| Tuality Medical Group Llc | |
|
335 Se 8th Ave Hillsboro OR 97123-4246 | |
| (503) 681-1177 | |
| (503) 681-1923 |
| Full Name | Tuality Medical Group Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 335 Se 8th Ave, Hillsboro, Oregon |
| Authorized Official Name and Position | Meredith A. Peterson (VP, FINANCE) |
| Authorized Official Contact | 5036811583 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tuality Medical Group Llc 335 Se 8th Ave Hillsboro OR 97123-4246 Ph: (503) 681-1177 | Tuality Medical Group Llc 335 Se 8th Ave Hillsboro OR 97123-4246 Ph: (503) 681-1177 |
| NPI Number | 1073929782 |
|---|---|
| Provider Enumeration Date | 07/02/2014 |
| Last Update Date | 08/16/2021 |
| Medicare PECOS PAC ID | 7416173414 |
|---|---|
| Medicare Enrollment ID | O20140729000238 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073929782 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 261QH0100X | Clinic/center - Health Service | (Oregon) | Secondary |
| Provider Name | Samuel S M Lau |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1811995087 PECOS PAC ID: 9931012226 Enrollment ID: I20031112000210 |
| Provider Name | Bronwyn Elizabeth Hamilton |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902812464 PECOS PAC ID: 8123913381 Enrollment ID: I20040217000468 |
| Provider Name | John B Rugge |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316955842 PECOS PAC ID: 4587552005 Enrollment ID: I20040308000202 |
| Provider Name | Kirk Lalwani |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1144265612 PECOS PAC ID: 3274422928 Enrollment ID: I20040311001220 |
| Provider Name | Gerald E Gibbs |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1386710903 PECOS PAC ID: 6002808425 Enrollment ID: I20040403000103 |
| Provider Name | Mark R Stone |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1619031838 PECOS PAC ID: 7315930765 Enrollment ID: I20040403000146 |
| Provider Name | Nicholas E Clarke |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1124112016 PECOS PAC ID: 1052306131 Enrollment ID: I20040419000026 |
| Provider Name | Paul S Park |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1174685796 PECOS PAC ID: 0840289609 Enrollment ID: I20040507001048 |
| Provider Name | Derrick J Sorweide |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497721625 PECOS PAC ID: 0345233086 Enrollment ID: I20040511000805 |
| Provider Name | Timothy K Liem |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1790882561 PECOS PAC ID: 1557342342 Enrollment ID: I20040527000385 |
| Provider Name | Paula H Bednarek |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336154848 PECOS PAC ID: 7416934690 Enrollment ID: I20040706000902 |
| Provider Name | Leonardo M Pereira |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427063932 PECOS PAC ID: 5193705036 Enrollment ID: I20040722000136 |
| Provider Name | Barbara J Hills |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1669444691 PECOS PAC ID: 4183527773 Enrollment ID: I20040914000335 |
| Provider Name | Stephanie A Halvorson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760497275 PECOS PAC ID: 8628045036 Enrollment ID: I20040915000330 |
| Provider Name | Katherine Jean Robins |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1831127117 PECOS PAC ID: 4082682547 Enrollment ID: I20040922000481 |
| Provider Name | Jeremy M Lake |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1114909371 PECOS PAC ID: 7618936709 Enrollment ID: I20041005000689 |
| Provider Name | Jorge E Tolosa |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699780106 PECOS PAC ID: 3072575281 Enrollment ID: I20041101000014 |
| Provider Name | Maria C Leiva |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790766244 PECOS PAC ID: 4284690447 Enrollment ID: I20041208001201 |
| Provider Name | Todd J Sadowski |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1033141361 PECOS PAC ID: 1759339716 Enrollment ID: I20050106000120 |
| Provider Name | William S Powell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437190725 PECOS PAC ID: 1850343336 Enrollment ID: I20050211000873 |
| Provider Name | Kenneth A Jacobs |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1417055518 PECOS PAC ID: 2466406632 Enrollment ID: I20050311000366 |
| Provider Name | Jeffrey L Koh |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1972531150 PECOS PAC ID: 9931146446 Enrollment ID: I20050414001278 |
| Provider Name | Louis P Riccelli |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114932621 PECOS PAC ID: 8022057132 Enrollment ID: I20050428000265 |
| Provider Name | Suzan S Chandler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770574303 PECOS PAC ID: 0042248734 Enrollment ID: I20050803000376 |
| Provider Name | Jozsef Lukacs |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164406989 PECOS PAC ID: 9335052463 Enrollment ID: I20050804000015 |
| Provider Name | Raymond S Edwards |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356385835 PECOS PAC ID: 0446281745 Enrollment ID: I20050826000154 |
| Provider Name | Rubin Chandran |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1972571024 PECOS PAC ID: 6709817679 Enrollment ID: I20050830001025 |
| Provider Name | Kesavan Prakash |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538275276 PECOS PAC ID: 8527090034 Enrollment ID: I20050906000865 |
| Provider Name | Andrew Gerard Janssen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003891524 PECOS PAC ID: 9436194388 Enrollment ID: I20050909000560 |
| Provider Name | Jennifer E Bevacqua |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326056847 PECOS PAC ID: 5890711733 Enrollment ID: I20051019001009 |
| Provider Name | Sanjay Krishnaswami |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427063924 PECOS PAC ID: 6709806441 Enrollment ID: I20051128000244 |
| Provider Name | Suniti Kumar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265450951 PECOS PAC ID: 5294632949 Enrollment ID: I20051215000038 |
| Provider Name | Daniel Owen Herzig |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1841205358 PECOS PAC ID: 7618981515 Enrollment ID: I20060131000212 |
| Provider Name | Andrea G Janssen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831131713 PECOS PAC ID: 1759279896 Enrollment ID: I20060214000132 |
| Provider Name | Vincent P Reyes |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1114923760 PECOS PAC ID: 4284640434 Enrollment ID: I20060227000235 |
| Provider Name | Patricia Erin Hanson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1801804323 PECOS PAC ID: 9436168952 Enrollment ID: I20060412000318 |
| Provider Name | Jessica M Flynn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689682122 PECOS PAC ID: 3577573872 Enrollment ID: I20060502000187 |
| Provider Name | Hani Darwich |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003873340 PECOS PAC ID: 1557377330 Enrollment ID: I20060522000080 |
| Provider Name | William Mark Kelley |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1164477105 PECOS PAC ID: 7618970302 Enrollment ID: I20060818000313 |
| Provider Name | Kevin L Dean |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841215480 PECOS PAC ID: 7618996612 Enrollment ID: I20060920000126 |
| Provider Name | Bradley E Probst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487666111 PECOS PAC ID: 6002812443 Enrollment ID: I20061009000170 |
| Provider Name | Elizabeth P Lahti |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639190564 PECOS PAC ID: 2163428939 Enrollment ID: I20061018000640 |
| Provider Name | Joaquin Emeterio Cigarroa |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1407880545 PECOS PAC ID: 9537165204 Enrollment ID: I20061020000216 |
| Provider Name | Darin M Friess |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1215963368 PECOS PAC ID: 3779516190 Enrollment ID: I20061102000036 |
| Provider Name | Jennifer L Wright |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1902982705 PECOS PAC ID: 9537168190 Enrollment ID: I20070104000456 |
| Provider Name | Kendrick Mk Lau |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164552626 PECOS PAC ID: 3173629888 Enrollment ID: I20070426000016 |
| Provider Name | Roger Doyle Garvin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831172022 PECOS PAC ID: 9931206703 Enrollment ID: I20070514000384 |
| Provider Name | Renee Michelle Beninger |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1457455917 PECOS PAC ID: 7012014590 Enrollment ID: I20070517000319 |
| Provider Name | Elliot N Michael |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1679682439 PECOS PAC ID: 0143327387 Enrollment ID: I20070522000605 |
| Provider Name | Gary J Chiotti |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1639288426 PECOS PAC ID: 1355440306 Enrollment ID: I20070615000623 |
| Provider Name | Manuel D Karlin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780741165 PECOS PAC ID: 8123127743 Enrollment ID: I20070622000335 |
| Provider Name | Antonio E Frias |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033130299 PECOS PAC ID: 9638074156 Enrollment ID: I20070717000108 |
| Provider Name | Elizabeth U Yutan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366572331 PECOS PAC ID: 3577654680 Enrollment ID: I20070803000200 |
| Provider Name | Adam J Mirarchi |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1417931304 PECOS PAC ID: 5698778561 Enrollment ID: I20070803000291 |
| Provider Name | Daniel S Isenbarger |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1780765941 PECOS PAC ID: 4284728528 Enrollment ID: I20070918000477 |
| Provider Name | Joseph A Hardman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821044306 PECOS PAC ID: 1759384514 Enrollment ID: I20070919000145 |
| Provider Name | Todd William Ellingson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972637973 PECOS PAC ID: 8325143316 Enrollment ID: I20070921000194 |
| Provider Name | Eric C Stecker |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1023104726 PECOS PAC ID: 2466548342 Enrollment ID: I20071024000110 |
| Provider Name | Michael Darren Mitchell |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1548298045 PECOS PAC ID: 5991700486 Enrollment ID: I20071108000188 |
| Provider Name | Dana Braner |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1982619409 PECOS PAC ID: 3072407600 Enrollment ID: I20071108000303 |
| Provider Name | William A Goodhue |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316976905 PECOS PAC ID: 2860383858 Enrollment ID: I20071203000736 |
| Provider Name | Jorge A Pineda |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1073739058 PECOS PAC ID: 9133218308 Enrollment ID: I20071211000492 |
| Provider Name | David J Mansoor |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992711907 PECOS PAC ID: 8325137664 Enrollment ID: I20071212000182 |
| Provider Name | Romnee L Auerbach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104970508 PECOS PAC ID: 5991888380 Enrollment ID: I20080207000620 |
| Provider Name | Amy Londergan Wiser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174573927 PECOS PAC ID: 5799706966 Enrollment ID: I20080508000040 |
| Provider Name | Jeffrey Pollock |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811019383 PECOS PAC ID: 7618077041 Enrollment ID: I20080609000688 |
| Provider Name | Raghav Wusirika |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1629192372 PECOS PAC ID: 7214000462 Enrollment ID: I20080721000626 |
| Provider Name | Anne M Breitinger |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1871772442 PECOS PAC ID: 3476627266 Enrollment ID: I20080728000385 |
| Provider Name | Vanessa A Mcdonald |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720241805 PECOS PAC ID: 3476627001 Enrollment ID: I20080731000042 |
| Provider Name | George A Keepers |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619982105 PECOS PAC ID: 8325934847 Enrollment ID: I20080902000548 |
| Provider Name | Jeffrey Penikas |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063447043 PECOS PAC ID: 2365459062 Enrollment ID: I20080904000383 |
| Provider Name | Patrick J O Leary |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1194774547 PECOS PAC ID: 0446142400 Enrollment ID: I20080912000154 |
| Provider Name | Teresa A Everson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760681084 PECOS PAC ID: 1850468711 Enrollment ID: I20080919000042 |
| Provider Name | Brian D Wetzel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811073315 PECOS PAC ID: 2668471012 Enrollment ID: I20081014000285 |
| Provider Name | Adam D Soll |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1689878100 PECOS PAC ID: 0941378228 Enrollment ID: I20081014000578 |
| Provider Name | Barry S Oken |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1417962911 PECOS PAC ID: 0749358026 Enrollment ID: I20081014000597 |
| Provider Name | Robert M Orfaly |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1316015654 PECOS PAC ID: 1456429737 Enrollment ID: I20081014000615 |
| Provider Name | James C Anderson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376551804 PECOS PAC ID: 5890853188 Enrollment ID: I20081014000725 |
| Provider Name | Joanna Laurel Hatfield |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1891829198 PECOS PAC ID: 5395803357 Enrollment ID: I20081020000261 |
| Provider Name | Arthur Y Hung |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1609881119 PECOS PAC ID: 5092873067 Enrollment ID: I20081020000297 |
| Provider Name | Carol J Macarthur |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1942218490 PECOS PAC ID: 9537227566 Enrollment ID: I20081021000259 |
| Provider Name | Alan J Hunter |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437165982 PECOS PAC ID: 6305904103 Enrollment ID: I20081023000214 |
| Provider Name | Akram Khan |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1710993498 PECOS PAC ID: 1850380973 Enrollment ID: I20081028000329 |
| Provider Name | Lisa C Silbert |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1700891207 PECOS PAC ID: 6103984687 Enrollment ID: I20081028000403 |
| Provider Name | William T Gregory |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972510808 PECOS PAC ID: 6709944283 Enrollment ID: I20081028000451 |
| Provider Name | John M Townes |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1710993308 PECOS PAC ID: 4486712825 Enrollment ID: I20081029000123 |
| Provider Name | Jonathan Q Purnell |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1144236639 PECOS PAC ID: 4688733801 Enrollment ID: I20081103000648 |
| Provider Name | Sima S Desai |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649377417 PECOS PAC ID: 6901965144 Enrollment ID: I20081104000018 |
| Provider Name | Margaret M Oreilly |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255349718 PECOS PAC ID: 5698834604 Enrollment ID: I20081105000854 |
| Provider Name | Alison B Edelman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407861917 PECOS PAC ID: 3779642707 Enrollment ID: I20081106000056 |
| Provider Name | Asha Singh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1225230725 PECOS PAC ID: 5395804322 Enrollment ID: I20081106000080 |
| Provider Name | Jeffrey T Jensen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164430690 PECOS PAC ID: 1153482161 Enrollment ID: I20081209000814 |
| Provider Name | Michele S Ferchau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447414982 PECOS PAC ID: 1951462712 Enrollment ID: I20081211000596 |
| Provider Name | Catherine M Leclair |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750398681 PECOS PAC ID: 2961564620 Enrollment ID: I20081215000586 |
| Provider Name | David C Spencer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1962419895 PECOS PAC ID: 4587726682 Enrollment ID: I20081226000097 |
| Provider Name | Robert E Schmidt |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1851329783 PECOS PAC ID: 3779646336 Enrollment ID: I20090108000601 |
| Provider Name | Susan S Rose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750318788 PECOS PAC ID: 3173686102 Enrollment ID: I20090116000211 |
| Provider Name | Amela Blekic |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285833780 PECOS PAC ID: 9638227366 Enrollment ID: I20090506000230 |
| Provider Name | Robert L Schelonka |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861429987 PECOS PAC ID: 1557412251 Enrollment ID: I20090619000036 |
| Provider Name | James C Austin |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1013918267 PECOS PAC ID: 0345391488 Enrollment ID: I20090630000467 |
| Provider Name | Virginia C Leslie |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336119288 PECOS PAC ID: 4789657487 Enrollment ID: I20090706000458 |
| Provider Name | Gregory S Rosenblatt |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1972711703 PECOS PAC ID: 3870653769 Enrollment ID: I20090820000021 |
| Provider Name | Michele P Megregian |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1043206279 PECOS PAC ID: 2769536036 Enrollment ID: I20090820000633 |
| Provider Name | Jeffrey M Oblad |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1083883417 PECOS PAC ID: 7315092145 Enrollment ID: I20090831000665 |
| Provider Name | Ryan C Petering |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174793301 PECOS PAC ID: 5890840458 Enrollment ID: I20090902000660 |
| Provider Name | Sophana Karnchanasorn |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710165303 PECOS PAC ID: 6800933276 Enrollment ID: I20091019000102 |
| Provider Name | Morgan Basil Hakki |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1255441556 PECOS PAC ID: 4981694429 Enrollment ID: I20091110000528 |
| Provider Name | Roger Reynolds |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689682254 PECOS PAC ID: 5092754549 Enrollment ID: I20100108000490 |
| Provider Name | Joan L Reeder |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831241082 PECOS PAC ID: 7315082245 Enrollment ID: I20100303000801 |
| Provider Name | David Edward Wu |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1063404739 PECOS PAC ID: 1658451299 Enrollment ID: I20100323000643 |
| Provider Name | Ronald J Hapke |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1841290699 PECOS PAC ID: 2860448115 Enrollment ID: I20100628000304 |
| Provider Name | Jinho Kim |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1316073661 PECOS PAC ID: 3375674302 Enrollment ID: I20100708000184 |
| Provider Name | Randy D Watson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1295737005 PECOS PAC ID: 5597752956 Enrollment ID: I20100720000377 |
| Provider Name | Jessica R Weiss |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1770519902 PECOS PAC ID: 4880697952 Enrollment ID: I20100804000082 |
| Provider Name | Eliana L Kozin |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1609021849 PECOS PAC ID: 6204960495 Enrollment ID: I20100810000214 |
| Provider Name | Maria I Rodriguez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154525897 PECOS PAC ID: 4789742487 Enrollment ID: I20100810000285 |
| Provider Name | Clifford K Tsai |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1891761847 PECOS PAC ID: 9931223591 Enrollment ID: I20100902000981 |
| Provider Name | Matthew L Hansen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720287840 PECOS PAC ID: 9739205113 Enrollment ID: I20100922000917 |
| Provider Name | Gregory William Mallek |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003012303 PECOS PAC ID: 6406972785 Enrollment ID: I20100923000912 |
| Provider Name | Minette C Lukban |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518287739 PECOS PAC ID: 7315139029 Enrollment ID: I20101012001259 |
| Provider Name | Chin K Song |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467526947 PECOS PAC ID: 3971796491 Enrollment ID: I20101018000018 |
| Provider Name | Armando D Camara |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1851363709 PECOS PAC ID: 4880669324 Enrollment ID: I20101019000382 |
| Provider Name | Timothy W. Stewart |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669455952 PECOS PAC ID: 7719170745 Enrollment ID: I20101021001130 |
| Provider Name | Emma Brooks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326230715 PECOS PAC ID: 1355534207 Enrollment ID: I20101022001269 |
| Provider Name | Brooke R Beckett |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275732679 PECOS PAC ID: 4082808472 Enrollment ID: I20101029000700 |
| Provider Name | Aaron B Caughey |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457398430 PECOS PAC ID: 0042394751 Enrollment ID: I20101029001110 |
| Provider Name | Bassel Beitinjaneh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1659547677 PECOS PAC ID: 6709947443 Enrollment ID: I20101102000617 |
| Provider Name | Nathan J Hildebrant |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1750332813 PECOS PAC ID: 6406041250 Enrollment ID: I20101106000045 |
| Provider Name | Venay Uecke |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1649447327 PECOS PAC ID: 4385692003 Enrollment ID: I20101109000893 |
| Provider Name | Susan H Tran |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982633228 PECOS PAC ID: 6901860766 Enrollment ID: I20101130000397 |
| Provider Name | Lishiana S Shaffer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497827158 PECOS PAC ID: 6901824275 Enrollment ID: I20101202000897 |
| Provider Name | Daniel Keith Friedman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1619949658 PECOS PAC ID: 9537356605 Enrollment ID: I20101215000635 |
| Provider Name | Mustaquim F Chowdhury |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033223656 PECOS PAC ID: 3072702745 Enrollment ID: I20110111000678 |
| Provider Name | Anne C Trainor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154346567 PECOS PAC ID: 3072570969 Enrollment ID: I20110321000777 |
| Provider Name | Bart C Moulton |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1891841409 PECOS PAC ID: 3476736505 Enrollment ID: I20110325000743 |
| Provider Name | Nicole E Marshall |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609062728 PECOS PAC ID: 2062695117 Enrollment ID: I20110326000059 |
| Provider Name | Samuel C Crane |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801031588 PECOS PAC ID: 0345424743 Enrollment ID: I20110408000624 |
| Provider Name | Fareeha Majeed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134325541 PECOS PAC ID: 2567531403 Enrollment ID: I20110429000209 |
| Provider Name | Maureen K Baldwin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1962606483 PECOS PAC ID: 9335327402 Enrollment ID: I20110621000399 |
| Provider Name | Paul Motika |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770600405 PECOS PAC ID: 8426123332 Enrollment ID: I20110718000413 |
| Provider Name | Beech S Burns |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346495603 PECOS PAC ID: 1456520147 Enrollment ID: I20110815000624 |
| Provider Name | Pavan Chopra |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1851473730 PECOS PAC ID: 1759312028 Enrollment ID: I20110823001062 |
| Provider Name | Brian E Frank |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962659300 PECOS PAC ID: 7113197054 Enrollment ID: I20110831000671 |
| Provider Name | Jakub S Langer |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1902997489 PECOS PAC ID: 9537293428 Enrollment ID: I20110901000061 |
| Provider Name | Brianna L Sustersic |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942468939 PECOS PAC ID: 4688844509 Enrollment ID: I20110901000737 |
| Provider Name | Mubeen A Jafri |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1245433184 PECOS PAC ID: 8022289511 Enrollment ID: I20110913000563 |
| Provider Name | Ameet Suresh Brahmavar |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205959947 PECOS PAC ID: 7810088564 Enrollment ID: I20110913000934 |
| Provider Name | Daniel R Albrecht |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1720206261 PECOS PAC ID: 1850563503 Enrollment ID: I20110930000617 |
| Provider Name | Benjamin Chih-an Sun |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083697791 PECOS PAC ID: 3476521253 Enrollment ID: I20111006000712 |
| Provider Name | Charles A Henrikson |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1235199704 PECOS PAC ID: 5799715264 Enrollment ID: I20111026000948 |
| Provider Name | Eriko Onishi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538261573 PECOS PAC ID: 4688636640 Enrollment ID: I20111026000958 |
| Provider Name | Katherine Jorda |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629236237 PECOS PAC ID: 7810162310 Enrollment ID: I20111212000822 |
| Provider Name | David A Buuck |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1609944073 PECOS PAC ID: 0547437626 Enrollment ID: I20120112000250 |
| Provider Name | Kenneth A Hermens |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1861560245 PECOS PAC ID: 1355336983 Enrollment ID: I20120112000577 |
| Provider Name | Prasanth M Prasanna |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972678845 PECOS PAC ID: 9032241864 Enrollment ID: I20120220001133 |
| Provider Name | Marilyn Butler |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1093788507 PECOS PAC ID: 6800846387 Enrollment ID: I20120223000487 |
| Provider Name | Jolanta S Olson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346244043 PECOS PAC ID: 6204924962 Enrollment ID: I20120518000182 |
| Provider Name | James B Clements |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811170905 PECOS PAC ID: 3072781848 Enrollment ID: I20120518000379 |
| Provider Name | Lisa L Bayer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801069232 PECOS PAC ID: 5597928002 Enrollment ID: I20120521000366 |
| Provider Name | Dean L Laochamroonvorapongse |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1659539096 PECOS PAC ID: 2567625932 Enrollment ID: I20120522001020 |
| Provider Name | Patricia J Ritze |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578705737 PECOS PAC ID: 9739345687 Enrollment ID: I20120723000447 |
| Provider Name | Jamie O Lo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215182035 PECOS PAC ID: 7810153632 Enrollment ID: I20120724000255 |
| Provider Name | Nicole Hainley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609172006 PECOS PAC ID: 7911153077 Enrollment ID: I20120807000079 |
| Provider Name | Erin Marie Murchan Bonura |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1013071125 PECOS PAC ID: 4385890078 Enrollment ID: I20120813000383 |
| Provider Name | Jonathan T Pak |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1467657056 PECOS PAC ID: 9436305018 Enrollment ID: I20120814000676 |
| Provider Name | Kevin J Woolf |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1265580054 PECOS PAC ID: 6709971112 Enrollment ID: I20120829000476 |
| Provider Name | Nandita Chaturvedi Gupta |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1801862255 PECOS PAC ID: 2860440047 Enrollment ID: I20120905000277 |
| Provider Name | Angela Ethridge Alday |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861636003 PECOS PAC ID: 1951559905 Enrollment ID: I20120917000233 |
| Provider Name | Fergus V Coakley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306800453 PECOS PAC ID: 4587611025 Enrollment ID: I20121018000509 |
| Provider Name | Barry Ross |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1699714931 PECOS PAC ID: 9436190071 Enrollment ID: I20121025000090 |
| Provider Name | Danielle Ann Cataxinos |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295964310 PECOS PAC ID: 5092965806 Enrollment ID: I20121031000564 |
| Provider Name | Valerie L Sweitzer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881940229 PECOS PAC ID: 7810148483 Enrollment ID: I20121107000314 |
| Provider Name | Craig S Mcdougall |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679716716 PECOS PAC ID: 5496906877 Enrollment ID: I20121112000557 |
| Provider Name | Amy L Stenson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629286323 PECOS PAC ID: 8224104906 Enrollment ID: I20121119000225 |
| Provider Name | Sergio A Toledo Valdovinos |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1215288170 PECOS PAC ID: 6608027552 Enrollment ID: I20121127000383 |
| Provider Name | Laura R Jenson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1720226970 PECOS PAC ID: 6507018314 Enrollment ID: I20121130000151 |
| Provider Name | Madhavi C Tangirala |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689939522 PECOS PAC ID: 4082866819 Enrollment ID: I20121130000343 |
| Provider Name | William B Messer |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1508085739 PECOS PAC ID: 0749437192 Enrollment ID: I20121221000084 |
| Provider Name | Carrie Ann Sailer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629393392 PECOS PAC ID: 2365697513 Enrollment ID: I20130606000352 |
| Provider Name | Anup Panduranga |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1316108202 PECOS PAC ID: 2365696697 Enrollment ID: I20130614000288 |
| Provider Name | Brendan Cunningham |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083871057 PECOS PAC ID: 2961641097 Enrollment ID: I20130620000231 |
| Provider Name | James A Heilman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073839049 PECOS PAC ID: 7810137908 Enrollment ID: I20130715000133 |
| Provider Name | John C Robison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205158128 PECOS PAC ID: 4284762543 Enrollment ID: I20130805000530 |
| Provider Name | Koenraad De Geest |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1093702862 PECOS PAC ID: 9032016209 Enrollment ID: I20130906000022 |
| Provider Name | Jessica L Hart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932491032 PECOS PAC ID: 2860636750 Enrollment ID: I20130916000178 |
| Provider Name | Michael S Stanley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750516456 PECOS PAC ID: 7315192259 Enrollment ID: I20130926000501 |
| Provider Name | Clara Marina Ruiz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881829596 PECOS PAC ID: 6507011178 Enrollment ID: I20131001000420 |
| Provider Name | Julia E Shannon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346536992 PECOS PAC ID: 0547495301 Enrollment ID: I20131101000975 |
| Provider Name | Alan C Compton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750475455 PECOS PAC ID: 8224190608 Enrollment ID: I20131206001062 |
| Provider Name | Timur Mitin |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1679745822 PECOS PAC ID: 8921265117 Enrollment ID: I20140226000853 |
| Provider Name | Brian C Ricci |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366734881 PECOS PAC ID: 4981841020 Enrollment ID: I20140522001631 |
| Provider Name | Matthew G. Drake |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1245487875 PECOS PAC ID: 1254501513 Enrollment ID: I20140528000461 |
| Provider Name | David Robert Pettersson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639313273 PECOS PAC ID: 0345495115 Enrollment ID: I20140613000543 |
| Provider Name | Patricio Riquelme |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023317492 PECOS PAC ID: 2961626866 Enrollment ID: I20140616002236 |
| Provider Name | Leo Han |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982920393 PECOS PAC ID: 3375767932 Enrollment ID: I20140623000267 |
| Provider Name | Angela Y Douglas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831482694 PECOS PAC ID: 4486809977 Enrollment ID: I20140626001372 |
| Provider Name | David H Zonies |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1558573907 PECOS PAC ID: 6103002043 Enrollment ID: I20140627000438 |
| Provider Name | Emmanuelle Pare |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528099579 PECOS PAC ID: 7810152691 Enrollment ID: I20140709000401 |
| Provider Name | Masahiro Horikawa |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1538587118 PECOS PAC ID: 9436374147 Enrollment ID: I20140711001578 |
| Provider Name | Evan Serfass |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1225290588 PECOS PAC ID: 6608029913 Enrollment ID: I20140718001367 |
| Provider Name | Marcus A Chiodo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073870895 PECOS PAC ID: 9931325966 Enrollment ID: I20140728000721 |
| Provider Name | Amy Opilla Soleta |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1821314337 PECOS PAC ID: 7517112030 Enrollment ID: I20140811001506 |
| Provider Name | Michael P Chu |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1659576437 PECOS PAC ID: 7214120344 Enrollment ID: I20140822000868 |
| Provider Name | Tanja Epley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336119635 PECOS PAC ID: 9436212230 Enrollment ID: I20140925000324 |
| Provider Name | Christine S. Martin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1497999767 PECOS PAC ID: 0749415925 Enrollment ID: I20140930000622 |
| Provider Name | Stephanie E Dukhovny |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801054531 PECOS PAC ID: 5597889808 Enrollment ID: I20141002002193 |
| Provider Name | Michael J Hendricks |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619294386 PECOS PAC ID: 7517103807 Enrollment ID: I20141016000290 |
| Provider Name | Sean Sha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932416716 PECOS PAC ID: 2961623087 Enrollment ID: I20141103000754 |
| Provider Name | Renee Carisio Farber |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700855517 PECOS PAC ID: 2264525666 Enrollment ID: I20141105001124 |
| Provider Name | Michael G Doorly |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1336399682 PECOS PAC ID: 1355529181 Enrollment ID: I20141110002024 |
| Provider Name | Brigit A Hatch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144511056 PECOS PAC ID: 8527213446 Enrollment ID: I20141209001123 |
| Provider Name | Gregory N Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356317150 PECOS PAC ID: 2365344157 Enrollment ID: I20141216002375 |
| Provider Name | Jennifer G Jagger Kaeser |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1215109335 PECOS PAC ID: 0547443574 Enrollment ID: I20150105000006 |
| Provider Name | Elizabeth Uno |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962796508 PECOS PAC ID: 0143454744 Enrollment ID: I20150105000916 |
| Provider Name | Rinathia Hachmon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043608847 PECOS PAC ID: 9830414473 Enrollment ID: I20150202002224 |
| Provider Name | Meena K Kumar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245598465 PECOS PAC ID: 1153649843 Enrollment ID: I20150408002576 |
| Provider Name | Rochelle R Rochester |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205155660 PECOS PAC ID: 4688992290 Enrollment ID: I20150410001981 |
| Provider Name | Matthew G Mccaskill |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1033347349 PECOS PAC ID: 1254559388 Enrollment ID: I20150508002170 |
| Provider Name | Kathleen F Brookfield |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770756561 PECOS PAC ID: 5890958953 Enrollment ID: I20150518002090 |
| Provider Name | Anthony M. Cheng |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346506565 PECOS PAC ID: 8123273307 Enrollment ID: I20150519001552 |
| Provider Name | Ramon Francisco Barajas |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952622300 PECOS PAC ID: 0143451765 Enrollment ID: I20150522000289 |
| Provider Name | Amy Valent |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861665127 PECOS PAC ID: 7012155211 Enrollment ID: I20150623000550 |
| Provider Name | Shao-hwa P Wei |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1205062361 PECOS PAC ID: 7517278146 Enrollment ID: I20150623001219 |
| Provider Name | Lia D. Ernst |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1154629939 PECOS PAC ID: 4284945676 Enrollment ID: I20150626000383 |
| Provider Name | Astrid S. Platteau |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629204938 PECOS PAC ID: 3173778016 Enrollment ID: I20150629002667 |
| Provider Name | Anna Nelson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477829216 PECOS PAC ID: 3678727955 Enrollment ID: I20150630000238 |
| Provider Name | Amanda M. Ecker |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699918300 PECOS PAC ID: 0840439501 Enrollment ID: I20150701002677 |
| Provider Name | Joshua G Johnson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144592239 PECOS PAC ID: 9830330083 Enrollment ID: I20150703000079 |
| Provider Name | Marcel Curlin |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1134204936 PECOS PAC ID: 6709962244 Enrollment ID: I20150706001344 |
| Provider Name | Ximena A. Levander |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801152830 PECOS PAC ID: 4981928579 Enrollment ID: I20150707000004 |
| Provider Name | Katherine Au |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184913642 PECOS PAC ID: 0143468686 Enrollment ID: I20150710002670 |
| Provider Name | Farah Husain |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1962473132 PECOS PAC ID: 5395933527 Enrollment ID: I20150730012180 |
| Provider Name | Meredith Kato |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1619117694 PECOS PAC ID: 7719291996 Enrollment ID: I20150731015920 |
| Provider Name | Brandice T Durkan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1154649382 PECOS PAC ID: 4587824438 Enrollment ID: I20150804003568 |
| Provider Name | Jennifer Ann Ham |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1568759801 PECOS PAC ID: 8123269297 Enrollment ID: I20150904002349 |
| Provider Name | Brian T Garvey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558604694 PECOS PAC ID: 2567603079 Enrollment ID: I20150905000055 |
| Provider Name | Kelly Kuo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477871937 PECOS PAC ID: 5698990836 Enrollment ID: I20150915003520 |
| Provider Name | Rebecca D Dorsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770984841 PECOS PAC ID: 8325356611 Enrollment ID: I20151006003184 |
| Provider Name | Wendy Brackeen |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1265475172 PECOS PAC ID: 0749598043 Enrollment ID: I20151007000589 |
| Provider Name | Kathryn Louise Menninger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346549920 PECOS PAC ID: 2163652363 Enrollment ID: I20151009001762 |
| Provider Name | Jennifer Gunnell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386611234 PECOS PAC ID: 2860457264 Enrollment ID: I20151030002032 |
| Provider Name | Jerry Jaboin |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1578610382 PECOS PAC ID: 0446376883 Enrollment ID: I20160208001353 |
| Provider Name | Linda J Kallery |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1891128534 PECOS PAC ID: 6204130206 Enrollment ID: I20160211002567 |
| Provider Name | Kelly J Cleaves |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710245949 PECOS PAC ID: 5799930293 Enrollment ID: I20160315001138 |
| Provider Name | Alicia Ann Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013224724 PECOS PAC ID: 9830386580 Enrollment ID: I20160427001813 |
| Provider Name | David Sheridan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912223215 PECOS PAC ID: 0143475749 Enrollment ID: I20160506000798 |
| Provider Name | Richard T Clark |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245596147 PECOS PAC ID: 8527367846 Enrollment ID: I20160509000103 |
| Provider Name | Marshall Lee |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1750511275 PECOS PAC ID: 6709010382 Enrollment ID: I20160509000215 |
| Provider Name | Alyssa Colwill |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821350901 PECOS PAC ID: 3072819176 Enrollment ID: I20160513001818 |
| Provider Name | Kellie Littlefield |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477896736 PECOS PAC ID: 0840431466 Enrollment ID: I20160615002220 |
| Provider Name | Hernan Avella |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1073736302 PECOS PAC ID: 9234224106 Enrollment ID: I20160615002609 |
| Provider Name | Megan Furnari |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003159757 PECOS PAC ID: 4284925066 Enrollment ID: I20160627000303 |
| Provider Name | Michael Alexander Lane |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1942568969 PECOS PAC ID: 9234428244 Enrollment ID: I20160712002998 |
| Provider Name | Albert Chi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1285802009 PECOS PAC ID: 3173649159 Enrollment ID: I20160719000286 |
| Provider Name | Rachel Castelli |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265879142 PECOS PAC ID: 9133427800 Enrollment ID: I20160719000847 |
| Provider Name | Scott C Stroup |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497198840 PECOS PAC ID: 1153614441 Enrollment ID: I20160725001226 |
| Provider Name | Casey Seideman |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1942439005 PECOS PAC ID: 6103120803 Enrollment ID: I20160802001602 |
| Provider Name | Nima Nabavizadeh |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1538453741 PECOS PAC ID: 4587819123 Enrollment ID: I20160802002662 |
| Provider Name | Keenan Yanit-mitchum |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982962163 PECOS PAC ID: 1850525015 Enrollment ID: I20160805001217 |
| Provider Name | Jennifer Stahl |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295893568 PECOS PAC ID: 6002100336 Enrollment ID: I20160810000854 |
| Provider Name | Pikulkaew Dachsangvorn |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1891015939 PECOS PAC ID: 3870733025 Enrollment ID: I20160818002402 |
| Provider Name | Thomas Derek Kowalik |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1023307899 PECOS PAC ID: 8224282579 Enrollment ID: I20160831002603 |
| Provider Name | Gurleen Dhami |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1235422023 PECOS PAC ID: 0648596379 Enrollment ID: I20160914002501 |
| Provider Name | Arjun K Chagarlamudi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1568699932 PECOS PAC ID: 4587954847 Enrollment ID: I20160922001234 |
| Provider Name | Rupali Avasare |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1265676324 PECOS PAC ID: 7911163241 Enrollment ID: I20160924000453 |
| Provider Name | Firas Zahr |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1568637049 PECOS PAC ID: 8628253671 Enrollment ID: I20160927002240 |
| Provider Name | Janelle M Potts |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1992153365 PECOS PAC ID: 6204123466 Enrollment ID: I20161003001205 |
| Provider Name | Fern Hemmer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487966289 PECOS PAC ID: 0547549834 Enrollment ID: I20161109000080 |
| Provider Name | Jamie Rubin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1821383043 PECOS PAC ID: 9335393289 Enrollment ID: I20161116002414 |
| Provider Name | Melinda Strnad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801117635 PECOS PAC ID: 9234370842 Enrollment ID: I20161202002162 |
| Provider Name | Jina Makadia |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1548558117 PECOS PAC ID: 9234410812 Enrollment ID: I20161220001684 |
| Provider Name | Pooja J Kotadia |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699112789 PECOS PAC ID: 0244522431 Enrollment ID: I20170103001813 |
| Provider Name | Talia Buchsbaum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326479783 PECOS PAC ID: 9638300619 Enrollment ID: I20170120000427 |
| Provider Name | Ellie Sukerman |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1538492673 PECOS PAC ID: 8729389002 Enrollment ID: I20170123001387 |
| Provider Name | Kyong Z Park |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720465230 PECOS PAC ID: 1254615016 Enrollment ID: I20170223001217 |
| Provider Name | Luis E Leyton-gonzalez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013911601 PECOS PAC ID: 8022047174 Enrollment ID: I20170310001373 |
| Provider Name | Colin A Gershon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023316452 PECOS PAC ID: 9133391212 Enrollment ID: I20170322001192 |
| Provider Name | Chuen-fu Lin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043328818 PECOS PAC ID: 2365695624 Enrollment ID: I20170324000792 |
| Provider Name | Jacob Luty |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184967200 PECOS PAC ID: 7618103110 Enrollment ID: I20170503001700 |
| Provider Name | Anna Solotskaya |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528485919 PECOS PAC ID: 9234439464 Enrollment ID: I20170523001893 |
| Provider Name | Nadine Mallak |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982046868 PECOS PAC ID: 2860635174 Enrollment ID: I20170523002708 |
| Provider Name | Grace E Yuh |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1881631745 PECOS PAC ID: 4880639152 Enrollment ID: I20170530001299 |
| Provider Name | Bryson Hicks |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538571492 PECOS PAC ID: 4587951462 Enrollment ID: I20170606001909 |
| Provider Name | Elizabeth B Elliott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477087823 PECOS PAC ID: 2961779319 Enrollment ID: I20170606002497 |
| Provider Name | Matthew Chan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194067413 PECOS PAC ID: 3173764776 Enrollment ID: I20170609002094 |
| Provider Name | Lucas Christianson |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1700158201 PECOS PAC ID: 9537437603 Enrollment ID: I20170613002159 |
| Provider Name | Amariek Jane Jensen De La Cruz |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1023309440 PECOS PAC ID: 2264687060 Enrollment ID: I20170614002108 |
| Provider Name | George Zhongshan Wang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982655403 PECOS PAC ID: 5597832824 Enrollment ID: I20170615001053 |
| Provider Name | Jennifer Willingham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972589976 PECOS PAC ID: 6406806728 Enrollment ID: I20170619002456 |
| Provider Name | Ian Fields |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518209840 PECOS PAC ID: 3971894924 Enrollment ID: I20170622001935 |
| Provider Name | Adrienne R. Hughes |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710323647 PECOS PAC ID: 9739400391 Enrollment ID: I20170628001504 |
| Provider Name | Alycia W Jackson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568807410 PECOS PAC ID: 1658685029 Enrollment ID: I20170704000000 |
| Provider Name | Robert Rope |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1720377039 PECOS PAC ID: 2062666365 Enrollment ID: I20170705001420 |
| Provider Name | Lucy Cho |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790049302 PECOS PAC ID: 2668784059 Enrollment ID: I20170728003180 |
| Provider Name | Ratna Bitra |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1619347606 PECOS PAC ID: 1052681806 Enrollment ID: I20170801002863 |
| Provider Name | Amy C Hermesch |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720220841 PECOS PAC ID: 4486898194 Enrollment ID: I20170801003377 |
| Provider Name | Ryan Norton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295172419 PECOS PAC ID: 6709100084 Enrollment ID: I20170802001298 |
| Provider Name | Lori Cardwell |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1235496944 PECOS PAC ID: 2769629732 Enrollment ID: I20170803002157 |
| Provider Name | Barry Hansford |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043448186 PECOS PAC ID: 9234355843 Enrollment ID: I20170804001459 |
| Provider Name | Allison Jaye Allen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861735110 PECOS PAC ID: 7517101363 Enrollment ID: I20170804002201 |
| Provider Name | Jessica Slim |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013274570 PECOS PAC ID: 1951603976 Enrollment ID: I20170808003554 |
| Provider Name | Gabriel Andeen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720343296 PECOS PAC ID: 1850526161 Enrollment ID: I20170809004330 |
| Provider Name | Sujeet Govindan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194045872 PECOS PAC ID: 3870710932 Enrollment ID: I20170814002021 |
| Provider Name | Philip Yun |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1487916730 PECOS PAC ID: 5991092629 Enrollment ID: I20170815003380 |
| Provider Name | Lanceford Chong |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1821001736 PECOS PAC ID: 6002899986 Enrollment ID: I20170901001308 |
| Provider Name | Raeesa Khalid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003221409 PECOS PAC ID: 1658696570 Enrollment ID: I20170905003085 |
| Provider Name | Monica Sikka |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1679685143 PECOS PAC ID: 1658371059 Enrollment ID: I20170907003498 |
| Provider Name | Richard Kellis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497040836 PECOS PAC ID: 1052633443 Enrollment ID: I20170908002574 |
| Provider Name | Katie S Mansour |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760918387 PECOS PAC ID: 4789957838 Enrollment ID: I20170912001177 |
| Provider Name | Virginia A Jaschke |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164598363 PECOS PAC ID: 1355444175 Enrollment ID: I20171004001348 |
| Provider Name | Anna Beth Acree |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053836825 PECOS PAC ID: 7810262573 Enrollment ID: I20171005000478 |
| Provider Name | Jill Weaver Welshans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073037990 PECOS PAC ID: 5597030791 Enrollment ID: I20171012003574 |
| Provider Name | Brandy Carpenter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033658539 PECOS PAC ID: 6608142500 Enrollment ID: I20171020000992 |
| Provider Name | Andrea Margit Stroud |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1083848972 PECOS PAC ID: 5698910743 Enrollment ID: I20171101001577 |
| Provider Name | Pushapdeep K Brar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699097279 PECOS PAC ID: 0244400109 Enrollment ID: I20171102003085 |
| Provider Name | Margie L Nielsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124557715 PECOS PAC ID: 6608132766 Enrollment ID: I20171107001132 |
| Provider Name | Mohamed Refaat |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053607457 PECOS PAC ID: 1557591625 Enrollment ID: I20171129000688 |
| Provider Name | Erik Supratik Mittra |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1841472537 PECOS PAC ID: 2062562945 Enrollment ID: I20171208002330 |
| Provider Name | Ana Maria Ponea |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1619209756 PECOS PAC ID: 2062728017 Enrollment ID: I20171218003443 |
| Provider Name | Aravind Chandra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255742466 PECOS PAC ID: 3375809080 Enrollment ID: I20180118001601 |
| Provider Name | Gene S Lui |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1669496535 PECOS PAC ID: 9032275763 Enrollment ID: I20180201002014 |
| Provider Name | Elizabeth Alston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205348539 PECOS PAC ID: 4981967726 Enrollment ID: I20180410000712 |
| Provider Name | Marni Lynn Doerfler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275033268 PECOS PAC ID: 3971867557 Enrollment ID: I20180507002449 |
| Provider Name | Abigail Vinson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437596996 PECOS PAC ID: 6507000809 Enrollment ID: I20180514000250 |
| Provider Name | Jessica Reid |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447615315 PECOS PAC ID: 5496019622 Enrollment ID: I20180515003256 |
| Provider Name | Joshua Paul Nickerson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932261906 PECOS PAC ID: 7113198524 Enrollment ID: I20180516000826 |
| Provider Name | Jane Xiao |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245618289 PECOS PAC ID: 9830401124 Enrollment ID: I20180516001670 |
| Provider Name | Alexander Skog |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114304599 PECOS PAC ID: 2961718440 Enrollment ID: I20180516002273 |
| Provider Name | Sara Ayako Mayo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407241037 PECOS PAC ID: 4688960735 Enrollment ID: I20180517000462 |
| Provider Name | Edward Lew |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114233558 PECOS PAC ID: 8729203401 Enrollment ID: I20180522002739 |
| Provider Name | Leslie Jay Starkey |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215256391 PECOS PAC ID: 7719242460 Enrollment ID: I20180529003048 |
| Provider Name | Andrew Treister |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1518385293 PECOS PAC ID: 4688939374 Enrollment ID: I20180530001679 |
| Provider Name | Andrew Olsen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1386088821 PECOS PAC ID: 3971868530 Enrollment ID: I20180531001835 |
| Provider Name | Shushan Rana |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1487091260 PECOS PAC ID: 4486888294 Enrollment ID: I20180606000488 |
| Provider Name | Mark Harold Enker |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1477600260 PECOS PAC ID: 2163562471 Enrollment ID: I20180620000385 |
| Provider Name | Aaron Thomas Trimble |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1932498862 PECOS PAC ID: 1557590304 Enrollment ID: I20180625003729 |
| Provider Name | Zachary Jacobs |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427476480 PECOS PAC ID: 9335366350 Enrollment ID: I20180628002866 |
| Provider Name | Sonnit Sharma |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831504752 PECOS PAC ID: 3375811367 Enrollment ID: I20180706002263 |
| Provider Name | Jeremy D Cannell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1386888733 PECOS PAC ID: 8325349665 Enrollment ID: I20180709001720 |
| Provider Name | Harsh Golwala |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1265743686 PECOS PAC ID: 1254688765 Enrollment ID: I20180716000192 |
| Provider Name | Aaron Grossberg |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1164775334 PECOS PAC ID: 2365677283 Enrollment ID: I20180716000554 |
| Provider Name | Ian Farrell Cely |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164862017 PECOS PAC ID: 9638482409 Enrollment ID: I20180717003031 |
| Provider Name | Leah Christen Cely |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962842823 PECOS PAC ID: 5890008429 Enrollment ID: I20180718003572 |
| Provider Name | Rand Ladkany |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497000715 PECOS PAC ID: 8921239344 Enrollment ID: I20180720002896 |
| Provider Name | Stefan Eugen Craciun |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407241193 PECOS PAC ID: 6608123419 Enrollment ID: I20180725002440 |
| Provider Name | Karen J Gibbins |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457581688 PECOS PAC ID: 2668614611 Enrollment ID: I20180809001023 |
| Provider Name | Lokesh Kumar Yadav |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205217999 PECOS PAC ID: 2860773207 Enrollment ID: I20180809005029 |
| Provider Name | Pema O Bhutia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841450558 PECOS PAC ID: 8820262892 Enrollment ID: I20180814004136 |
| Provider Name | Tomas Antonio Lazo |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1952644684 PECOS PAC ID: 1153563796 Enrollment ID: I20180821001316 |
| Provider Name | Chinenyenwa A Onyemaechi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396087052 PECOS PAC ID: 9234438433 Enrollment ID: I20180823001683 |
| Provider Name | Nii O Koney |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1649536301 PECOS PAC ID: 0345519252 Enrollment ID: I20180827003354 |
| Provider Name | Jane Babiarz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447646088 PECOS PAC ID: 7810205267 Enrollment ID: I20180830001876 |
| Provider Name | Michael Shabon Javid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750768511 PECOS PAC ID: 0749531457 Enrollment ID: I20180919002152 |
| Provider Name | Anirudh Chintalapani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205298619 PECOS PAC ID: 8820384126 Enrollment ID: I20180919003336 |
| Provider Name | Whitney W Roper |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609294362 PECOS PAC ID: 7416174818 Enrollment ID: I20181003001920 |
| Provider Name | Huma Memon |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275947541 PECOS PAC ID: 2264745272 Enrollment ID: I20181004000333 |
| Provider Name | Regina Marie Szczesniak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205274826 PECOS PAC ID: 4880978022 Enrollment ID: I20181005000965 |
| Provider Name | Heather K Reed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457633836 PECOS PAC ID: 7113189242 Enrollment ID: I20181009000236 |
| Provider Name | Monica J Gulley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447547807 PECOS PAC ID: 4688984669 Enrollment ID: I20181011000881 |
| Provider Name | Anjali Shah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710360276 PECOS PAC ID: 3476806415 Enrollment ID: I20181022001837 |
| Provider Name | Yvette Rodriguez |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1952456246 PECOS PAC ID: 1658305388 Enrollment ID: I20181025002038 |
| Provider Name | Hunter Poarch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568880219 PECOS PAC ID: 1557581303 Enrollment ID: I20181026001470 |
| Provider Name | Sydney Marie Lefay |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801215249 PECOS PAC ID: 7113216193 Enrollment ID: I20181029001864 |
| Provider Name | Misha Rose Anderson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063850881 PECOS PAC ID: 3577889765 Enrollment ID: I20181114002207 |
| Provider Name | Stephen Ki Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689917700 PECOS PAC ID: 5193010296 Enrollment ID: I20181212000210 |
| Provider Name | Machya Spelletich-pecoraro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740794072 PECOS PAC ID: 3779828546 Enrollment ID: I20181226000209 |
| Provider Name | Paul J Delporto |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982803227 PECOS PAC ID: 8527152891 Enrollment ID: I20181231000752 |
| Provider Name | Abigail Pape |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1417360546 PECOS PAC ID: 3072820661 Enrollment ID: I20190124001764 |
| Provider Name | Ketan Deepak Godbole |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972732576 PECOS PAC ID: 5496994576 Enrollment ID: I20190208001936 |
| Provider Name | Priscilla Kim Codiga |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629009402 PECOS PAC ID: 7315926979 Enrollment ID: I20190301002403 |
| Provider Name | Erica Koltenuk |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1003307158 PECOS PAC ID: 5294074415 Enrollment ID: I20190306002160 |
| Provider Name | Kelsey Lander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700397114 PECOS PAC ID: 5092074310 Enrollment ID: I20190321000438 |
| Provider Name | Katrina Mcpherson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174602247 PECOS PAC ID: 5496806150 Enrollment ID: I20190328000117 |
| Provider Name | Zachary Runde |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265885743 PECOS PAC ID: 0345537643 Enrollment ID: I20190329001157 |
| Provider Name | Ruchi J Wanchoo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992000228 PECOS PAC ID: 7810170164 Enrollment ID: I20190401001533 |
| Provider Name | Jenna Hannah Gaines |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518419704 PECOS PAC ID: 1456631290 Enrollment ID: I20190402000913 |
| Provider Name | David M Douglas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003842832 PECOS PAC ID: 5597982298 Enrollment ID: I20190412000933 |
| Provider Name | Namrita Boparai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629489554 PECOS PAC ID: 6204102296 Enrollment ID: I20190524002229 |
| Provider Name | Michael Paul Petrovich |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982099032 PECOS PAC ID: 0840547345 Enrollment ID: I20190603001185 |
| Provider Name | Mary K Nordling |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164417689 PECOS PAC ID: 2466411095 Enrollment ID: I20190603002882 |
| Provider Name | Matthew Robert Neth |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174918478 PECOS PAC ID: 8628399169 Enrollment ID: I20190603002952 |
| Provider Name | Jonathan Edward Karademos |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245692870 PECOS PAC ID: 2961791900 Enrollment ID: I20190604000189 |
| Provider Name | Shaalini Ramanadhan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255719258 PECOS PAC ID: 0840507273 Enrollment ID: I20190604000480 |
| Provider Name | Bryce Edwards |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912361718 PECOS PAC ID: 2567758717 Enrollment ID: I20190604000785 |
| Provider Name | Laura Elizabeth Chess |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730507500 PECOS PAC ID: 1153635362 Enrollment ID: I20190605001503 |
| Provider Name | Lauren N Snyder |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417341652 PECOS PAC ID: 0941517353 Enrollment ID: I20190607001028 |
| Provider Name | Karen Ta |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073907978 PECOS PAC ID: 0547593428 Enrollment ID: I20190607001241 |
| Provider Name | Matthew Williams |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154776359 PECOS PAC ID: 4082961941 Enrollment ID: I20190610001060 |
| Provider Name | Matthew J Dunn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437554235 PECOS PAC ID: 0244557130 Enrollment ID: I20190613001649 |
| Provider Name | Christopher Warren Hollen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1205215191 PECOS PAC ID: 4587997176 Enrollment ID: I20190613002165 |
| Provider Name | Claudia Berg-graessle |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1760818942 PECOS PAC ID: 8022243385 Enrollment ID: I20190621001344 |
| Provider Name | Sara Beth Cichowski |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912199134 PECOS PAC ID: 9335319680 Enrollment ID: I20190621001673 |
| Provider Name | Nikolai Schnittke |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073926531 PECOS PAC ID: 9335368497 Enrollment ID: I20190621002676 |
| Provider Name | Amie Leaverton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740675123 PECOS PAC ID: 8325357411 Enrollment ID: I20190624002725 |
| Provider Name | Emily Anne Edwards |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215322862 PECOS PAC ID: 7911216874 Enrollment ID: I20190709002522 |
| Provider Name | Chad Ficek |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629324793 PECOS PAC ID: 8527374289 Enrollment ID: I20190710002572 |
| Provider Name | Sherie Gause |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1275876997 PECOS PAC ID: 9436376472 Enrollment ID: I20190712001069 |
| Provider Name | Ambika Bhushan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992169825 PECOS PAC ID: 1355629502 Enrollment ID: I20190819000342 |
| Provider Name | Nicolas A Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528441318 PECOS PAC ID: 5193025005 Enrollment ID: I20190820000544 |
| Provider Name | James Houston Beckwith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093164386 PECOS PAC ID: 1759656887 Enrollment ID: I20190820001015 |
| Provider Name | Loreen Ibala |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497028146 PECOS PAC ID: 3476715038 Enrollment ID: I20190910001029 |
| Provider Name | Konchok Norgais |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508219940 PECOS PAC ID: 5890024012 Enrollment ID: I20190912001098 |
| Provider Name | Caroline G Castillo |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1700107463 PECOS PAC ID: 6507037611 Enrollment ID: I20190912002116 |
| Provider Name | Erin Conner |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1275976755 PECOS PAC ID: 0345594503 Enrollment ID: I20190913000834 |
| Provider Name | Chris Allen Unterseher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780805176 PECOS PAC ID: 2062536212 Enrollment ID: I20190916001340 |
| Provider Name | Amelia Dawn Carr |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992168231 PECOS PAC ID: 0042500894 Enrollment ID: I20190917002417 |
| Provider Name | Lara Chamberlain Atwater |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1366718116 PECOS PAC ID: 9335397975 Enrollment ID: I20190918000759 |
| Provider Name | Rebecca L Niemeyer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083895551 PECOS PAC ID: 4385714336 Enrollment ID: I20191002002788 |
| Provider Name | Hillary Md Lane |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942699897 PECOS PAC ID: 2860783545 Enrollment ID: I20191018000288 |
| Provider Name | Ryan O'connell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821584871 PECOS PAC ID: 4284066226 Enrollment ID: I20191113002810 |
| Provider Name | Babette D Reeves |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861848160 PECOS PAC ID: 5799117628 Enrollment ID: I20191114003398 |
| Provider Name | Lisa Kipersztok |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952796468 PECOS PAC ID: 6507172954 Enrollment ID: I20191121000934 |
| Provider Name | Scott Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730600768 PECOS PAC ID: 4486929056 Enrollment ID: I20191122000033 |
| Provider Name | Kevin Patrick Blaine |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1457644098 PECOS PAC ID: 6406165216 Enrollment ID: I20191209000408 |
| Provider Name | Mardin Sabir |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427537844 PECOS PAC ID: 7012260300 Enrollment ID: I20191223001761 |
| Provider Name | Emily Stahl Mollenkopf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356842207 PECOS PAC ID: 0345674164 Enrollment ID: I20200102000676 |
| Provider Name | Morgan Lisner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134412794 PECOS PAC ID: 6002131323 Enrollment ID: I20200130001718 |
| Provider Name | Ayonija Maheshwari |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1255584504 PECOS PAC ID: 1557526092 Enrollment ID: I20200214000642 |
| Provider Name | James Koved |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538540711 PECOS PAC ID: 6204128473 Enrollment ID: I20200214001114 |
| Provider Name | James Baek |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851393045 PECOS PAC ID: 1254310931 Enrollment ID: I20200217004338 |
| Provider Name | Haleh Nekoorad Long |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952492571 PECOS PAC ID: 9830088806 Enrollment ID: I20200224002660 |
| Provider Name | Lazara Coll |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982911376 PECOS PAC ID: 2668692062 Enrollment ID: I20200302002383 |
| Provider Name | Brian Dye |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417344458 PECOS PAC ID: 4880900596 Enrollment ID: I20200319000592 |
| Provider Name | Thomas L Jacobs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790201598 PECOS PAC ID: 2668747510 Enrollment ID: I20200327000475 |
| Provider Name | Rasha Nakhleh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821378241 PECOS PAC ID: 0840515599 Enrollment ID: I20200416001165 |
| Provider Name | Jaclyn Thiessen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376962068 PECOS PAC ID: 5092023176 Enrollment ID: I20200505001908 |
| Provider Name | Christine Tzy-yuh Luo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710410840 PECOS PAC ID: 3779854138 Enrollment ID: I20200507001890 |
| Provider Name | Kelsi Manley |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1821520883 PECOS PAC ID: 3779856877 Enrollment ID: I20200508001282 |
| Provider Name | David Putnam |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1437599388 PECOS PAC ID: 3870800659 Enrollment ID: I20200508001379 |
| Provider Name | Haley E Manella |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104280171 PECOS PAC ID: 6709217466 Enrollment ID: I20200513000086 |
| Provider Name | Michael Triller |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316470677 PECOS PAC ID: 8820361090 Enrollment ID: I20200513001034 |
| Provider Name | Blair Murphy |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1952780512 PECOS PAC ID: 9830406875 Enrollment ID: I20200514000954 |
| Provider Name | Jenna M Wiley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558894857 PECOS PAC ID: 6709159429 Enrollment ID: I20200515001415 |
| Provider Name | Daniel Guy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366860553 PECOS PAC ID: 9032434675 Enrollment ID: I20200519000547 |
| Provider Name | Brenna Yard |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689863011 PECOS PAC ID: 6800046087 Enrollment ID: I20200526000719 |
| Provider Name | Jessica Grant |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1659633592 PECOS PAC ID: 0244651347 Enrollment ID: I20200527003061 |
| Provider Name | John Ludwig |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619322658 PECOS PAC ID: 0749571529 Enrollment ID: I20200601003175 |
| Provider Name | Angela Villamagna |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1821482068 PECOS PAC ID: 1153639281 Enrollment ID: I20200617002914 |
| Provider Name | Megan Cohen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194144915 PECOS PAC ID: 4688892755 Enrollment ID: I20200623002930 |
| Provider Name | Jennifer Elise Lane |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649711821 PECOS PAC ID: 6608140611 Enrollment ID: I20200624001931 |
| Provider Name | Elizabeth Sara Rubin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619339900 PECOS PAC ID: 4183046618 Enrollment ID: I20200629003560 |
| Provider Name | Andrew S Phelps |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568620821 PECOS PAC ID: 0244493195 Enrollment ID: I20200710001083 |
| Provider Name | Shyam Dang |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1982812483 PECOS PAC ID: 6002058732 Enrollment ID: I20200715003029 |
| Provider Name | Andrew Nicholas Kozlov |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093134702 PECOS PAC ID: 9335474329 Enrollment ID: I20200715003102 |
| Provider Name | Hunter Spencer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306377627 PECOS PAC ID: 6901179407 Enrollment ID: I20200720001470 |
| Provider Name | Sarah Hecht |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1801239108 PECOS PAC ID: 8123253341 Enrollment ID: I20200727002708 |
| Provider Name | Mengyu Zhou |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669925269 PECOS PAC ID: 7315272655 Enrollment ID: I20200730001213 |
| Provider Name | Michael Duncan Kiefer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447690102 PECOS PAC ID: 8820301583 Enrollment ID: I20200824002803 |
| Provider Name | Melissa Logan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598128928 PECOS PAC ID: 0345536066 Enrollment ID: I20200825003854 |
| Provider Name | Mariann Drucker |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144273046 PECOS PAC ID: 2769665413 Enrollment ID: I20200922001344 |
| Provider Name | Liana Schweiger |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1841553500 PECOS PAC ID: 6204143555 Enrollment ID: I20201009002182 |
| Provider Name | Morgan L Schiller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396279246 PECOS PAC ID: 4284905688 Enrollment ID: I20201014003152 |
| Provider Name | James Z Wright |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386177277 PECOS PAC ID: 2668740465 Enrollment ID: I20201014003651 |
| Provider Name | Nael Aldweib |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1710242615 PECOS PAC ID: 9931487915 Enrollment ID: I20201020002920 |
| Provider Name | Amanda L Carr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710435821 PECOS PAC ID: 5597042549 Enrollment ID: I20201104001312 |
| Provider Name | Benjamin D Jones |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275891806 PECOS PAC ID: 8022311240 Enrollment ID: I20201208002528 |
| Provider Name | Matthew Dalke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629639323 PECOS PAC ID: 6608288253 Enrollment ID: I20201223002387 |
| Provider Name | Stephen Njoroge |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790139723 PECOS PAC ID: 8022304765 Enrollment ID: I20210203001344 |
| Provider Name | Stuart Zeltzer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780046326 PECOS PAC ID: 3173818242 Enrollment ID: I20210211000862 |
| Provider Name | Jesse D Shaw |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912293572 PECOS PAC ID: 8921386897 Enrollment ID: I20210315001967 |
| Provider Name | Caitlin Bump |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760774376 PECOS PAC ID: 9931414299 Enrollment ID: I20210315002010 |
| Provider Name | Grace J Mcbride |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1316260433 PECOS PAC ID: 0547677122 Enrollment ID: I20210326000620 |
| Provider Name | Sabrina M Bowers |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1093098964 PECOS PAC ID: 3274945787 Enrollment ID: I20210410000025 |
| Provider Name | Andrew Chon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447519541 PECOS PAC ID: 8325269004 Enrollment ID: I20210410000075 |
| Provider Name | Abigail Liberty |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801337050 PECOS PAC ID: 9436423472 Enrollment ID: I20210422002698 |
| Provider Name | Aluko Hope |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1982862876 PECOS PAC ID: 9234313610 Enrollment ID: I20210505001448 |
| Provider Name | Aaron Silver |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306293352 PECOS PAC ID: 6103190467 Enrollment ID: I20210505002190 |
| Provider Name | Charles Brown |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952834327 PECOS PAC ID: 1052680717 Enrollment ID: I20210505002524 |
| Provider Name | Proleta Datta |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1326393695 PECOS PAC ID: 7719279090 Enrollment ID: I20210506001851 |
| Provider Name | Gagandeep Choudhary |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1487094157 PECOS PAC ID: 2264700046 Enrollment ID: I20210506001909 |
| Provider Name | Jacqueline Bohn |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104357540 PECOS PAC ID: 2062785165 Enrollment ID: I20210512001475 |
| Provider Name | Patsy Chenpanas |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083101042 PECOS PAC ID: 4183023559 Enrollment ID: I20210604002251 |
| Provider Name | Rahul D'mello |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578099941 PECOS PAC ID: 5799054342 Enrollment ID: I20210608001040 |
| Provider Name | Suwen Kumar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1669811444 PECOS PAC ID: 9436559549 Enrollment ID: I20210610003435 |
| Provider Name | Samara Levine |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861998643 PECOS PAC ID: 6800142886 Enrollment ID: I20210623000953 |
| Provider Name | Alexis Bridges |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497287833 PECOS PAC ID: 5698028009 Enrollment ID: I20210623003198 |
| Provider Name | Jil Johnson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174763064 PECOS PAC ID: 7810041167 Enrollment ID: I20210623003819 |
| Provider Name | Ashley Benson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1467870295 PECOS PAC ID: 1254640782 Enrollment ID: I20210623004007 |
| Provider Name | Daniel Hoover |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174064315 PECOS PAC ID: 2860765088 Enrollment ID: I20210624002932 |
| Provider Name | Jordan Caruso |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467959312 PECOS PAC ID: 3779834106 Enrollment ID: I20210625001558 |
| Provider Name | Vishnu Manoranjan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235667320 PECOS PAC ID: 5991075954 Enrollment ID: I20210629001958 |
| Provider Name | Megan Mcmahon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811428766 PECOS PAC ID: 4385916824 Enrollment ID: I20210701002178 |
| Provider Name | Michael Vega |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1174979165 PECOS PAC ID: 5698066637 Enrollment ID: I20210701003368 |
| Provider Name | Adrienne Bonham |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700963121 PECOS PAC ID: 7012957459 Enrollment ID: I20210706003564 |
| Provider Name | Cara Levin |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1285166728 PECOS PAC ID: 4183997976 Enrollment ID: I20210709001764 |
| Provider Name | Andrew James Giustini |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1750700290 PECOS PAC ID: 5193058295 Enrollment ID: I20210709001994 |
| Provider Name | Robin Brown |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558795542 PECOS PAC ID: 7012260664 Enrollment ID: I20210709002662 |
| Provider Name | Christina Djabiras |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881128080 PECOS PAC ID: 4486919651 Enrollment ID: I20210712002985 |
| Provider Name | Pratibha Sharma |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457884454 PECOS PAC ID: 0749524809 Enrollment ID: I20210715003841 |
| Provider Name | Salil Rajayer |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1780082263 PECOS PAC ID: 5799063756 Enrollment ID: I20210716001641 |
| Provider Name | Mercy Ngeusang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891310009 PECOS PAC ID: 9335541069 Enrollment ID: I20210716001833 |
| Provider Name | Lauren A. Nicola-ducey |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164956488 PECOS PAC ID: 4385997766 Enrollment ID: I20210719002850 |
| Provider Name | Shira Saperstein |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699204826 PECOS PAC ID: 6800164781 Enrollment ID: I20210722002699 |
| Provider Name | James Monroe Wright |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1417391012 PECOS PAC ID: 2567883838 Enrollment ID: I20210723001664 |
| Provider Name | Christina Wright |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1164867529 PECOS PAC ID: 8426312448 Enrollment ID: I20210726002163 |
| Provider Name | Jacqueline Wong |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043609712 PECOS PAC ID: 2365748993 Enrollment ID: I20210727002198 |
| Provider Name | Meera Bhakta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801324736 PECOS PAC ID: 3072882901 Enrollment ID: I20210805000756 |
| Provider Name | Linda Peng |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164953725 PECOS PAC ID: 3072885037 Enrollment ID: I20210805001720 |
| Provider Name | Giulia Leggett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205269867 PECOS PAC ID: 9234552332 Enrollment ID: I20210806000917 |
| Provider Name | Wei Han Fang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700090396 PECOS PAC ID: 1759482474 Enrollment ID: I20210818001569 |
| Provider Name | Tanay Patel |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1982929840 PECOS PAC ID: 9830481084 Enrollment ID: I20210818003977 |
| Provider Name | Keri Koszela |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1881011088 PECOS PAC ID: 6305060823 Enrollment ID: I20210826002527 |
| Provider Name | Laura Quennoz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629507801 PECOS PAC ID: 1355611880 Enrollment ID: I20210907001363 |
| Provider Name | Kimberly Hall |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1851786495 PECOS PAC ID: 8224435136 Enrollment ID: I20210920002979 |
| Provider Name | Elizabeth Dalton |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1972750735 PECOS PAC ID: 0547316705 Enrollment ID: I20211004000942 |
| Provider Name | Rebecca Soderlind Rice |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1699294330 PECOS PAC ID: 5991071573 Enrollment ID: I20211005001536 |
| Provider Name | Nathan Thomas Van Dyk |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891952057 PECOS PAC ID: 7214088152 Enrollment ID: I20211026000681 |
| Provider Name | Amy M Sprague |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629030598 PECOS PAC ID: 6204882673 Enrollment ID: I20211104002260 |
| Provider Name | Erica B Martin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679169403 PECOS PAC ID: 7517356850 Enrollment ID: I20211108002482 |
| Provider Name | Ronda Pulse |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1144335019 PECOS PAC ID: 5193879088 Enrollment ID: I20211221000009 |
| Provider Name | Lydia Fazzio |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770986176 PECOS PAC ID: 0749503993 Enrollment ID: I20220111001502 |
| Provider Name | Geoffery W.p. Clover |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972504314 PECOS PAC ID: 7810950862 Enrollment ID: I20220131000381 |
| Provider Name | Franklin Urion |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902225303 PECOS PAC ID: 5092004606 Enrollment ID: I20220211001558 |
| Provider Name | Ravneet Dhaliwal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841647443 PECOS PAC ID: 3577855972 Enrollment ID: I20220303001629 |
| Provider Name | Holly Houston |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1801119136 PECOS PAC ID: 4688841281 Enrollment ID: I20220322001750 |
| Provider Name | Robert Bodor |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700318342 PECOS PAC ID: 1850669011 Enrollment ID: I20220407001956 |
| Provider Name | Brian Pellatt |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1821522954 PECOS PAC ID: 5698044030 Enrollment ID: I20220408001819 |
| Provider Name | Courtney Miller |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1104358720 PECOS PAC ID: 5294007373 Enrollment ID: I20220411001528 |
| Provider Name | Kristin Giroux |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1467823849 PECOS PAC ID: 1456650290 Enrollment ID: I20220428002201 |
| Provider Name | Katherine Park |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1376886606 PECOS PAC ID: 6103160619 Enrollment ID: I20220502002253 |
| Provider Name | Chenara Johnson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891107223 PECOS PAC ID: 9032485206 Enrollment ID: I20220509000017 |
| Provider Name | Monica Edison Panakal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740760263 PECOS PAC ID: 5395147094 Enrollment ID: I20220516000981 |
| Provider Name | Andrew Arndt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851851687 PECOS PAC ID: 3476882283 Enrollment ID: I20220517001219 |
| Provider Name | Eilee Wah Zhu |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1740792019 PECOS PAC ID: 5597024638 Enrollment ID: I20220517001596 |
| Provider Name | Sabrina Schmitz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932427325 PECOS PAC ID: 1759501695 Enrollment ID: I20220517003250 |
| Provider Name | Nathan Wilson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245529452 PECOS PAC ID: 0648401703 Enrollment ID: I20220518002162 |
| Provider Name | Ryan D Meek |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1275923146 PECOS PAC ID: 6305110891 Enrollment ID: I20220526000072 |
| Provider Name | Daniel Cleary |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1164833570 PECOS PAC ID: 5799077442 Enrollment ID: I20220608001199 |
| Provider Name | Heather De Anda |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689056103 PECOS PAC ID: 7911211891 Enrollment ID: I20220624001944 |
| Provider Name | Marissa Luck Bonus |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215431960 PECOS PAC ID: 3173867884 Enrollment ID: I20220624002504 |
| Provider Name | Becky Ahmed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164849865 PECOS PAC ID: 8820221096 Enrollment ID: I20220627002165 |
| Provider Name | Annessa Kernberg |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881089944 PECOS PAC ID: 9931417888 Enrollment ID: I20220627002575 |
| Provider Name | Casey Williamson |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1437683570 PECOS PAC ID: 8820477516 Enrollment ID: I20220627003027 |
| Provider Name | Julia Tasset |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235628595 PECOS PAC ID: 6709131113 Enrollment ID: I20220627003298 |
| Provider Name | Michael Albrecht Moore |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1154856920 PECOS PAC ID: 9739459678 Enrollment ID: I20220628001381 |
| Provider Name | Scott Sorge |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093211765 PECOS PAC ID: 8921487570 Enrollment ID: I20220628001653 |
| Provider Name | Sebastian Obrzut |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083714398 PECOS PAC ID: 5092781393 Enrollment ID: I20220628003827 |
| Provider Name | Allison Simpson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962964577 PECOS PAC ID: 9335476985 Enrollment ID: I20220629003232 |
| Provider Name | Anatoliy Vlasenko |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083174924 PECOS PAC ID: 3173851813 Enrollment ID: I20220630002637 |
| Provider Name | Irina Cassimatis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194119172 PECOS PAC ID: 3870872476 Enrollment ID: I20220713002392 |
| Provider Name | John L Fletcher |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1134566037 PECOS PAC ID: 4082095682 Enrollment ID: I20220713002979 |
| Provider Name | Nilan Schnure |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518490721 PECOS PAC ID: 4183043375 Enrollment ID: I20220713003302 |
| Provider Name | Eleasa Sokolski |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1871954701 PECOS PAC ID: 6103187448 Enrollment ID: I20220801001114 |
| Provider Name | Allison Marie Nye |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1780046599 PECOS PAC ID: 1951783273 Enrollment ID: I20220803002525 |
| Provider Name | Mohammad Roostan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1417480534 PECOS PAC ID: 3577989474 Enrollment ID: I20220808002490 |
| Provider Name | Patrick Sheppard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497129357 PECOS PAC ID: 3072847839 Enrollment ID: I20220808002647 |
| Provider Name | Brian Crosland |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164802104 PECOS PAC ID: 0042568362 Enrollment ID: I20220809004071 |
| Provider Name | Nada Mohamed |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1366898629 PECOS PAC ID: 7113300013 Enrollment ID: I20220810000377 |
| Provider Name | Danielle Prentice |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881072056 PECOS PAC ID: 8123355971 Enrollment ID: I20220811000780 |
| Provider Name | Katherine Lyons |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154764504 PECOS PAC ID: 6800167610 Enrollment ID: I20220811002821 |
| Provider Name | Rebecca Lee Thompson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518464619 PECOS PAC ID: 6204187917 Enrollment ID: I20220811003918 |
| Provider Name | Juan Camilo Vanegas |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699238535 PECOS PAC ID: 1951634609 Enrollment ID: I20220812002708 |
| Provider Name | Adam Burgess |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588020911 PECOS PAC ID: 1052605219 Enrollment ID: I20221003002535 |
| Provider Name | Scott Boynton |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1487065777 PECOS PAC ID: 3173800752 Enrollment ID: I20221005000458 |
| Provider Name | Scott T Kendall |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912294729 PECOS PAC ID: 0446571087 Enrollment ID: I20221006003268 |
| Provider Name | Maylee Hsu |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1467588111 PECOS PAC ID: 6002282365 Enrollment ID: I20221012001587 |
| Provider Name | Christopher R Shaw |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730610338 PECOS PAC ID: 3476823790 Enrollment ID: I20221012001789 |
| Provider Name | Yassmin Atefi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396234175 PECOS PAC ID: 4587913025 Enrollment ID: I20221020001310 |
| Provider Name | Kyle B Taylor |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184011413 PECOS PAC ID: 5597070235 Enrollment ID: I20221101001067 |
| Provider Name | Lubna A. Hammoudeh |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1427530765 PECOS PAC ID: 2264783273 Enrollment ID: I20221108001454 |
| Provider Name | Emily Elizabeth Griffin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902224546 PECOS PAC ID: 1658597505 Enrollment ID: I20221110002001 |
| Provider Name | Supreetha Gubbala |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144781162 PECOS PAC ID: 3072840826 Enrollment ID: I20221116002617 |
| Provider Name | Robin Katherine Vest |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255828406 PECOS PAC ID: 1052663762 Enrollment ID: I20221117001835 |
| Provider Name | Zouyan Lu |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1669796140 PECOS PAC ID: 8123257656 Enrollment ID: I20221118000612 |
| Provider Name | Kimberly Suzanne Ryan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396240073 PECOS PAC ID: 7719237320 Enrollment ID: I20221205002600 |
| Provider Name | Sushanta K Goswami |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366548547 PECOS PAC ID: 1254229065 Enrollment ID: I20221205003115 |
| Provider Name | Ana Paula Santos Lima |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1962051342 PECOS PAC ID: 7911304233 Enrollment ID: I20221206001433 |
| Provider Name | Scott Werden |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1659554624 PECOS PAC ID: 0143255562 Enrollment ID: I20221220000916 |
| Provider Name | Connor Michael Hambelton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811427057 PECOS PAC ID: 2264760115 Enrollment ID: I20230119000805 |
| Provider Name | Nichole Meuwissen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942972260 PECOS PAC ID: 8224400114 Enrollment ID: I20230201002686 |
| Provider Name | Caitlin Christine Starr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689394215 PECOS PAC ID: 7416329222 Enrollment ID: I20230203001630 |
| Provider Name | Obert Xu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275160004 PECOS PAC ID: 9638592892 Enrollment ID: I20230214000454 |
| Provider Name | Diana Aiken |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700380946 PECOS PAC ID: 4981957917 Enrollment ID: I20230413000960 |
| Provider Name | Brian Lane |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1568442184 PECOS PAC ID: 6103892450 Enrollment ID: I20230418002666 |
| Provider Name | Julia Palmer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821445750 PECOS PAC ID: 2860743226 Enrollment ID: I20230419000467 |
| Provider Name | Madison Beasley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881305019 PECOS PAC ID: 0840655155 Enrollment ID: I20230420000532 |
| Provider Name | Sonesh Amin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184121212 PECOS PAC ID: 1850724196 Enrollment ID: I20230501001748 |
| Provider Name | John L Marshall |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740816693 PECOS PAC ID: 2365865649 Enrollment ID: I20230502002145 |
| Provider Name | Amanda Barrett Whipple |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710506795 PECOS PAC ID: 6103282504 Enrollment ID: I20230509002251 |
| Provider Name | Matthew Turner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790218261 PECOS PAC ID: 5395154470 Enrollment ID: I20230510001472 |
| Provider Name | Shannon Wright |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275158107 PECOS PAC ID: 7113340357 Enrollment ID: I20230515001703 |
| Provider Name | Bethany Collins |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1447781133 PECOS PAC ID: 5698047587 Enrollment ID: I20230518001216 |
| Provider Name | Marissa Chloe Palmor |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528626389 PECOS PAC ID: 5395101109 Enrollment ID: I20230522001662 |
| Provider Name | Peter Du |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1891286159 PECOS PAC ID: 0840541587 Enrollment ID: I20230523001746 |
| Provider Name | Gurmit Singh |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1912497884 PECOS PAC ID: 2860745023 Enrollment ID: I20230531002431 |
| Provider Name | Wooin Ahn |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1366608267 PECOS PAC ID: 3072771377 Enrollment ID: I20230605001407 |
| Provider Name | Kristin Prewitt |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225532971 PECOS PAC ID: 0547512238 Enrollment ID: I20230616000214 |
| Provider Name | Stephanie Egge |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1336671866 PECOS PAC ID: 5799167847 Enrollment ID: I20230627002543 |
| Provider Name | Catharine Bon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114230406 PECOS PAC ID: 9436379815 Enrollment ID: I20230703001396 |
| Provider Name | Luyuan Li |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1891143301 PECOS PAC ID: 8426349184 Enrollment ID: I20230711004425 |
| Provider Name | Jason Blanks |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497224513 PECOS PAC ID: 7416371935 Enrollment ID: I20230712002008 |
| Provider Name | Eric Ryan |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1750873238 PECOS PAC ID: 1052667581 Enrollment ID: I20230712002349 |
| Provider Name | Petter Overton Harris |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669905550 PECOS PAC ID: 1456687128 Enrollment ID: I20230712003242 |
| Provider Name | Laszlo Szidonya |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972064764 PECOS PAC ID: 8628486750 Enrollment ID: I20230720002461 |
| Provider Name | Kristen Dalton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477013753 PECOS PAC ID: 6305171240 Enrollment ID: I20230721002420 |
| Provider Name | Bindesh Ghimire |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700499555 PECOS PAC ID: 7214355114 Enrollment ID: I20230721002601 |
| Provider Name | Adrian Cois |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760019038 PECOS PAC ID: 8527487313 Enrollment ID: I20230724001049 |
| Provider Name | Carl Post |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1881190262 PECOS PAC ID: 2961733613 Enrollment ID: I20230724002573 |
| Provider Name | Benjamin Moss |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1114458106 PECOS PAC ID: 4284044165 Enrollment ID: I20230725003302 |
| Provider Name | Maria Molina-sefchick |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639665946 PECOS PAC ID: 8921402850 Enrollment ID: I20230725003917 |
| Provider Name | Yasmin Yousuf |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871155796 PECOS PAC ID: 8527429315 Enrollment ID: I20230726001238 |
| Provider Name | Jiating Jiang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841829421 PECOS PAC ID: 5294156006 Enrollment ID: I20230801004516 |
| Provider Name | Claudia Jessy Henriquez Lopez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013530302 PECOS PAC ID: 6608239652 Enrollment ID: I20230824001185 |
| Provider Name | Merin Jose |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033697131 PECOS PAC ID: 0840691622 Enrollment ID: I20230824003677 |
| Provider Name | Audrey C Oliger |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265994958 PECOS PAC ID: 0042543142 Enrollment ID: I20230828000382 |
| Provider Name | Connor Pihl |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1891292264 PECOS PAC ID: 3274883160 Enrollment ID: I20230829002086 |
| Provider Name | Christine Elizabeth Ren |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871082917 PECOS PAC ID: 0143683763 Enrollment ID: I20230830001953 |
| Provider Name | Bascom Bradshaw |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518064583 PECOS PAC ID: 1052632015 Enrollment ID: I20230921001342 |
| Provider Name | Bassel Obaid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366693210 PECOS PAC ID: 3072779842 Enrollment ID: I20230926002210 |
| Provider Name | Julia Lindsay Boland |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922637891 PECOS PAC ID: 6406200435 Enrollment ID: I20230927001334 |
| Provider Name | Nagapavani Kandagari |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750906285 PECOS PAC ID: 0840644472 Enrollment ID: I20230929001916 |
| Provider Name | Barbara Lazio |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1649389263 PECOS PAC ID: 3870549405 Enrollment ID: I20230929002717 |
| Provider Name | Chelsea Roberts |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124580717 PECOS PAC ID: 8123360799 Enrollment ID: I20231005001664 |
| Provider Name | Cynthia Gaboury |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1063413276 PECOS PAC ID: 2264569607 Enrollment ID: I20240110001644 |
| Provider Name | Marie Boller |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215468459 PECOS PAC ID: 4981943768 Enrollment ID: I20240206003956 |
| Provider Name | Rachel Shin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841852522 PECOS PAC ID: 2264762046 Enrollment ID: I20240206004167 |
| Provider Name | Lindsay G Chapman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730676131 PECOS PAC ID: 7113282906 Enrollment ID: I20240206004973 |
| Provider Name | Esad Ferhatbegovic |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912518994 PECOS PAC ID: 6002250164 Enrollment ID: I20240216000206 |
| Provider Name | Stacey Sproull |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528412624 PECOS PAC ID: 2365732385 Enrollment ID: I20240216002402 |
Providence Medical Group Newberg Specialties At Tanasbourne Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 18650 Nw Cornell Rd, Suite 212, Hillsboro, OR 97124 Phone: 503-537-5900 Fax: 503-537-5959 | |
Virginia Garcia Memorial Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 971 Sw Walnut St, Hillsboro, OR 97123 Phone: 971-281-3000 Fax: 503-352-8658 | |
Symmetry Chiropractic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 905 Se Oak St, Hillsboro, OR 97123 Phone: 503-214-2530 | |
Providence Medical Group Orenco Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5555 Ne Elam Young Pkwy, Hillsboro, OR 97124 Phone: 503-216-1600 | |
Tuality Obstetrics & Gynecology Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 364 Se 8th Ave Ste 205, Hillsboro, OR 97123 Phone: 503-681-4145 Fax: 503-681-4146 | |
Edward F Clarke Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 324 Se Ninth, Suite D, Hillsboro, OR 97123 Phone: 503-648-7128 Fax: 503-640-1727 | |
Westside Urology Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 333 Se 7th Ave, Suite 4500, Hillsboro, OR 97123 Phone: 503-648-6611 Fax: 503-640-3178 |