| Uab Health Center Montgomery | |
|
2055 E South Blvd Suite 202 Montgomery AL 36116-2002 | |
| (334) 284-5211 | |
| (334) 284-9020 |
| Full Name | Uab Health Center Montgomery |
|---|---|
| Speciality | Internal Medicine |
| Location | 2055 E South Blvd, Montgomery, Alabama |
| Authorized Official Name and Position | Jeff Denney (ADMINISTRATOR) |
| Authorized Official Contact | 2052290178 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Uab Health Center Montgomery 2055 E South Blvd Suite 202 Montgomery AL 36116-2002 Ph: (334) 284-5211 | Uab Health Center Montgomery 2055 E South Blvd Suite 202 Montgomery AL 36116-2002 Ph: (334) 284-5211 |
| NPI Number | 1184738478 |
|---|---|
| Provider Enumeration Date | 08/17/2006 |
| Last Update Date | 07/25/2023 |
| Medicare PECOS PAC ID | 3779487970 |
|---|---|
| Medicare Enrollment ID | O20031120000323 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184738478 | NPI | - | NPPES |
| 528301030 | Medicaid | AL | |
| Q991 | Other | AL | BCBS |
| Provider Name | Jewell H Halanych |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427018621 PECOS PAC ID: 3375457260 Enrollment ID: I20031114000520 |
| Provider Name | Stephanie H Morris |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952383234 PECOS PAC ID: 9335047265 Enrollment ID: I20031230000092 |
| Provider Name | Pervaiz Ahmed Malik |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1275530636 PECOS PAC ID: 9133029119 Enrollment ID: I20040114000194 |
| Provider Name | Lori C White |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184767220 PECOS PAC ID: 2961303862 Enrollment ID: I20040114000667 |
| Provider Name | Shelia Cook |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1700822939 PECOS PAC ID: 1456252212 Enrollment ID: I20040115000850 |
| Provider Name | Rachel Lewis Harvey |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1821064676 PECOS PAC ID: 3274427109 Enrollment ID: I20040211001026 |
| Provider Name | John W Whitten |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730119686 PECOS PAC ID: 4880581479 Enrollment ID: I20040228000405 |
| Provider Name | Kristine B Hopkins |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1104834241 PECOS PAC ID: 5294622502 Enrollment ID: I20040302000477 |
| Provider Name | Suzanne E Simms |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1699785055 PECOS PAC ID: 6901793009 Enrollment ID: I20040303000361 |
| Provider Name | Marcela P Frazier |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1932114311 PECOS PAC ID: 3577451228 Enrollment ID: I20040305000408 |
| Provider Name | Joni R Talton |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1619080025 PECOS PAC ID: 2668360264 Enrollment ID: I20040305000867 |
| Provider Name | Merrilee B. Coby |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1003844671 PECOS PAC ID: 4385532746 Enrollment ID: I20040308000589 |
| Provider Name | Katherine K Weise |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1144230517 PECOS PAC ID: 0941199640 Enrollment ID: I20040311000940 |
| Provider Name | Maria Oquendo-claudio |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942326590 PECOS PAC ID: 6204725658 Enrollment ID: I20040312001090 |
| Provider Name | Willie L Gilford |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578545810 PECOS PAC ID: 6103819107 Enrollment ID: I20040406000558 |
| Provider Name | Andrew R Edwards |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578545802 PECOS PAC ID: 1850384629 Enrollment ID: I20040407000128 |
| Provider Name | Scott D Parker |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1992716120 PECOS PAC ID: 3375537848 Enrollment ID: I20040408001381 |
| Provider Name | Max B Bullen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093852329 PECOS PAC ID: 6507855954 Enrollment ID: I20040510001623 |
| Provider Name | James D Lyman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710918248 PECOS PAC ID: 5698765709 Enrollment ID: I20040512001052 |
| Provider Name | Monica S Newton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285606707 PECOS PAC ID: 5395726087 Enrollment ID: I20040527001199 |
| Provider Name | Brian R Pettie |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1891802120 PECOS PAC ID: 3274515606 Enrollment ID: I20040601001027 |
| Provider Name | Stephen K Burge |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336185545 PECOS PAC ID: 9830171040 Enrollment ID: I20040602000846 |
| Provider Name | Boyd L Bailey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093787897 PECOS PAC ID: 6204818107 Enrollment ID: I20040603001342 |
| Provider Name | Anita D Ross |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1275543407 PECOS PAC ID: 7315921467 Enrollment ID: I20040616000199 |
| Provider Name | Phillip B Zaricor |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1194712794 PECOS PAC ID: 4789668682 Enrollment ID: I20040617000471 |
| Provider Name | Richard M Feist |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1114903556 PECOS PAC ID: 2668459884 Enrollment ID: I20040706000539 |
| Provider Name | Edward W Murphree |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417976796 PECOS PAC ID: 4880671981 Enrollment ID: I20040707000293 |
| Provider Name | David M Ennis |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1982707766 PECOS PAC ID: 8628048105 Enrollment ID: I20040730000706 |
| Provider Name | Michael B Faircloth |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396794830 PECOS PAC ID: 8628040755 Enrollment ID: I20040810000546 |
| Provider Name | Kenneth O Starkey |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1487664066 PECOS PAC ID: 6800869363 Enrollment ID: I20040813000902 |
| Provider Name | Thomas R Dryden |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1578559530 PECOS PAC ID: 8527031905 Enrollment ID: I20040813001077 |
| Provider Name | Aimee C Holland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649207424 PECOS PAC ID: 3375516412 Enrollment ID: I20040817000326 |
| Provider Name | Leslie L Norman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1811907769 PECOS PAC ID: 0547233504 Enrollment ID: I20040817001185 |
| Provider Name | Caroline A Pate |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1912936071 PECOS PAC ID: 2062486418 Enrollment ID: I20040823000637 |
| Provider Name | Elizabeth A Steele |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1023028479 PECOS PAC ID: 2769456912 Enrollment ID: I20040823001512 |
| Provider Name | Nathan E Parvin |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1689765794 PECOS PAC ID: 2163498619 Enrollment ID: I20040907000252 |
| Provider Name | Jane E Mobley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659309912 PECOS PAC ID: 0941272843 Enrollment ID: I20040907000506 |
| Provider Name | Michael W Humber |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1841303518 PECOS PAC ID: 7719954718 Enrollment ID: I20040910000187 |
| Provider Name | Tracy R Hall |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043323710 PECOS PAC ID: 5890764641 Enrollment ID: I20040928001016 |
| Provider Name | Robert A Patrick |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1568492403 PECOS PAC ID: 8325009384 Enrollment ID: I20041022000510 |
| Provider Name | Candice I Turner |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1770555351 PECOS PAC ID: 9032171376 Enrollment ID: I20041029000502 |
| Provider Name | Wendy M Dial |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1083650121 PECOS PAC ID: 7315909116 Enrollment ID: I20041103000708 |
| Provider Name | Lynn S Crawford |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134280274 PECOS PAC ID: 5698738359 Enrollment ID: I20041104000639 |
| Provider Name | Lisa C. Reich |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1134130354 PECOS PAC ID: 6608839832 Enrollment ID: I20041109000691 |
| Provider Name | Han M Phillips |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1073538898 PECOS PAC ID: 2860455151 Enrollment ID: I20041117000402 |
| Provider Name | Carlos A Aristizabal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003917790 PECOS PAC ID: 5799741377 Enrollment ID: I20041206000503 |
| Provider Name | Bobby R Lewis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720034531 PECOS PAC ID: 3678522695 Enrollment ID: I20050118000198 |
| Provider Name | David J Carter |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1053462796 PECOS PAC ID: 6002865953 Enrollment ID: I20050118000550 |
| Provider Name | Kenneth J Wool |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1720085319 PECOS PAC ID: 0840252771 Enrollment ID: I20050215000562 |
| Provider Name | Mohammad L Ahmed |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1457358053 PECOS PAC ID: 9830151760 Enrollment ID: I20050215000580 |
| Provider Name | Yvette Williams Jackson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1760420004 PECOS PAC ID: 4183672785 Enrollment ID: I20050216000296 |
| Provider Name | Robert A Armstrong |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1598745416 PECOS PAC ID: 2466405618 Enrollment ID: I20050228000567 |
| Provider Name | Shelleigh M Buckingham |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1164590659 PECOS PAC ID: 7911952684 Enrollment ID: I20050315000961 |
| Provider Name | Seth A Richardson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1427068956 PECOS PAC ID: 0749228104 Enrollment ID: I20050418000806 |
| Provider Name | Brian K Mcniel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730199423 PECOS PAC ID: 2961440581 Enrollment ID: I20050422000718 |
| Provider Name | Christopher H Savage |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1144230384 PECOS PAC ID: 0840238374 Enrollment ID: I20050425000416 |
| Provider Name | Ami A Epstein |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1962478727 PECOS PAC ID: 6709825755 Enrollment ID: I20050428000661 |
| Provider Name | Stephen P Hauth |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1851300768 PECOS PAC ID: 7113966755 Enrollment ID: I20050503000325 |
| Provider Name | Gustavo R Heudebert |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225064298 PECOS PAC ID: 9739121336 Enrollment ID: I20050524000882 |
| Provider Name | Jessetta M Cargus |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1710997192 PECOS PAC ID: 5496797847 Enrollment ID: I20050525000776 |
| Provider Name | Mukesh Patel |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1174554463 PECOS PAC ID: 0143262170 Enrollment ID: I20050531000668 |
| Provider Name | Robert B Buckingham |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558342824 PECOS PAC ID: 3072559285 Enrollment ID: I20050628000977 |
| Provider Name | David H Osborne |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1144230723 PECOS PAC ID: 8325084817 Enrollment ID: I20050706000893 |
| Provider Name | Sarah D Nafziger |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811979057 PECOS PAC ID: 0042247702 Enrollment ID: I20050725000552 |
| Provider Name | Deborah R Deavours |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1124014188 PECOS PAC ID: 7113958281 Enrollment ID: I20050829000380 |
| Provider Name | Billy E Salser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225023054 PECOS PAC ID: 8729011556 Enrollment ID: I20050913000770 |
| Provider Name | Dawn M Decarlo |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1225072820 PECOS PAC ID: 6204860869 Enrollment ID: I20050922000830 |
| Provider Name | Tiffani N Maycock |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578525291 PECOS PAC ID: 6002878980 Enrollment ID: I20051010000082 |
| Provider Name | Tonya L Richards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003826249 PECOS PAC ID: 6709803448 Enrollment ID: I20051101000445 |
| Provider Name | Joseph R Rambin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1275585457 PECOS PAC ID: 4486668100 Enrollment ID: I20060202000309 |
| Provider Name | Michael H Catenacci |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326000639 PECOS PAC ID: 5597745695 Enrollment ID: I20060214000575 |
| Provider Name | Carleton L Curtis |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1942231386 PECOS PAC ID: 9133138654 Enrollment ID: I20060411000762 |
| Provider Name | Kathleen Hass Neal |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1538115183 PECOS PAC ID: 6608885694 Enrollment ID: I20060419000729 |
| Provider Name | Elizabeth G Turnipseed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205888005 PECOS PAC ID: 9436169703 Enrollment ID: I20060501000747 |
| Provider Name | Terry A Akers |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1174519201 PECOS PAC ID: 5991716854 Enrollment ID: I20060508000449 |
| Provider Name | Darrell C Herndon |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104807577 PECOS PAC ID: 3173535879 Enrollment ID: I20060621000134 |
| Provider Name | Walter Moreland |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730150301 PECOS PAC ID: 7810909470 Enrollment ID: I20060622000245 |
| Provider Name | William G Powell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1164409439 PECOS PAC ID: 0446262000 Enrollment ID: I20060622000257 |
| Provider Name | Gregory H Randle |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063499374 PECOS PAC ID: 8426060088 Enrollment ID: I20060622000265 |
| Provider Name | Ronnie E Mathews |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033161377 PECOS PAC ID: 0446263412 Enrollment ID: I20060714000081 |
| Provider Name | Kevin Barlotta |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508872235 PECOS PAC ID: 7911930979 Enrollment ID: I20060821000060 |
| Provider Name | Sonya L Heath |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1558390971 PECOS PAC ID: 1052315058 Enrollment ID: I20060906000220 |
| Provider Name | Michael J Mugavero |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1730131590 PECOS PAC ID: 8628072568 Enrollment ID: I20060906000538 |
| Provider Name | Susan Cage |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1477592558 PECOS PAC ID: 0345245726 Enrollment ID: I20060918000182 |
| Provider Name | Stacy D Rhoads |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1770532186 PECOS PAC ID: 2860497054 Enrollment ID: I20060921000392 |
| Provider Name | Julie Borders Garth |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1164459269 PECOS PAC ID: 8325043466 Enrollment ID: I20060925000381 |
| Provider Name | Alexia C Vaughn |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1437182854 PECOS PAC ID: 4587661863 Enrollment ID: I20061030000289 |
| Provider Name | May S Jennings |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629042320 PECOS PAC ID: 7315944667 Enrollment ID: I20061115000044 |
| Provider Name | Catherine G Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518907757 PECOS PAC ID: 0547260531 Enrollment ID: I20061221000294 |
| Provider Name | David C Pigott |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356323596 PECOS PAC ID: 6406856178 Enrollment ID: I20070102000385 |
| Provider Name | Lisa Oestreich |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1043380686 PECOS PAC ID: 0244231058 Enrollment ID: I20070122000598 |
| Provider Name | Donna M Bearden |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023063559 PECOS PAC ID: 3678575479 Enrollment ID: I20070207000509 |
| Provider Name | Kesha L Thurston |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1538210448 PECOS PAC ID: 1850393513 Enrollment ID: I20070208000433 |
| Provider Name | James Walter Galbraith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164508214 PECOS PAC ID: 0648372052 Enrollment ID: I20070302000246 |
| Provider Name | Christina J Brown |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1760537005 PECOS PAC ID: 8123123411 Enrollment ID: I20070416000169 |
| Provider Name | April A Worford |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1649325028 PECOS PAC ID: 0941305254 Enrollment ID: I20070416000273 |
| Provider Name | Kyle M Vanderford |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1689715336 PECOS PAC ID: 2769588052 Enrollment ID: I20070502000700 |
| Provider Name | Blair Perkins |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1952452716 PECOS PAC ID: 6305942491 Enrollment ID: I20070507000377 |
| Provider Name | Leah Kirkemier |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1295838548 PECOS PAC ID: 9638276363 Enrollment ID: I20070515000169 |
| Provider Name | Salima P Mulji |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467578260 PECOS PAC ID: 5294832143 Enrollment ID: I20070529000582 |
| Provider Name | Nicholas J Van Wagoner |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1891816690 PECOS PAC ID: 7315045820 Enrollment ID: I20070607000086 |
| Provider Name | Emily A Warren |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1811097082 PECOS PAC ID: 0648378158 Enrollment ID: I20070607000114 |
| Provider Name | Elizabeth A Barstow |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164639514 PECOS PAC ID: 3072604115 Enrollment ID: I20070803000512 |
| Provider Name | Stephen A Ensminger |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1619941705 PECOS PAC ID: 2163407578 Enrollment ID: I20070806000395 |
| Provider Name | David M Cherry |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104038306 PECOS PAC ID: 6901998442 Enrollment ID: I20070828000866 |
| Provider Name | Keshia Sims Elder |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1649234295 PECOS PAC ID: 3274507074 Enrollment ID: I20071113000037 |
| Provider Name | Betty J Howton |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1497737779 PECOS PAC ID: 5799873055 Enrollment ID: I20071120000349 |
| Provider Name | Amy H Warriner |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1982817508 PECOS PAC ID: 4587752696 Enrollment ID: I20071126000464 |
| Provider Name | John M Laurent |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1114903945 PECOS PAC ID: 5698865954 Enrollment ID: I20071227000004 |
| Provider Name | Janyce M Sanford |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003898164 PECOS PAC ID: 1153322490 Enrollment ID: I20080102000035 |
| Provider Name | Rabiya Zaman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508053653 PECOS PAC ID: 8224118021 Enrollment ID: I20080107000376 |
| Provider Name | Laqueatrece L Warren |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1326227125 PECOS PAC ID: 9234212002 Enrollment ID: I20080218000134 |
| Provider Name | Kari Brooker |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1215119342 PECOS PAC ID: 2365526464 Enrollment ID: I20080228000139 |
| Provider Name | Scott A Bell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770675704 PECOS PAC ID: 3870677685 Enrollment ID: I20080303000402 |
| Provider Name | Laura P Secord |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780695494 PECOS PAC ID: 9537244256 Enrollment ID: I20080305000442 |
| Provider Name | John P Gullett |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033324199 PECOS PAC ID: 5597841197 Enrollment ID: I20080324000417 |
| Provider Name | Jennifer L Alverson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1316959679 PECOS PAC ID: 6103902275 Enrollment ID: I20080329000054 |
| Provider Name | Andrew H Morris |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467638981 PECOS PAC ID: 8426135047 Enrollment ID: I20080408000027 |
| Provider Name | Mary K Lessley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1083658199 PECOS PAC ID: 0941389035 Enrollment ID: I20080430000552 |
| Provider Name | Judith K Konecny |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1750391595 PECOS PAC ID: 2062591969 Enrollment ID: I20080505000018 |
| Provider Name | Constance C Bowen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154599793 PECOS PAC ID: 1759450075 Enrollment ID: I20080513000328 |
| Provider Name | Robert T Brown |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1962447201 PECOS PAC ID: 3173693462 Enrollment ID: I20080529000176 |
| Provider Name | Jeffrey C Hudson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1932189917 PECOS PAC ID: 1254401227 Enrollment ID: I20080603000096 |
| Provider Name | Amy T Neimkin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1891705471 PECOS PAC ID: 3971674326 Enrollment ID: I20080612000678 |
| Provider Name | Kimberly T Morris |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1245402528 PECOS PAC ID: 2769553072 Enrollment ID: I20080613000371 |
| Provider Name | Paul D Batson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1023058187 PECOS PAC ID: 2365514106 Enrollment ID: I20080710000462 |
| Provider Name | Amanda E Helton |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1033159033 PECOS PAC ID: 5193897940 Enrollment ID: I20080710000519 |
| Provider Name | Ross M Vander Noot |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1144350349 PECOS PAC ID: 8426121088 Enrollment ID: I20080716000116 |
| Provider Name | Thomas Lewis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578776209 PECOS PAC ID: 8527133925 Enrollment ID: I20080820000136 |
| Provider Name | Karen D Nelms |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1326070541 PECOS PAC ID: 9739256892 Enrollment ID: I20080916000381 |
| Provider Name | Henry E. Wang |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770559833 PECOS PAC ID: 6800837824 Enrollment ID: I20080917000253 |
| Provider Name | Nziavake Masimasi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366457160 PECOS PAC ID: 6406856129 Enrollment ID: I20080930000637 |
| Provider Name | Amy W Coker |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114196789 PECOS PAC ID: 6305914565 Enrollment ID: I20081001000630 |
| Provider Name | Jennifer M Hanna |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689887820 PECOS PAC ID: 9638262264 Enrollment ID: I20081002000452 |
| Provider Name | Dorothy E Hughes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083872857 PECOS PAC ID: 6608944731 Enrollment ID: I20081002000517 |
| Provider Name | James H Willig |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1386768968 PECOS PAC ID: 4688732423 Enrollment ID: I20081022000483 |
| Provider Name | Benjamin B Taylor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932141041 PECOS PAC ID: 0749216216 Enrollment ID: I20081103000489 |
| Provider Name | Todd B Peterson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316154636 PECOS PAC ID: 1951462308 Enrollment ID: I20081204000328 |
| Provider Name | Gina C Dobbs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174777106 PECOS PAC ID: 4486718657 Enrollment ID: I20090203000262 |
| Provider Name | Michele Snow |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1952381956 PECOS PAC ID: 2163587650 Enrollment ID: I20090217000464 |
| Provider Name | Angela B Surles |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1295974095 PECOS PAC ID: 6608933312 Enrollment ID: I20090325000328 |
| Provider Name | Christopher D Sims |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467691436 PECOS PAC ID: 4587721204 Enrollment ID: I20090325000373 |
| Provider Name | Faith W Kariuki |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1619116845 PECOS PAC ID: 4082771704 Enrollment ID: I20090325000402 |
| Provider Name | Bryan D Jordan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1720227796 PECOS PAC ID: 6305995812 Enrollment ID: I20090512000484 |
| Provider Name | William E Fialkowski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619962347 PECOS PAC ID: 3072662196 Enrollment ID: I20090520000519 |
| Provider Name | Billy M Buckner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699756973 PECOS PAC ID: 8921157801 Enrollment ID: I20090526000138 |
| Provider Name | Joann G King |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1740387158 PECOS PAC ID: 5597703553 Enrollment ID: I20090602000384 |
| Provider Name | Cynthia L Bass |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1871738658 PECOS PAC ID: 3870643794 Enrollment ID: I20090615000184 |
| Provider Name | Lynne S Stevens |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1477715399 PECOS PAC ID: 0143371450 Enrollment ID: I20090626000399 |
| Provider Name | Gaurav Jain |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1750584843 PECOS PAC ID: 8022161603 Enrollment ID: I20090729000544 |
| Provider Name | Melanie R Barnhart |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578744678 PECOS PAC ID: 6103972245 Enrollment ID: I20090915000507 |
| Provider Name | Jyoti S Samant |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1407053150 PECOS PAC ID: 3476699539 Enrollment ID: I20091005000319 |
| Provider Name | Charles A Khoury |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972764231 PECOS PAC ID: 2668518630 Enrollment ID: I20091005000518 |
| Provider Name | Scott W Irvine |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942480397 PECOS PAC ID: 8325187859 Enrollment ID: I20091123000432 |
| Provider Name | Leslie Harris |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891755971 PECOS PAC ID: 2365584943 Enrollment ID: I20100120000208 |
| Provider Name | Kenyetta R Terrell |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184809659 PECOS PAC ID: 9133261399 Enrollment ID: I20100126000711 |
| Provider Name | Lee Ann P Nelson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1801123708 PECOS PAC ID: 5698819431 Enrollment ID: I20100217000850 |
| Provider Name | Christopher B Dorough |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1174854681 PECOS PAC ID: 4284762790 Enrollment ID: I20100504000362 |
| Provider Name | Catherine Ann Brown |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679696595 PECOS PAC ID: 6305973983 Enrollment ID: I20100504000630 |
| Provider Name | Denyse P Thornley-brown |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1821008764 PECOS PAC ID: 3870625163 Enrollment ID: I20100722000301 |
| Provider Name | Paul A Goepfert |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1366470718 PECOS PAC ID: 5193849792 Enrollment ID: I20100903000345 |
| Provider Name | Craig J Hoesley |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1942236708 PECOS PAC ID: 6406970904 Enrollment ID: I20100907000499 |
| Provider Name | Derek A Robinett |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184756041 PECOS PAC ID: 4688774227 Enrollment ID: I20100907000779 |
| Provider Name | Craig Elmets |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1205870094 PECOS PAC ID: 1557486982 Enrollment ID: I20100908001117 |
| Provider Name | Mark White Swanson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1942213251 PECOS PAC ID: 5092831453 Enrollment ID: I20100923000545 |
| Provider Name | Robert N Kleinstein |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1073522256 PECOS PAC ID: 5496871790 Enrollment ID: I20100923001151 |
| Provider Name | Felton Floyd Perry |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1285644666 PECOS PAC ID: 2668430331 Enrollment ID: I20100924000860 |
| Provider Name | Adam Gordon |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1538272455 PECOS PAC ID: 3971629064 Enrollment ID: I20100927000445 |
| Provider Name | Donald P Mccurdy |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1356452742 PECOS PAC ID: 2769424696 Enrollment ID: I20100929001048 |
| Provider Name | Kristi Lambert |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1033129796 PECOS PAC ID: 9638361173 Enrollment ID: I20101004000029 |
| Provider Name | Kimberly E Shelton |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265545743 PECOS PAC ID: 0648462192 Enrollment ID: I20101004000176 |
| Provider Name | Janene R. Sims |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1356351712 PECOS PAC ID: 0345433553 Enrollment ID: I20101020001025 |
| Provider Name | Gary E Boutwell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1255331708 PECOS PAC ID: 1557334414 Enrollment ID: I20101021000301 |
| Provider Name | Linda B Thompson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639132277 PECOS PAC ID: 1951208545 Enrollment ID: I20101021000987 |
| Provider Name | Katherine J Lester |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1962432229 PECOS PAC ID: 6305039439 Enrollment ID: I20101021001084 |
| Provider Name | Gerald Simon |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1386654739 PECOS PAC ID: 8921291683 Enrollment ID: I20101026000903 |
| Provider Name | Tracy M Harrington |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104930627 PECOS PAC ID: 5193919553 Enrollment ID: I20101029000339 |
| Provider Name | Michael S Saag |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1700809548 PECOS PAC ID: 0941495428 Enrollment ID: I20101110000238 |
| Provider Name | James L Raper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669482709 PECOS PAC ID: 2365637857 Enrollment ID: I20101110000299 |
| Provider Name | Brendan Charles Anzalone |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700954088 PECOS PAC ID: 8820283096 Enrollment ID: I20101112000982 |
| Provider Name | Gary Pulmano |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1942274790 PECOS PAC ID: 8820177819 Enrollment ID: I20101119000488 |
| Provider Name | Patricia L Tatum |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1013937093 PECOS PAC ID: 4486840022 Enrollment ID: I20101122001301 |
| Provider Name | Iradj Sooudi |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1609900331 PECOS PAC ID: 4688860760 Enrollment ID: I20101201000859 |
| Provider Name | Taraneh Soleymani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558677385 PECOS PAC ID: 7719174374 Enrollment ID: I20101208000398 |
| Provider Name | Christina A Muzny |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1366547473 PECOS PAC ID: 3678624533 Enrollment ID: I20101215000499 |
| Provider Name | Mohammad Alsharabati |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1174748180 PECOS PAC ID: 0749339539 Enrollment ID: I20101228000673 |
| Provider Name | James Whatley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457560823 PECOS PAC ID: 0749379048 Enrollment ID: I20110307000486 |
| Provider Name | Ladana M Williams |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1003119579 PECOS PAC ID: 0840472163 Enrollment ID: I20110308000754 |
| Provider Name | Ryan H Richey |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1477532133 PECOS PAC ID: 4789690215 Enrollment ID: I20110311000341 |
| Provider Name | Robin Kent Holt |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1871899054 PECOS PAC ID: 9739361726 Enrollment ID: I20110311000771 |
| Provider Name | Betty J Schwab |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730487695 PECOS PAC ID: 0749465961 Enrollment ID: I20110503000149 |
| Provider Name | Susanne Fogger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013913805 PECOS PAC ID: 9638355399 Enrollment ID: I20110512000894 |
| Provider Name | Ashley C Nichols |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1679780332 PECOS PAC ID: 7315125549 Enrollment ID: I20110617000078 |
| Provider Name | Calah O Ray |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1467745448 PECOS PAC ID: 7719165570 Enrollment ID: I20110624000545 |
| Provider Name | Edgar Overton |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1073539201 PECOS PAC ID: 8426013723 Enrollment ID: I20110629000814 |
| Provider Name | Katherine Clore |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1578572855 PECOS PAC ID: 1355457052 Enrollment ID: I20110629000853 |
| Provider Name | Jeffrey Fuller |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1356343917 PECOS PAC ID: 5193752640 Enrollment ID: I20110630000213 |
| Provider Name | Oakley W Hayes |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1629222682 PECOS PAC ID: 5294886958 Enrollment ID: I20110706000144 |
| Provider Name | Kiersten C Kennedy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114120102 PECOS PAC ID: 7012195407 Enrollment ID: I20110707000668 |
| Provider Name | Tyler M Coggin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1174818512 PECOS PAC ID: 0547448821 Enrollment ID: I20110711000525 |
| Provider Name | Alexander S Lo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942405592 PECOS PAC ID: 2264604990 Enrollment ID: I20110930000422 |
| Provider Name | William C Ferguson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689992661 PECOS PAC ID: 9032381363 Enrollment ID: I20111011000351 |
| Provider Name | Eric B Wells |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972766095 PECOS PAC ID: 1254504137 Enrollment ID: I20111110000069 |
| Provider Name | Nancy R Gaudet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396948295 PECOS PAC ID: 3072787621 Enrollment ID: I20111117000403 |
| Provider Name | Lisa Pair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255444899 PECOS PAC ID: 0648444653 Enrollment ID: I20111130000691 |
| Provider Name | Frank Paul Larussa |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1023129582 PECOS PAC ID: 4284801655 Enrollment ID: I20120125000929 |
| Provider Name | Curtis L Eason |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1487925962 PECOS PAC ID: 9537326657 Enrollment ID: I20120201000506 |
| Provider Name | Rebecca A Oldham |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1881964161 PECOS PAC ID: 7315104478 Enrollment ID: I20120201000943 |
| Provider Name | Stephanie D Amuso |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1285904557 PECOS PAC ID: 3971760661 Enrollment ID: I20120208000475 |
| Provider Name | Laura Sherrill Johnson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467722694 PECOS PAC ID: 9032376736 Enrollment ID: I20120208000515 |
| Provider Name | Melissa M Ramsey |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1811267180 PECOS PAC ID: 6002073707 Enrollment ID: I20120208000554 |
| Provider Name | Nicholas S Berry |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1508136870 PECOS PAC ID: 3173780871 Enrollment ID: I20120208000578 |
| Provider Name | Raluca C Ainsworth |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1174893374 PECOS PAC ID: 1153588850 Enrollment ID: I20120208000604 |
| Provider Name | Marshall S Savage |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1902176274 PECOS PAC ID: 7315104023 Enrollment ID: I20120208000635 |
| Provider Name | April Nichols |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1972815389 PECOS PAC ID: 3971795360 Enrollment ID: I20120306000621 |
| Provider Name | David Layne Mccollum |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720021652 PECOS PAC ID: 6800831249 Enrollment ID: I20120608000448 |
| Provider Name | Sarah Dille Lee |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1831401215 PECOS PAC ID: 4789879545 Enrollment ID: I20120629000321 |
| Provider Name | Greer A Burkholder |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1578624508 PECOS PAC ID: 6305001686 Enrollment ID: I20120712000209 |
| Provider Name | Shantise Story |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1083808174 PECOS PAC ID: 5597921668 Enrollment ID: I20120718000630 |
| Provider Name | Hilary F H Beason |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811150626 PECOS PAC ID: 9739335613 Enrollment ID: I20120808000591 |
| Provider Name | Matthew C Delaney |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528227345 PECOS PAC ID: 1254518889 Enrollment ID: I20120815000695 |
| Provider Name | John G Runyans Ii |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063779197 PECOS PAC ID: 6800044652 Enrollment ID: I20120919000734 |
| Provider Name | Brooke S Kaplan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1205197068 PECOS PAC ID: 2567611544 Enrollment ID: I20121008000232 |
| Provider Name | Michael S Bobo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154612315 PECOS PAC ID: 7214187806 Enrollment ID: I20121016000649 |
| Provider Name | Alice Melnise Crunk |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1306112297 PECOS PAC ID: 0143481119 Enrollment ID: I20121031000401 |
| Provider Name | Kyle J Rudemiller |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306136692 PECOS PAC ID: 7517118102 Enrollment ID: I20121107000480 |
| Provider Name | Joel Hassan Ramadan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1225382666 PECOS PAC ID: 5890948541 Enrollment ID: I20130109000372 |
| Provider Name | Pankaj Arora |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275797342 PECOS PAC ID: 5991844748 Enrollment ID: I20130227000182 |
| Provider Name | Deepti Bahl |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1003098070 PECOS PAC ID: 8224283015 Enrollment ID: I20130228000133 |
| Provider Name | Heather Nicole Metcalf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134468242 PECOS PAC ID: 9931354693 Enrollment ID: I20130301000362 |
| Provider Name | Jessica T Elmes |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1316286636 PECOS PAC ID: 8628213675 Enrollment ID: I20130325000021 |
| Provider Name | Ryan C Kelley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114266434 PECOS PAC ID: 2264677137 Enrollment ID: I20130325000252 |
| Provider Name | Mehrens E Warren |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1932442431 PECOS PAC ID: 1658518873 Enrollment ID: I20130507000714 |
| Provider Name | Mikeal Johnathan Frain |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1942644166 PECOS PAC ID: 3577701150 Enrollment ID: I20130522000171 |
| Provider Name | Leia Michele Hunt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366781460 PECOS PAC ID: 8921246844 Enrollment ID: I20130604000463 |
| Provider Name | Ali Kilic |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1689905127 PECOS PAC ID: 5597903450 Enrollment ID: I20130604000906 |
| Provider Name | Ricardo Franco |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1932353877 PECOS PAC ID: 3173769213 Enrollment ID: I20130703000288 |
| Provider Name | Mark Philip Macmillan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1285078014 PECOS PAC ID: 5991945313 Enrollment ID: I20130709000200 |
| Provider Name | Audrey T Otto |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1538503222 PECOS PAC ID: 6901046341 Enrollment ID: I20130709000454 |
| Provider Name | Jessie Marie Vassau |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1447694278 PECOS PAC ID: 7113167495 Enrollment ID: I20130710000140 |
| Provider Name | Meredith Welch |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1588823280 PECOS PAC ID: 3678646775 Enrollment ID: I20130710000886 |
| Provider Name | Meghan Elizabeth Whitfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164868907 PECOS PAC ID: 4880835198 Enrollment ID: I20130730000281 |
| Provider Name | Jean Thibault |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124359021 PECOS PAC ID: 0042406027 Enrollment ID: I20130814000713 |
| Provider Name | Siddharth Bansal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336452366 PECOS PAC ID: 2961644208 Enrollment ID: I20130815000457 |
| Provider Name | April L Garrigan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275975757 PECOS PAC ID: 9234371360 Enrollment ID: I20130820000214 |
| Provider Name | Yu Hsin Cheng |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710111356 PECOS PAC ID: 4082879770 Enrollment ID: I20130827000893 |
| Provider Name | Subba Rao Daggubati |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144468984 PECOS PAC ID: 8729110184 Enrollment ID: I20130903000428 |
| Provider Name | Jodie Dionne-odom |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1003090986 PECOS PAC ID: 1456407816 Enrollment ID: I20130904000252 |
| Provider Name | Madhav V Devani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1538489190 PECOS PAC ID: 0446493795 Enrollment ID: I20130905000501 |
| Provider Name | Adam R Kessler |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1316103849 PECOS PAC ID: 3678743622 Enrollment ID: I20130905000561 |
| Provider Name | Ericka Campos Gullion |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245557040 PECOS PAC ID: 7618110818 Enrollment ID: I20130906000192 |
| Provider Name | Jennifer M Craig |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1831537356 PECOS PAC ID: 2062646326 Enrollment ID: I20130930000316 |
| Provider Name | Michael C Kurz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518998939 PECOS PAC ID: 0143224683 Enrollment ID: I20131024000465 |
| Provider Name | Kenneth J Taylor |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1871887414 PECOS PAC ID: 5496926735 Enrollment ID: I20131025001577 |
| Provider Name | Michelle Joanne Khan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699970947 PECOS PAC ID: 9032387899 Enrollment ID: I20131114000502 |
| Provider Name | Sujan Ravi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1649584350 PECOS PAC ID: 0143456269 Enrollment ID: I20131120000903 |
| Provider Name | Alex Iannone |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033425764 PECOS PAC ID: 2860628989 Enrollment ID: I20131120000946 |
| Provider Name | Karen Roberts Fry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124158126 PECOS PAC ID: 1850527813 Enrollment ID: I20131121000540 |
| Provider Name | Anoma Nellore |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1184788135 PECOS PAC ID: 7416114350 Enrollment ID: I20131121001100 |
| Provider Name | John Mcrae |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366873135 PECOS PAC ID: 4486882321 Enrollment ID: I20140122001445 |
| Provider Name | Browning S Wayman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760748495 PECOS PAC ID: 8527218387 Enrollment ID: I20140210000477 |
| Provider Name | Neal J Steil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417160607 PECOS PAC ID: 3870766165 Enrollment ID: I20140211000481 |
| Provider Name | Whitney M Turner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245596592 PECOS PAC ID: 9436309283 Enrollment ID: I20140303000164 |
| Provider Name | Hollie N Sanders |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1053733600 PECOS PAC ID: 9931322435 Enrollment ID: I20140602002545 |
| Provider Name | Suzanne Cantley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790041978 PECOS PAC ID: 2365667276 Enrollment ID: I20140709002634 |
| Provider Name | Laura K Buell |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275823437 PECOS PAC ID: 0143467811 Enrollment ID: I20140718001431 |
| Provider Name | Neha P Reddy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295025583 PECOS PAC ID: 9537305131 Enrollment ID: I20140812001488 |
| Provider Name | Stephanie Ann Mclin Cox |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1275880155 PECOS PAC ID: 0840448627 Enrollment ID: I20140829002044 |
| Provider Name | Jillian F Ziemanski |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1225383979 PECOS PAC ID: 7113152380 Enrollment ID: I20140902000811 |
| Provider Name | Joel M Hamm |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861758112 PECOS PAC ID: 5395995724 Enrollment ID: I20140904001328 |
| Provider Name | Crystal Chapman Lambert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538498274 PECOS PAC ID: 1658415070 Enrollment ID: I20140908002045 |
| Provider Name | Anna Ablamowicz Tichenor |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1316372303 PECOS PAC ID: 6709012586 Enrollment ID: I20140910002103 |
| Provider Name | Julia S Patel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1124433065 PECOS PAC ID: 0547489171 Enrollment ID: I20140915000833 |
| Provider Name | Benjamin Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962658898 PECOS PAC ID: 6103045521 Enrollment ID: I20140917002467 |
| Provider Name | Michael S Menowsky |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1629385208 PECOS PAC ID: 8820237092 Enrollment ID: I20140919000546 |
| Provider Name | Jeremy M Hatchett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568752996 PECOS PAC ID: 5496992232 Enrollment ID: I20140922002070 |
| Provider Name | O'brien Buckner Prevatte |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1497160238 PECOS PAC ID: 8921227000 Enrollment ID: I20140923000832 |
| Provider Name | Sara Gould |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1467629097 PECOS PAC ID: 4688826621 Enrollment ID: I20140925001405 |
| Provider Name | Rebecca M Gercken |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558776492 PECOS PAC ID: 6002036761 Enrollment ID: I20140930002398 |
| Provider Name | William Edward Martin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275760621 PECOS PAC ID: 1658512728 Enrollment ID: I20141002001797 |
| Provider Name | Amanda E Clark |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154611374 PECOS PAC ID: 8325268899 Enrollment ID: I20141003001936 |
| Provider Name | Pavan K Mamilla |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417188103 PECOS PAC ID: 6103072962 Enrollment ID: I20141007001725 |
| Provider Name | Shruti P Agnihotri |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1699973669 PECOS PAC ID: 0042487274 Enrollment ID: I20141016002617 |
| Provider Name | Ellen H Bevis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295147437 PECOS PAC ID: 0244451813 Enrollment ID: I20141023001441 |
| Provider Name | Justin Layne Knowles |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659456861 PECOS PAC ID: 6204853948 Enrollment ID: I20141105000288 |
| Provider Name | Patricia B Aiken |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124318340 PECOS PAC ID: 3173761731 Enrollment ID: I20141117000757 |
| Provider Name | Nicholas Onken |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1639506397 PECOS PAC ID: 0042442709 Enrollment ID: I20141203000563 |
| Provider Name | Audra Hart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679909386 PECOS PAC ID: 7911229778 Enrollment ID: I20141204002300 |
| Provider Name | Shilpa Register |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1407856438 PECOS PAC ID: 8224097357 Enrollment ID: I20150209000969 |
| Provider Name | Annie Malone Siqueira |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1609148048 PECOS PAC ID: 3173781317 Enrollment ID: I20150223001621 |
| Provider Name | Andi M. Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912308750 PECOS PAC ID: 1153647250 Enrollment ID: I20150309001687 |
| Provider Name | Tyeshia A Bowen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275934952 PECOS PAC ID: 4486970597 Enrollment ID: I20150309001926 |
| Provider Name | Mickey L. Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295139509 PECOS PAC ID: 9436475548 Enrollment ID: I20150309002083 |
| Provider Name | Aaron D Ainsworth |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386033173 PECOS PAC ID: 8022336718 Enrollment ID: I20150408002708 |
| Provider Name | Brendan F Sansom |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1245629997 PECOS PAC ID: 6709104466 Enrollment ID: I20150409002127 |
| Provider Name | Kathy Brazeel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1811386568 PECOS PAC ID: 3779801436 Enrollment ID: I20150409002242 |
| Provider Name | Douglas L Mcilwain |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1497145734 PECOS PAC ID: 0840518296 Enrollment ID: I20150414002437 |
| Provider Name | Stephanie A Hall |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1447649082 PECOS PAC ID: 8729306071 Enrollment ID: I20150416000895 |
| Provider Name | Laura H Nye |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093005381 PECOS PAC ID: 6507003357 Enrollment ID: I20150429002465 |
| Provider Name | Sara C Beadles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649664459 PECOS PAC ID: 4284945205 Enrollment ID: I20150617002466 |
| Provider Name | Nathan J Bush |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972998284 PECOS PAC ID: 0345551362 Enrollment ID: I20150617002530 |
| Provider Name | Joshua Stripling |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1558507871 PECOS PAC ID: 3375793136 Enrollment ID: I20150629000410 |
| Provider Name | Kevin Allen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740547876 PECOS PAC ID: 6507016326 Enrollment ID: I20150630000126 |
| Provider Name | Kristal R Greenquist |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164809976 PECOS PAC ID: 0244542447 Enrollment ID: I20150630002956 |
| Provider Name | Joshua Burkhart |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801153937 PECOS PAC ID: 6204086069 Enrollment ID: I20150702000613 |
| Provider Name | Somali H Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225422124 PECOS PAC ID: 3971815937 Enrollment ID: I20150702002497 |
| Provider Name | Nathaniel Erdmann |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1982921268 PECOS PAC ID: 7113162355 Enrollment ID: I20150708002466 |
| Provider Name | Bradley T Page |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1336577014 PECOS PAC ID: 2264744846 Enrollment ID: I20150710000773 |
| Provider Name | Daniel James Deligio |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1043698715 PECOS PAC ID: 1153634472 Enrollment ID: I20150715002581 |
| Provider Name | Monica Kennedy |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1275911950 PECOS PAC ID: 2860705050 Enrollment ID: I20150716002480 |
| Provider Name | Frances Louise Davis |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1457739831 PECOS PAC ID: 8921311077 Enrollment ID: I20150717001416 |
| Provider Name | Todd Patrick Mccarty |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1790002046 PECOS PAC ID: 3476799172 Enrollment ID: I20150718000102 |
| Provider Name | Walter A Schrading |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194758565 PECOS PAC ID: 6800926890 Enrollment ID: I20150728005832 |
| Provider Name | Sarah Jane Schopbach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326209933 PECOS PAC ID: 5890009260 Enrollment ID: I20150729007709 |
| Provider Name | Therese M Medalle |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154687887 PECOS PAC ID: 6800047606 Enrollment ID: I20150803000823 |
| Provider Name | William F Rushton |
|---|---|
| Provider Type | Practitioner - Medical Toxicology |
| Provider Identifiers | NPI Number: 1982838181 PECOS PAC ID: 3971738956 Enrollment ID: I20150810002911 |
| Provider Name | Justin K Arnold |
|---|---|
| Provider Type | Practitioner - Medical Toxicology |
| Provider Identifiers | NPI Number: 1275768145 PECOS PAC ID: 6901052521 Enrollment ID: I20150819009213 |
| Provider Name | Benjamin A Von Schweinitz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255627345 PECOS PAC ID: 7113232182 Enrollment ID: I20150819009279 |
| Provider Name | Latesha Elopre |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1992949135 PECOS PAC ID: 4284879420 Enrollment ID: I20150911001543 |
| Provider Name | Carrie Smith |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1043617285 PECOS PAC ID: 7810204435 Enrollment ID: I20150915001747 |
| Provider Name | Trenton Cleghern |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1083090815 PECOS PAC ID: 8729397500 Enrollment ID: I20151016001981 |
| Provider Name | Kathleen Pridgen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275809931 PECOS PAC ID: 2567690555 Enrollment ID: I20151021001993 |
| Provider Name | Katherine Leigh O'neal Gilbert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659749794 PECOS PAC ID: 2567772544 Enrollment ID: I20151103001507 |
| Provider Name | Ayofemi Lasha Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780067298 PECOS PAC ID: 2163722455 Enrollment ID: I20151118000066 |
| Provider Name | Kerrie E Younan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568806289 PECOS PAC ID: 3072750512 Enrollment ID: I20151120000819 |
| Provider Name | Kalin G Swenson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1366808933 PECOS PAC ID: 7214231620 Enrollment ID: I20160204002456 |
| Provider Name | Sabrina R Macksoud |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356641732 PECOS PAC ID: 6709180144 Enrollment ID: I20160205000943 |
| Provider Name | Nathan G Bland |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1518324490 PECOS PAC ID: 7315241767 Enrollment ID: I20160205001055 |
| Provider Name | Cari J Evans |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1134586019 PECOS PAC ID: 2264736446 Enrollment ID: I20160209000758 |
| Provider Name | Crystal Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427464080 PECOS PAC ID: 4183928393 Enrollment ID: I20160209001833 |
| Provider Name | Stephanie Nichols |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952768418 PECOS PAC ID: 7618271560 Enrollment ID: I20160212001428 |
| Provider Name | Michael Vinikoor |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1962669069 PECOS PAC ID: 9638334949 Enrollment ID: I20160216001456 |
| Provider Name | Johnathan Mark Tidwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063870608 PECOS PAC ID: 2769788991 Enrollment ID: I20160314001695 |
| Provider Name | Cynthia J Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063870368 PECOS PAC ID: 1658678420 Enrollment ID: I20160322000649 |
| Provider Name | Ginger Pritchett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568894616 PECOS PAC ID: 3274830815 Enrollment ID: I20160328001210 |
| Provider Name | Christen Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114304219 PECOS PAC ID: 2860791779 Enrollment ID: I20160427002084 |
| Provider Name | Nicholas Mcabee Schroerlucke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700261955 PECOS PAC ID: 5698074524 Enrollment ID: I20160427002417 |
| Provider Name | Andrea M Delaney |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1669803920 PECOS PAC ID: 9032340138 Enrollment ID: I20160510001349 |
| Provider Name | Phillip Mccloud Stotler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962860262 PECOS PAC ID: 3476842626 Enrollment ID: I20160511002559 |
| Provider Name | Leon Glenn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770927444 PECOS PAC ID: 6507006079 Enrollment ID: I20160525001140 |
| Provider Name | Jason Vice |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073968020 PECOS PAC ID: 6103116579 Enrollment ID: I20160526001832 |
| Provider Name | Beverly Powell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619311230 PECOS PAC ID: 5193962454 Enrollment ID: I20160622000840 |
| Provider Name | James Oliver |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891138624 PECOS PAC ID: 6204076086 Enrollment ID: I20160624000843 |
| Provider Name | Rachel Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861719114 PECOS PAC ID: 1850538448 Enrollment ID: I20160627002279 |
| Provider Name | Charity Lane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700232527 PECOS PAC ID: 8123319886 Enrollment ID: I20160628000503 |
| Provider Name | Ellen Eaton |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1598945875 PECOS PAC ID: 9234262973 Enrollment ID: I20160705000961 |
| Provider Name | Terri Lynn Call |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1467807636 PECOS PAC ID: 0143512467 Enrollment ID: I20160707000810 |
| Provider Name | Courtney Loiacono |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205296985 PECOS PAC ID: 1153613401 Enrollment ID: I20160707001534 |
| Provider Name | Jill Aragon Neely |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386088946 PECOS PAC ID: 2769622471 Enrollment ID: I20160711000169 |
| Provider Name | Becky Luu |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1336597962 PECOS PAC ID: 9830481779 Enrollment ID: I20160713000945 |
| Provider Name | Iris Miao |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1477901015 PECOS PAC ID: 1456643352 Enrollment ID: I20160713002736 |
| Provider Name | Timothy M Peters |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467897470 PECOS PAC ID: 3072753763 Enrollment ID: I20160719000671 |
| Provider Name | Marissa Locy |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1609227578 PECOS PAC ID: 4587959440 Enrollment ID: I20160817001595 |
| Provider Name | Tamara Sue Oechslin |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1740568419 PECOS PAC ID: 2668645276 Enrollment ID: I20160818002805 |
| Provider Name | Kayla Lea Thomason |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1518315365 PECOS PAC ID: 5597050096 Enrollment ID: I20160823002039 |
| Provider Name | Andrew David Pucker |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1457648842 PECOS PAC ID: 1153590088 Enrollment ID: I20160824000665 |
| Provider Name | Jeanne Marisa Marrazzo |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1306926399 PECOS PAC ID: 8921136342 Enrollment ID: I20160902001867 |
| Provider Name | Amy Crawford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437548625 PECOS PAC ID: 5092003855 Enrollment ID: I20161011000443 |
| Provider Name | Elizabeth Ritchey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447700042 PECOS PAC ID: 7214225564 Enrollment ID: I20161019001644 |
| Provider Name | Taylor Jansen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194274506 PECOS PAC ID: 4688952708 Enrollment ID: I20161025001090 |
| Provider Name | Sara Jessica Hughley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821547217 PECOS PAC ID: 1759669336 Enrollment ID: I20161102001317 |
| Provider Name | Alftan D Turner |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1205383254 PECOS PAC ID: 7810275427 Enrollment ID: I20161102002557 |
| Provider Name | David Johnson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1346211166 PECOS PAC ID: 0840398996 Enrollment ID: I20161111001181 |
| Provider Name | Kansas Sparks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619429081 PECOS PAC ID: 4880974252 Enrollment ID: I20161201001521 |
| Provider Name | Devin Scott Harrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760934467 PECOS PAC ID: 5395025290 Enrollment ID: I20161212001563 |
| Provider Name | Misty Giles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235681214 PECOS PAC ID: 5193006922 Enrollment ID: I20170110000287 |
| Provider Name | Sonya Julius |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023567112 PECOS PAC ID: 2365723103 Enrollment ID: I20170110000743 |
| Provider Name | Mary Griffin Blaylock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215487236 PECOS PAC ID: 7416238290 Enrollment ID: I20170110002356 |
| Provider Name | Marcus Debiasi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437601085 PECOS PAC ID: 2567746480 Enrollment ID: I20170221001046 |
| Provider Name | Nicole Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851839203 PECOS PAC ID: 0446534606 Enrollment ID: I20170307001620 |
| Provider Name | Kimberly Ann Kasparian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407395577 PECOS PAC ID: 4587949136 Enrollment ID: I20170321002473 |
| Provider Name | Kayla M Prestwood |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1457716193 PECOS PAC ID: 0941505325 Enrollment ID: I20170322001644 |
| Provider Name | Benjamin A Nahass |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1245774314 PECOS PAC ID: 5597041293 Enrollment ID: I20170412001277 |
| Provider Name | Katherine Lavie |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1073812871 PECOS PAC ID: 4284850363 Enrollment ID: I20170522001978 |
| Provider Name | Aadia Rana |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1487840229 PECOS PAC ID: 6305038126 Enrollment ID: I20170525001232 |
| Provider Name | Marilyn Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518409168 PECOS PAC ID: 2860760071 Enrollment ID: I20170612002698 |
| Provider Name | Carlie Stein Somerville |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124462395 PECOS PAC ID: 6406096205 Enrollment ID: I20170621001659 |
| Provider Name | Emma Budraitis |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1659825065 PECOS PAC ID: 0547539397 Enrollment ID: I20170710003114 |
| Provider Name | Mark Richard Ortiz |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1487183927 PECOS PAC ID: 5890065759 Enrollment ID: I20170725004237 |
| Provider Name | William Reid Cluff |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1922536085 PECOS PAC ID: 2466722277 Enrollment ID: I20170726002371 |
| Provider Name | Sarah Jean Galt |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1922536184 PECOS PAC ID: 6406126226 Enrollment ID: I20170726002709 |
| Provider Name | Emily Mai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972845378 PECOS PAC ID: 9739327651 Enrollment ID: I20170815002787 |
| Provider Name | Ashley Smith |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447695879 PECOS PAC ID: 3678713872 Enrollment ID: I20170824003205 |
| Provider Name | Kim Son Duong |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1114448651 PECOS PAC ID: 0749553832 Enrollment ID: I20170912002774 |
| Provider Name | Elizabeth Bexley Denneny |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1457876468 PECOS PAC ID: 6709150212 Enrollment ID: I20170922000303 |
| Provider Name | Margaret Kathleen Bailey |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1023463502 PECOS PAC ID: 6901196484 Enrollment ID: I20170929002104 |
| Provider Name | Krishna Vardhan Reddy Venkata Dasari Lakshmi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043629157 PECOS PAC ID: 1557636396 Enrollment ID: I20171004003447 |
| Provider Name | Ronald A Hirn |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1962423962 PECOS PAC ID: 0547448706 Enrollment ID: I20171211001188 |
| Provider Name | Blessing Nnenna Falola |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902247323 PECOS PAC ID: 4486896974 Enrollment ID: I20180629000889 |
| Provider Name | Amy Hope Vinogradov |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1164914461 PECOS PAC ID: 9931457991 Enrollment ID: I20180807003711 |
| Provider Name | Ashley Becking Smith |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1578055943 PECOS PAC ID: 9638427602 Enrollment ID: I20180807003851 |
| Provider Name | Bryan Patrick Williams |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1851883151 PECOS PAC ID: 8527316595 Enrollment ID: I20180807003967 |
| Provider Name | Christopher Hahn Lee |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1992215719 PECOS PAC ID: 7719236991 Enrollment ID: I20180821003053 |
| Provider Name | Amy Lynn Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295224483 PECOS PAC ID: 8325397136 Enrollment ID: I20180827002975 |
| Provider Name | Aeryn Easterling Peck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407352602 PECOS PAC ID: 4688924194 Enrollment ID: I20180904003173 |
| Provider Name | Orlando D Turner |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1841533262 PECOS PAC ID: 7517100621 Enrollment ID: I20180912003680 |
| Provider Name | Sarah Palecek Hewitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861815029 PECOS PAC ID: 5890919054 Enrollment ID: I20180925003346 |
| Provider Name | Sara Lynn Mcgowan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1669988309 PECOS PAC ID: 2264784834 Enrollment ID: I20181009002370 |
| Provider Name | Michael Scott Rothschild |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1528053774 PECOS PAC ID: 4688697634 Enrollment ID: I20190122003564 |
| Provider Name | Brandi Shah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689802860 PECOS PAC ID: 4981856929 Enrollment ID: I20190207002653 |
| Provider Name | Raven Symone Peggins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366901928 PECOS PAC ID: 4981946332 Enrollment ID: I20190503002003 |
| Provider Name | Tokeysha Johnson Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316191968 PECOS PAC ID: 8224370507 Enrollment ID: I20190507002155 |
| Provider Name | Ethan Tyler Dungan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255994588 PECOS PAC ID: 3375876279 Enrollment ID: I20190607002093 |
| Provider Name | Akpomudiare Samuel Otuguor |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154534303 PECOS PAC ID: 1052468972 Enrollment ID: I20190611002003 |
| Provider Name | Natalie Nichole West |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1184282816 PECOS PAC ID: 8729314398 Enrollment ID: I20190720000049 |
| Provider Name | Ronnie Matthew Gravett |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1922368646 PECOS PAC ID: 9830484823 Enrollment ID: I20190729000796 |
| Provider Name | Crystal Howell Maharrey |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1235624131 PECOS PAC ID: 5193051183 Enrollment ID: I20190729003611 |
| Provider Name | Michael Joseph Everson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1841857562 PECOS PAC ID: 4587991211 Enrollment ID: I20190802003124 |
| Provider Name | Ian Douglas Mckeag |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285020347 PECOS PAC ID: 3072840602 Enrollment ID: I20190806000514 |
| Provider Name | Katherine Marchiony Hunt |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1477932192 PECOS PAC ID: 1557656535 Enrollment ID: I20190812003957 |
| Provider Name | Christa Renee Nevin |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1043607971 PECOS PAC ID: 5890016570 Enrollment ID: I20190822004572 |
| Provider Name | Jordan Evans Gigliotti |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1578123980 PECOS PAC ID: 7012245434 Enrollment ID: I20190822004587 |
| Provider Name | Amy Brooke Logan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1235623281 PECOS PAC ID: 2365770674 Enrollment ID: I20190824000712 |
| Provider Name | Caroline Smith Cartledge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629620877 PECOS PAC ID: 0143550566 Enrollment ID: I20190927002349 |
| Provider Name | Brian Daniel Roberts |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1114412384 PECOS PAC ID: 4981941069 Enrollment ID: I20191022000630 |
| Provider Name | Saima Kanwal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649480112 PECOS PAC ID: 3072693993 Enrollment ID: I20191119001259 |
| Provider Name | Amanda Britton Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992349922 PECOS PAC ID: 5092149088 Enrollment ID: I20191227002382 |
| Provider Name | Alexandra Obarr Roussel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427693480 PECOS PAC ID: 4789018508 Enrollment ID: I20200102000735 |
| Provider Name | Dolly Myers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053707661 PECOS PAC ID: 4981949765 Enrollment ID: I20200201000271 |
| Provider Name | Heather Locke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700426251 PECOS PAC ID: 9638506033 Enrollment ID: I20200225000900 |
| Provider Name | Jenny H Jones |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1174902282 PECOS PAC ID: 7911335559 Enrollment ID: I20200316000040 |
| Provider Name | Jennifer Riggs Pate |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1689707754 PECOS PAC ID: 0840500237 Enrollment ID: I20200324003357 |
| Provider Name | Kristy Y-van Nguyen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1023630720 PECOS PAC ID: 7618398348 Enrollment ID: I20200604000088 |
| Provider Name | Abigail Lorraine Smith |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1417579194 PECOS PAC ID: 9234550989 Enrollment ID: I20200604000777 |
| Provider Name | Catherine Daluyin |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1174145874 PECOS PAC ID: 9739500430 Enrollment ID: I20200604003020 |
| Provider Name | Jo Hofmann |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1699032649 PECOS PAC ID: 6608297171 Enrollment ID: I20200609002346 |
| Provider Name | Audrey R Lloyd |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1295122281 PECOS PAC ID: 5597072819 Enrollment ID: I20200702001648 |
| Provider Name | Daniela Fatima De Lima Corvino |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1851771950 PECOS PAC ID: 0547683179 Enrollment ID: I20200714003834 |
| Provider Name | Elise Debruler Agostinelli |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1013528579 PECOS PAC ID: 5294151114 Enrollment ID: I20200821001580 |
| Provider Name | Olivia Van Gerwen |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1487072393 PECOS PAC ID: 1254626609 Enrollment ID: I20201124002063 |
| Provider Name | Deonna B Dodd |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376962092 PECOS PAC ID: 7618270299 Enrollment ID: I20201221001667 |
| Provider Name | Keisha Nicole Brown |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1538712435 PECOS PAC ID: 6204261886 Enrollment ID: I20210121001127 |
| Provider Name | Ronald Coury Tisdale |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790203461 PECOS PAC ID: 6901138445 Enrollment ID: I20210219000344 |
| Provider Name | Shae W. Steward |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1275979734 PECOS PAC ID: 2163657883 Enrollment ID: I20210302000648 |
| Provider Name | Erfan M Karim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316472863 PECOS PAC ID: 0648545160 Enrollment ID: I20210316001328 |
| Provider Name | Zachary Joseph Reynard |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1548844715 PECOS PAC ID: 7214336247 Enrollment ID: I20210525001484 |
| Provider Name | Rhea Paige Magee |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1578147732 PECOS PAC ID: 4789083726 Enrollment ID: I20210525001832 |
| Provider Name | Paul Abraham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912491838 PECOS PAC ID: 8022449628 Enrollment ID: I20210614001259 |
| Provider Name | Jonathan Samuel Fuerst |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1811421555 PECOS PAC ID: 6901153725 Enrollment ID: I20210625002568 |
| Provider Name | Rajvir Singh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952892085 PECOS PAC ID: 3779839790 Enrollment ID: I20210809000725 |
| Provider Name | Christopher W Daniel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073168191 PECOS PAC ID: 8325442254 Enrollment ID: I20210813001881 |
| Provider Name | Cameron Michelle White |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1124481239 PECOS PAC ID: 9638464688 Enrollment ID: I20210928002245 |
| Provider Name | Andrew J Rothstein |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1528440955 PECOS PAC ID: 5193032662 Enrollment ID: I20211109002499 |
| Provider Name | Matthew Dean Baumann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558839894 PECOS PAC ID: 1456696954 Enrollment ID: I20220310001334 |
| Provider Name | Johnathan Blake Lawson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1376282806 PECOS PAC ID: 2466830070 Enrollment ID: I20220609000845 |
| Provider Name | Hoda Irani |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1790421451 PECOS PAC ID: 4183003767 Enrollment ID: I20220628002890 |
| Provider Name | Christian S Muller |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1225520059 PECOS PAC ID: 6103242334 Enrollment ID: I20220802001980 |
| Provider Name | Matthew Miesch |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1356847057 PECOS PAC ID: 9638428345 Enrollment ID: I20220803002374 |
| Provider Name | David A Ibrahim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225443542 PECOS PAC ID: 0345465118 Enrollment ID: I20220803003406 |
| Provider Name | John E Crews |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1295733533 PECOS PAC ID: 2264566850 Enrollment ID: I20220907000071 |
| Provider Name | Julie Kay Schexnayder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912245937 PECOS PAC ID: 3375798366 Enrollment ID: I20221010001088 |
| Provider Name | Patti Sue Fuhr |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1073625489 PECOS PAC ID: 5294106613 Enrollment ID: I20230123002513 |
| Provider Name | Karmie M. Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710226576 PECOS PAC ID: 3476924788 Enrollment ID: I20230125000511 |
| Provider Name | Safal Khanal |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1427766039 PECOS PAC ID: 2668846379 Enrollment ID: I20230321000609 |
| Provider Name | Caitlyn Williams |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1912521717 PECOS PAC ID: 1557726163 Enrollment ID: I20230504001663 |
| Provider Name | David Dinh |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1124717996 PECOS PAC ID: 5193183580 Enrollment ID: I20230616000036 |
| Provider Name | Anthony Michael D'onofrio |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1790248045 PECOS PAC ID: 4880054519 Enrollment ID: I20230713001175 |
| Provider Name | Abigail L Witmer |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1760171524 PECOS PAC ID: 9931569829 Enrollment ID: I20230725000392 |
| Provider Name | Ryan Ruhr |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1528563749 PECOS PAC ID: 9931437357 Enrollment ID: I20230918002959 |
| Provider Name | Jesse Aaron Gettinger |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1376108324 PECOS PAC ID: 9133573827 Enrollment ID: I20230928003551 |
| Provider Name | Stefania Carmona |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1124525134 PECOS PAC ID: 6305191818 Enrollment ID: I20231002002285 |
| Provider Name | Rena C Patel |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1184909079 PECOS PAC ID: 1153594692 Enrollment ID: I20231026003337 |
| Provider Name | Mauricio Jacobo Kahn Chau |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1124514153 PECOS PAC ID: 1254782618 Enrollment ID: I20240110001361 |
Your Doctor's Office, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8630 Vaughn Rd, Montgomery, AL 36117 Phone: 334-676-4076 Fax: 334-676-4064 | |
Baptist Health Physician Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 470 Taylor Rd Ste 310, Montgomery, AL 36117 Phone: 334-244-4322 Fax: 334-244-4321 | |
Jackson Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1801 Pine Street, Suite 103, Montgomery, AL 36106 Phone: 334-293-8888 Fax: 334-293-8154 | |
Baptist Health Physician Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 Brown Springs Rd, Montgomery, AL 36117 Phone: 334-273-4159 Fax: 334-273-4556 | |
Aikam Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2895 Zelda Rd, Montgomery, AL 36106 Phone: 334-245-5969 | |
Stewart H. Tankersley, M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1801 Pine St, Suite 203, Montgomery, AL 36106 Phone: 334-240-2334 | |
Vaughn Urgent Care Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9540 Wynlakes Pl, Montgomery, AL 36117 Phone: 334-395-9933 Fax: 334-395-9907 |