2163642430 Enrollment ID: I20141008002314 |
| Provider Name | Roggie Peter Reason |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366797045 PECOS PAC ID: 3274771910 Enrollment ID: I20141016000362 |
| Provider Name | Jennifer K Johnson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528384088 PECOS PAC ID: 7416198924 Enrollment ID: I20141016002583 |
| Provider Name | Jeffrey L Taylor |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1306870498 PECOS PAC ID: 5991691032 Enrollment ID: I20141110000194 |
| Provider Name | Becky L Schneider |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598169336 PECOS PAC ID: 9537482229 Enrollment ID: I20150105001622 |
| Provider Name | Matthew Feller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659323970 PECOS PAC ID: 2567532930 Enrollment ID: I20150120002056 |
| Provider Name | Ashley L Stevens |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1992193403 PECOS PAC ID: 5890012686 Enrollment ID: I20150314000367 |
| Provider Name | Amber M Rice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801280524 PECOS PAC ID: 3779804679 Enrollment ID: I20150603003100 |
| Provider Name | Tanya D Schnell |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1427029800 PECOS PAC ID: 4183632995 Enrollment ID: I20150701002999 |
| Provider Name | Jessica J Delorme |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245612449 PECOS PAC ID: 4183938780 Enrollment ID: I20150727001124 |
| Provider Name | Lisa N Brandt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922475854 PECOS PAC ID: 1759699648 Enrollment ID: I20150925001127 |
| Provider Name | Gillian E Lavik |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1659690618 PECOS PAC ID: 2668603747 Enrollment ID: I20150930001711 |
| Provider Name | Reggie Michael Gillins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619311974 PECOS PAC ID: 1951540590 Enrollment ID: I20151009001709 |
| Provider Name | Christian A Eby |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1205823978 PECOS PAC ID: 1456386002 Enrollment ID: I20160112000416 |
| Provider Name | Amber N Stephenson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1669839353 PECOS PAC ID: 7911202890 Enrollment ID: I20160302000505 |
| Provider Name | Christopher B Thorson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1356315170 PECOS PAC ID: 4688626633 Enrollment ID: I20160329002638 |
| Provider Name | Khadijah Wright |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912196726 PECOS PAC ID: 0749335800 Enrollment ID: I20160811002089 |
| Provider Name | Kayla J Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972955771 PECOS PAC ID: 2668767161 Enrollment ID: I20160823001845 |
| Provider Name | Michael Johnson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1306829445 PECOS PAC ID: 9335148592 Enrollment ID: I20160830001300 |
| Provider Name | Virginia R Keaveny |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427494426 PECOS PAC ID: 4183865702 Enrollment ID: I20160928000643 |
| Provider Name | Jessie A Fauntleroy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1689949026 PECOS PAC ID: 2860780905 Enrollment ID: I20161005002114 |
| Provider Name | Volney Willett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912964966 PECOS PAC ID: 9234157215 Enrollment ID: I20161013001669 |
| Provider Name | Jean J Lemay |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245329812 PECOS PAC ID: 3971881541 Enrollment ID: I20161102001154 |
| Provider Name | Richard J Bartl |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1316018906 PECOS PAC ID: 6608962204 Enrollment ID: I20170713001593 |
| Provider Name | Sierra Laray Unruh |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1063895027 PECOS PAC ID: 4082986641 Enrollment ID: I20170817001677 |
| Provider Name | Rosina B Medel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992093983 PECOS PAC ID: 9032481262 Enrollment ID: I20170822003283 |
| Provider Name | Joseph H Stonehocker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437660198 PECOS PAC ID: 4183980113 Enrollment ID: I20171108001204 |
| Provider Name | Ira Paul Michaelson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1649261256 PECOS PAC ID: 7719933738 Enrollment ID: I20180525001678 |
| Provider Name | Dwight David Remington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649764770 PECOS PAC ID: 5193073815 Enrollment ID: I20180811000064 |
| Provider Name | Dustin Tolman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619352002 PECOS PAC ID: 5698082550 Enrollment ID: I20180831002273 |
| Provider Name | Edward Cheng |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902976871 PECOS PAC ID: 4688740152 Enrollment ID: I20181008003033 |
| Provider Name | Michael Allen Gooden |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1598756595 PECOS PAC ID: 6406810167 Enrollment ID: I20181023000958 |
| Provider Name | Andrea Lynn Sebelius |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770089120 PECOS PAC ID: 7012260839 Enrollment ID: I20181024003155 |
| Provider Name | Cody P Pehrson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1396001079 PECOS PAC ID: 9335418011 Enrollment ID: I20181102001056 |
| Provider Name | Lovita Scrimshaw |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063891604 PECOS PAC ID: 4082929286 Enrollment ID: I20181107002131 |
| Provider Name | Shiquan Liu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104182757 PECOS PAC ID: 1850664210 Enrollment ID: I20181108002157 |
| Provider Name | Tricia L Dickens |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174542120 PECOS PAC ID: 0446298764 Enrollment ID: I20181115000098 |
| Provider Name | Daniel J Scrimshaw |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508245143 PECOS PAC ID: 5698080893 Enrollment ID: I20181128003590 |
| Provider Name | Rym Lamrad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497167852 PECOS PAC ID: 6507101607 Enrollment ID: I20181218002265 |
| Provider Name | Winnie T Chua |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780028530 PECOS PAC ID: 9335447838 Enrollment ID: I20190103002699 |
| Provider Name | Krishna Gurram |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1255360244 PECOS PAC ID: 4789852674 Enrollment ID: I20190225001780 |
| Provider Name | Amanda R Zuck |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1285972737 PECOS PAC ID: 5092955807 Enrollment ID: I20190306000544 |
| Provider Name | Mohammed A Azam |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619232758 PECOS PAC ID: 4486943263 Enrollment ID: I20190306002997 |
| Provider Name | Tanner Mark Robberstad |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1811454242 PECOS PAC ID: 5193066413 Enrollment ID: I20190412002068 |
| Provider Name | Danielle Lynn Holsten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821572090 PECOS PAC ID: 3577805803 Enrollment ID: I20190507000335 |
| Provider Name | Oxana V Norvell |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134454879 PECOS PAC ID: 1153460498 Enrollment ID: I20190514001855 |
| Provider Name | Heather Cumbo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063668077 PECOS PAC ID: 1153649124 Enrollment ID: I20190529002701 |
| Provider Name | Alycia Nicole Coutts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609431147 PECOS PAC ID: 6608101886 Enrollment ID: I20190710001685 |
| Provider Name | Ashlyn Marie Deachin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801357116 PECOS PAC ID: 2264767995 Enrollment ID: I20190717001396 |
| Provider Name | Alexandra Radu |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1912327438 PECOS PAC ID: 2264768654 Enrollment ID: I20190723001966 |
| Provider Name | Alicia Flesner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073171864 PECOS PAC ID: 1850627258 Enrollment ID: I20190723002410 |
| Provider Name | John Folland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659723815 PECOS PAC ID: 8527353697 Enrollment ID: I20190813001583 |
| Provider Name | Alicia Michelle Crosby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730741992 PECOS PAC ID: 9537497136 Enrollment ID: I20190820004007 |
| Provider Name | Brent Knudson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1982917399 PECOS PAC ID: 4880907070 Enrollment ID: I20190822002191 |
| Provider Name | Barry Amos |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336481415 PECOS PAC ID: 0042593550 Enrollment ID: I20190823000525 |
| Provider Name | Angela Joy Heintz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093377301 PECOS PAC ID: 7719216753 Enrollment ID: I20190917000926 |
| Provider Name | Hang T Vu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730140476 PECOS PAC ID: 7810921137 Enrollment ID: I20191003002015 |
| Provider Name | Julius Kariuki Ngaile |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1467831537 PECOS PAC ID: 7517275613 Enrollment ID: I20191007002131 |
| Provider Name | Earl Elmo Brewley |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1770928590 PECOS PAC ID: 7113274945 Enrollment ID: I20191011001410 |
| Provider Name | Shoaib Sheikh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275575581 PECOS PAC ID: 6709883325 Enrollment ID: I20191029003723 |
| Provider Name | Indra Arya |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275916462 PECOS PAC ID: 9335456003 Enrollment ID: I20191101001325 |
| Provider Name | Karen D Banks |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1083998371 PECOS PAC ID: 4587899570 Enrollment ID: I20191104000258 |
| Provider Name | Emily Rae Stevens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538711684 PECOS PAC ID: 0547592909 Enrollment ID: I20191105000029 |
| Provider Name | William Reed |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1891789582 PECOS PAC ID: 1658361910 Enrollment ID: I20191113001305 |
| Provider Name | Susan N Moruri |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1306006861 PECOS PAC ID: 4981621059 Enrollment ID: I20191118000256 |
| Provider Name | Wannapak Richter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811418684 PECOS PAC ID: 7719310085 Enrollment ID: I20191130000111 |
| Provider Name | Thomas M Bey |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1568488971 PECOS PAC ID: 9537247663 Enrollment ID: I20191212000073 |
| Provider Name | William E Wallace |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1225087562 PECOS PAC ID: 9638198195 Enrollment ID: I20191217000186 |
| Provider Name | Jennifer Woiwode |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437795796 PECOS PAC ID: 4385079359 Enrollment ID: I20200121002530 |
| Provider Name | Heidi Underwood |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1497174593 PECOS PAC ID: 5395968432 Enrollment ID: I20200124002198 |
| Provider Name | Scott E Maynard |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1235160888 PECOS PAC ID: 9335145374 Enrollment ID: I20200312001658 |
| Provider Name | Jackie Lee Long |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790039071 PECOS PAC ID: 3375826621 Enrollment ID: I20200421001054 |
| Provider Name | Julie A Hatfield |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891034724 PECOS PAC ID: 7113357617 Enrollment ID: I20200424000559 |
| Provider Name | Brian W Johnson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619166196 PECOS PAC ID: 8022199462 Enrollment ID: I20200716001048 |
| Provider Name | Darren C Hill |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1801258017 PECOS PAC ID: 7012289564 Enrollment ID: I20200716003570 |
| Provider Name | Kelcey Rae Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073137469 PECOS PAC ID: 0648695346 Enrollment ID: I20200728003689 |
| Provider Name | Brittany Bertsch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457872863 PECOS PAC ID: 7618246273 Enrollment ID: I20200807002601 |
| Provider Name | Courtney Black |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710410592 PECOS PAC ID: 9335410737 Enrollment ID: I20200817003622 |
| Provider Name | Dustin L Evans |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1245673201 PECOS PAC ID: 0143538025 Enrollment ID: I20200821002297 |
| Provider Name | Patti Jo Hagerott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295352029 PECOS PAC ID: 4082030960 Enrollment ID: I20200824000651 |
| Provider Name | Emily Marshelle Wolters |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1689298390 PECOS PAC ID: 2264858299 Enrollment ID: I20200907000013 |
| Provider Name | Jason Bennett Coombs |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1013143346 PECOS PAC ID: 7810315520 Enrollment ID: I20200911002614 |
| Provider Name | Marisa Jennings |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902067366 PECOS PAC ID: 9537462924 Enrollment ID: I20201007003299 |
| Provider Name | William Atakora Sisa |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831608835 PECOS PAC ID: 2668892423 Enrollment ID: I20201015002498 |
| Provider Name | Kallie Nicole Goodman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336755727 PECOS PAC ID: 1557781374 Enrollment ID: I20201016001657 |
| Provider Name | Michael Savitt |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1609838184 PECOS PAC ID: 7911944657 Enrollment ID: I20201118003416 |
| Provider Name | Kevin A. Yackley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1447553938 PECOS PAC ID: 3173856911 Enrollment ID: I20210105002403 |
| Provider Name | Sheila D Bullock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366943334 PECOS PAC ID: 8729342381 Enrollment ID: I20210115001282 |
| Provider Name | Melissa Lynne Andreasen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396330296 PECOS PAC ID: 1658789631 Enrollment ID: I20210412000844 |
| Provider Name | Kevin Clemans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689015927 PECOS PAC ID: 5698098606 Enrollment ID: I20210614003024 |
| Provider Name | Mehtap Yurt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184937328 PECOS PAC ID: 6305089525 Enrollment ID: I20210618000839 |
| Provider Name | Jewel Sandy |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1578833802 PECOS PAC ID: 8628228061 Enrollment ID: I20210706002942 |
| Provider Name | Lauren-alyssa Wake |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902339245 PECOS PAC ID: 2567730336 Enrollment ID: I20210708001402 |
| Provider Name | David Packer |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1386039436 PECOS PAC ID: 8224363262 Enrollment ID: I20210722002761 |
| Provider Name | Israel Oloye |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437641883 PECOS PAC ID: 7719215813 Enrollment ID: I20210812003131 |
| Provider Name | Joan Agwai |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336586882 PECOS PAC ID: 8729374426 Enrollment ID: I20210830002133 |
| Provider Name | Bobbie Arlene Buseth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740954494 PECOS PAC ID: 3971909912 Enrollment ID: I20210831001362 |
| Provider Name | Ashley Sarasan |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1215320718 PECOS PAC ID: 0143599209 Enrollment ID: I20210908002117 |
| Provider Name | Laken Kittelson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1407522089 PECOS PAC ID: 3476959776 Enrollment ID: I20210913001697 |
| Provider Name | Dawn Dynelle Romfo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699448886 PECOS PAC ID: 4789081449 Enrollment ID: I20210922001875 |
| Provider Name | Jonathan Lawson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1992933584 PECOS PAC ID: 5698913390 Enrollment ID: I20210923002965 |
| Provider Name | Aaron Patrick Makens |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063998169 PECOS PAC ID: 5890044051 Enrollment ID: I20211018002384 |
| Provider Name | Calley A Buckley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467918144 PECOS PAC ID: 5193058840 Enrollment ID: I20211228001577 |
| Provider Name | Nana Kwabena Appiawiah |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932466984 PECOS PAC ID: 5395136493 Enrollment ID: I20211228001736 |
| Provider Name | Stacy Nicole Flaten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063171122 PECOS PAC ID: 9436541935 Enrollment ID: I20220112002914 |
| Provider Name | Jason Robert Divito |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558604876 PECOS PAC ID: 4183981947 Enrollment ID: I20220209001236 |
| Provider Name | Amy Zabinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205593894 PECOS PAC ID: 6507259884 Enrollment ID: I20220209001265 |
| Provider Name | Timothy A Conner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750385357 PECOS PAC ID: 6709784119 Enrollment ID: I20220209001283 |
| Provider Name | Jarret Kuo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720228778 PECOS PAC ID: 0446495626 Enrollment ID: I20220209001667 |
| Provider Name | Jason Grennan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1457313314 PECOS PAC ID: 9830179092 Enrollment ID: I20220209002333 |
| Provider Name | Monjari Gillian |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265533665 PECOS PAC ID: 4587550876 Enrollment ID: I20220209002383 |
| Provider Name | Steven Todd Mccormack |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023000338 PECOS PAC ID: 4183651987 Enrollment ID: I20220209002657 |
| Provider Name | David Scott Henley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770518128 PECOS PAC ID: 2769374032 Enrollment ID: I20220210000220 |
| Provider Name | Jonathan Jaksha |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871555649 PECOS PAC ID: 3274632054 Enrollment ID: I20220210000895 |
| Provider Name | Karen G Phillips |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801992813 PECOS PAC ID: 8729024161 Enrollment ID: I20220210001394 |
| Provider Name | Kevin W Marcum |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619166675 PECOS PAC ID: 0042480303 Enrollment ID: I20220210001753 |
| Provider Name | Kathryn Cambron |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396749867 PECOS PAC ID: 8224016530 Enrollment ID: I20220210001994 |
| Provider Name | Eugene Park Chung |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528030525 PECOS PAC ID: 4486624160 Enrollment ID: I20220210002189 |
| Provider Name | Frank Joseph Welte |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568676948 PECOS PAC ID: 6800933847 Enrollment ID: I20220210002257 |
| Provider Name | Zi Rong Xu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114258191 PECOS PAC ID: 3173657624 Enrollment ID: I20220210002409 |
| Provider Name | Jake Vrdoljak |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619976230 PECOS PAC ID: 8527253400 Enrollment ID: I20220210002454 |
| Provider Name | Mohammed F Quraishi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871545269 PECOS PAC ID: 8123030814 Enrollment ID: I20220210002736 |
| Provider Name | Shannon L St. Clair |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1881030997 PECOS PAC ID: 3678714268 Enrollment ID: I20220211000398 |
| Provider Name | Veronica Yumo Ruvo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740252725 PECOS PAC ID: 4183523855 Enrollment ID: I20220211000911 |
| Provider Name | Stanley R Smith |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003802968 PECOS PAC ID: 4082527205 Enrollment ID: I20220211001981 |
| Provider Name | Jonathan Grant Reed |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588653075 PECOS PAC ID: 3577669928 Enrollment ID: I20220214001808 |
| Provider Name | Shawn T Stone |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891040689 PECOS PAC ID: 6103103569 Enrollment ID: I20220216000222 |
| Provider Name | Christine Ann O'riley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1770728180 PECOS PAC ID: 2062807720 Enrollment ID: I20220315001888 |
| Provider Name | Sharon Falke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578591947 PECOS PAC ID: 8527024264 Enrollment ID: I20220322001709 |
| Provider Name | David Lin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851326557 PECOS PAC ID: 7719984210 Enrollment ID: I20220325000432 |
| Provider Name | Christine Cabrera |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134152879 PECOS PAC ID: 7416981139 Enrollment ID: I20220407001578 |
| Provider Name | Kara Mcmachen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1376523126 PECOS PAC ID: 5193781326 Enrollment ID: I20220701001386 |
| Provider Name | Shelley Drummond |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528201381 PECOS PAC ID: 5395964811 Enrollment ID: I20220705002227 |
| Provider Name | Moayed Ibrahim |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1124400742 PECOS PAC ID: 3375924095 Enrollment ID: I20220713000122 |
| Provider Name | Jastindeep Brar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588216469 PECOS PAC ID: 6204163694 Enrollment ID: I20220721002878 |
| Provider Name | Sohaib Syed Hussaini |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205498615 PECOS PAC ID: 6305173774 Enrollment ID: I20220812002908 |
| Provider Name | Amy Mingle |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386296275 PECOS PAC ID: 2961739321 Enrollment ID: I20220815002790 |
| Provider Name | Robert Harris |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1912937863 PECOS PAC ID: 0042270878 Enrollment ID: I20220822002442 |
| Provider Name | Eugene S Lee |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1518943265 PECOS PAC ID: 4789663444 Enrollment ID: I20220913002571 |
| Provider Name | Tanya L Giese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548997240 PECOS PAC ID: 6507293503 Enrollment ID: I20220914003797 |
| Provider Name | Leah Lauren Weidler |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1912628991 PECOS PAC ID: 8921484700 Enrollment ID: I20220930002453 |
| Provider Name | Jessica Leigh Rost |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437887700 PECOS PAC ID: 9931575578 Enrollment ID: I20221021002082 |
| Provider Name | Venkata Kuppala |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851577787 PECOS PAC ID: 1951488246 Enrollment ID: I20221129001316 |
| Provider Name | Rupinder Kullar |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1851552210 PECOS PAC ID: 6305004045 Enrollment ID: I20221212002679 |
| Provider Name | Benjamin Nelson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1033788906 PECOS PAC ID: 3678963402 Enrollment ID: I20230126000821 |
| Provider Name | Timothy J Miller |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821399239 PECOS PAC ID: 6901199371 Enrollment ID: I20230130002091 |
| Provider Name | Eleonor Quan |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1770502254 PECOS PAC ID: 9739174814 Enrollment ID: I20230208003092 |
| Provider Name | Kimberly Morris |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1689838799 PECOS PAC ID: 0648336842 Enrollment ID: I20230320001247 |
| Provider Name | Shawnette Holmes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447962956 PECOS PAC ID: 0042682163 Enrollment ID: I20230425000155 |
| Provider Name | Maaz Badshah |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1043525520 PECOS PAC ID: 8123269206 Enrollment ID: I20230516002558 |
| Provider Name | Melisa Wisdom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598463002 PECOS PAC ID: 6103282249 Enrollment ID: I20230516002806 |
| Provider Name | Jody L Jondro |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1629170618 PECOS PAC ID: 8123924602 Enrollment ID: I20230606002419 |
| Provider Name | Jared Jon Solomon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649605072 PECOS PAC ID: 5991162877 Enrollment ID: I20230608000615 |
| Provider Name | Diana Ntoe Arrah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669161600 PECOS PAC ID: 7911364823 Enrollment ID: I20230608001721 |
| Provider Name | Mack Lloyd |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1740857119 PECOS PAC ID: 3072989805 Enrollment ID: I20230619001465 |
| Provider Name | Melissa Faye Schepp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134687874 PECOS PAC ID: 0244698298 Enrollment ID: I20230622003143 |
| Provider Name | Kirsten Helseth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144919663 PECOS PAC ID: 3971962580 Enrollment ID: I20230629002464 |
| Provider Name | Shakeel Tabish |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1114451523 PECOS PAC ID: 5890055057 Enrollment ID: I20230630001715 |
| Provider Name | Kelly Yepremian |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679606172 PECOS PAC ID: 6406742204 Enrollment ID: I20230706002027 |
| Provider Name | Muhammad Usman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841813383 PECOS PAC ID: 8729448410 Enrollment ID: I20230712004171 |
| Provider Name | Joseph Elliott |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1669850269 PECOS PAC ID: 5193034072 Enrollment ID: I20230718003302 |
| Provider Name | Robert Gokey |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1356793004 PECOS PAC ID: 1658621396 Enrollment ID: I20230719003536 |
| Provider Name | Jason E Rogers |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366885840 PECOS PAC ID: 4789927260 Enrollment ID: I20230720003728 |
| Provider Name | Ahmed Iraqi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942838644 PECOS PAC ID: 5294195152 Enrollment ID: I20230724003370 |
| Provider Name | Travis Blackhurst |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1548528706 PECOS PAC ID: 9436307741 Enrollment ID: I20230728003194 |
| Provider Name | Kylie Rae Mindt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669158572 PECOS PAC ID: 1759742307 Enrollment ID: I20230731001611 |
| Provider Name | Stacey D Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073207569 PECOS PAC ID: 5294196754 Enrollment ID: I20230731002660 |
| Provider Name | Traci Specht |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144908625 PECOS PAC ID: 0648631622 Enrollment ID: I20230808000181 |
| Provider Name | Megan Nicole Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235828211 PECOS PAC ID: 6406218304 Enrollment ID: I20230809001734 |
| Provider Name | Brianna Marie Ellingson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144906793 PECOS PAC ID: 6800258393 Enrollment ID: I20230815004088 |
| Provider Name | Adam J Mackenzie |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1700660958 PECOS PAC ID: 0749644532 Enrollment ID: I20230912003627 |
| Provider Name | James Hill |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1770180754 PECOS PAC ID: 8325454259 Enrollment ID: I20230921003383 |
| Provider Name | Karen Bryant |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1083707301 PECOS PAC ID: 4385768134 Enrollment ID: I20230929003194 |
| Provider Name | Chandrahas Patel |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1770799660 PECOS PAC ID: 2769557479 Enrollment ID: I20231003003084 |
| Provider Name | Joel Pessa |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1326034018 PECOS PAC ID: 6406802339 Enrollment ID: I20231010002515 |
| Provider Name | Cathleen Hoffman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053863258 PECOS PAC ID: 8729368501 Enrollment ID: I20231018003317 |
| Provider Name | Robert Jones |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1730293887 PECOS PAC ID: 2264558782 Enrollment ID: I20231028000461 |
| Provider Name | Mathew Oommen |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1467406140 PECOS PAC ID: 5991760936 Enrollment ID: I20231106002298 |
| Provider Name | Joel Schwartz |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1689762502 PECOS PAC ID: 6305808338 Enrollment ID: I20231115000333 |
| Provider Name | Jennifer Lea Olson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1952088247 PECOS PAC ID: 8527416692 Enrollment ID: I20231129003840 |
| Provider Name | Stephanie Rae Velimirovich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578344917 PECOS PAC ID: 9537516406 Enrollment ID: I20231130001532 |
| Provider Name | Jeremy Karlin |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1083934277 PECOS PAC ID: 5496996852 Enrollment ID: I20231214003452 |
| Provider Name | Virginia Dohms |
|---|---|
| Provider Type | Practitioner - Other (non-physician) |
| Provider Identifiers | NPI Number: 1346667177 PECOS PAC ID: 0648622167 Enrollment ID: I20240122000182 |
| Provider Name | Curtis Hopson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1598858136 PECOS PAC ID: 8729273115 Enrollment ID: I20240205000886 |
| Provider Name | Bethany A Kraft |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114797388 PECOS PAC ID: 8628411287 Enrollment ID: I20240210000286 |
| Provider Name | Halle Michelle Hendrickson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255100707 PECOS PAC ID: 7810296050 Enrollment ID: I20240210000464 |
| Provider Name | Claude Vachon |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1972594638 PECOS PAC ID: 8426077538 Enrollment ID: I20240306001250 |
| Provider Name | Rena Zimmerman |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1851350318 PECOS PAC ID: 9537058417 Enrollment ID: I20240311001247 |
Minot State University Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 University Ave W, Student Health Center, Minot, ND 58707 Phone: 701-858-3371 | |
Spine And Sport Chiropractic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 700 Western Ave, Suite 200, Minot, ND 58701 Phone: 701-838-2121 | |
Center For Family Medicine - Minot Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1201 11th Ave Sw, Minot, ND 58701 Phone: 701-858-6700 Fax: 701-858-6749 | |
Cornerstone Chiropractic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1350 20th Ave Sw, Minot, ND 58701 Phone: 701-852-2800 Fax: 701-837-0175 | |
Ideal Option, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3520 N Broadway, Minot, ND 58703 Phone: 877-522-1275 Fax: 509-491-3031 | |
Total Transformation Clinic, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 317 16th St Nw, Minot, ND 58703 Phone: 701-837-9900 |