| Trinity Medical Wny PC | |
|
144 Genesse Street Buffalo NY 14203-1560 | |
| (716) 206-1503 | |
| (716) 821-4465 |
| Full Name | Trinity Medical Wny PC |
|---|---|
| Speciality | Internal Medicine |
| Location | 144 Genesse Street, Buffalo, New York |
| Authorized Official Name and Position | Eric Koch (PRESIDENT/OWNER) |
| Authorized Official Contact | 7168214461 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Trinity Medical Wny PC 144 Genesee St Fl 3 Buffalo NY 14203-1560 Ph: (716) 206-1510 | Trinity Medical Wny PC 144 Genesse Street Buffalo NY 14203-1560 Ph: (716) 206-1503 |
| NPI Number | 1295043149 |
|---|---|
| Provider Enumeration Date | 09/14/2010 |
| Last Update Date | 05/05/2025 |
| Certification Date | 05/05/2025 |
| Medicare PECOS PAC ID | 5193907517 |
|---|---|
| Medicare Enrollment ID | O20110307000596 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295043149 | NPI | - | NPPES |
| 03317411 | Medicaid | NY |
| Provider Name | Molly a Sheron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104896570 PECOS PAC ID: 3173420999 Enrollment ID: I20031218000284 |
| Provider Name | Lynn-marie Aronica |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952374050 PECOS PAC ID: 4880591676 Enrollment ID: I20031218000691 |
| Provider Name | Kelly a O Sullivan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1467488072 PECOS PAC ID: 5193624484 Enrollment ID: I20040106000378 |
| Provider Name | Melanie a Leberman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1174588610 PECOS PAC ID: 6709788441 Enrollment ID: I20040123000217 |
| Provider Name | Minsoo Kang |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1780681569 PECOS PAC ID: 9133016249 Enrollment ID: I20040303000398 |
| Provider Name | Toni M Murphy |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1003862897 PECOS PAC ID: 5496644916 Enrollment ID: I20040312000839 |
| Provider Name | Anthony G Notino |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427014448 PECOS PAC ID: 5193614550 Enrollment ID: I20040312001113 |
| Provider Name | Cheryl a Pietromicca |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1083653299 PECOS PAC ID: 0042109274 Enrollment ID: I20040315000294 |
| Provider Name | Patrick D Chan-lam |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1205807575 PECOS PAC ID: 9537058649 Enrollment ID: I20040315000778 |
| Provider Name | Christine a Cox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275527392 PECOS PAC ID: 1153212923 Enrollment ID: I20040322001262 |
| Provider Name | Lisa C Brennan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154362424 PECOS PAC ID: 4587657820 Enrollment ID: I20040405000486 |
| Provider Name | Philip M Sauvageau |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609852714 PECOS PAC ID: 3476547399 Enrollment ID: I20040413001401 |
| Provider Name | Joseph M Anain |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1215958830 PECOS PAC ID: 0547258972 Enrollment ID: I20040504001496 |
| Provider Name | Daniel D Camara |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235121732 PECOS PAC ID: 3274430038 Enrollment ID: I20040513000949 |
| Provider Name | Ramesh Luther |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437141991 PECOS PAC ID: 8820995681 Enrollment ID: I20040513001051 |
| Provider Name | Lynda J Francis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1225088180 PECOS PAC ID: 0143211888 Enrollment ID: I20040520001176 |
| Provider Name | Brenda Leaird Kelly |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1295760619 PECOS PAC ID: 6901897693 Enrollment ID: I20040520001545 |
| Provider Name | Karen D Lauricella |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962452722 PECOS PAC ID: 1658354378 Enrollment ID: I20040611001067 |
| Provider Name | Grzegorz P Rozmus |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1871576967 PECOS PAC ID: 1254315690 Enrollment ID: I20040615000386 |
| Provider Name | Lauralee M Sprague |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508820374 PECOS PAC ID: 5294719456 Enrollment ID: I20040615001370 |
| Provider Name | David Fisher |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1083711170 PECOS PAC ID: 5890779136 Enrollment ID: I20040623000691 |
| Provider Name | Ashok Singh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326046343 PECOS PAC ID: 6800873142 Enrollment ID: I20040702001172 |
| Provider Name | Mohammad a Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033183231 PECOS PAC ID: 1153308176 Enrollment ID: I20040707000517 |
| Provider Name | Scott P Cholewinski |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467558056 PECOS PAC ID: 4284613845 Enrollment ID: I20040716000562 |
| Provider Name | David M Rowland |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619991445 PECOS PAC ID: 6204740012 Enrollment ID: I20040719000656 |
| Provider Name | Abdollah Sedighi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1407830565 PECOS PAC ID: 7618957200 Enrollment ID: I20040723000490 |
| Provider Name | Deborah J Hamlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215934294 PECOS PAC ID: 1355321860 Enrollment ID: I20040724000111 |
| Provider Name | Paul Lapoint |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1790782761 PECOS PAC ID: 8729068192 Enrollment ID: I20040726000147 |
| Provider Name | Maria S Jereva-simeonova |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285616425 PECOS PAC ID: 4486625878 Enrollment ID: I20040802000008 |
| Provider Name | Timothy G Dyster |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477534741 PECOS PAC ID: 0547232522 Enrollment ID: I20040810000973 |
| Provider Name | Peter Ferin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639157571 PECOS PAC ID: 0840262838 Enrollment ID: I20040810001040 |
| Provider Name | Amy Albert |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497705016 PECOS PAC ID: 6800860925 Enrollment ID: I20040824001186 |
| Provider Name | Ronald P White |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952401184 PECOS PAC ID: 3173437639 Enrollment ID: I20040901000290 |
| Provider Name | Thomas P Smith |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1205996980 PECOS PAC ID: 5991773905 Enrollment ID: I20040917000799 |
| Provider Name | Amanda J Koslosky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831310002 PECOS PAC ID: 6406816644 Enrollment ID: I20041013000162 |
| Provider Name | Parag P Parikh |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1649229709 PECOS PAC ID: 8820051121 Enrollment ID: I20041110000196 |
| Provider Name | Bruce D Rodgers |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174544860 PECOS PAC ID: 5193789311 Enrollment ID: I20041117000785 |
| Provider Name | Debra J Blair |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1568454973 PECOS PAC ID: 0648238170 Enrollment ID: I20041229000934 |
| Provider Name | Diane P Ryan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346250966 PECOS PAC ID: 3971552415 Enrollment ID: I20050121000491 |
| Provider Name | Kristine M Sabatino |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1497706303 PECOS PAC ID: 5890745350 Enrollment ID: I20050127000502 |
| Provider Name | Les a Zakrzewski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467431577 PECOS PAC ID: 8426009929 Enrollment ID: I20050202000198 |
| Provider Name | Loraine H Ippolito |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194782425 PECOS PAC ID: 2860443173 Enrollment ID: I20050204000682 |
| Provider Name | Daniel P Brown |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164513370 PECOS PAC ID: 3274584982 Enrollment ID: I20050209000819 |
| Provider Name | Diane M Sanfilippo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104819952 PECOS PAC ID: 9133172687 Enrollment ID: I20050228000119 |
| Provider Name | Kelly a Pietrzak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063572378 PECOS PAC ID: 8325092869 Enrollment ID: I20050310000143 |
| Provider Name | Gregory S Shields |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1013975895 PECOS PAC ID: 6406800457 Enrollment ID: I20050311000637 |
| Provider Name | Kelly a Halcomb |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811933856 PECOS PAC ID: 3072569615 Enrollment ID: I20050325000569 |
| Provider Name | Ayman a Ghoniem |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1508843186 PECOS PAC ID: 9335042175 Enrollment ID: I20050325000629 |
| Provider Name | Melissa D Fincher Mergi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740350784 PECOS PAC ID: 3971550096 Enrollment ID: I20050331001059 |
| Provider Name | Norman J Sfeir |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1972567741 PECOS PAC ID: 8527046168 Enrollment ID: I20050531000284 |
| Provider Name | Kimberly L Celotto |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447233101 PECOS PAC ID: 2961446414 Enrollment ID: I20050620000660 |
| Provider Name | John Sauret |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225000268 PECOS PAC ID: 8022052133 Enrollment ID: I20050621001028 |
| Provider Name | Christopher Zulawski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790848489 PECOS PAC ID: 7315982048 Enrollment ID: I20050623000235 |
| Provider Name | Thomas Francis Hughes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518928290 PECOS PAC ID: 4385547595 Enrollment ID: I20050623000579 |
| Provider Name | Elizabeth a O Neill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346204377 PECOS PAC ID: 0446295950 Enrollment ID: I20050624000852 |
| Provider Name | Donald J Largo |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1811966799 PECOS PAC ID: 4486690468 Enrollment ID: I20050629001047 |
| Provider Name | Stephen G Reinhart |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750339693 PECOS PAC ID: 6800832676 Enrollment ID: I20050701000126 |
| Provider Name | Mark R Podlas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437117264 PECOS PAC ID: 6507802279 Enrollment ID: I20050705000035 |
| Provider Name | Sharon H Nisengard |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1043232002 PECOS PAC ID: 1759317639 Enrollment ID: I20050714000098 |
| Provider Name | Thaddeus E Szarzanowicz |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1972515740 PECOS PAC ID: 3072542539 Enrollment ID: I20050805000299 |
| Provider Name | Thomas a Cumbo |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1982744504 PECOS PAC ID: 3476581257 Enrollment ID: I20050808000026 |
| Provider Name | Anthony J Buscaglia |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1265579536 PECOS PAC ID: 9133152218 Enrollment ID: I20050919000372 |
| Provider Name | Michele a Potempa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023072055 PECOS PAC ID: 7214910629 Enrollment ID: I20051017000785 |
| Provider Name | Corry L Wierzbowski |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1154327583 PECOS PAC ID: 3577589670 Enrollment ID: I20051018000899 |
| Provider Name | Timothy F Gabryel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124061320 PECOS PAC ID: 0648253351 Enrollment ID: I20051102000011 |
| Provider Name | Rebecca Meli-cornwell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1952356636 PECOS PAC ID: 7517985088 Enrollment ID: I20051103000733 |
| Provider Name | Daniel Trock |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639134885 PECOS PAC ID: 4880612019 Enrollment ID: I20051107000522 |
| Provider Name | Shannon M Bunch |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1518902899 PECOS PAC ID: 6800818485 Enrollment ID: I20051222000719 |
| Provider Name | Henry M Meltser |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1497796304 PECOS PAC ID: 9739135104 Enrollment ID: I20060109000050 |
| Provider Name | Kimberly Ann Pierce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891761441 PECOS PAC ID: 6103840392 Enrollment ID: I20060113000702 |
| Provider Name | Rajinder K Basra |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003814351 PECOS PAC ID: 3678587094 Enrollment ID: I20060206000383 |
| Provider Name | Suchitra Koneru |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336170729 PECOS PAC ID: 6709785488 Enrollment ID: I20060224000275 |
| Provider Name | Constance M Campanella |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093776833 PECOS PAC ID: 2264449305 Enrollment ID: I20060314000409 |
| Provider Name | Lee R Guterman |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1780600718 PECOS PAC ID: 2264336841 Enrollment ID: I20060420000595 |
| Provider Name | Najat a Turaif |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1669438446 PECOS PAC ID: 7719996743 Enrollment ID: I20060420000611 |
| Provider Name | Stephen W Downing |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1104861178 PECOS PAC ID: 8628074051 Enrollment ID: I20061009000097 |
| Provider Name | Charles J Lesh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184670143 PECOS PAC ID: 4981600251 Enrollment ID: I20061010000089 |
| Provider Name | Vincent E Lorenz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1700899887 PECOS PAC ID: 3577560069 Enrollment ID: I20061025000597 |
| Provider Name | Erin Leone |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811909518 PECOS PAC ID: 0941208169 Enrollment ID: I20061127000184 |
| Provider Name | Eram Chaudhry |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1285644880 PECOS PAC ID: 3870591860 Enrollment ID: I20061130000146 |
| Provider Name | Cheryl a Putnam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326056417 PECOS PAC ID: 1456352632 Enrollment ID: I20070131000324 |
| Provider Name | Sarina E Bax Debiaso |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1578581419 PECOS PAC ID: 4688675127 Enrollment ID: I20070213000408 |
| Provider Name | Israr a Abbasi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518925437 PECOS PAC ID: 8325143266 Enrollment ID: I20070420000344 |
| Provider Name | Cheri a Gorski Suhr |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013010388 PECOS PAC ID: 1658477260 Enrollment ID: I20070427000291 |
| Provider Name | Gary C Wysocki |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1568413102 PECOS PAC ID: 9638277098 Enrollment ID: I20070607000618 |
| Provider Name | Sheila Pieczonka |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720071780 PECOS PAC ID: 8426157231 Enrollment ID: I20070620000101 |
| Provider Name | Benjamin G Rueda |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1891767786 PECOS PAC ID: 5193614360 Enrollment ID: I20070702000486 |
| Provider Name | Julia Szafranski |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1174684310 PECOS PAC ID: 8527168434 Enrollment ID: I20070706000376 |
| Provider Name | Kirk Shane Russell |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1912075631 PECOS PAC ID: 2860583937 Enrollment ID: I20070802000664 |
| Provider Name | Charlene L Conley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861456758 PECOS PAC ID: 0143311506 Enrollment ID: I20070814000658 |
| Provider Name | David Dapolito |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386681211 PECOS PAC ID: 7719079755 Enrollment ID: I20070822001390 |
| Provider Name | Peter S Mcquiller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558326173 PECOS PAC ID: 4486747540 Enrollment ID: I20070905000499 |
| Provider Name | Jerome C Andres |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063410108 PECOS PAC ID: 8527022870 Enrollment ID: I20070907000080 |
| Provider Name | Daniel W Zorich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770581993 PECOS PAC ID: 8527151463 Enrollment ID: I20070907000573 |
| Provider Name | James L Rycyna |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1770556631 PECOS PAC ID: 7315836632 Enrollment ID: I20071003000142 |
| Provider Name | Joseph Linyun Chow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235125550 PECOS PAC ID: 2961599386 Enrollment ID: I20071101000494 |
| Provider Name | Paul M Anain |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1003887811 PECOS PAC ID: 1951331685 Enrollment ID: I20071115000552 |
| Provider Name | James a Kager |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1154508539 PECOS PAC ID: 1355424011 Enrollment ID: I20080219000278 |
| Provider Name | Diane Stonemetz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003809864 PECOS PAC ID: 8325117377 Enrollment ID: I20080517000007 |
| Provider Name | Sara L Clouden |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1316111644 PECOS PAC ID: 3779652615 Enrollment ID: I20080519000720 |
| Provider Name | Mohamed Said Ahmed |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1679667463 PECOS PAC ID: 5698845071 Enrollment ID: I20080529000020 |
| Provider Name | Kathryn a Tiutiunnyk |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1124284443 PECOS PAC ID: 2961577432 Enrollment ID: I20080818000599 |
| Provider Name | Liane Kirchberger |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1164478954 PECOS PAC ID: 0244390557 Enrollment ID: I20081117000495 |
| Provider Name | Kim Marie Schindler |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992909444 PECOS PAC ID: 6709987514 Enrollment ID: I20081121000586 |
| Provider Name | Alberto Carlos Benedicto |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679506117 PECOS PAC ID: 2163427808 Enrollment ID: I20081121000619 |
| Provider Name | Harjeet Cumbo |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285675686 PECOS PAC ID: 7113923590 Enrollment ID: I20081217000565 |
| Provider Name | Nicholas Tiberia |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1649260118 PECOS PAC ID: 9234293895 Enrollment ID: I20090127000177 |
| Provider Name | Kyle a Wiktor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326030495 PECOS PAC ID: 3476602129 Enrollment ID: I20090528000568 |
| Provider Name | Jeffrey W Martinez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801866868 PECOS PAC ID: 8527089218 Enrollment ID: I20090603000485 |
| Provider Name | Amy M Patton |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598712564 PECOS PAC ID: 8729138946 Enrollment ID: I20090610000269 |
| Provider Name | Edward Ventresca |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1154395648 PECOS PAC ID: 9931164506 Enrollment ID: I20090616000012 |
| Provider Name | Kristen a Clancy |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1942443668 PECOS PAC ID: 5294885000 Enrollment ID: I20090616000471 |
| Provider Name | Peter E Hobeika |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710127956 PECOS PAC ID: 6305997149 Enrollment ID: I20090708000024 |
| Provider Name | Robert Conti |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750322947 PECOS PAC ID: 0042290629 Enrollment ID: I20090722000003 |
| Provider Name | June M Telaak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619910718 PECOS PAC ID: 9133272172 Enrollment ID: I20090808000020 |
| Provider Name | Agnes V Quebral |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861553349 PECOS PAC ID: 5092860981 Enrollment ID: I20090828000010 |
| Provider Name | Robert a Gianfagna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386650943 PECOS PAC ID: 1254486178 Enrollment ID: I20090828000326 |
| Provider Name | Roger Walcott |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1992962302 PECOS PAC ID: 3375680192 Enrollment ID: I20091028000320 |
| Provider Name | Harry E Mccrea |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1689786477 PECOS PAC ID: 1254479553 Enrollment ID: I20091111000371 |
| Provider Name | Jeffrey Goldstein |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1184677957 PECOS PAC ID: 3870631682 Enrollment ID: I20091117000078 |
| Provider Name | Jerome J Ulatowski |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790783355 PECOS PAC ID: 6103964770 Enrollment ID: I20091119000267 |
| Provider Name | Gerard J Tiballi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912953761 PECOS PAC ID: 7113067125 Enrollment ID: I20091223000488 |
| Provider Name | Karen Knight |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1184727455 PECOS PAC ID: 8628119195 Enrollment ID: I20100106000001 |
| Provider Name | Kristin M Webb |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1780692046 PECOS PAC ID: 4385787613 Enrollment ID: I20100208000766 |
| Provider Name | Clifford C Pyne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245306729 PECOS PAC ID: 6901949031 Enrollment ID: I20100211000238 |
| Provider Name | Samuel R Sirianni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508933581 PECOS PAC ID: 6406821974 Enrollment ID: I20100324000997 |
| Provider Name | David R Conti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619904612 PECOS PAC ID: 0840189015 Enrollment ID: I20100609000143 |
| Provider Name | Nadeem U Haq |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1790729820 PECOS PAC ID: 3971522368 Enrollment ID: I20100609000204 |
| Provider Name | Aravind Herle |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1851327951 PECOS PAC ID: 7517986904 Enrollment ID: I20100609000244 |
| Provider Name | Douglas L Roberts |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1811931066 PECOS PAC ID: 8123017290 Enrollment ID: I20100609000341 |
| Provider Name | Narayana Shenoy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871545665 PECOS PAC ID: 9830220151 Enrollment ID: I20100701000150 |
| Provider Name | Sonjoy Singh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063410066 PECOS PAC ID: 6507912995 Enrollment ID: I20100717000259 |
| Provider Name | Richard J Ruh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073535449 PECOS PAC ID: 8921058280 Enrollment ID: I20100802000174 |
| Provider Name | Joseph Gelormini |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1790790442 PECOS PAC ID: 8628142254 Enrollment ID: I20100819000959 |
| Provider Name | Mohan Madhusudanan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548308463 PECOS PAC ID: 4587798871 Enrollment ID: I20100823000897 |
| Provider Name | Mark R Jajkowski |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1073628244 PECOS PAC ID: 2365566874 Enrollment ID: I20100903000594 |
| Provider Name | Maria J Komin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508864505 PECOS PAC ID: 6608922091 Enrollment ID: I20101004001152 |
| Provider Name | Kumar Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538351986 PECOS PAC ID: 5395937759 Enrollment ID: I20101005000146 |
| Provider Name | Jay M Bolnick |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104815679 PECOS PAC ID: 5395762439 Enrollment ID: I20101007000087 |
| Provider Name | Annmarie M Lally |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538205968 PECOS PAC ID: 3971796533 Enrollment ID: I20101015000478 |
| Provider Name | Maureen J Geary |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912925686 PECOS PAC ID: 5890981690 Enrollment ID: I20101118001103 |
| Provider Name | Patricia M Shea |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871591040 PECOS PAC ID: 0648467340 Enrollment ID: I20101207000932 |
| Provider Name | Lenore a Nigrelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275564569 PECOS PAC ID: 1456548718 Enrollment ID: I20101213000441 |
| Provider Name | Thomas I Knox |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1609838218 PECOS PAC ID: 4688611932 Enrollment ID: I20110419000155 |
| Provider Name | Ronald P Emerson |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1073526356 PECOS PAC ID: 7517142284 Enrollment ID: I20110421000686 |
| Provider Name | Labib Hossain Syed |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598979361 PECOS PAC ID: 4082783535 Enrollment ID: I20110516000562 |
| Provider Name | Shreyas K Rana |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861564908 PECOS PAC ID: 0244323269 Enrollment ID: I20110621000498 |
| Provider Name | Bala Gangadhara Reddy Thatigotla |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1427225317 PECOS PAC ID: 7911039292 Enrollment ID: I20110712000075 |
| Provider Name | Arif S Syed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508068628 PECOS PAC ID: 1052333960 Enrollment ID: I20110722000596 |
| Provider Name | Mark Cavaretta |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1942400643 PECOS PAC ID: 8224182084 Enrollment ID: I20110803000125 |
| Provider Name | Darren Holland |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811285455 PECOS PAC ID: 8325217490 Enrollment ID: I20110805000276 |
| Provider Name | Chanda G Agro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962546812 PECOS PAC ID: 5799956298 Enrollment ID: I20110913000659 |
| Provider Name | Kimberly C Mecca |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1457325979 PECOS PAC ID: 3971774803 Enrollment ID: I20110926000057 |
| Provider Name | Ali Masud |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1952588535 PECOS PAC ID: 0749452258 Enrollment ID: I20111005000484 |
| Provider Name | Mary a Kelly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053361816 PECOS PAC ID: 0547240681 Enrollment ID: I20111202000036 |
| Provider Name | Michael J Hong |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1760595771 PECOS PAC ID: 5890960777 Enrollment ID: I20111203000183 |
| Provider Name | Sandra D Yale |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619921194 PECOS PAC ID: 3678748415 Enrollment ID: I20111207000069 |
| Provider Name | Dennis Ruh |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568465946 PECOS PAC ID: 0648265264 Enrollment ID: I20120110000840 |
| Provider Name | Laraine Marie Wende |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336424472 PECOS PAC ID: 4183891591 Enrollment ID: I20120125000266 |
| Provider Name | Peter Meglin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851342513 PECOS PAC ID: 1557538998 Enrollment ID: I20120125000535 |
| Provider Name | Dorothy L Trubish |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1295817369 PECOS PAC ID: 8921084286 Enrollment ID: I20120221000605 |
| Provider Name | Karen B Wesselhoeft |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386601961 PECOS PAC ID: 2365466174 Enrollment ID: I20120307000375 |
| Provider Name | Matthew G Mcclure |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1407063241 PECOS PAC ID: 9436313475 Enrollment ID: I20120604000310 |
| Provider Name | Jyotsna Bhatnagar |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1629215272 PECOS PAC ID: 6507020815 Enrollment ID: I20120619000073 |
| Provider Name | Scott Sobieraj |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1730333592 PECOS PAC ID: 3779617402 Enrollment ID: I20120626000352 |
| Provider Name | John Christopher Karpie |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1972705408 PECOS PAC ID: 2264563865 Enrollment ID: I20120723000653 |
| Provider Name | Erin C Wiza |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1174886725 PECOS PAC ID: 0143477174 Enrollment ID: I20120827000884 |
| Provider Name | Susan Jane Ponivas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467614230 PECOS PAC ID: 3779732094 Enrollment ID: I20121002000405 |
| Provider Name | Jin Hwa Song |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1760629364 PECOS PAC ID: 9638328446 Enrollment ID: I20121010000405 |
| Provider Name | Therese M Ball |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407190796 PECOS PAC ID: 8921244260 Enrollment ID: I20130411000390 |
| Provider Name | Alan D Bolnick |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629074901 PECOS PAC ID: 0143204693 Enrollment ID: I20130502000137 |
| Provider Name | Alfred D Belen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386776847 PECOS PAC ID: 5597810499 Enrollment ID: I20130802000762 |
| Provider Name | Joseph F Fasanello |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366769796 PECOS PAC ID: 1658514468 Enrollment ID: I20130827000235 |
| Provider Name | John J Lobianco |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1023457959 PECOS PAC ID: 0042453490 Enrollment ID: I20130904000205 |
| Provider Name | Mohammed Shaikh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477713873 PECOS PAC ID: 7012150485 Enrollment ID: I20130904000388 |
| Provider Name | Christie R Goodman-williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417201294 PECOS PAC ID: 2062665540 Enrollment ID: I20130924000280 |
| Provider Name | Jessica L Eldred |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992937080 PECOS PAC ID: 9830323567 Enrollment ID: I20131010001978 |
| Provider Name | Emily C Battaglia |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1144548587 PECOS PAC ID: 3678708922 Enrollment ID: I20131023000506 |
| Provider Name | Michael F Petroziello |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1730345513 PECOS PAC ID: 0446487458 Enrollment ID: I20131219001461 |
| Provider Name | Daniel J Molloy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215255781 PECOS PAC ID: 2163659863 Enrollment ID: I20131227001150 |
| Provider Name | Adele M Whitted |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548693724 PECOS PAC ID: 7911136601 Enrollment ID: I20140129000030 |
| Provider Name | Susan J Littler |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265502546 PECOS PAC ID: 5890689467 Enrollment ID: I20140430000788 |
| Provider Name | Erin K Morgan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1770900649 PECOS PAC ID: 8628291713 Enrollment ID: I20140516001915 |
| Provider Name | Heather Riester |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1518395235 PECOS PAC ID: 5890918338 Enrollment ID: I20140602000578 |
| Provider Name | David M Julien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194149658 PECOS PAC ID: 1052538246 Enrollment ID: I20140812001689 |
| Provider Name | Kevin S Berman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1134426539 PECOS PAC ID: 0547417289 Enrollment ID: I20140819001988 |
| Provider Name | Jodi Susan Ball |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578881058 PECOS PAC ID: 8729206412 Enrollment ID: I20140821000350 |
| Provider Name | Shaveta Malik |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154632966 PECOS PAC ID: 8426276601 Enrollment ID: I20140829001740 |
| Provider Name | Deborah Bush |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033520580 PECOS PAC ID: 2365660263 Enrollment ID: I20140905000499 |
| Provider Name | Ann E Reger |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497162754 PECOS PAC ID: 4789803693 Enrollment ID: I20140908001868 |
| Provider Name | Marcella Zynda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083900054 PECOS PAC ID: 4082834130 Enrollment ID: I20141013001602 |
| Provider Name | Aimee J Swartz |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1093913972 PECOS PAC ID: 3274754445 Enrollment ID: I20141103000185 |
| Provider Name | Craig Roberto |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1760655203 PECOS PAC ID: 1153543236 Enrollment ID: I20141104002331 |
| Provider Name | Kathryn M Wirth |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1124420369 PECOS PAC ID: 6002038965 Enrollment ID: I20141107001439 |
| Provider Name | Ashley Iten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770904195 PECOS PAC ID: 4183846652 Enrollment ID: I20141118000914 |
| Provider Name | Andrew W Mack |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1063517175 PECOS PAC ID: 6406027796 Enrollment ID: I20150106000112 |
| Provider Name | Mary G Distefano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710328968 PECOS PAC ID: 1153645650 Enrollment ID: I20150109000788 |
| Provider Name | Jessica M Kostrewa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588066468 PECOS PAC ID: 8921324609 Enrollment ID: I20150225000678 |
| Provider Name | Christina Hayek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972927853 PECOS PAC ID: 9638495542 Enrollment ID: I20150311001057 |
| Provider Name | John D Rutkoski |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1972761468 PECOS PAC ID: 9931365392 Enrollment ID: I20150331000643 |
| Provider Name | Prashant Vaishnava |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1942351465 PECOS PAC ID: 0749349041 Enrollment ID: I20150409002347 |
| Provider Name | Dina Nicole Worley |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1194085191 PECOS PAC ID: 3476871054 Enrollment ID: I20150410000863 |
| Provider Name | Zachary M Lill |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1881911519 PECOS PAC ID: 2163742776 Enrollment ID: I20150522000078 |
| Provider Name | Gregory Thomas Clabeaux |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1205098159 PECOS PAC ID: 6709199730 Enrollment ID: I20150721000538 |
| Provider Name | Maria C Brett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689948713 PECOS PAC ID: 3870808017 Enrollment ID: I20150817001501 |
| Provider Name | Carrie M Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568687648 PECOS PAC ID: 1557677713 Enrollment ID: I20150902001427 |
| Provider Name | Asfa Y Shad |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801047899 PECOS PAC ID: 5597072884 Enrollment ID: I20150918001501 |
| Provider Name | Kristen Ritter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194100677 PECOS PAC ID: 0143520171 Enrollment ID: I20151124001269 |
| Provider Name | Prajwal Ashok Deshmukh |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1942414578 PECOS PAC ID: 0244402683 Enrollment ID: I20160427000984 |
| Provider Name | Colin J Tedesco |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1558722611 PECOS PAC ID: 9436449824 Enrollment ID: I20160525002720 |
| Provider Name | Shannon Kasper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457712101 PECOS PAC ID: 9133411101 Enrollment ID: I20160712001806 |
| Provider Name | Rajarshi Parai |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1073831657 PECOS PAC ID: 6406150200 Enrollment ID: I20160902001360 |
| Provider Name | Kenyani S Davis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427315415 PECOS PAC ID: 4082900824 Enrollment ID: I20160906000431 |
| Provider Name | Harsh B Jain |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1144365453 PECOS PAC ID: 7315131653 Enrollment ID: I20160907001648 |
| Provider Name | Kelsey J Carminati |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1710338017 PECOS PAC ID: 2163719998 Enrollment ID: I20160922001318 |
| Provider Name | Michelle M Christie |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1851743066 PECOS PAC ID: 3870880503 Enrollment ID: I20160923001662 |
| Provider Name | John M Nayda |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1952690026 PECOS PAC ID: 1759670557 Enrollment ID: I20161012001645 |
| Provider Name | Neeraj Modi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932343076 PECOS PAC ID: 2163659749 Enrollment ID: I20161020001119 |
| Provider Name | Sarah J Mackinnon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659724284 PECOS PAC ID: 2961781208 Enrollment ID: I20161109002177 |
| Provider Name | Alexandria E Schultz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1376091082 PECOS PAC ID: 5799065728 Enrollment ID: I20161209000748 |
| Provider Name | Renate K Gorenflo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407061328 PECOS PAC ID: 4981987864 Enrollment ID: I20170220002721 |
| Provider Name | James Goode |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1134671878 PECOS PAC ID: 1658654546 Enrollment ID: I20170220002960 |
| Provider Name | Erica Bastian |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1053860809 PECOS PAC ID: 1456635176 Enrollment ID: I20170224000882 |
| Provider Name | Elisabeth Ann Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376834085 PECOS PAC ID: 4284803511 Enrollment ID: I20170505000380 |
| Provider Name | Mahmoud Zahra |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093029134 PECOS PAC ID: 5092092429 Enrollment ID: I20170511001868 |
| Provider Name | Tina Marie Ricchiazzi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356880579 PECOS PAC ID: 3577840826 Enrollment ID: I20170515001911 |
| Provider Name | Alyssa Frndak |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902347354 PECOS PAC ID: 5496022667 Enrollment ID: I20170519000650 |
| Provider Name | Joseph T Andrzejewski |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194169664 PECOS PAC ID: 5496063422 Enrollment ID: I20170614001693 |
| Provider Name | Jessica L Drzewiecki |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1912312935 PECOS PAC ID: 6305115163 Enrollment ID: I20170711000482 |
| Provider Name | Nolan P Machernis |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1669765681 PECOS PAC ID: 4587947833 Enrollment ID: I20170717002701 |
| Provider Name | Kaitlin J Roman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063753531 PECOS PAC ID: 2466722582 Enrollment ID: I20170724001268 |
| Provider Name | Susan P Drago |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750335089 PECOS PAC ID: 6901176957 Enrollment ID: I20170724002885 |
| Provider Name | Jonathan C Zirna |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1417485871 PECOS PAC ID: 9335419241 Enrollment ID: I20170726001668 |
| Provider Name | Sarah J Piasecki |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1518494350 PECOS PAC ID: 7315219193 Enrollment ID: I20170815002013 |
| Provider Name | Jennifer L Bognar |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1114449196 PECOS PAC ID: 9537431226 Enrollment ID: I20170815002927 |
| Provider Name | Henry C Miller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033529599 PECOS PAC ID: 7315219847 Enrollment ID: I20170818000141 |
| Provider Name | Gianna M Mcevoy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366889230 PECOS PAC ID: 1456623446 Enrollment ID: I20170825002603 |
| Provider Name | Liam T Knott |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1245593219 PECOS PAC ID: 5496052961 Enrollment ID: I20170829000173 |
| Provider Name | Gregory R Ball |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861786030 PECOS PAC ID: 4284929472 Enrollment ID: I20170918002576 |
| Provider Name | Latasha Gardener |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104349117 PECOS PAC ID: 5597039677 Enrollment ID: I20170928001525 |
| Provider Name | Salvior Mok |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1790921930 PECOS PAC ID: 3375859960 Enrollment ID: I20171016002450 |
| Provider Name | Shyamal G Majithia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992115604 PECOS PAC ID: 0143596767 Enrollment ID: I20171026002740 |
| Provider Name | Kendra L Smietana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477075547 PECOS PAC ID: 5991071458 Enrollment ID: I20171027001260 |
| Provider Name | Elspeth S Call Lukasik |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1013259514 PECOS PAC ID: 8729345103 Enrollment ID: I20171121001136 |
| Provider Name | Suhayb M Kadura |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396163895 PECOS PAC ID: 3870850951 Enrollment ID: I20171128000437 |
| Provider Name | Kafai Lai |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1316243603 PECOS PAC ID: 8628250925 Enrollment ID: I20171128003429 |
| Provider Name | Julie P Delellis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417469016 PECOS PAC ID: 7719246875 Enrollment ID: I20180117001898 |
| Provider Name | Megan Karpie Rubin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1376066894 PECOS PAC ID: 4789945742 Enrollment ID: I20180308000604 |
| Provider Name | Sarah Courteau |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1619475365 PECOS PAC ID: 3274895362 Enrollment ID: I20180330000695 |
| Provider Name | Bethany Sirianni-jones |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1124527023 PECOS PAC ID: 4385906486 Enrollment ID: I20180402000169 |
| Provider Name | Omar Hasan |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1912269879 PECOS PAC ID: 2769745793 Enrollment ID: I20180404001845 |
| Provider Name | Lilliam Rodriguez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1821375213 PECOS PAC ID: 3678836640 Enrollment ID: I20180405000328 |
| Provider Name | Aaron John Hoppy |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1326548751 PECOS PAC ID: 3971866252 Enrollment ID: I20180419001788 |
| Provider Name | Ashley Conway |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750794525 PECOS PAC ID: 6608185202 Enrollment ID: I20180717003971 |
| Provider Name | Nawfal Al-khafaji |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134470107 PECOS PAC ID: 6103065966 Enrollment ID: I20180801000051 |
| Provider Name | Daniel Plumeri |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447767983 PECOS PAC ID: 1254680911 Enrollment ID: I20180814003071 |
| Provider Name | Tiffany Nakajima |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1356832778 PECOS PAC ID: 0143570531 Enrollment ID: I20180905003350 |
| Provider Name | Lorraine Marie Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841776309 PECOS PAC ID: 4183977010 Enrollment ID: I20181023002656 |
| Provider Name | Theresa M Christensen |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1609359611 PECOS PAC ID: 4981957495 Enrollment ID: I20181031001469 |
| Provider Name | Nitin Verma |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1598872731 PECOS PAC ID: 2264439256 Enrollment ID: I20181114002767 |
| Provider Name | Christopher R Barbolini |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1972072098 PECOS PAC ID: 7113262270 Enrollment ID: I20181218000523 |
| Provider Name | Stacy Macfarlane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043583032 PECOS PAC ID: 0244478527 Enrollment ID: I20181221001636 |
| Provider Name | Stephen Edward Watkins |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1164785754 PECOS PAC ID: 4981975141 Enrollment ID: I20190215001886 |
| Provider Name | David J Roberts |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891269494 PECOS PAC ID: 2163762055 Enrollment ID: I20190312001822 |
| Provider Name | Safet Lekperic |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1104266691 PECOS PAC ID: 8527315142 Enrollment ID: I20190603000124 |
| Provider Name | Valerie Ulm |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538555131 PECOS PAC ID: 6002160918 Enrollment ID: I20190627001111 |
| Provider Name | Caitlin M Nicotra |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1467848143 PECOS PAC ID: 4183962996 Enrollment ID: I20190627001115 |
| Provider Name | Dana M Cleason |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588050397 PECOS PAC ID: 5698015964 Enrollment ID: I20190724000174 |
| Provider Name | Katlyn C Holt |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902468275 PECOS PAC ID: 6002143922 Enrollment ID: I20190814003184 |
| Provider Name | Joseph M Barbato |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154778694 PECOS PAC ID: 9739416504 Enrollment ID: I20190816001494 |
| Provider Name | Emily Divita |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1548821150 PECOS PAC ID: 1052649290 Enrollment ID: I20190826001652 |
| Provider Name | Thomas J Edd |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538514864 PECOS PAC ID: 3476848573 Enrollment ID: I20190919003003 |
| Provider Name | John Nabil Bibawy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1760799050 PECOS PAC ID: 5294978771 Enrollment ID: I20191119000898 |
| Provider Name | Richard T Jenkins |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1164840369 PECOS PAC ID: 9133551716 Enrollment ID: I20191120001061 |
| Provider Name | Joelle Cathryn Hochulski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154878023 PECOS PAC ID: 3072893783 Enrollment ID: I20191202000241 |
| Provider Name | Brittany M Ball |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902449044 PECOS PAC ID: 0446683650 Enrollment ID: I20191202001735 |
| Provider Name | Ronald Chong-yik |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1497199228 PECOS PAC ID: 2769602648 Enrollment ID: I20191209001182 |
| Provider Name | Maura E Mesi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376193037 PECOS PAC ID: 0749614972 Enrollment ID: I20191223000227 |
| Provider Name | Benjamin L Kober |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518312487 PECOS PAC ID: 2365793353 Enrollment ID: I20200207000847 |
| Provider Name | Mohamed Metawee |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1881016939 PECOS PAC ID: 0941510952 Enrollment ID: I20200318001305 |
| Provider Name | Khaled Abdulla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811423684 PECOS PAC ID: 0446594485 Enrollment ID: I20200813001608 |
| Provider Name | Tarvinder Gilotra |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1902288103 PECOS PAC ID: 4880931484 Enrollment ID: I20200820001618 |
| Provider Name | Marwan Saoud |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083025985 PECOS PAC ID: 5193062750 Enrollment ID: I20200901001968 |
| Provider Name | Elias Liborio Manzella |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1235681404 PECOS PAC ID: 5496023509 Enrollment ID: I20200918000913 |
| Provider Name | Robert J Taylor |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1528473543 PECOS PAC ID: 0648579870 Enrollment ID: I20201013000150 |
| Provider Name | Aseel Khaled Zein Al-deen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972950475 PECOS PAC ID: 5193062529 Enrollment ID: I20201029001009 |
| Provider Name | Kelly Farrell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386252005 PECOS PAC ID: 1052721693 Enrollment ID: I20201110001136 |
| Provider Name | Adriana Leigh Stumpff |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598232803 PECOS PAC ID: 1254743412 Enrollment ID: I20201210003006 |
| Provider Name | Amy Griffin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1487251534 PECOS PAC ID: 3678985249 Enrollment ID: I20201224000267 |
| Provider Name | Kalene J Notaro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518504166 PECOS PAC ID: 8527471911 Enrollment ID: I20201231001808 |
| Provider Name | Kimberly C Esford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396340659 PECOS PAC ID: 7517370323 Enrollment ID: I20210114002235 |
| Provider Name | Patricia Brydalski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942579867 PECOS PAC ID: 9537573829 Enrollment ID: I20210127003252 |
| Provider Name | Kristin E Connors |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710592449 PECOS PAC ID: 6305251349 Enrollment ID: I20210224002462 |
| Provider Name | Samantha J Esnaola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922692888 PECOS PAC ID: 1254748940 Enrollment ID: I20210324002788 |
| Provider Name | Jessica L. Braunscheidel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578165700 PECOS PAC ID: 7214336304 Enrollment ID: I20210521001134 |
| Provider Name | Joseph Messana |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1689094641 PECOS PAC ID: 7012316102 Enrollment ID: I20210521001187 |
| Provider Name | Esada Kucevic |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1972192540 PECOS PAC ID: 4789084948 Enrollment ID: I20210610001017 |
| Provider Name | Valeri Kraskovsky |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1396155529 PECOS PAC ID: 7113264771 Enrollment ID: I20210706003541 |
| Provider Name | Sehem Ghazala |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1265846950 PECOS PAC ID: 5890050041 Enrollment ID: I20210730003107 |
| Provider Name | Umair Masood |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1245646975 PECOS PAC ID: 9234476847 Enrollment ID: I20210810004055 |
| Provider Name | Nikita R Depronio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952917866 PECOS PAC ID: 9739584194 Enrollment ID: I20210823002384 |
| Provider Name | Adam David Shean |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1861069213 PECOS PAC ID: 4082010160 Enrollment ID: I20210915002454 |
| Provider Name | Anna C Reid |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1215580600 PECOS PAC ID: 7719385574 Enrollment ID: I20211007003060 |
| Provider Name | Anna M Pitliangas |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1780253039 PECOS PAC ID: 5193113322 Enrollment ID: I20211020003075 |
| Provider Name | Janice M Gennocro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790364131 PECOS PAC ID: 1254729882 Enrollment ID: I20211101000317 |
| Provider Name | Umer Syed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063806206 PECOS PAC ID: 0143523498 Enrollment ID: I20211102003004 |
| Provider Name | Nicole Ashley Wagner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780340356 PECOS PAC ID: 8224429287 Enrollment ID: I20211229002247 |
| Provider Name | Xiaodan Zhou |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841956034 PECOS PAC ID: 2860884582 Enrollment ID: I20220110000450 |
| Provider Name | Mary Katherine Kosowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558937441 PECOS PAC ID: 8527451921 Enrollment ID: I20220208000559 |
| Provider Name | Jordan R Verrall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902578313 PECOS PAC ID: 4385038843 Enrollment ID: I20220225001494 |
| Provider Name | Alicia Mandujano |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114106119 PECOS PAC ID: 5890840169 Enrollment ID: I20220322000953 |
| Provider Name | Stuart C Nocera |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1972261469 PECOS PAC ID: 8123414885 Enrollment ID: I20220405002062 |
| Provider Name | Thaddeus Waters |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912102229 PECOS PAC ID: 6305946252 Enrollment ID: I20220408001192 |
| Provider Name | Muzamil Wamiq Sheikh |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1437370848 PECOS PAC ID: 4688740533 Enrollment ID: I20220426001815 |
| Provider Name | Hassan S Patail |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710391180 PECOS PAC ID: 3476895293 Enrollment ID: I20220504002572 |
| Provider Name | Iftikhar Ahmad |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922070457 PECOS PAC ID: 2668442120 Enrollment ID: I20220525001099 |
| Provider Name | Ranae Stefaniak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982344297 PECOS PAC ID: 2769860816 Enrollment ID: I20220602001182 |
| Provider Name | Nirosshan Thiruchelvam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912262866 PECOS PAC ID: 6103131347 Enrollment ID: I20220620000215 |
| Provider Name | Monica K Bacher |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386372308 PECOS PAC ID: 2466828173 Enrollment ID: I20221021000293 |
| Provider Name | Patrick R Moran |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710605860 PECOS PAC ID: 4385012376 Enrollment ID: I20221123000117 |
| Provider Name | Jo Kohler |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811344005 PECOS PAC ID: 2466797071 Enrollment ID: I20221206002849 |
| Provider Name | Julianna L Gaglione |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1144971680 PECOS PAC ID: 4385013374 Enrollment ID: I20221214001129 |
| Provider Name | Krista T Evoniuk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629739545 PECOS PAC ID: 3577935410 Enrollment ID: I20230202001294 |
| Provider Name | Lauren V Manchester |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1831666114 PECOS PAC ID: 8325410673 Enrollment ID: I20230214002039 |
| Provider Name | Annielaurie Goetz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235835158 PECOS PAC ID: 1355715673 Enrollment ID: I20230328000133 |
| Provider Name | Daniel R Slack |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1932581618 PECOS PAC ID: 0143525261 Enrollment ID: I20230329003186 |
| Provider Name | Divya Gumber |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1407250913 PECOS PAC ID: 5294124350 Enrollment ID: I20230421002381 |
| Provider Name | Giuliano R Pupo |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1083309397 PECOS PAC ID: 4789041005 Enrollment ID: I20230601000940 |
| Provider Name | Sara Davidovich |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1467089631 PECOS PAC ID: 4981062452 Enrollment ID: I20230615002732 |
| Provider Name | Alexis L Sweeney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518685676 PECOS PAC ID: 8729448477 Enrollment ID: I20230713001845 |
| Provider Name | Erik C Freeland |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1912147745 PECOS PAC ID: 2466673207 Enrollment ID: I20230726001348 |
| Provider Name | Michael O Wilber |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1649665266 PECOS PAC ID: 4385942754 Enrollment ID: I20230817000141 |
| Provider Name | Francois a Fadell |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1003051715 PECOS PAC ID: 2264675180 Enrollment ID: I20230821001584 |
| Provider Name | Sydny M Vallone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366129041 PECOS PAC ID: 9739542705 Enrollment ID: I20230824002039 |
| Provider Name | Wassim Mosleh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1245619345 PECOS PAC ID: 1557619723 Enrollment ID: I20230824002803 |
| Provider Name | Jennifer Stawicki |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386321743 PECOS PAC ID: 4183087703 Enrollment ID: I20230830002285 |
| Provider Name | Timothy C Hou |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750365524 PECOS PAC ID: 8022903459 Enrollment ID: I20230928003930 |
| Provider Name | Taylor Elizabeth Horne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861189979 PECOS PAC ID: 5597110858 Enrollment ID: I20231006002047 |
| Provider Name | Hajrija Selimovic |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1558013334 PECOS PAC ID: 8820443914 Enrollment ID: I20231010000968 |
| Provider Name | Megan Guntrum |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679102412 PECOS PAC ID: 9537514328 Enrollment ID: I20231013003119 |
| Provider Name | Syed a Haseeb |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124557749 PECOS PAC ID: 7618323262 Enrollment ID: I20231102001160 |
| Provider Name | Joelle M Kozierowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316722770 PECOS PAC ID: 4688022494 Enrollment ID: I20231204002515 |
| Provider Name | Matthew D Behringer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1437513728 PECOS PAC ID: 9830484146 Enrollment ID: I20231221002655 |
| Provider Name | Brianna M Wesolowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538878871 PECOS PAC ID: 5496105009 Enrollment ID: I20231222000550 |
| Provider Name | Jessica E French |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649554122 PECOS PAC ID: 0446603260 Enrollment ID: I20240129002365 |
| Provider Name | Mark Saling |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831620350 PECOS PAC ID: 9931473550 Enrollment ID: I20240223000058 |
| Provider Name | David S Feldman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1386688711 PECOS PAC ID: 2062493125 Enrollment ID: I20240311003135 |
| Provider Name | Ryan Zulawski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447018049 PECOS PAC ID: 9638510746 Enrollment ID: I20240507002389 |
| Provider Name | Megan Gerwitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609632926 PECOS PAC ID: 6002257722 Enrollment ID: I20240513002764 |
| Provider Name | Josef D Nachar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144098435 PECOS PAC ID: 3971945882 Enrollment ID: I20240523002083 |
| Provider Name | Keith a Zuccala |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1225074248 PECOS PAC ID: 5294748745 Enrollment ID: I20240710002000 |
| Provider Name | Sarah K Hy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932959764 PECOS PAC ID: 1658816657 Enrollment ID: I20240715002039 |
| Provider Name | Michelle E Lewis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386006674 PECOS PAC ID: 7618263823 Enrollment ID: I20240805003844 |
| Provider Name | Xavier V Jean |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1194286674 PECOS PAC ID: 9335575901 Enrollment ID: I20240806003265 |
| Provider Name | Kevin E Tourt |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891542882 PECOS PAC ID: 8527508548 Enrollment ID: I20240905001293 |
| Provider Name | Laura a Mcglynn |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1710506993 PECOS PAC ID: 9032659990 Enrollment ID: I20240906002234 |
| Provider Name | Logan J Slother |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1689442709 PECOS PAC ID: 4587105788 Enrollment ID: I20240916000506 |
| Provider Name | Jenna S Silverstein |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184147027 PECOS PAC ID: 4385984574 Enrollment ID: I20240916003663 |
| Provider Name | Michelle Lorraine Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487756011 PECOS PAC ID: 1951842434 Enrollment ID: I20240924003249 |
| Provider Name | Kenneth Brock |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861856080 PECOS PAC ID: 1850832122 Enrollment ID: I20240926001907 |
| Provider Name | Raffaele a Ruggiero |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457814196 PECOS PAC ID: 3870822265 Enrollment ID: I20240930003155 |
| Provider Name | Ghassan Mohsin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1962170472 PECOS PAC ID: 7113459421 Enrollment ID: I20241011000698 |
| Provider Name | Casie a Carter |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1508619289 PECOS PAC ID: 4082146808 Enrollment ID: I20241018000212 |
| Provider Name | Robert William Pasquini |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1457972853 PECOS PAC ID: 6204253636 Enrollment ID: I20241028000434 |
| Provider Name | Kalei E Winter |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1427755545 PECOS PAC ID: 3577098904 Enrollment ID: I20241122000235 |
| Provider Name | Sami Sibai |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740478494 PECOS PAC ID: 4880848910 Enrollment ID: I20241213000478 |
| Provider Name | Shelby R Beckholt |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093343162 PECOS PAC ID: 3375079213 Enrollment ID: I20241216001102 |
| Provider Name | Nicole M Fitch |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922628312 PECOS PAC ID: 8527595339 Enrollment ID: I20241218000643 |
| Provider Name | Daniel J Brown |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1417197708 PECOS PAC ID: 3476705831 Enrollment ID: I20241218001125 |
| Provider Name | Jennifer Luppino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578343448 PECOS PAC ID: 5890223648 Enrollment ID: I20250108001393 |
| Provider Name | Kevin P Krul |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1689936775 PECOS PAC ID: 9133499858 Enrollment ID: I20250311000244 |
| Provider Name | Clare Marie Hall |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1609320795 PECOS PAC ID: 6608146345 Enrollment ID: I20250320002087 |
| Provider Name | Jacob D Reid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558858571 PECOS PAC ID: 5294257911 Enrollment ID: I20250321002136 |
| Provider Name | Ifad U Rahman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831399542 PECOS PAC ID: 2062697048 Enrollment ID: I20250505001386 |
| Provider Name | Loren Nicole Brennan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518768456 PECOS PAC ID: 4486173440 Enrollment ID: I20250522002990 |
| Provider Name | Alexander Tiemeier |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1932632213 PECOS PAC ID: 3971840265 Enrollment ID: I20250626000375 |
| Provider Name | Pansy L Samuel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851084172 PECOS PAC ID: 1850750464 Enrollment ID: I20250630000066 |
| Provider Name | Sumaira Khan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184441966 PECOS PAC ID: 3971017500 Enrollment ID: I20250707003964 |
| Provider Name | Jamal Al Taani |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1083819593 PECOS PAC ID: 7012002314 Enrollment ID: I20250710002060 |
| Provider Name | Ryan a O'connor |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1477119949 PECOS PAC ID: 0648506311 Enrollment ID: I20250804000320 |
| Provider Name | James Aitken |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1770944555 PECOS PAC ID: 2163709882 Enrollment ID: I20250806001019 |
| Provider Name | Jibran M Mirza |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1699331736 PECOS PAC ID: 9335477793 Enrollment ID: I20250910003903 |
| Provider Name | Shane Corbin Anderson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1952863946 PECOS PAC ID: 1951638113 Enrollment ID: I20250911003811 |
| Provider Name | Alexander J Macfarlane |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1861055774 PECOS PAC ID: 3375870728 Enrollment ID: I20250912000385 |
| Provider Name | Elliott Szabala |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033002928 PECOS PAC ID: 0840787040 Enrollment ID: I20251013001688 |
| Provider Name | Phoebe Dembs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922749092 PECOS PAC ID: 7315435906 Enrollment ID: I20251024001501 |
| Provider Name | Julie Ponce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033098769 PECOS PAC ID: 1850883414 Enrollment ID: I20251121002646 |
| Provider Name | Ian Alexander Monast |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780033241 PECOS PAC ID: 3274896675 Enrollment ID: I20251218000153 |
| Provider Name | Connor Vanko |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1275011066 PECOS PAC ID: 8426387622 Enrollment ID: I20260107001293 |
| Provider Name | Jason Wong |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346212685 PECOS PAC ID: 8224354261 Enrollment ID: I20260127000020 |
| Provider Name | Christy Marie Hogan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992674683 PECOS PAC ID: 9436636958 Enrollment ID: I20260127001081 |
| Provider Name | Richard Szilard Vigh |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255717039 PECOS PAC ID: 0941539092 Enrollment ID: I20260127004017 |
| Provider Name | Jonathan Riggs |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1003149147 PECOS PAC ID: 3274670823 Enrollment ID: I20260304000752 |
| Provider Name | Ramkrishna Patel |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1922539246 PECOS PAC ID: 3072858901 Enrollment ID: I20260415001873 |
| Provider Name | Eugene Spear |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1891787685 PECOS PAC ID: 3779561063 Enrollment ID: I20260501000123 |
| Provider Name | Emmanuel Owusu |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1750050779 PECOS PAC ID: 2062981798 Enrollment ID: I20260512002260 |
Buffalo Community Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2731 S Park Ave Ste B, Buffalo, NY 14218 Phone: 716-348-9042 |
Buffalo Medical Care PC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2200 Genesee St, Buffalo, NY 14211 Phone: 716-895-2200 Fax: 716-895-3300 |
Jeremiah O Sullivan MD PC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2218 Main St, Buffalo, NY 14214 Phone: 716-834-4141 Fax: 716-838-5840 |
Greater Buffalo United Accountable Healthcare Network Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 564 Niagara St, Buffalo, NY 14201 Phone: 716-882-0366 Fax: 716-830-4840 |
Buffalo Psychiatric Center Act Team Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 Forest Ave, Building 51 A Area, Buffalo, NY 14213 Phone: 716-885-2261 |
Winston G Douglas MD PC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 755 Wehrle Dr, Buffalo, NY 14225 Phone: 716-884-8033 Fax: 716-342-2523 |