| Ucsf Physician Group | |
|
505 Parnassus Ave San Francisco CA 94143-1821 | |
| (415) 476-1000 | |
| Not Available |
| Full Name | Ucsf Physician Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 505 Parnassus Ave, San Francisco, California |
| Authorized Official Name and Position | Kosal Bo (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4153537235 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ucsf Physician Group 3333 California St # S1-10 San Francisco CA 94118-1981 Ph: (415) 885-7268 | Ucsf Physician Group 505 Parnassus Ave San Francisco CA 94143-1821 Ph: (415) 476-1000 |
| NPI Number | 1124439807 |
|---|---|
| Provider Enumeration Date | 05/15/2014 |
| Last Update Date | 11/19/2018 |
| Medicare PECOS PAC ID | 6305160300 |
|---|---|
| Medicare Enrollment ID | O20150122001375 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124439807 | NPI | - | NPPES |
| Provider Name | Merrill Ralph Nisam |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1205824067 PECOS PAC ID: 7214836857 Enrollment ID: I20040102000689 |
| Provider Name | Russell U Braun |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154335370 PECOS PAC ID: 5092616581 Enrollment ID: I20040116001040 |
| Provider Name | Robert Lee Newbury |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1528086287 PECOS PAC ID: 5193626620 Enrollment ID: I20040117000183 |
| Provider Name | Peter H Stein |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1730295643 PECOS PAC ID: 7315835691 Enrollment ID: I20040308001434 |
| Provider Name | Sebastien C Fromont |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497784532 PECOS PAC ID: 7315836905 Enrollment ID: I20040311001529 |
| Provider Name | Renee M Howard |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1952336232 PECOS PAC ID: 9335132836 Enrollment ID: I20040408000031 |
| Provider Name | James Bryan Robison |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1689679300 PECOS PAC ID: 0749275394 Enrollment ID: I20040414002000 |
| Provider Name | Kent N Gershengorn |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1811987621 PECOS PAC ID: 9931196904 Enrollment ID: I20040429001548 |
| Provider Name | Robert D Teasdale |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1013949049 PECOS PAC ID: 2062400575 Enrollment ID: I20040504000571 |
| Provider Name | Sareena Chopra |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487670832 PECOS PAC ID: 6103814207 Enrollment ID: I20040505001781 |
| Provider Name | Richard Bodony |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225011422 PECOS PAC ID: 7719969815 Enrollment ID: I20040602001594 |
| Provider Name | Kirsten Jennifer Voss |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740267939 PECOS PAC ID: 7911980636 Enrollment ID: I20040611001073 |
| Provider Name | Brian E Demuth |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770553950 PECOS PAC ID: 7719962844 Enrollment ID: I20040623000712 |
| Provider Name | Brian G Keeffe |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1689664492 PECOS PAC ID: 5698753549 Enrollment ID: I20040708000819 |
| Provider Name | Catharine Teresa Clark Sayles |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518952860 PECOS PAC ID: 4082694260 Enrollment ID: I20040720001553 |
| Provider Name | Guy S Livnat |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1881682656 PECOS PAC ID: 7012987407 Enrollment ID: I20040731000335 |
| Provider Name | Michelle Dominique Perro |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205981586 PECOS PAC ID: 3375515448 Enrollment ID: I20040809001454 |
| Provider Name | Karin L Salim |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467504266 PECOS PAC ID: 1254303324 Enrollment ID: I20040809001489 |
| Provider Name | Mark S Lawler |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1235238130 PECOS PAC ID: 8022082080 Enrollment ID: I20040824001469 |
| Provider Name | Shane Burch |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1689600546 PECOS PAC ID: 1254305113 Enrollment ID: I20040825000869 |
| Provider Name | Sajot Grewal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144230053 PECOS PAC ID: 7618942194 Enrollment ID: I20040827001178 |
| Provider Name | Mark R Homicz |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1336198449 PECOS PAC ID: 0143295378 Enrollment ID: I20040831000679 |
| Provider Name | Kristin A Wingfield |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1790701225 PECOS PAC ID: 8628047578 Enrollment ID: I20040928001004 |
| Provider Name | Natalie C Lee |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1447371505 PECOS PAC ID: 3375512734 Enrollment ID: I20041001000359 |
| Provider Name | Gregg Leonard Tolliver |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1346286465 PECOS PAC ID: 0446211304 Enrollment ID: I20041023000118 |
| Provider Name | Adrienne A Fratini |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104960624 PECOS PAC ID: 2264495878 Enrollment ID: I20041104001072 |
| Provider Name | Stephen Rishon Levinson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144261637 PECOS PAC ID: 4082670377 Enrollment ID: I20041208000701 |
| Provider Name | Joseph Antoin Habis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760439681 PECOS PAC ID: 9032177761 Enrollment ID: I20041228000991 |
| Provider Name | Sheri Ann Matteo |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1538216890 PECOS PAC ID: 8325097355 Enrollment ID: I20050118000286 |
| Provider Name | Lennart H Moller |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336224237 PECOS PAC ID: 3072560358 Enrollment ID: I20050407001357 |
| Provider Name | Lisa R De La Fuente |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1023038130 PECOS PAC ID: 2769429646 Enrollment ID: I20050412001069 |
| Provider Name | Amy S Kobalter |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1902830623 PECOS PAC ID: 1355380957 Enrollment ID: I20050502001345 |
| Provider Name | Lisa V Elvin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083746887 PECOS PAC ID: 5193765758 Enrollment ID: I20050503001367 |
| Provider Name | David Palestrant |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1972614899 PECOS PAC ID: 4688616303 Enrollment ID: I20050524000207 |
| Provider Name | Sarabenet Sequeira |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841218591 PECOS PAC ID: 7810939543 Enrollment ID: I20050524000252 |
| Provider Name | Sally E Boero |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285731703 PECOS PAC ID: 8729021977 Enrollment ID: I20050608000432 |
| Provider Name | Elisabeth Regina Widman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831173855 PECOS PAC ID: 4486698412 Enrollment ID: I20050610000533 |
| Provider Name | Timothy M Sowerby |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1063475952 PECOS PAC ID: 4082658323 Enrollment ID: I20050616000927 |
| Provider Name | Julie Bokser |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780758250 PECOS PAC ID: 2567407604 Enrollment ID: I20050620001187 |
| Provider Name | Anika Sanda |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457364234 PECOS PAC ID: 7315982626 Enrollment ID: I20050627000635 |
| Provider Name | Elizabeth L Etemad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881682458 PECOS PAC ID: 7113953183 Enrollment ID: I20050711000864 |
| Provider Name | Cheri Forrester |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841237153 PECOS PAC ID: 8820024763 Enrollment ID: I20050712001257 |
| Provider Name | Irene Teper |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073584520 PECOS PAC ID: 0446287767 Enrollment ID: I20050719000548 |
| Provider Name | Mary Ellen Wilkosz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457565814 PECOS PAC ID: 4981631983 Enrollment ID: I20050721000287 |
| Provider Name | Lael C Duncan |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1447255740 PECOS PAC ID: 4486683471 Enrollment ID: I20050810000421 |
| Provider Name | Isabelle King |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1790714319 PECOS PAC ID: 3476585258 Enrollment ID: I20050831000867 |
| Provider Name | Brian Sebastian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184624637 PECOS PAC ID: 5991602906 Enrollment ID: I20050901000435 |
| Provider Name | Marcella Spera |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811079593 PECOS PAC ID: 3779515937 Enrollment ID: I20050908000591 |
| Provider Name | John M Graham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306836366 PECOS PAC ID: 4880611714 Enrollment ID: I20051028001020 |
| Provider Name | Nicholas Colyvas |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1134148232 PECOS PAC ID: 2860411667 Enrollment ID: I20051121000871 |
| Provider Name | David Hoffman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053321646 PECOS PAC ID: 9638198419 Enrollment ID: I20051122000508 |
| Provider Name | Angela F Bell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578560389 PECOS PAC ID: 2961422944 Enrollment ID: I20051206000344 |
| Provider Name | Michael Jones |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639189053 PECOS PAC ID: 1658393509 Enrollment ID: I20051220000872 |
| Provider Name | Chaithra Nagar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073589222 PECOS PAC ID: 9234145103 Enrollment ID: I20060301000686 |
| Provider Name | Sadeeq K Sadiq |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881642205 PECOS PAC ID: 0446274005 Enrollment ID: I20060323000810 |
| Provider Name | Meenal S Lohtia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205883121 PECOS PAC ID: 0840209128 Enrollment ID: I20060413000634 |
| Provider Name | Ahmed K El-ghoneimy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942257852 PECOS PAC ID: 1153318811 Enrollment ID: I20060427000160 |
| Provider Name | Mohammad Diab |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1841243755 PECOS PAC ID: 9638174840 Enrollment ID: I20060921000507 |
| Provider Name | Sara L Edwards |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1669589214 PECOS PAC ID: 1759388358 Enrollment ID: I20061024000365 |
| Provider Name | Timur S Durrani |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1467475251 PECOS PAC ID: 5294733796 Enrollment ID: I20061116000421 |
| Provider Name | Stephanie Lin |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1598839052 PECOS PAC ID: 1557464823 Enrollment ID: I20070307000607 |
| Provider Name | Hector C Streeter |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124190202 PECOS PAC ID: 3173628856 Enrollment ID: I20070425000446 |
| Provider Name | Barbara D Finzen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134225352 PECOS PAC ID: 6507962552 Enrollment ID: I20070508000269 |
| Provider Name | David Mark Rudnick |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1285699660 PECOS PAC ID: 0648377036 Enrollment ID: I20070518000494 |
| Provider Name | Aida Calvillo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225031727 PECOS PAC ID: 7517066756 Enrollment ID: I20070628000344 |
| Provider Name | Mark Wexman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1063402816 PECOS PAC ID: 1951325398 Enrollment ID: I20070713000729 |
| Provider Name | Joel Sklar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1215927926 PECOS PAC ID: 8628974318 Enrollment ID: I20070713000739 |
| Provider Name | Allyson M La Barbara |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730386533 PECOS PAC ID: 3870694490 Enrollment ID: I20070726000702 |
| Provider Name | Adam J Baumgarten |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1366570707 PECOS PAC ID: 8729173075 Enrollment ID: I20071001000756 |
| Provider Name | Jonathan R Goff |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1689629388 PECOS PAC ID: 5597768465 Enrollment ID: I20071022000879 |
| Provider Name | Vineet Kapur |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1073557203 PECOS PAC ID: 2668569211 Enrollment ID: I20071030000440 |
| Provider Name | Dana E Huskey |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538146337 PECOS PAC ID: 4284723107 Enrollment ID: I20071129000756 |
| Provider Name | Leah M Kelley |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1013043314 PECOS PAC ID: 3375632722 Enrollment ID: I20071207000573 |
| Provider Name | Robin Bitner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558490326 PECOS PAC ID: 8628159944 Enrollment ID: I20080112000133 |
| Provider Name | Lawrence Posner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952390098 PECOS PAC ID: 4587688924 Enrollment ID: I20080206000277 |
| Provider Name | Sharon Pancio |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841361516 PECOS PAC ID: 3274616776 Enrollment ID: I20080206000594 |
| Provider Name | Bobby Tay |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1124065164 PECOS PAC ID: 4385727445 Enrollment ID: I20080212000684 |
| Provider Name | Ralph R Coughlin |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1417902172 PECOS PAC ID: 3779540190 Enrollment ID: I20080305000539 |
| Provider Name | Joshua Bernstein |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1457317729 PECOS PAC ID: 3375518590 Enrollment ID: I20080430000320 |
| Provider Name | Mickie H Cheng |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1053581306 PECOS PAC ID: 9638248578 Enrollment ID: I20080519000771 |
| Provider Name | David Goltz |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1104879014 PECOS PAC ID: 6406927771 Enrollment ID: I20080612000888 |
| Provider Name | Daniel R Hersh |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1487625133 PECOS PAC ID: 1456422567 Enrollment ID: I20080617000796 |
| Provider Name | Mark M Jacobs |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679533186 PECOS PAC ID: 5597837914 Enrollment ID: I20080630000648 |
| Provider Name | Ernest H Sponzilli |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1497709984 PECOS PAC ID: 6103998422 Enrollment ID: I20080702000149 |
| Provider Name | Stefan M Zechowy |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1184724171 PECOS PAC ID: 6901978717 Enrollment ID: I20080710000289 |
| Provider Name | Susan S Cumming |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548285075 PECOS PAC ID: 5395810014 Enrollment ID: I20080814000604 |
| Provider Name | Vikram Malladi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1902814015 PECOS PAC ID: 5294833026 Enrollment ID: I20080919000443 |
| Provider Name | Brian L Strunk |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1922098763 PECOS PAC ID: 7517035819 Enrollment ID: I20081013000530 |
| Provider Name | James Richard Adams |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1578553277 PECOS PAC ID: 8921166224 Enrollment ID: I20081015000043 |
| Provider Name | Arun Raghupathy |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1245358324 PECOS PAC ID: 6103984828 Enrollment ID: I20081024000502 |
| Provider Name | Sujoya Dey |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1003934449 PECOS PAC ID: 9032206024 Enrollment ID: I20081028000814 |
| Provider Name | Robert Argand |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811921224 PECOS PAC ID: 9234164765 Enrollment ID: I20081030000079 |
| Provider Name | David Sperling |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1851381685 PECOS PAC ID: 9234297649 Enrollment ID: I20081112000222 |
| Provider Name | Mary O Ulrich |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1891841474 PECOS PAC ID: 0648330779 Enrollment ID: I20081119000814 |
| Provider Name | Ann K Kao |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1336130145 PECOS PAC ID: 0547321770 Enrollment ID: I20081206000145 |
| Provider Name | Eric D Bava |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1114144284 PECOS PAC ID: 9830251677 Enrollment ID: I20090102000379 |
| Provider Name | Saw W Aye |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972751915 PECOS PAC ID: 0749344935 Enrollment ID: I20090203000481 |
| Provider Name | Cindy Greenberg |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952317042 PECOS PAC ID: 7113084112 Enrollment ID: I20090318000537 |
| Provider Name | Laura C Davies |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730215633 PECOS PAC ID: 3476610981 Enrollment ID: I20090327000576 |
| Provider Name | John L Clothier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750431250 PECOS PAC ID: 5193873503 Enrollment ID: I20090423000065 |
| Provider Name | Elisa E Washburn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205076379 PECOS PAC ID: 3577612910 Enrollment ID: I20090514000283 |
| Provider Name | Nathan R Ehmer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1871767673 PECOS PAC ID: 8628127511 Enrollment ID: I20090526000270 |
| Provider Name | John Bettinger |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1225037500 PECOS PAC ID: 7012013881 Enrollment ID: I20090713000064 |
| Provider Name | Hilarey Bhatt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417044819 PECOS PAC ID: 6002960713 Enrollment ID: I20090814000330 |
| Provider Name | Michael J Oechsel |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1235186206 PECOS PAC ID: 5294880803 Enrollment ID: I20090903000540 |
| Provider Name | Alice Yee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194985879 PECOS PAC ID: 3971640392 Enrollment ID: I20091016000310 |
| Provider Name | Danielle Anne Eigner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801989280 PECOS PAC ID: 9133290539 Enrollment ID: I20091023000493 |
| Provider Name | Amy Stenback |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932279668 PECOS PAC ID: 1759428451 Enrollment ID: I20091029000337 |
| Provider Name | Anjuli Basu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679583579 PECOS PAC ID: 9830236421 Enrollment ID: I20091030000527 |
| Provider Name | Na Li |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780918615 PECOS PAC ID: 8426196981 Enrollment ID: I20091104000162 |
| Provider Name | Michael C Chase |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457423105 PECOS PAC ID: 2365580149 Enrollment ID: I20091116000505 |
| Provider Name | Amelia G Baurmann |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1821245952 PECOS PAC ID: 0941349880 Enrollment ID: I20091205000107 |
| Provider Name | Anthony P Kosinski |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588656631 PECOS PAC ID: 8325930944 Enrollment ID: I20091205000187 |
| Provider Name | Yamilee O Bermingham |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1013937127 PECOS PAC ID: 0143360503 Enrollment ID: I20091215000401 |
| Provider Name | Mary Newberry Davis |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1588815534 PECOS PAC ID: 1355481763 Enrollment ID: I20091216000141 |
| Provider Name | Farid Osman |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1962423103 PECOS PAC ID: 2567361686 Enrollment ID: I20100202000809 |
| Provider Name | Sylvia J Flores |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114904307 PECOS PAC ID: 6305999343 Enrollment ID: I20100216000314 |
| Provider Name | Gerald P Wilner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285730275 PECOS PAC ID: 3678653243 Enrollment ID: I20100226000578 |
| Provider Name | Robert Sperling |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1558351387 PECOS PAC ID: 2062557184 Enrollment ID: I20100301000597 |
| Provider Name | Erinn Lance |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1306955414 PECOS PAC ID: 4587790407 Enrollment ID: I20100330001265 |
| Provider Name | Fung Lam |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225186620 PECOS PAC ID: 5496883951 Enrollment ID: I20100506000595 |
| Provider Name | Donna A Wiggins |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992853394 PECOS PAC ID: 2567590029 Enrollment ID: I20100507000005 |
| Provider Name | Jane Y Fang |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1487702882 PECOS PAC ID: 4385772847 Enrollment ID: I20100507000036 |
| Provider Name | Lesley M Meister |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811047244 PECOS PAC ID: 5799719571 Enrollment ID: I20100507000089 |
| Provider Name | Michael A Singer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700806957 PECOS PAC ID: 0345379046 Enrollment ID: I20100518000452 |
| Provider Name | Nicole S Schroeder |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1508997529 PECOS PAC ID: 5890824296 Enrollment ID: I20100524000402 |
| Provider Name | Tina M Sasaki |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1336376540 PECOS PAC ID: 3072643105 Enrollment ID: I20100616000001 |
| Provider Name | Genevieve Estilo |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1558560482 PECOS PAC ID: 1658359682 Enrollment ID: I20100624000124 |
| Provider Name | Tarin Molly Koehler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518163013 PECOS PAC ID: 4981735214 Enrollment ID: I20100629000955 |
| Provider Name | Alexander Evens |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114144649 PECOS PAC ID: 8628100096 Enrollment ID: I20100720001031 |
| Provider Name | Arundathi Malladi |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1073709416 PECOS PAC ID: 6709950223 Enrollment ID: I20100729000388 |
| Provider Name | Ripple Sharma |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1205003167 PECOS PAC ID: 9638202138 Enrollment ID: I20100804000928 |
| Provider Name | Michael A Brown |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1942286562 PECOS PAC ID: 3274423116 Enrollment ID: I20100819000845 |
| Provider Name | David Galland |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154392637 PECOS PAC ID: 4587744149 Enrollment ID: I20101004000686 |
| Provider Name | Laura K Pak |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1194715912 PECOS PAC ID: 6103713219 Enrollment ID: I20101111001444 |
| Provider Name | Eric Andrew Pifer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295980878 PECOS PAC ID: 8123215175 Enrollment ID: I20101203000251 |
| Provider Name | Carol Darwish |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093893828 PECOS PAC ID: 4183811326 Enrollment ID: I20101214000348 |
| Provider Name | Ralph Bien |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770648628 PECOS PAC ID: 8921296070 Enrollment ID: I20101216000410 |
| Provider Name | Mary Rose L Fabi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740489798 PECOS PAC ID: 2466640230 Enrollment ID: I20101221000119 |
| Provider Name | Karen Callen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952459349 PECOS PAC ID: 9931237492 Enrollment ID: I20101221000936 |
| Provider Name | William R Tomkiewicz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962580571 PECOS PAC ID: 3274668009 Enrollment ID: I20110104001301 |
| Provider Name | Harry Neuwirth |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1326067919 PECOS PAC ID: 9830179720 Enrollment ID: I20110118001082 |
| Provider Name | Alexis A Cardellini |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922242858 PECOS PAC ID: 7618156217 Enrollment ID: I20110128000423 |
| Provider Name | Frederick Thomas Meyer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780768788 PECOS PAC ID: 6305025859 Enrollment ID: I20110129000015 |
| Provider Name | Vicki S Martinez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659444966 PECOS PAC ID: 5890975270 Enrollment ID: I20110202000847 |
| Provider Name | Stephen Welter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801906136 PECOS PAC ID: 2961470661 Enrollment ID: I20110203000125 |
| Provider Name | Geeta K Malik |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740262302 PECOS PAC ID: 8224218821 Enrollment ID: I20110215000393 |
| Provider Name | Patrick M Bennett |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1891713418 PECOS PAC ID: 5193705085 Enrollment ID: I20110307000306 |
| Provider Name | Linda M Gaudiani |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1730241589 PECOS PAC ID: 3274716295 Enrollment ID: I20110329000000 |
| Provider Name | Leslie G Wilkof |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356429112 PECOS PAC ID: 0446435689 Enrollment ID: I20110503000316 |
| Provider Name | Sydney Sawyer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770730079 PECOS PAC ID: 3173709516 Enrollment ID: I20110518000830 |
| Provider Name | Doreen T Marino |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295934081 PECOS PAC ID: 9436241544 Enrollment ID: I20110622000629 |
| Provider Name | Amy L Gin |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1598080442 PECOS PAC ID: 1254500499 Enrollment ID: I20110804000642 |
| Provider Name | Edward Alfrey |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1992773311 PECOS PAC ID: 8921027913 Enrollment ID: I20110921000322 |
| Provider Name | Shelley Ann Palfy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043282429 PECOS PAC ID: 1951573138 Enrollment ID: I20111012000349 |
| Provider Name | Jason W Smith |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1427218981 PECOS PAC ID: 0749453447 Enrollment ID: I20111025000320 |
| Provider Name | Jerome C Smith |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295708675 PECOS PAC ID: 4385818426 Enrollment ID: I20111129000487 |
| Provider Name | Kabir J Singh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1629233051 PECOS PAC ID: 2365618790 Enrollment ID: I20120105000575 |
| Provider Name | Heather Carlberg |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346329968 PECOS PAC ID: 8820021611 Enrollment ID: I20120117000306 |
| Provider Name | Benedict P Ancock |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1578847844 PECOS PAC ID: 6103087267 Enrollment ID: I20120417000264 |
| Provider Name | William A Bradley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992869176 PECOS PAC ID: 6507027349 Enrollment ID: I20120423000168 |
| Provider Name | Katey K Hoffman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508131442 PECOS PAC ID: 3274795224 Enrollment ID: I20120508000751 |
| Provider Name | Sarah L Chow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447557525 PECOS PAC ID: 7517122393 Enrollment ID: I20120628000372 |
| Provider Name | Christina N Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295904852 PECOS PAC ID: 3577719970 Enrollment ID: I20120816000763 |
| Provider Name | Grace Tandoc Martin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356454086 PECOS PAC ID: 1355599606 Enrollment ID: I20120912000377 |
| Provider Name | Ramana K Naidu |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1164678512 PECOS PAC ID: 4385893429 Enrollment ID: I20121004000264 |
| Provider Name | Sujatha D Pathi |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1639353279 PECOS PAC ID: 7517018278 Enrollment ID: I20121005000219 |
| Provider Name | James G Minnis |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1417169954 PECOS PAC ID: 4284883141 Enrollment ID: I20121009000560 |
| Provider Name | Salitha Sunderrajan |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1417185919 PECOS PAC ID: 6507016300 Enrollment ID: I20121031000492 |
| Provider Name | Helene S Walters |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548515877 PECOS PAC ID: 6002067659 Enrollment ID: I20121108000393 |
| Provider Name | Lucia L Franca |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558522722 PECOS PAC ID: 3274785498 Enrollment ID: I20121214000033 |
| Provider Name | Elizabeth M Zettersten |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1194035287 PECOS PAC ID: 0749435956 Enrollment ID: I20130219000215 |
| Provider Name | Melanie A Lising |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1285862870 PECOS PAC ID: 7214176585 Enrollment ID: I20130617000675 |
| Provider Name | Jessica P Flinders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073769055 PECOS PAC ID: 6507006954 Enrollment ID: I20130708000198 |
| Provider Name | Katherine Alconcel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376864215 PECOS PAC ID: 6800037953 Enrollment ID: I20130801000235 |
| Provider Name | Cynthia A Gasper |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1558697946 PECOS PAC ID: 7416196183 Enrollment ID: I20131025001237 |
| Provider Name | Wendy Z Davis |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1336293653 PECOS PAC ID: 1254346067 Enrollment ID: I20131031000113 |
| Provider Name | Rhunjay J Yu |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1255527024 PECOS PAC ID: 7719113745 Enrollment ID: I20131122000781 |
| Provider Name | Ravinder S Gogia |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1083872618 PECOS PAC ID: 9335376581 Enrollment ID: I20131212001871 |
| Provider Name | Milana L. Berguig |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902030414 PECOS PAC ID: 5193954675 Enrollment ID: I20140203000554 |
| Provider Name | Amber Jaeger |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1326281023 PECOS PAC ID: 9032342381 Enrollment ID: I20140512001961 |
| Provider Name | Stephen C Allison |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023336294 PECOS PAC ID: 6002030509 Enrollment ID: I20140623002268 |
| Provider Name | Allison C Paine |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073857439 PECOS PAC ID: 2466676978 Enrollment ID: I20140623002741 |
| Provider Name | Russell D Dedini |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1528396579 PECOS PAC ID: 6305061953 Enrollment ID: I20140715002024 |
| Provider Name | Jennifer E Byer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578838298 PECOS PAC ID: 3971731290 Enrollment ID: I20140811000519 |
| Provider Name | Lawrence M Tiglao |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1073837662 PECOS PAC ID: 1254559735 Enrollment ID: I20140825001824 |
| Provider Name | Rina Marfatia |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1508055138 PECOS PAC ID: 3870768229 Enrollment ID: I20140827000010 |
| Provider Name | Lawrence M Huan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881986206 PECOS PAC ID: 0042456220 Enrollment ID: I20140926001802 |
| Provider Name | Fiona Marion |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578905345 PECOS PAC ID: 4385966548 Enrollment ID: I20141125002526 |
| Provider Name | Loree Skidmore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346453297 PECOS PAC ID: 8628393014 Enrollment ID: I20150205001417 |
| Provider Name | Tomas Kubrican |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770751174 PECOS PAC ID: 7810041068 Enrollment ID: I20150423000069 |
| Provider Name | Dinah M Bukowski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639261530 PECOS PAC ID: 6406742378 Enrollment ID: I20150428001462 |
| Provider Name | Tina R. Desai |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1629147897 PECOS PAC ID: 0840200937 Enrollment ID: I20150615002586 |
| Provider Name | Craig M Forester |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073748414 PECOS PAC ID: 0042522872 Enrollment ID: I20150707002632 |
| Provider Name | Edward C Vander Clute |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376682732 PECOS PAC ID: 3173836574 Enrollment ID: I20150714001680 |
| Provider Name | Benjamin C Dudley |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1669682811 PECOS PAC ID: 4587824354 Enrollment ID: I20150723008246 |
| Provider Name | Alison Willis |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1689920944 PECOS PAC ID: 6800109422 Enrollment ID: I20150724011046 |
| Provider Name | Elizabeth R Brown |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215281019 PECOS PAC ID: 5193945293 Enrollment ID: I20150807015014 |
| Provider Name | Christine L Bilbrey |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376766311 PECOS PAC ID: 3072761485 Enrollment ID: I20151120002336 |
| Provider Name | Lori Katnik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124499413 PECOS PAC ID: 1557661436 Enrollment ID: I20151125000614 |
| Provider Name | Amir Prushani |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1275762858 PECOS PAC ID: 4981837473 Enrollment ID: I20151204002241 |
| Provider Name | Rupali Chaudhuri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598014763 PECOS PAC ID: 8123278884 Enrollment ID: I20151228000705 |
| Provider Name | Evaline Chang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831532506 PECOS PAC ID: 6204138969 Enrollment ID: I20160112002185 |
| Provider Name | Merlienaida Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811398969 PECOS PAC ID: 3173826054 Enrollment ID: I20160127001153 |
| Provider Name | Amanda Elizabeth Hoehler |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265606776 PECOS PAC ID: 7517991961 Enrollment ID: I20160308002204 |
| Provider Name | Hilary M Grubb |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861735862 PECOS PAC ID: 2264730571 Enrollment ID: I20160419001911 |
| Provider Name | Stephanie Jacquelyn Maroney |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1003106436 PECOS PAC ID: 1759671886 Enrollment ID: I20160602000710 |
| Provider Name | Christopher M Hogan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1376867010 PECOS PAC ID: 6901114826 Enrollment ID: I20160726003155 |
| Provider Name | Anand V Soni |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1912944505 PECOS PAC ID: 2961560511 Enrollment ID: I20160824001510 |
| Provider Name | Matthew M Koehler |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1801090519 PECOS PAC ID: 7416243159 Enrollment ID: I20160907001163 |
| Provider Name | Derek T Ward |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1649596933 PECOS PAC ID: 0840421996 Enrollment ID: I20160923001439 |
| Provider Name | Benjamin Stahl |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1760771901 PECOS PAC ID: 5890082523 Enrollment ID: I20160923001945 |
| Provider Name | Christopher White |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841338159 PECOS PAC ID: 3274813969 Enrollment ID: I20161215001866 |
| Provider Name | Carolyn Hwang |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1588033054 PECOS PAC ID: 0749581700 Enrollment ID: I20161216002096 |
| Provider Name | Kyle Vanstone |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558501882 PECOS PAC ID: 6406986496 Enrollment ID: I20161222001436 |
| Provider Name | Nadine Aldahhan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609202308 PECOS PAC ID: 6901024009 Enrollment ID: I20170116000677 |
| Provider Name | Alexander V Uihlein |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1801043880 PECOS PAC ID: 0941468045 Enrollment ID: I20170128000172 |
| Provider Name | Rajdeep Singh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104368778 PECOS PAC ID: 7719260249 Enrollment ID: I20170208000736 |
| Provider Name | John C Elliott |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821042292 PECOS PAC ID: 0547270530 Enrollment ID: I20170321001883 |
| Provider Name | Olusinmi Motunrola Bamgbose |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093057648 PECOS PAC ID: 4789965260 Enrollment ID: I20170629002910 |
| Provider Name | Kate Frometa |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1497709844 PECOS PAC ID: 5496766115 Enrollment ID: I20170707001951 |
| Provider Name | Ari Kane |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285924290 PECOS PAC ID: 1355631185 Enrollment ID: I20170717001864 |
| Provider Name | Drew Lansdown |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1356669899 PECOS PAC ID: 9638300908 Enrollment ID: I20170728000921 |
| Provider Name | Erika Lore Brinson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1558617027 PECOS PAC ID: 4688945090 Enrollment ID: I20170803001543 |
| Provider Name | Joshua Benham |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528406881 PECOS PAC ID: 5597064535 Enrollment ID: I20170830001594 |
| Provider Name | Susan C Hollander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447469440 PECOS PAC ID: 2062635535 Enrollment ID: I20170905001829 |
| Provider Name | Ramon A Partida |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1295994440 PECOS PAC ID: 0042498420 Enrollment ID: I20170920003929 |
| Provider Name | Megan Reeves |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265877336 PECOS PAC ID: 4183999493 Enrollment ID: I20171011003458 |
| Provider Name | Carrie M Dorsey-higdon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104082155 PECOS PAC ID: 0345219358 Enrollment ID: I20171109002544 |
| Provider Name | Rachel Ellen Latta |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1477981355 PECOS PAC ID: 5092073932 Enrollment ID: I20171221002188 |
| Provider Name | Anita D Szady |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1285722686 PECOS PAC ID: 2961680590 Enrollment ID: I20180109000175 |
| Provider Name | Hannah Rowena Kopp-yates |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1255783080 PECOS PAC ID: 7719249416 Enrollment ID: I20180316000644 |
| Provider Name | Tamar G Segev |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972902971 PECOS PAC ID: 6901169671 Enrollment ID: I20180410002248 |
| Provider Name | Brian T Anderson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184042699 PECOS PAC ID: 0840588968 Enrollment ID: I20180615001979 |
| Provider Name | Vivek Iyer |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1609036458 PECOS PAC ID: 0345483780 Enrollment ID: I20180616000019 |
| Provider Name | Alex Rainow |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1255577904 PECOS PAC ID: 3072756881 Enrollment ID: I20180618000923 |
| Provider Name | Bernard Brass |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871941013 PECOS PAC ID: 5890040331 Enrollment ID: I20180625000697 |
| Provider Name | Erica Sutherland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427343615 PECOS PAC ID: 0749598464 Enrollment ID: I20180625003515 |
| Provider Name | Sindhura Kodali |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861811408 PECOS PAC ID: 2466746896 Enrollment ID: I20180705002871 |
| Provider Name | Elizabeth Debra Cedars |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1982947404 PECOS PAC ID: 1557655180 Enrollment ID: I20180802000134 |
| Provider Name | Cherysh Kemp Gunkle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952647851 PECOS PAC ID: 8820398746 Enrollment ID: I20180910002177 |
| Provider Name | Jeffrey James Barry |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1598031304 PECOS PAC ID: 2365733052 Enrollment ID: I20180928001581 |
| Provider Name | Andrew J Desruisseau |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1518945658 PECOS PAC ID: 3577522614 Enrollment ID: I20181018002274 |
| Provider Name | Katherine Lily Taylor Lynch |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1386148864 PECOS PAC ID: 7517202971 Enrollment ID: I20181213001512 |
| Provider Name | Mary A Redfern |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447266747 PECOS PAC ID: 5698076214 Enrollment ID: I20190103001766 |
| Provider Name | Linda Sue Rouda |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1437252004 PECOS PAC ID: 9638416316 Enrollment ID: I20190204002299 |
| Provider Name | Jane Corbett Gehring |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1629189659 PECOS PAC ID: 7719225408 Enrollment ID: I20190204002822 |
| Provider Name | Heather Ann Renz |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1770695967 PECOS PAC ID: 2264770882 Enrollment ID: I20190206001992 |
| Provider Name | Suzanne C Christie |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629002985 PECOS PAC ID: 7315285673 Enrollment ID: I20190212000367 |
| Provider Name | Ann Troy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174636039 PECOS PAC ID: 9335488204 Enrollment ID: I20190312001021 |
| Provider Name | Jessica Mason Levin |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1992058655 PECOS PAC ID: 5395086896 Enrollment ID: I20190410001951 |
| Provider Name | Claire Elizabeth Dodds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851645063 PECOS PAC ID: 8426202789 Enrollment ID: I20190411000536 |
| Provider Name | Robert Ching Chan |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1295980647 PECOS PAC ID: 7719110196 Enrollment ID: I20190502000718 |
| Provider Name | Liat Eleanor Bird |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902269087 PECOS PAC ID: 9436412699 Enrollment ID: I20190628001146 |
| Provider Name | Michele B Baron |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932594264 PECOS PAC ID: 6608103528 Enrollment ID: I20190814002981 |
| Provider Name | Joshua Biddle |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1386023877 PECOS PAC ID: 9739417403 Enrollment ID: I20190820002714 |
| Provider Name | Jenny Mendez Butler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427512094 PECOS PAC ID: 7517297476 Enrollment ID: I20190919002433 |
| Provider Name | Naleena Kuljit Kaur Sidhu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285869487 PECOS PAC ID: 9931350832 Enrollment ID: I20190920001913 |
| Provider Name | Dana Lenore Jackson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689060063 PECOS PAC ID: 5991042244 Enrollment ID: I20190926000359 |
| Provider Name | Gurkamal Md Hans |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447609342 PECOS PAC ID: 6709179724 Enrollment ID: I20191007002044 |
| Provider Name | Anum Tanvir |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164943163 PECOS PAC ID: 5597096941 Enrollment ID: I20191016000676 |
| Provider Name | Laurence D Cecilio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023436813 PECOS PAC ID: 3577894856 Enrollment ID: I20191017002203 |
| Provider Name | Signy Marie Toquinto |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1922564624 PECOS PAC ID: 4284966219 Enrollment ID: I20191024001559 |
| Provider Name | Juhi Goswamy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821448317 PECOS PAC ID: 3678805413 Enrollment ID: I20191029001848 |
| Provider Name | Deanna Lorraine Green |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285095182 PECOS PAC ID: 8224325931 Enrollment ID: I20191120000153 |
| Provider Name | Justine Shum |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1730592437 PECOS PAC ID: 9638417389 Enrollment ID: I20191121001518 |
| Provider Name | Andrea Ann Stariha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770135204 PECOS PAC ID: 1557795747 Enrollment ID: I20191220001734 |
| Provider Name | Anjali Asrani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184279770 PECOS PAC ID: 1850725847 Enrollment ID: I20191227002206 |
| Provider Name | Ross Gregory Gaudet |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1356616619 PECOS PAC ID: 6406158153 Enrollment ID: I20200113002710 |
| Provider Name | Jennifer Greenway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578021960 PECOS PAC ID: 0941635668 Enrollment ID: I20200127000801 |
| Provider Name | Ines Sherifi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1134518541 PECOS PAC ID: 1254608847 Enrollment ID: I20200127000884 |
| Provider Name | Deborah Leal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306155908 PECOS PAC ID: 5890979843 Enrollment ID: I20200127001715 |
| Provider Name | Renee Theresa Dettloff |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1285170951 PECOS PAC ID: 9931535226 Enrollment ID: I20200205000271 |
| Provider Name | April Jean Walter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164072567 PECOS PAC ID: 6608204417 Enrollment ID: I20200310000430 |
| Provider Name | Susan Shey |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1275988123 PECOS PAC ID: 6002246097 Enrollment ID: I20200414003882 |
| Provider Name | Robert A Gleser |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679538516 PECOS PAC ID: 8426941162 Enrollment ID: I20200423002110 |
| Provider Name | Kevin Shanaghan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750318283 PECOS PAC ID: 3173513678 Enrollment ID: I20200424002658 |
| Provider Name | Meera Bajwa |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1639357841 PECOS PAC ID: 8022045293 Enrollment ID: I20200504000379 |
| Provider Name | Megan M Klenow |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104177450 PECOS PAC ID: 2365873254 Enrollment ID: I20200508001524 |
| Provider Name | Dina Vaynberg |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598051575 PECOS PAC ID: 4789957713 Enrollment ID: I20200528001972 |
| Provider Name | Brennan Vail Higgins |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255864955 PECOS PAC ID: 8820321482 Enrollment ID: I20200618002038 |
| Provider Name | Wendy Darlene French |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730725268 PECOS PAC ID: 4981026903 Enrollment ID: I20200622000829 |
| Provider Name | Lauren A Tipton |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881191591 PECOS PAC ID: 5698197630 Enrollment ID: I20200622001575 |
| Provider Name | Madeleine B Hanks |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952787616 PECOS PAC ID: 8628492048 Enrollment ID: I20200717002942 |
| Provider Name | Nikhill Sharma Bhardwaj |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154856391 PECOS PAC ID: 7719301142 Enrollment ID: I20200720000130 |
| Provider Name | Rachel L Yang |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1982048724 PECOS PAC ID: 8224467980 Enrollment ID: I20200728000957 |
| Provider Name | Elaine Jenny Lin |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1881049872 PECOS PAC ID: 3577989169 Enrollment ID: I20200813000653 |
| Provider Name | Amanda Deson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407203599 PECOS PAC ID: 4385934454 Enrollment ID: I20200820000829 |
| Provider Name | Liane Macpherson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1336205491 PECOS PAC ID: 9133410657 Enrollment ID: I20200820001769 |
| Provider Name | Annick Paulin Aubin-pouliot |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1205213170 PECOS PAC ID: 7214353291 Enrollment ID: I20200820003364 |
| Provider Name | Emma L Jamison |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215390828 PECOS PAC ID: 5799076329 Enrollment ID: I20200903003549 |
| Provider Name | Natasa Bratislav Dragicevic |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1124386156 PECOS PAC ID: 9830476654 Enrollment ID: I20200918001333 |
| Provider Name | Robert Schoene |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1295786028 PECOS PAC ID: 7719951755 Enrollment ID: I20200928001658 |
| Provider Name | Gurmanpal Sandhu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447783709 PECOS PAC ID: 2961770714 Enrollment ID: I20200930001353 |
| Provider Name | Joseph Francis Bielefeld |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124639943 PECOS PAC ID: 6406275601 Enrollment ID: I20201007000409 |
| Provider Name | Jayme Fellores |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1114274388 PECOS PAC ID: 8123448016 Enrollment ID: I20201014002853 |
| Provider Name | Traci Ise Iwamoto |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841566767 PECOS PAC ID: 3678866472 Enrollment ID: I20201015002438 |
| Provider Name | Nikita Gore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265965107 PECOS PAC ID: 4183034143 Enrollment ID: I20201102002100 |
| Provider Name | Jennie M Garcia |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245618115 PECOS PAC ID: 9335480755 Enrollment ID: I20201112000604 |
| Provider Name | Jessica Bode |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417343575 PECOS PAC ID: 6103121066 Enrollment ID: I20201208001470 |
| Provider Name | Madeleine Belizaire |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1407369887 PECOS PAC ID: 0446589535 Enrollment ID: I20201214001532 |
| Provider Name | Louis Doan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255674982 PECOS PAC ID: 3274832258 Enrollment ID: I20210201002140 |
| Provider Name | Nadine Wlasiuk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104365147 PECOS PAC ID: 9335475060 Enrollment ID: I20210319000938 |
| Provider Name | Melanie Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972762987 PECOS PAC ID: 7517374481 Enrollment ID: I20210322002112 |
| Provider Name | Kerry Robinson Fellows |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831558295 PECOS PAC ID: 7012325145 Enrollment ID: I20210409000423 |
| Provider Name | Melanie Baskind |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336645142 PECOS PAC ID: 0648604355 Enrollment ID: I20210512002984 |
| Provider Name | Kristin Anne Kline |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1871754887 PECOS PAC ID: 0244307189 Enrollment ID: I20210524001433 |
| Provider Name | Lyndly Johnni Tamura |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1699121905 PECOS PAC ID: 0547688954 Enrollment ID: I20210526002871 |
| Provider Name | Mahkam Tavallaee |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1891150397 PECOS PAC ID: 3577963511 Enrollment ID: I20210614002310 |
| Provider Name | Hilary Ann Allair |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1194337451 PECOS PAC ID: 7719387463 Enrollment ID: I20210616003582 |
| Provider Name | Jessica R Holliday |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114389574 PECOS PAC ID: 4981968112 Enrollment ID: I20210721001954 |
| Provider Name | Denyse F Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477103570 PECOS PAC ID: 5294138301 Enrollment ID: I20210727003914 |
| Provider Name | Shalini Mittal |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003312901 PECOS PAC ID: 4385047372 Enrollment ID: I20210728003020 |
| Provider Name | Lauren Santiesteban |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1720467467 PECOS PAC ID: 2062750524 Enrollment ID: I20210729001100 |
| Provider Name | Sarah Elizabeth Ashland |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538521224 PECOS PAC ID: 0143514315 Enrollment ID: I20210809003538 |
| Provider Name | Ellen Haddock |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1851823454 PECOS PAC ID: 8123423423 Enrollment ID: I20210825001419 |
| Provider Name | Arvind Nishtala |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1255726949 PECOS PAC ID: 8123364585 Enrollment ID: I20210826001777 |
| Provider Name | Kyle Glover |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801381504 PECOS PAC ID: 8921404864 Enrollment ID: I20210901001744 |
| Provider Name | Kalle Yee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700380060 PECOS PAC ID: 9133526296 Enrollment ID: I20210916002078 |
| Provider Name | Mignon Hills Parsons |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447747530 PECOS PAC ID: 0547667313 Enrollment ID: I20210921001733 |
| Provider Name | Linda C Wight |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962563627 PECOS PAC ID: 6901203439 Enrollment ID: I20210924002544 |
| Provider Name | Lisa Y Park |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1568857142 PECOS PAC ID: 0547561557 Enrollment ID: I20211201003030 |
| Provider Name | Parisa Mehran |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1699159939 PECOS PAC ID: 9931446036 Enrollment ID: I20220103000503 |
| Provider Name | Kelsey Nicole Strand |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902578172 PECOS PAC ID: 2163815952 Enrollment ID: I20220128002123 |
| Provider Name | Jessica Stuhl |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578231585 PECOS PAC ID: 7810380672 Enrollment ID: I20220131002400 |
| Provider Name | Anne Wattles Geier |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982101382 PECOS PAC ID: 0749674620 Enrollment ID: I20220221000246 |
| Provider Name | Nelson Branco |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841270451 PECOS PAC ID: 4688097744 Enrollment ID: I20220223002988 |
| Provider Name | Se Young Suh |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1215355425 PECOS PAC ID: 4082992276 Enrollment ID: I20220317000753 |
| Provider Name | Sharleen Sidhu |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1962747758 PECOS PAC ID: 9830332923 Enrollment ID: I20220504000260 |
| Provider Name | Lana Gleckman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114409059 PECOS PAC ID: 8325425275 Enrollment ID: I20220513001570 |
| Provider Name | Gurmehr Kaur |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417452913 PECOS PAC ID: 4284031683 Enrollment ID: I20220523000735 |
| Provider Name | Elijah Verheyen |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1780047332 PECOS PAC ID: 0749526218 Enrollment ID: I20220719000842 |
| Provider Name | Catherine Platt |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154696706 PECOS PAC ID: 9931455425 Enrollment ID: I20220722001139 |
| Provider Name | Katherine Reim |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1417451758 PECOS PAC ID: 6901233196 Enrollment ID: I20220810001453 |
| Provider Name | Alexandra Yasemin Goksenin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194170431 PECOS PAC ID: 5799049920 Enrollment ID: I20220813000710 |
| Provider Name | Jacob Paul Christ |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386141422 PECOS PAC ID: 0749536928 Enrollment ID: I20220822002142 |
| Provider Name | Zachary Schwab |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255862181 PECOS PAC ID: 1951646579 Enrollment ID: I20220906002658 |
| Provider Name | Nicole Betenia |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316309511 PECOS PAC ID: 4587952361 Enrollment ID: I20220906003126 |
| Provider Name | Rim Elchaki |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1225415714 PECOS PAC ID: 0547645624 Enrollment ID: I20220912000775 |
| Provider Name | Zoe Mcgovern Feld |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396249728 PECOS PAC ID: 9830575356 Enrollment ID: I20221005003757 |
| Provider Name | Kim D Juarez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629705249 PECOS PAC ID: 8022484963 Enrollment ID: I20221018003497 |
| Provider Name | Allan M Conway |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1003100025 PECOS PAC ID: 4587935713 Enrollment ID: I20221108002774 |
| Provider Name | Katerina Alyse Zappas-levy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346737012 PECOS PAC ID: 3870960693 Enrollment ID: I20221108003084 |
| Provider Name | Benjamin Hambro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205399052 PECOS PAC ID: 1254700818 Enrollment ID: I20221205000673 |
| Provider Name | Juemin Huang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861120446 PECOS PAC ID: 9436528924 Enrollment ID: I20221205002102 |
| Provider Name | Anshul Badhwar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1710365614 PECOS PAC ID: 7618375965 Enrollment ID: I20230130002174 |
| Provider Name | Jane Abanes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821385675 PECOS PAC ID: 1850618588 Enrollment ID: I20230418000711 |
| Provider Name | Alia Marie Berlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720493661 PECOS PAC ID: 4688039217 Enrollment ID: I20230503001647 |
| Provider Name | Kevin Michael Hwang |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1518348085 PECOS PAC ID: 9931479227 Enrollment ID: I20230517002237 |
| Provider Name | Jennifer Frankel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1194941799 PECOS PAC ID: 0446344303 Enrollment ID: I20230726003734 |
| Provider Name | Luisa Ward |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073162541 PECOS PAC ID: 0345674412 Enrollment ID: I20230728003123 |
| Provider Name | Carey Stuart Politzer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1245736743 PECOS PAC ID: 7911369723 Enrollment ID: I20230810002646 |
| Provider Name | Aditi Ahlawat |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1104207901 PECOS PAC ID: 7618308222 Enrollment ID: I20230816001520 |
| Provider Name | Majd Tarabichi |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1700380516 PECOS PAC ID: 0648528760 Enrollment ID: I20230821002286 |
| Provider Name | Simran Sidhu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1821445040 PECOS PAC ID: 0941595763 Enrollment ID: I20230828002373 |
| Provider Name | Brian Su |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1063690782 PECOS PAC ID: 3577609056 Enrollment ID: I20230905001260 |
| Provider Name | Carolyn Anh Ho |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851928154 PECOS PAC ID: 3577927219 Enrollment ID: I20230913001865 |
| Provider Name | Christopher Migdal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487179248 PECOS PAC ID: 9133573959 Enrollment ID: I20230928000240 |
| Provider Name | Lily Danielle Stoner |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1912626318 PECOS PAC ID: 2860846409 Enrollment ID: I20230929002365 |
| Provider Name | Samuel Max Cohen |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1790282440 PECOS PAC ID: 9931555026 Enrollment ID: I20231025003147 |
| Provider Name | Iris J Jovel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386105369 PECOS PAC ID: 2466869003 Enrollment ID: I20231026001942 |
| Provider Name | Arman Serebrakian |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1184086407 PECOS PAC ID: 2466740816 Enrollment ID: I20231027000829 |
| Provider Name | Sirisha Grandhe |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1487032355 PECOS PAC ID: 1951701259 Enrollment ID: I20231122002385 |
| Provider Name | Jessy M Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194501908 PECOS PAC ID: 6103276001 Enrollment ID: I20231219000281 |
| Provider Name | Daniel Solomon |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1013989136 PECOS PAC ID: 9335293406 Enrollment ID: I20231227000774 |
| Provider Name | Sean Maroney |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1487881983 PECOS PAC ID: 5193141786 Enrollment ID: I20240125003270 |
| Provider Name | Tatiana Eloisa Huezo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750048260 PECOS PAC ID: 2769826163 Enrollment ID: I20240213004088 |
Richard Joseph Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 548 Market St # 50727, San Francisco, CA 94104 Phone: 415-851-3224 | |
James Y.greenberg, Md, A Professional Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2299 Post St Ste 205, San Francisco, CA 94115 Phone: 415-474-7955 Fax: 415-292-0718 | |
Inpatient Services Of California, Inc., A Medical Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3555 Cesar Chavez St, San Francisco, CA 94110 Phone: 415-641-6401 | |
Jew & Jew Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 919 Clay St, San Francisco, CA 94108 Phone: 415-982-4011 Fax: 415-982-6291 | |
Hampton Health Ltd Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1700 California St, Ste. 470, San Francisco, CA 94109 Phone: 415-202-9990 Fax: 415-843-0548 | |
North East Medical Services-leland Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 82 Leland Avenue, San Francisco, CA 94134 Phone: 415-391-9686 Fax: 415-333-9067 | |
Mission Area Health Associates Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1580 Valencia St Ste 506, San Francisco, CA 94110 Phone: 415-852-4080 Fax: 415-431-3178 |