| UF Health Physicians | |
|
1600 Sw Archer Rd Gainesville FL 32610 | |
| (352) 265-7922 | |
| (352) 265-7933 |
| Full Name | UF Health Physicians |
|---|---|
| Speciality | Surgery |
| Location | 1600 Sw Archer Rd, Gainesville, Florida |
| Authorized Official Name and Position | Marvin A. Dewar (CEO, UFP) |
| Authorized Official Contact | 3522658309 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| UF Health Physicians Po Box 109401 Atlanta GA 30348-8401 Ph: (352) 265-7922 | UF Health Physicians 1600 Sw Archer Rd Gainesville FL 32610 Ph: (352) 265-7922 |
| NPI Number | 1063463768 |
|---|---|
| Provider Enumeration Date | 05/15/2006 |
| Last Update Date | 05/07/2026 |
| Certification Date | 05/07/2026 |
| Medicare PECOS PAC ID | 0345146254 |
|---|---|
| Medicare Enrollment ID | O20031211000099 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063463768 | NPI | - | NPPES |
| 053386600 | Medicaid | FL | |
| CA8790 | Other | FL | RR MEDICARE |
| Provider Name | Alexander Cooley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1992747208 PECOS PAC ID: 9436063104 Enrollment ID: I20031117000696 |
| Provider Name | Ralph J Tullo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225035751 PECOS PAC ID: 8426962978 Enrollment ID: I20031118000670 |
| Provider Name | Joni L Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467561092 PECOS PAC ID: 6103720347 Enrollment ID: I20031120000491 |
| Provider Name | Celia K Nelson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1437107778 PECOS PAC ID: 7810893153 Enrollment ID: I20031209000355 |
| Provider Name | Samuel Bundz |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1457548844 PECOS PAC ID: 6507762762 Enrollment ID: I20031209000475 |
| Provider Name | Keith R Peters |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659343036 PECOS PAC ID: 8820996515 Enrollment ID: I20031219000236 |
| Provider Name | John S Newman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1568456101 PECOS PAC ID: 3577462316 Enrollment ID: I20031231000294 |
| Provider Name | Giuseppe Morelli |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1962461004 PECOS PAC ID: 1153221098 Enrollment ID: I20040108001179 |
| Provider Name | Donald T Jones |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1205827227 PECOS PAC ID: 4587564448 Enrollment ID: I20040109000007 |
| Provider Name | May R Arroyo |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1184602021 PECOS PAC ID: 7618879974 Enrollment ID: I20040126000766 |
| Provider Name | Patricia P Moser |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003888918 PECOS PAC ID: 2769385954 Enrollment ID: I20040127000629 |
| Provider Name | Kirsy Acosta-ortiz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1861413528 PECOS PAC ID: 1850294596 Enrollment ID: I20040129000800 |
| Provider Name | Ludmila B De Faria |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891709077 PECOS PAC ID: 1850284613 Enrollment ID: I20040205000289 |
| Provider Name | John T Livecchi |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1669434270 PECOS PAC ID: 3375436975 Enrollment ID: I20040206000355 |
| Provider Name | Brian Keith Nordgren |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447361746 PECOS PAC ID: 5193618510 Enrollment ID: I20040207000181 |
| Provider Name | Tracy Hollen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1639101082 PECOS PAC ID: 6608769054 Enrollment ID: I20040207000427 |
| Provider Name | Mamta Singh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225178833 PECOS PAC ID: 7719871425 Enrollment ID: I20040212000567 |
| Provider Name | Amitabh Suman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1295756989 PECOS PAC ID: 8921995994 Enrollment ID: I20040303000819 |
| Provider Name | Carl W Peters |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1275554883 PECOS PAC ID: 7315834272 Enrollment ID: I20040304000041 |
| Provider Name | Tung T Wynn |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1295730737 PECOS PAC ID: 6709775604 Enrollment ID: I20040310001253 |
| Provider Name | Richard a Boothby |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1376548354 PECOS PAC ID: 1557251030 Enrollment ID: I20040318000215 |
| Provider Name | Harshdeep Wilkhu |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1508964578 PECOS PAC ID: 3779473269 Enrollment ID: I20040318000316 |
| Provider Name | Eric K Thoburn |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700883485 PECOS PAC ID: 3971493115 Enrollment ID: I20040319000325 |
| Provider Name | Robert J Richardson |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1558399733 PECOS PAC ID: 8022900836 Enrollment ID: I20040326000715 |
| Provider Name | Ralph Duane Cook |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1689602161 PECOS PAC ID: 6103718945 Enrollment ID: I20040326000933 |
| Provider Name | Joshua J Wright |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467558585 PECOS PAC ID: 8628060415 Enrollment ID: I20040401000340 |
| Provider Name | Gail Ledzian |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1720150220 PECOS PAC ID: 1951394030 Enrollment ID: I20040405001570 |
| Provider Name | Gregg a Kasinger |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1295770691 PECOS PAC ID: 5597758086 Enrollment ID: I20040408000692 |
| Provider Name | Isaac L Mitchell |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1760592695 PECOS PAC ID: 0547255333 Enrollment ID: I20040420000467 |
| Provider Name | Kevin Mcbride |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790791721 PECOS PAC ID: 3678562675 Enrollment ID: I20040506000780 |
| Provider Name | Ingrid M Pitts |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1043246507 PECOS PAC ID: 7517956865 Enrollment ID: I20040511000767 |
| Provider Name | Rita M Mccloskey |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1801811922 PECOS PAC ID: 6204823248 Enrollment ID: I20040511001567 |
| Provider Name | Cany Feliciano-perez |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1275646556 PECOS PAC ID: 8224029319 Enrollment ID: I20040519000028 |
| Provider Name | Melinda Rullan |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1922043256 PECOS PAC ID: 4385635176 Enrollment ID: I20040520000728 |
| Provider Name | Robert Dubuisson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487600649 PECOS PAC ID: 9335130160 Enrollment ID: I20040520001011 |
| Provider Name | Bethann B Powers |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1508845215 PECOS PAC ID: 5890786552 Enrollment ID: I20040520001322 |
| Provider Name | Kambiz Shamlou |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699717124 PECOS PAC ID: 3870574957 Enrollment ID: I20040525001407 |
| Provider Name | Thomas J Yuschok |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104860600 PECOS PAC ID: 5991786097 Enrollment ID: I20040525001556 |
| Provider Name | Nitin a Dhaon |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1710972203 PECOS PAC ID: 8729069711 Enrollment ID: I20040526000498 |
| Provider Name | Umna Ashfaq |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962500165 PECOS PAC ID: 6103808514 Enrollment ID: I20040601000943 |
| Provider Name | Connie M Welch |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1447306527 PECOS PAC ID: 4183606064 Enrollment ID: I20040603001232 |
| Provider Name | Joelle Marie Innocent Simon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205970134 PECOS PAC ID: 9234112798 Enrollment ID: I20040609000032 |
| Provider Name | Maria a Ohrn |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1467541466 PECOS PAC ID: 9537142500 Enrollment ID: I20040610000863 |
| Provider Name | Judith L Lightsey |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1316908833 PECOS PAC ID: 7719960343 Enrollment ID: I20040612000321 |
| Provider Name | Nichol Rosace |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1457377038 PECOS PAC ID: 4587648076 Enrollment ID: I20040614000934 |
| Provider Name | Teresa a Fowler-plotkin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265512628 PECOS PAC ID: 4385628734 Enrollment ID: I20040615000427 |
| Provider Name | Debra R Reed |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1376506493 PECOS PAC ID: 8527042290 Enrollment ID: I20040618000101 |
| Provider Name | Erich T Wyckoff |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811965155 PECOS PAC ID: 0345225850 Enrollment ID: I20040621000151 |
| Provider Name | Lisa Ross Dixon |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1124073176 PECOS PAC ID: 6800871260 Enrollment ID: I20040621000559 |
| Provider Name | Carolyn G Carter |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225072127 PECOS PAC ID: 0749266658 Enrollment ID: I20040629001274 |
| Provider Name | Joel L Sebastien |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1639166739 PECOS PAC ID: 6406834993 Enrollment ID: I20040712000225 |
| Provider Name | Lucy Guerra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245286004 PECOS PAC ID: 9133108962 Enrollment ID: I20040715001008 |
| Provider Name | Lovell L Mayle |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1073624649 PECOS PAC ID: 4183603897 Enrollment ID: I20040716000199 |
| Provider Name | Douglas Michael Castellano |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1710979562 PECOS PAC ID: 6204816432 Enrollment ID: I20040720001142 |
| Provider Name | Douglas Sanders |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1700846789 PECOS PAC ID: 5799765285 Enrollment ID: I20040724000005 |
| Provider Name | Khaled M.o Amer |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1215973052 PECOS PAC ID: 8921079377 Enrollment ID: I20040802000411 |
| Provider Name | Nancy E Porter |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1902871270 PECOS PAC ID: 5395717417 Enrollment ID: I20040810000392 |
| Provider Name | Arun Chandran |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609841840 PECOS PAC ID: 3173597572 Enrollment ID: I20040823000325 |
| Provider Name | Jennifer L Paugh Miller |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1679670137 PECOS PAC ID: 2466427505 Enrollment ID: I20040831001532 |
| Provider Name | Ruby S Phan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1538186374 PECOS PAC ID: 4880660224 Enrollment ID: I20040907001021 |
| Provider Name | Linda Hughes |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801899042 PECOS PAC ID: 8325014483 Enrollment ID: I20040909000549 |
| Provider Name | Sally J Cullen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1679595078 PECOS PAC ID: 6305812397 Enrollment ID: I20040910000062 |
| Provider Name | Michael W Moser |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1831114586 PECOS PAC ID: 7911974712 Enrollment ID: I20040913000108 |
| Provider Name | Jessica Capote |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164490249 PECOS PAC ID: 3173590502 Enrollment ID: I20040914001075 |
| Provider Name | Mary Ellen Valletta |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275573487 PECOS PAC ID: 4082681143 Enrollment ID: I20040916000922 |
| Provider Name | Peruvemba S Sriram |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1225058662 PECOS PAC ID: 2163490681 Enrollment ID: I20040922000892 |
| Provider Name | Jennifer Lynne Miller |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508809989 PECOS PAC ID: 9032187554 Enrollment ID: I20040922000924 |
| Provider Name | Raymond a Larue |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477526820 PECOS PAC ID: 8729056908 Enrollment ID: I20040924000532 |
| Provider Name | James W Wynne |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1407820681 PECOS PAC ID: 4981677663 Enrollment ID: I20040930000035 |
| Provider Name | Vladimir Vincek |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1952327017 PECOS PAC ID: 3678542982 Enrollment ID: I20041001000816 |
| Provider Name | Jocelyn R Gravlee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215951660 PECOS PAC ID: 4789653072 Enrollment ID: I20041004000105 |
| Provider Name | Alfredo J Farinas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396795662 PECOS PAC ID: 9133180896 Enrollment ID: I20041026000148 |
| Provider Name | Pamela L Gonzalez |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336245299 PECOS PAC ID: 6800858101 Enrollment ID: I20041029000182 |
| Provider Name | Daniel C Sabatelli |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1922068683 PECOS PAC ID: 7810959954 Enrollment ID: I20041101000332 |
| Provider Name | Ayman S Hanna |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1639144892 PECOS PAC ID: 3072577642 Enrollment ID: I20041113000059 |
| Provider Name | Nila S Radhakrishnan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245298470 PECOS PAC ID: 9436114691 Enrollment ID: I20041130000169 |
| Provider Name | Victoria C Ehrhardt |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588682363 PECOS PAC ID: 0941265011 Enrollment ID: I20041130001014 |
| Provider Name | Bilal M Khodr |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881653723 PECOS PAC ID: 3072578152 Enrollment ID: I20041130001138 |
| Provider Name | Charles Richard Blake |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1386645224 PECOS PAC ID: 4082671037 Enrollment ID: I20041213000037 |
| Provider Name | Christopher R Cogle |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1447291455 PECOS PAC ID: 4486603560 Enrollment ID: I20050114000779 |
| Provider Name | Leilani M Seltzer |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1437252798 PECOS PAC ID: 4981653516 Enrollment ID: I20050120000595 |
| Provider Name | John Pennington |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780657734 PECOS PAC ID: 8426043522 Enrollment ID: I20050126000720 |
| Provider Name | Thomas a Marsland |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1477558716 PECOS PAC ID: 7719871326 Enrollment ID: I20050202000372 |
| Provider Name | David L Hoehn |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1831183458 PECOS PAC ID: 3577548007 Enrollment ID: I20050221000063 |
| Provider Name | Mary Josephine Cunningham Laube |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699706010 PECOS PAC ID: 2769438738 Enrollment ID: I20050323000955 |
| Provider Name | Brian D Mccomb |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1679546790 PECOS PAC ID: 2264333111 Enrollment ID: I20050331000562 |
| Provider Name | Enrique Yambao Galura |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134332034 PECOS PAC ID: 8921055542 Enrollment ID: I20050407000144 |
| Provider Name | Antony Merendino |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1104800226 PECOS PAC ID: 4486692860 Enrollment ID: I20050418000988 |
| Provider Name | Lori P Voss |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1659360386 PECOS PAC ID: 8426096108 Enrollment ID: I20050422000344 |
| Provider Name | Orlando J Icaza |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1447259106 PECOS PAC ID: 6305886904 Enrollment ID: I20050504000355 |
| Provider Name | Cristina B Kovalev |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467482992 PECOS PAC ID: 4981644028 Enrollment ID: I20050507000006 |
| Provider Name | Renato Gonik |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1073545802 PECOS PAC ID: 5496798050 Enrollment ID: I20050604000003 |
| Provider Name | Catherine a Seals |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154400711 PECOS PAC ID: 3678534187 Enrollment ID: I20050606000712 |
| Provider Name | Hassan M Alnuaimat |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1154360139 PECOS PAC ID: 1254376320 Enrollment ID: I20050621000224 |
| Provider Name | Melissa Mai Vu |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1215924501 PECOS PAC ID: 7214973908 Enrollment ID: I20050705000182 |
| Provider Name | Vincent James Caracciolo |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1952446908 PECOS PAC ID: 6709822133 Enrollment ID: I20050707000177 |
| Provider Name | Senthil R Meenrajan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215903638 PECOS PAC ID: 0941236988 Enrollment ID: I20050712000374 |
| Provider Name | Bold R Hood |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225081532 PECOS PAC ID: 7214965565 Enrollment ID: I20050728000947 |
| Provider Name | Richard Pantano |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528000809 PECOS PAC ID: 3971532235 Enrollment ID: I20050806000108 |
| Provider Name | Sandy S Kho |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1760407266 PECOS PAC ID: 7214966597 Enrollment ID: I20050808000130 |
| Provider Name | Dennis P Collins |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1205870110 PECOS PAC ID: 7315977998 Enrollment ID: I20050813000144 |
| Provider Name | Thomas J George |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1104867365 PECOS PAC ID: 5395775977 Enrollment ID: I20050813000163 |
| Provider Name | Donna M Parker |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447291489 PECOS PAC ID: 6305876947 Enrollment ID: I20050815000169 |
| Provider Name | Manish Sahni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326031519 PECOS PAC ID: 9931139318 Enrollment ID: I20050816000374 |
| Provider Name | Ramona D Esquibel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275549206 PECOS PAC ID: 3072544766 Enrollment ID: I20050823000183 |
| Provider Name | Julia K Marshall |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477525772 PECOS PAC ID: 1557392123 Enrollment ID: I20050823000887 |
| Provider Name | Maria Nate Kelly |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376583336 PECOS PAC ID: 6002847639 Enrollment ID: I20050824000137 |
| Provider Name | Sandi P Thibodeau |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1871562462 PECOS PAC ID: 6800827189 Enrollment ID: I20050826000054 |
| Provider Name | Nasser Razack |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1225141328 PECOS PAC ID: 3375574668 Enrollment ID: I20050826000090 |
| Provider Name | Douglas L Senecal |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1184691123 PECOS PAC ID: 2264322429 Enrollment ID: I20050827000006 |
| Provider Name | Okorie N Okorie |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1902876063 PECOS PAC ID: 6901837129 Enrollment ID: I20050829000041 |
| Provider Name | Tessy Korah |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649230384 PECOS PAC ID: 6204727431 Enrollment ID: I20050831000076 |
| Provider Name | Jeffrey T Budd |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821026584 PECOS PAC ID: 0345272670 Enrollment ID: I20050907000624 |
| Provider Name | Cedric Tankson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1639289507 PECOS PAC ID: 2466484530 Enrollment ID: I20050909000266 |
| Provider Name | Myriame Vastey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649245804 PECOS PAC ID: 8224060207 Enrollment ID: I20050910000165 |
| Provider Name | Roberto J Firpi- Morell |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1689633380 PECOS PAC ID: 3375576960 Enrollment ID: I20050914000687 |
| Provider Name | Thomas J. Smith |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1376503185 PECOS PAC ID: 0547293185 Enrollment ID: I20050915000741 |
| Provider Name | Nicole Maureen Paradise Black |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215961198 PECOS PAC ID: 6406758135 Enrollment ID: I20050915000960 |
| Provider Name | Keri Bourdage |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1588603443 PECOS PAC ID: 4284667312 Enrollment ID: I20050919000014 |
| Provider Name | Theresa Roca |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861470239 PECOS PAC ID: 7517990690 Enrollment ID: I20050919000363 |
| Provider Name | Lino P Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003884453 PECOS PAC ID: 4284668377 Enrollment ID: I20050919000554 |
| Provider Name | Adam Wendling |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1245201979 PECOS PAC ID: 2062446826 Enrollment ID: I20050921000375 |
| Provider Name | Shireen M Sims |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205872488 PECOS PAC ID: 9436183118 Enrollment ID: I20050922000034 |
| Provider Name | William M Miles |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1598866345 PECOS PAC ID: 5799700977 Enrollment ID: I20051006000569 |
| Provider Name | Jacqueline Ann Hobbs |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578504585 PECOS PAC ID: 2163447137 Enrollment ID: I20051008000169 |
| Provider Name | John Santiago |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1043371206 PECOS PAC ID: 9931124948 Enrollment ID: I20051010000249 |
| Provider Name | Alejandro Knight |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1376564054 PECOS PAC ID: 9133144520 Enrollment ID: I20051014000303 |
| Provider Name | Jonathan H Phillips |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1518937689 PECOS PAC ID: 9234156530 Enrollment ID: I20051026000679 |
| Provider Name | Anne M Staples |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1578661831 PECOS PAC ID: 6002835923 Enrollment ID: I20051121000128 |
| Provider Name | Vijay Prabhakaran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346208097 PECOS PAC ID: 0446141063 Enrollment ID: I20051123000150 |
| Provider Name | Tan D Tran |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1184642621 PECOS PAC ID: 2163442039 Enrollment ID: I20051207000206 |
| Provider Name | April a Goddard |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1841224482 PECOS PAC ID: 8527089085 Enrollment ID: I20051212000654 |
| Provider Name | James R Clugston |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1790713915 PECOS PAC ID: 0244252922 Enrollment ID: I20051221000907 |
| Provider Name | Jennifer White Janelle |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1750491403 PECOS PAC ID: 2163444506 Enrollment ID: I20051228000459 |
| Provider Name | Mark S Bleiweis |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1467498576 PECOS PAC ID: 7810940236 Enrollment ID: I20060103000811 |
| Provider Name | Brian L Hoh |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1033164637 PECOS PAC ID: 5698719755 Enrollment ID: I20060106000675 |
| Provider Name | Kalynn Brown Matisco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952362212 PECOS PAC ID: 7719900976 Enrollment ID: I20060113000362 |
| Provider Name | Freddie R Guyer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851482863 PECOS PAC ID: 0042234924 Enrollment ID: I20060118000621 |
| Provider Name | Patrick S Conner |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1245298595 PECOS PAC ID: 2769497536 Enrollment ID: I20060215000479 |
| Provider Name | Jana a Reid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144337502 PECOS PAC ID: 7810902384 Enrollment ID: I20060221000163 |
| Provider Name | Robyn M Hoelle |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003830894 PECOS PAC ID: 8628084555 Enrollment ID: I20060301000275 |
| Provider Name | David Rizzuto |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1578524484 PECOS PAC ID: 3375559198 Enrollment ID: I20060302000269 |
| Provider Name | Liam C Holtzman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679526453 PECOS PAC ID: 8921088303 Enrollment ID: I20060302000589 |
| Provider Name | David S Estores |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1043266273 PECOS PAC ID: 7113934878 Enrollment ID: I20060321000566 |
| Provider Name | Elizabeth Ann Brownlee |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1790750180 PECOS PAC ID: 5193733541 Enrollment ID: I20060328000197 |
| Provider Name | Wei He |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164421764 PECOS PAC ID: 4082622121 Enrollment ID: I20060330000450 |
| Provider Name | Ilona M Schmalfuss |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528089893 PECOS PAC ID: 3779591870 Enrollment ID: I20060331000214 |
| Provider Name | Patricia a Gregg |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1326026303 PECOS PAC ID: 5698784890 Enrollment ID: I20060417000620 |
| Provider Name | Anthony a Mancuso |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1538131990 PECOS PAC ID: 4587674619 Enrollment ID: I20060503000427 |
| Provider Name | Jerry Speckman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1629049101 PECOS PAC ID: 4587628607 Enrollment ID: I20060503000492 |
| Provider Name | Charles H Bush |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972575835 PECOS PAC ID: 6002827938 Enrollment ID: I20060508000215 |
| Provider Name | Gladys M Torres |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952373730 PECOS PAC ID: 6709897630 Enrollment ID: I20060508000236 |
| Provider Name | Patricia L Abbitt |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1629040811 PECOS PAC ID: 2365453008 Enrollment ID: I20060510000086 |
| Provider Name | Stacey Wilson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1861435331 PECOS PAC ID: 1456364389 Enrollment ID: I20060719000263 |
| Provider Name | Louis William Solomon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689649964 PECOS PAC ID: 4688687528 Enrollment ID: I20060719000299 |
| Provider Name | Susan Griffith Schneider |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851370357 PECOS PAC ID: 5991794307 Enrollment ID: I20060809000119 |
| Provider Name | Kirk P Dockendorf |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1801813852 PECOS PAC ID: 3971506080 Enrollment ID: I20060810000212 |
| Provider Name | Edward Lucas |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659301109 PECOS PAC ID: 2062415060 Enrollment ID: I20060811000443 |
| Provider Name | Jamie R Smolen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164470449 PECOS PAC ID: 3870596794 Enrollment ID: I20060815000323 |
| Provider Name | Michele N Lossius |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609800796 PECOS PAC ID: 9234132721 Enrollment ID: I20060823000411 |
| Provider Name | Michael James Haller |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659305720 PECOS PAC ID: 7618971862 Enrollment ID: I20060831000301 |
| Provider Name | Roniel Cabrera |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1619901717 PECOS PAC ID: 9739184185 Enrollment ID: I20060919000255 |
| Provider Name | Sandra K Topp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902830581 PECOS PAC ID: 2668440280 Enrollment ID: I20061003000240 |
| Provider Name | Kaleeswari N Arulselvam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902822539 PECOS PAC ID: 7012913593 Enrollment ID: I20061005000316 |
| Provider Name | Liliana D Gutierrez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083605380 PECOS PAC ID: 8527064708 Enrollment ID: I20061011000313 |
| Provider Name | Troy Storey |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346201647 PECOS PAC ID: 4688619075 Enrollment ID: I20061016000025 |
| Provider Name | Brian S Geller |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1336100544 PECOS PAC ID: 1355347345 Enrollment ID: I20061016000097 |
| Provider Name | Nancy P Mendenhall |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1407817927 PECOS PAC ID: 1658377544 Enrollment ID: I20061017000410 |
| Provider Name | William M Mendenhall |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1528020708 PECOS PAC ID: 9739185620 Enrollment ID: I20061017000414 |
| Provider Name | Jyoti Budania |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598750390 PECOS PAC ID: 1052317740 Enrollment ID: I20061020000359 |
| Provider Name | Robert W Allan |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1417935305 PECOS PAC ID: 2163429630 Enrollment ID: I20061025000386 |
| Provider Name | Elizabeth a Vitarbo |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1235169079 PECOS PAC ID: 0345209128 Enrollment ID: I20061027000061 |
| Provider Name | Martha a Olson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1144317876 PECOS PAC ID: 5597762518 Enrollment ID: I20061103000176 |
| Provider Name | Margaret Lo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124133731 PECOS PAC ID: 7719985233 Enrollment ID: I20061117000073 |
| Provider Name | Edgard O Andrade |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013023399 PECOS PAC ID: 5294733721 Enrollment ID: I20061117000135 |
| Provider Name | Priti Joshi-guske |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1285657544 PECOS PAC ID: 5799783072 Enrollment ID: I20061121000178 |
| Provider Name | Derrick Payne |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1871518464 PECOS PAC ID: 1052319142 Enrollment ID: I20061128000405 |
| Provider Name | Daniela E Holloway |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1205840154 PECOS PAC ID: 4880665595 Enrollment ID: I20061129000216 |
| Provider Name | David W Indarawis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1912913468 PECOS PAC ID: 7012915002 Enrollment ID: I20061130000169 |
| Provider Name | Virendra D Desai |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1487689758 PECOS PAC ID: 0749288603 Enrollment ID: I20061201000313 |
| Provider Name | Stefania C Bray |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376505636 PECOS PAC ID: 9830198753 Enrollment ID: I20061204000159 |
| Provider Name | Renee F Modica |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558382804 PECOS PAC ID: 1456377423 Enrollment ID: I20061204000331 |
| Provider Name | Nathan M Rachman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1740294677 PECOS PAC ID: 0446258545 Enrollment ID: I20061207000172 |
| Provider Name | David B Fox |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1437163052 PECOS PAC ID: 7719985811 Enrollment ID: I20061207000225 |
| Provider Name | Meredith Manley Beck |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528072931 PECOS PAC ID: 8224037890 Enrollment ID: I20061208000041 |
| Provider Name | Albert R Robinson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1124032933 PECOS PAC ID: 4880693498 Enrollment ID: I20061208000395 |
| Provider Name | Peter a Gold |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1811921992 PECOS PAC ID: 5294734729 Enrollment ID: I20061212000100 |
| Provider Name | Linda T Le-wendling |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1508890195 PECOS PAC ID: 8224037635 Enrollment ID: I20061213000148 |
| Provider Name | Kelly L Dyess |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538276795 PECOS PAC ID: 2961401294 Enrollment ID: I20061213000430 |
| Provider Name | David a Lev |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1548274160 PECOS PAC ID: 9537167630 Enrollment ID: I20061213000553 |
| Provider Name | Howard S Valentine |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1346269255 PECOS PAC ID: 7911905096 Enrollment ID: I20061218000011 |
| Provider Name | Linda D Meade |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1649291378 PECOS PAC ID: 3375542350 Enrollment ID: I20061221000083 |
| Provider Name | John C Oeltjen |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1629099213 PECOS PAC ID: 4385644012 Enrollment ID: I20070103000365 |
| Provider Name | Rosemary P Johnson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1851304927 PECOS PAC ID: 0042210601 Enrollment ID: I20070104000162 |
| Provider Name | Robert Mathias |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1215965595 PECOS PAC ID: 0547278301 Enrollment ID: I20070104000335 |
| Provider Name | Oksana Valerie Bull |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144240995 PECOS PAC ID: 8224038658 Enrollment ID: I20070108000440 |
| Provider Name | Jeffrey David White |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1013958305 PECOS PAC ID: 4789684804 Enrollment ID: I20070112000394 |
| Provider Name | Molly Nicholas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629097555 PECOS PAC ID: 4688675689 Enrollment ID: I20070117000485 |
| Provider Name | William Collins |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1013938653 PECOS PAC ID: 1052361672 Enrollment ID: I20070119000032 |
| Provider Name | Shelley W Collins |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134200843 PECOS PAC ID: 0042265944 Enrollment ID: I20070123000587 |
| Provider Name | R David Anderson |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1669425047 PECOS PAC ID: 5294732061 Enrollment ID: I20070125000294 |
| Provider Name | Dikea Roussos-ross |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1417042359 PECOS PAC ID: 5799795316 Enrollment ID: I20070130000114 |
| Provider Name | Klaas Wierenga |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1548363724 PECOS PAC ID: 5395747356 Enrollment ID: I20070205000647 |
| Provider Name | Matthew P. Walser |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1114933231 PECOS PAC ID: 2567464969 Enrollment ID: I20070214000296 |
| Provider Name | Raymond S Kelley |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1134102734 PECOS PAC ID: 7911809983 Enrollment ID: I20070220000577 |
| Provider Name | Dona Hunt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578665741 PECOS PAC ID: 8022110154 Enrollment ID: I20070220000828 |
| Provider Name | Roxanne B Weber |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1801903703 PECOS PAC ID: 9739281262 Enrollment ID: I20070301000124 |
| Provider Name | Danielle M Francis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1972658672 PECOS PAC ID: 0042312449 Enrollment ID: I20070302000103 |
| Provider Name | Michelle E Metzger |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1942217195 PECOS PAC ID: 3072615418 Enrollment ID: I20070302000462 |
| Provider Name | Kevin J Sullivan |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1700856291 PECOS PAC ID: 8729181169 Enrollment ID: I20070306000030 |
| Provider Name | Cristi L O'donnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548205388 PECOS PAC ID: 8426151606 Enrollment ID: I20070308000095 |
| Provider Name | Paul C Dell |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1033169644 PECOS PAC ID: 6608979612 Enrollment ID: I20070313000191 |
| Provider Name | Scott Watson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811092802 PECOS PAC ID: 0840393500 Enrollment ID: I20070317000014 |
| Provider Name | Jack W Hsu |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1902867575 PECOS PAC ID: 0648200808 Enrollment ID: I20070327000457 |
| Provider Name | Judith Kassner Lucas |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952407835 PECOS PAC ID: 0648374876 Enrollment ID: I20070328000507 |
| Provider Name | Candice Lee Rogers |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1487616264 PECOS PAC ID: 8123122207 Enrollment ID: I20070329000293 |
| Provider Name | Mori Anne Stern |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467515353 PECOS PAC ID: 1951334291 Enrollment ID: I20070403000348 |
| Provider Name | Walter E Drane |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053382507 PECOS PAC ID: 0042314833 Enrollment ID: I20070404000203 |
| Provider Name | Lori J Desorbo |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1891807574 PECOS PAC ID: 4789638719 Enrollment ID: I20070409000425 |
| Provider Name | Elizabeth C Wilhem |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1235237165 PECOS PAC ID: 4880799386 Enrollment ID: I20070411000353 |
| Provider Name | Lauren Indelicato |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376692046 PECOS PAC ID: 2769587120 Enrollment ID: I20070413000536 |
| Provider Name | Brian C Fordham |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1942273107 PECOS PAC ID: 6305941204 Enrollment ID: I20070423000170 |
| Provider Name | Alexandra E Shunick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285691915 PECOS PAC ID: 0941306625 Enrollment ID: I20070427000013 |
| Provider Name | Mohammad Taqi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972595254 PECOS PAC ID: 9133033426 Enrollment ID: I20070427000437 |
| Provider Name | Wayne Lewis Creelman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235188038 PECOS PAC ID: 1658273180 Enrollment ID: I20070504000313 |
| Provider Name | Ronald Emerick |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205894425 PECOS PAC ID: 0840397543 Enrollment ID: I20070514000636 |
| Provider Name | Barbara a Grooms |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1699788968 PECOS PAC ID: 5799882460 Enrollment ID: I20070515000411 |
| Provider Name | Manish K Bansal |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1811903222 PECOS PAC ID: 2668570078 Enrollment ID: I20070608000299 |
| Provider Name | Kelly P Thompson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1487789954 PECOS PAC ID: 3274632286 Enrollment ID: I20070615000214 |
| Provider Name | Elizabeth Mary Dillon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043350796 PECOS PAC ID: 9234238767 Enrollment ID: I20070625000654 |
| Provider Name | Robert L Cook |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174596589 PECOS PAC ID: 4082714175 Enrollment ID: I20070702000345 |
| Provider Name | Carolyn C Geis |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1518020684 PECOS PAC ID: 5395845275 Enrollment ID: I20070706000151 |
| Provider Name | Darrah L Friedman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1033248604 PECOS PAC ID: 3173623832 Enrollment ID: I20070710000634 |
| Provider Name | Gabriela Harrison |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1467512640 PECOS PAC ID: 4981705514 Enrollment ID: I20070725000666 |
| Provider Name | Michael Falgiani |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487739512 PECOS PAC ID: 7012919566 Enrollment ID: I20070726000682 |
| Provider Name | Stephanie M Penny |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447251830 PECOS PAC ID: 4789785247 Enrollment ID: I20070727000327 |
| Provider Name | Shehla Islam |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1538194402 PECOS PAC ID: 3577457936 Enrollment ID: I20070728000178 |
| Provider Name | Leslie C Nickels |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104888999 PECOS PAC ID: 6901839950 Enrollment ID: I20070731000021 |
| Provider Name | Anna M Purkey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225185374 PECOS PAC ID: 3779674890 Enrollment ID: I20070803000380 |
| Provider Name | Gayle S Nicula |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114144995 PECOS PAC ID: 2163513029 Enrollment ID: I20070807000163 |
| Provider Name | Rohit K Khanna |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1922166396 PECOS PAC ID: 8628169208 Enrollment ID: I20070810000654 |
| Provider Name | Loretta Brestan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1861415812 PECOS PAC ID: 7315039534 Enrollment ID: I20070817000347 |
| Provider Name | Jacqueline R Terwilliger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790745909 PECOS PAC ID: 7810089521 Enrollment ID: I20070827000450 |
| Provider Name | Gregory J a Murad |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1679658439 PECOS PAC ID: 0143312710 Enrollment ID: I20070828000152 |
| Provider Name | John W Hiemenz |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1447271887 PECOS PAC ID: 4284659434 Enrollment ID: I20070904000533 |
| Provider Name | Jennifer L Tulli |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1669695037 PECOS PAC ID: 8921191032 Enrollment ID: I20070906000139 |
| Provider Name | Kathleen B Sullivan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1972701134 PECOS PAC ID: 2961595087 Enrollment ID: I20070906000207 |
| Provider Name | Kevin R Vincent |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1184760654 PECOS PAC ID: 2365535317 Enrollment ID: I20070906000569 |
| Provider Name | Jeffrey Eric Friedman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1336160274 PECOS PAC ID: 8022102672 Enrollment ID: I20070913000539 |
| Provider Name | Juan F Rios |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518966126 PECOS PAC ID: 9638263577 Enrollment ID: I20070921000670 |
| Provider Name | David Shapiro |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1760452452 PECOS PAC ID: 6103910062 Enrollment ID: I20070922000029 |
| Provider Name | James M Yingling |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306926845 PECOS PAC ID: 4284728155 Enrollment ID: I20070922000123 |
| Provider Name | Kathryn Elizabeth Wheeler |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184712648 PECOS PAC ID: 8022103696 Enrollment ID: I20070927000926 |
| Provider Name | Teri B Martinez |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1033216593 PECOS PAC ID: 9830284405 Enrollment ID: I20070927000933 |
| Provider Name | Michelle Urig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083804561 PECOS PAC ID: 3375638737 Enrollment ID: I20070929000017 |
| Provider Name | William Greene |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821188020 PECOS PAC ID: 7618062092 Enrollment ID: I20070929000147 |
| Provider Name | Faris Al Mousily |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114025301 PECOS PAC ID: 1456446723 Enrollment ID: I20071002000009 |
| Provider Name | Pamela Rose Zeilman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053342295 PECOS PAC ID: 5193810372 Enrollment ID: I20071003000148 |
| Provider Name | Francis Pham |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1740207752 PECOS PAC ID: 5092763045 Enrollment ID: I20071003000515 |
| Provider Name | Ann Robinson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1003008954 PECOS PAC ID: 2961597190 Enrollment ID: I20071003000588 |
| Provider Name | Hari Parvataneni |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1952356941 PECOS PAC ID: 7911900931 Enrollment ID: I20071003000702 |
| Provider Name | Reza Voosoughi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1851516264 PECOS PAC ID: 4587759642 Enrollment ID: I20071004000092 |
| Provider Name | Leonardo Rodriguez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023117181 PECOS PAC ID: 2062508682 Enrollment ID: I20071012000273 |
| Provider Name | Margaret O'halloran |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1356545248 PECOS PAC ID: 5890881361 Enrollment ID: I20071013000002 |
| Provider Name | Anthony D Jones |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1194943282 PECOS PAC ID: 1355437872 Enrollment ID: I20071015000377 |
| Provider Name | Levette N Dunbar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417046160 PECOS PAC ID: 8325134786 Enrollment ID: I20071016000204 |
| Provider Name | Robin D Carrie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043414055 PECOS PAC ID: 3779679949 Enrollment ID: I20071018000735 |
| Provider Name | Jeffrey V Huynh |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1558552794 PECOS PAC ID: 9133215221 Enrollment ID: I20071022000006 |
| Provider Name | Taja M Fricker |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1346442126 PECOS PAC ID: 8820185796 Enrollment ID: I20071025000164 |
| Provider Name | Benjamin K Canales |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1952321549 PECOS PAC ID: 3678579521 Enrollment ID: I20071105000484 |
| Provider Name | Julie S Baines |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1407054695 PECOS PAC ID: 9638267503 Enrollment ID: I20071112000312 |
| Provider Name | Stephen P Staal |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1194886564 PECOS PAC ID: 1254429897 Enrollment ID: I20071115000560 |
| Provider Name | Marie Addly Cambronne |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639372543 PECOS PAC ID: 0345338802 Enrollment ID: I20071116000091 |
| Provider Name | Tamara Lux |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1639366826 PECOS PAC ID: 2264520485 Enrollment ID: I20071121000169 |
| Provider Name | Imran Q Samnani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801829098 PECOS PAC ID: 7810085040 Enrollment ID: I20071121000253 |
| Provider Name | Steven P Winesett |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629043559 PECOS PAC ID: 6709804560 Enrollment ID: I20071127000774 |
| Provider Name | Thomas J Armstrong |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1952432536 PECOS PAC ID: 8022107176 Enrollment ID: I20071128000061 |
| Provider Name | Lauren E Staley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376769562 PECOS PAC ID: 5698864775 Enrollment ID: I20071128000276 |
| Provider Name | Jennifer Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750587002 PECOS PAC ID: 9638268717 Enrollment ID: I20071128000326 |
| Provider Name | Loretta Coady Fariborzian |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1598839128 PECOS PAC ID: 9234228156 Enrollment ID: I20071130000038 |
| Provider Name | Babu K Rankupalli |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275607228 PECOS PAC ID: 3476642968 Enrollment ID: I20071207000110 |
| Provider Name | Michael Waters |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629140561 PECOS PAC ID: 8729015995 Enrollment ID: I20071207000168 |
| Provider Name | Anna Yuzefovich Khanna |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1962419994 PECOS PAC ID: 7719083054 Enrollment ID: I20071207000295 |
| Provider Name | Richard F Petrik |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578772026 PECOS PAC ID: 5092804401 Enrollment ID: I20071208000143 |
| Provider Name | Alexander Multak |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1124013610 PECOS PAC ID: 6406753581 Enrollment ID: I20071208000176 |
| Provider Name | Stephanie N Bryan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1457546830 PECOS PAC ID: 3971693805 Enrollment ID: I20071217000130 |
| Provider Name | William K Higgins |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285827618 PECOS PAC ID: 7416047295 Enrollment ID: I20071217000572 |
| Provider Name | Yamily Valdes |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841470853 PECOS PAC ID: 5890875561 Enrollment ID: I20080108000092 |
| Provider Name | Richard M Kreinest |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861416828 PECOS PAC ID: 6002997012 Enrollment ID: I20080116000255 |
| Provider Name | Edward K Mcgough |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1982698643 PECOS PAC ID: 3971685264 Enrollment ID: I20080125000037 |
| Provider Name | Dwain Hamilton |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1609932664 PECOS PAC ID: 7719916402 Enrollment ID: I20080219000159 |
| Provider Name | David R Grech |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1336128792 PECOS PAC ID: 6901703883 Enrollment ID: I20080310000420 |
| Provider Name | Christopher E Forsmark |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1780626044 PECOS PAC ID: 5496831190 Enrollment ID: I20080320000448 |
| Provider Name | Muna Canales |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1508058801 PECOS PAC ID: 9638255342 Enrollment ID: I20080320000493 |
| Provider Name | Penny Elizabeth Straughn |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1518997303 PECOS PAC ID: 3072695428 Enrollment ID: I20080328000093 |
| Provider Name | Mark Wesley |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1205034196 PECOS PAC ID: 2062593866 Enrollment ID: I20080528000230 |
| Provider Name | Michael a Dennis |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1598717175 PECOS PAC ID: 3779653084 Enrollment ID: I20080529000352 |
| Provider Name | David S Stewart |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639193600 PECOS PAC ID: 2264502434 Enrollment ID: I20080529000899 |
| Provider Name | Jean Cibula |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1821074253 PECOS PAC ID: 6406942226 Enrollment ID: I20080609000224 |
| Provider Name | Sharon W Hill |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1659334563 PECOS PAC ID: 7719977107 Enrollment ID: I20080612000322 |
| Provider Name | Barys V Ihnatsenka |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1922172279 PECOS PAC ID: 0547331837 Enrollment ID: I20080613000155 |
| Provider Name | Jessica Locke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346412152 PECOS PAC ID: 7113098203 Enrollment ID: I20080617000560 |
| Provider Name | Alpa S Desai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538135082 PECOS PAC ID: 2769553692 Enrollment ID: I20080619000399 |
| Provider Name | Jaclyn Rothberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306018155 PECOS PAC ID: 5496826265 Enrollment ID: I20080623000126 |
| Provider Name | Consuelo C Soldevila Pico |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1457459422 PECOS PAC ID: 8921179664 Enrollment ID: I20080624000195 |
| Provider Name | Peter V Draganov |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1144251919 PECOS PAC ID: 3577634229 Enrollment ID: I20080624000261 |
| Provider Name | Karen J Perrin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093750838 PECOS PAC ID: 3173694866 Enrollment ID: I20080624000674 |
| Provider Name | Sharon Pass Redfearn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154380236 PECOS PAC ID: 5092887414 Enrollment ID: I20080630000592 |
| Provider Name | Michael James Walters |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1487752796 PECOS PAC ID: 3678645934 Enrollment ID: I20080701000313 |
| Provider Name | Matthew Pfeiffer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134164262 PECOS PAC ID: 8123190493 Enrollment ID: I20080701000416 |
| Provider Name | Karline Telusma |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1457537219 PECOS PAC ID: 9830262583 Enrollment ID: I20080714000679 |
| Provider Name | Patrick Michael Horne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487827960 PECOS PAC ID: 8729151915 Enrollment ID: I20080722000102 |
| Provider Name | Jeffrey P Jacobs |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1477527208 PECOS PAC ID: 9931008711 Enrollment ID: I20080722000601 |
| Provider Name | Malik Naqi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083881668 PECOS PAC ID: 1254404346 Enrollment ID: I20080723000254 |
| Provider Name | Li-ming Su |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1104856830 PECOS PAC ID: 6204900012 Enrollment ID: I20080728000593 |
| Provider Name | John G. Lieb |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1467523365 PECOS PAC ID: 5395819916 Enrollment ID: I20080730000807 |
| Provider Name | Matthew F Ryan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104085570 PECOS PAC ID: 1052485604 Enrollment ID: I20080731000200 |
| Provider Name | Run Qiang Gan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306920095 PECOS PAC ID: 4385718931 Enrollment ID: I20080731000229 |
| Provider Name | Robert Feezor |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1104913110 PECOS PAC ID: 7416021985 Enrollment ID: I20080731000479 |
| Provider Name | Lisa Meyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487813754 PECOS PAC ID: 0042384539 Enrollment ID: I20080731000691 |
| Provider Name | Irene Malaty |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1134295694 PECOS PAC ID: 3577637925 Enrollment ID: I20080801000443 |
| Provider Name | Andrew D Pitkin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1871511360 PECOS PAC ID: 5496788416 Enrollment ID: I20080805000538 |
| Provider Name | Neil N Chheda |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1386856060 PECOS PAC ID: 2769582014 Enrollment ID: I20080811000632 |
| Provider Name | Lesa R Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225296528 PECOS PAC ID: 6406920388 Enrollment ID: I20080811000753 |
| Provider Name | Merry Jennifer Markham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548345994 PECOS PAC ID: 9234204074 Enrollment ID: I20080813000825 |
| Provider Name | Kristi a Myers |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1669468914 PECOS PAC ID: 2365489457 Enrollment ID: I20080814000615 |
| Provider Name | Jody L Brown |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689660441 PECOS PAC ID: 6103991757 Enrollment ID: I20080818000326 |
| Provider Name | Shawn W Thomas |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1043416506 PECOS PAC ID: 8921173923 Enrollment ID: I20080826000136 |
| Provider Name | Allison K Kimbro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619135035 PECOS PAC ID: 5597831594 Enrollment ID: I20080827000269 |
| Provider Name | Julia L Close |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1538244249 PECOS PAC ID: 9436225471 Enrollment ID: I20080827000642 |
| Provider Name | Christopher R Giordano |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1750503595 PECOS PAC ID: 7517033863 Enrollment ID: I20080910000278 |
| Provider Name | Francesca Massey |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528221751 PECOS PAC ID: 8921174038 Enrollment ID: I20080912000570 |
| Provider Name | Rene M Mathis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386806974 PECOS PAC ID: 2365519410 Enrollment ID: I20080916000313 |
| Provider Name | Lisa Earlywine |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1750554358 PECOS PAC ID: 4486726429 Enrollment ID: I20080924000659 |
| Provider Name | Michael I Felton |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104914548 PECOS PAC ID: 8426126616 Enrollment ID: I20080930000803 |
| Provider Name | Osama Hlalah |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1144210022 PECOS PAC ID: 2567362262 Enrollment ID: I20081010000214 |
| Provider Name | Julio De Pena |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1679776330 PECOS PAC ID: 1759459134 Enrollment ID: I20081013000314 |
| Provider Name | Mila Pak |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093965287 PECOS PAC ID: 6800964206 Enrollment ID: I20081013000499 |
| Provider Name | Jeffrey D Vogel |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1942225925 PECOS PAC ID: 1355449265 Enrollment ID: I20081020000542 |
| Provider Name | Gina Sevigny |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1245399237 PECOS PAC ID: 4183710122 Enrollment ID: I20081022000562 |
| Provider Name | Curt G Degroff |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639141104 PECOS PAC ID: 4082694385 Enrollment ID: I20081024000579 |
| Provider Name | Elizabeth a Leon |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1861581399 PECOS PAC ID: 6901964550 Enrollment ID: I20081025000119 |
| Provider Name | Virginia Clark |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1386728475 PECOS PAC ID: 8325106875 Enrollment ID: I20081028000151 |
| Provider Name | David Michael Smyth |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528158813 PECOS PAC ID: 0345258745 Enrollment ID: I20081028000361 |
| Provider Name | Marisela Dominguez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205949104 PECOS PAC ID: 1850459231 Enrollment ID: I20081029000571 |
| Provider Name | Desmond a Schatz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497796817 PECOS PAC ID: 3678632957 Enrollment ID: I20081030000797 |
| Provider Name | Elizabeth C Hadaway |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1396909883 PECOS PAC ID: 3870652126 Enrollment ID: I20081031000524 |
| Provider Name | Ameer Wright |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1578764759 PECOS PAC ID: 6103985072 Enrollment ID: I20081106000509 |
| Provider Name | David M Corda |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1083698351 PECOS PAC ID: 5991864753 Enrollment ID: I20081107000457 |
| Provider Name | Joel O Bautista |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1700878253 PECOS PAC ID: 4587724968 Enrollment ID: I20081114000305 |
| Provider Name | John Howard Slish |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578774402 PECOS PAC ID: 3870680705 Enrollment ID: I20081118000563 |
| Provider Name | Maryam Aminzadeh |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1477706364 PECOS PAC ID: 1759442114 Enrollment ID: I20081204000439 |
| Provider Name | Kelly M Perkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588771620 PECOS PAC ID: 5496816613 Enrollment ID: I20081206000001 |
| Provider Name | John E Trainer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699770990 PECOS PAC ID: 2062574882 Enrollment ID: I20090102000240 |
| Provider Name | Kevin M Hayes |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1568683795 PECOS PAC ID: 4688736416 Enrollment ID: I20090102000342 |
| Provider Name | Robin Bergbauer |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1972633139 PECOS PAC ID: 8426111923 Enrollment ID: I20090109000297 |
| Provider Name | Elizabeth Ashley Lefave |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184755779 PECOS PAC ID: 4284797796 Enrollment ID: I20090109000361 |
| Provider Name | Thomas F Stringer |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1467424549 PECOS PAC ID: 5193618502 Enrollment ID: I20090113000712 |
| Provider Name | David L Roberts |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831282979 PECOS PAC ID: 7911060249 Enrollment ID: I20090113000839 |
| Provider Name | Dinesh Pubbi |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1861454423 PECOS PAC ID: 7911964192 Enrollment ID: I20090124000038 |
| Provider Name | Rachel Nettle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205081783 PECOS PAC ID: 6800950452 Enrollment ID: I20090127000608 |
| Provider Name | Moses Muzquiz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043223753 PECOS PAC ID: 2769440338 Enrollment ID: I20090209000498 |
| Provider Name | Philip Alexander Efron |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1750468781 PECOS PAC ID: 1355406240 Enrollment ID: I20090209000587 |
| Provider Name | Mircea Sorin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477568269 PECOS PAC ID: 4880759620 Enrollment ID: I20090211000667 |
| Provider Name | Barry J Byrne |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578507398 PECOS PAC ID: 9032274691 Enrollment ID: I20090213000307 |
| Provider Name | Mauricio S Kaufman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1518905603 PECOS PAC ID: 3779497417 Enrollment ID: I20090223000633 |
| Provider Name | Sharon M Adams |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1801876289 PECOS PAC ID: 1658391834 Enrollment ID: I20090225000345 |
| Provider Name | Danette Daniel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1558507202 PECOS PAC ID: 9537225479 Enrollment ID: I20090302000513 |
| Provider Name | Hope D Bishop |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1265495873 PECOS PAC ID: 5698831055 Enrollment ID: I20090310000268 |
| Provider Name | Laura a Brezinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477706430 PECOS PAC ID: 7517023914 Enrollment ID: I20090310000613 |
| Provider Name | Frederic Joseph Kaye |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1578609301 PECOS PAC ID: 1052478146 Enrollment ID: I20090317000083 |
| Provider Name | Zoltan Mayer |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1477672772 PECOS PAC ID: 2860559994 Enrollment ID: I20090317000513 |
| Provider Name | Mary Clarke Grooms |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568449254 PECOS PAC ID: 7214094358 Enrollment ID: I20090317000529 |
| Provider Name | Uzma Farooq |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1467617506 PECOS PAC ID: 6608933205 Enrollment ID: I20090326000303 |
| Provider Name | Eileen F Lauzardo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053496208 PECOS PAC ID: 7416014923 Enrollment ID: I20090327000536 |
| Provider Name | Martha J Pierce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285702134 PECOS PAC ID: 1557428935 Enrollment ID: I20090330000657 |
| Provider Name | Zohar Levites |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1912147794 PECOS PAC ID: 2062579386 Enrollment ID: I20090331000392 |
| Provider Name | Mehdi Yazdanpanah |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720127756 PECOS PAC ID: 5092862839 Enrollment ID: I20090413000388 |
| Provider Name | Anita V Lee |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1295974749 PECOS PAC ID: 5092862714 Enrollment ID: I20090416000133 |
| Provider Name | Shirley N Codada |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1962466870 PECOS PAC ID: 0446308480 Enrollment ID: I20090501000303 |
| Provider Name | Velyn L Wu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366647000 PECOS PAC ID: 7012065709 Enrollment ID: I20090507000325 |
| Provider Name | Aisha G Allen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1144463019 PECOS PAC ID: 0244389625 Enrollment ID: I20090513000477 |
| Provider Name | Yin Fei Luk |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1639217979 PECOS PAC ID: 4981753803 Enrollment ID: I20090526000479 |
| Provider Name | Glenna Lee Venoy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053555276 PECOS PAC ID: 1254480031 Enrollment ID: I20090527000588 |
| Provider Name | Kenneth J Myers |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518007962 PECOS PAC ID: 6507927985 Enrollment ID: I20090527000617 |
| Provider Name | Bennett P Scaglia |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1003880626 PECOS PAC ID: 3274600911 Enrollment ID: I20090529000304 |
| Provider Name | Gena M Hartman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467694414 PECOS PAC ID: 3678623170 Enrollment ID: I20090603000586 |
| Provider Name | Vivian Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659555332 PECOS PAC ID: 0547310054 Enrollment ID: I20090603000644 |
| Provider Name | Cristina M Zeretzke-bien |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790864759 PECOS PAC ID: 0941350409 Enrollment ID: I20090604000349 |
| Provider Name | Gary Ping-chuan Wang |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1235158759 PECOS PAC ID: 1456356112 Enrollment ID: I20090616000586 |
| Provider Name | Patrick Tighe |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1750453635 PECOS PAC ID: 7810048972 Enrollment ID: I20090630000625 |
| Provider Name | Umar Ghaffar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053497123 PECOS PAC ID: 2163573288 Enrollment ID: I20090701000459 |
| Provider Name | Maria E Lupi De Diez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225071905 PECOS PAC ID: 5092867622 Enrollment ID: I20090713000571 |
| Provider Name | Candice Norman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346458817 PECOS PAC ID: 4688733140 Enrollment ID: I20090714000585 |
| Provider Name | Joanne Lagmay |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396930228 PECOS PAC ID: 5496807331 Enrollment ID: I20090723000435 |
| Provider Name | George Cohen |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1811083504 PECOS PAC ID: 4587717491 Enrollment ID: I20090724000359 |
| Provider Name | Asmita Anand Gupte |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1992900476 PECOS PAC ID: 2668525460 Enrollment ID: I20090727000466 |
| Provider Name | Richard a Kerensky |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1649248311 PECOS PAC ID: 3476569963 Enrollment ID: I20090805000684 |
| Provider Name | Sheri Marie Kittelson |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1114943545 PECOS PAC ID: 8628121647 Enrollment ID: I20090807000476 |
| Provider Name | Joan J Casler |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1831325786 PECOS PAC ID: 1658425400 Enrollment ID: I20090813000637 |
| Provider Name | Veronica Gennadievna Papavero |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1568621704 PECOS PAC ID: 2365596533 Enrollment ID: I20090822000047 |
| Provider Name | Donald Baracskay |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760564207 PECOS PAC ID: 3072406891 Enrollment ID: I20090822000068 |
| Provider Name | Nam Hoang Dang |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1871593913 PECOS PAC ID: 0648205856 Enrollment ID: I20090903000596 |
| Provider Name | Alexander Zimilevich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811156680 PECOS PAC ID: 2668527987 Enrollment ID: I20090909000634 |
| Provider Name | Kevin W Farmer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1396882304 PECOS PAC ID: 5698821841 Enrollment ID: I20090914000422 |
| Provider Name | Cara M Yergen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164620845 PECOS PAC ID: 3577635960 Enrollment ID: I20090930000334 |
| Provider Name | Allison S Haller |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1891863155 PECOS PAC ID: 3971649187 Enrollment ID: I20091001000236 |
| Provider Name | Kevin M Kaplan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1164628830 PECOS PAC ID: 5698811768 Enrollment ID: I20091002000129 |
| Provider Name | Mitul L Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194741504 PECOS PAC ID: 9436295573 Enrollment ID: I20091005000177 |
| Provider Name | Jeanelle D Brown |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1164692463 PECOS PAC ID: 4082785795 Enrollment ID: I20091006000483 |
| Provider Name | Jose R Soberon |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1689746240 PECOS PAC ID: 3274679105 Enrollment ID: I20091007000520 |
| Provider Name | Ibrahim Faruqi |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1891836391 PECOS PAC ID: 8820134455 Enrollment ID: I20091012000426 |
| Provider Name | Anup a Kubal |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1003952466 PECOS PAC ID: 4284771361 Enrollment ID: I20091021000723 |
| Provider Name | Anamaria Yeung |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1891875332 PECOS PAC ID: 2567509672 Enrollment ID: I20091022000151 |
| Provider Name | Meridith Louis Moy |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1194764613 PECOS PAC ID: 8729043633 Enrollment ID: I20091022000261 |
| Provider Name | Alfonso H Santos |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1710926605 PECOS PAC ID: 8527150309 Enrollment ID: I20091023000701 |
| Provider Name | Bhanuprasad D Sandesara |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1639350887 PECOS PAC ID: 3971640863 Enrollment ID: I20091026000596 |
| Provider Name | Philippa Ellen Bright |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952470932 PECOS PAC ID: 4688711260 Enrollment ID: I20091030000387 |
| Provider Name | Matthew B Shannon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417040569 PECOS PAC ID: 8123165727 Enrollment ID: I20091031000007 |
| Provider Name | Tabarak a Qureshi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1962674549 PECOS PAC ID: 4385781988 Enrollment ID: I20091031000019 |
| Provider Name | Douglas N Robins |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1265422729 PECOS PAC ID: 1456499938 Enrollment ID: I20091104000348 |
| Provider Name | David a Meurer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093737660 PECOS PAC ID: 6608914015 Enrollment ID: I20091104000741 |
| Provider Name | Coy D Heldermon |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1467474502 PECOS PAC ID: 9032116108 Enrollment ID: I20091107000048 |
| Provider Name | Danielle K Panna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215033196 PECOS PAC ID: 4688712771 Enrollment ID: I20091110000582 |
| Provider Name | Anthony S Musalo |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1609974963 PECOS PAC ID: 8022157635 Enrollment ID: I20091120000033 |
| Provider Name | Monica Marie Jette |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1255357646 PECOS PAC ID: 6800935263 Enrollment ID: I20091125000329 |
| Provider Name | Amir Hassan Kazory |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1447312970 PECOS PAC ID: 2961541925 Enrollment ID: I20091203000723 |
| Provider Name | Maryam Sattari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326121096 PECOS PAC ID: 1658346655 Enrollment ID: I20091204000180 |
| Provider Name | Mary Schwartz Ryngaert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053417279 PECOS PAC ID: 4688713514 Enrollment ID: I20091204000629 |
| Provider Name | Michael Provost |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1013242619 PECOS PAC ID: 3375682156 Enrollment ID: I20091208000537 |
| Provider Name | Hazem M Samy |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1376518399 PECOS PAC ID: 0042201329 Enrollment ID: I20091214000463 |
| Provider Name | Robert Courtney Decker |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1033396908 PECOS PAC ID: 8527136415 Enrollment ID: I20091214000494 |
| Provider Name | Karen L Laauwe |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679666770 PECOS PAC ID: 0143361774 Enrollment ID: I20100105000436 |
| Provider Name | Cheree a Padilla |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134382039 PECOS PAC ID: 8729129242 Enrollment ID: I20100106000493 |
| Provider Name | Lars Beattie |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467468983 PECOS PAC ID: 3870646276 Enrollment ID: I20100106000631 |
| Provider Name | Timothy J Adams |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1841383932 PECOS PAC ID: 6608844840 Enrollment ID: I20100112000675 |
| Provider Name | Mark M Jackson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144391525 PECOS PAC ID: 0749321776 Enrollment ID: I20100112000766 |
| Provider Name | Mary L Kladde |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407838873 PECOS PAC ID: 5193866010 Enrollment ID: I20100113000799 |
| Provider Name | Nicole Iovine |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1043312556 PECOS PAC ID: 8325090004 Enrollment ID: I20100114000469 |
| Provider Name | Autumn H Citta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811225907 PECOS PAC ID: 8022150184 Enrollment ID: I20100127000778 |
| Provider Name | Jennifer M Duff |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1275622060 PECOS PAC ID: 4284778325 Enrollment ID: I20100212000549 |
| Provider Name | S H Subramony |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1194739995 PECOS PAC ID: 7315031796 Enrollment ID: I20100215000641 |
| Provider Name | Kathryn Jean Warren |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1003806993 PECOS PAC ID: 1557405446 Enrollment ID: I20100216000265 |
| Provider Name | Richard B Berry |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1225051477 PECOS PAC ID: 6608910245 Enrollment ID: I20100219000222 |
| Provider Name | Cimaron Blalock |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1699907527 PECOS PAC ID: 9436293081 Enrollment ID: I20100219000340 |
| Provider Name | Robert Maiello |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1073516811 PECOS PAC ID: 5294631040 Enrollment ID: I20100219000441 |
| Provider Name | John H Isaacs |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1356300479 PECOS PAC ID: 5395889885 Enrollment ID: I20100222000660 |
| Provider Name | Gary S Gossman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1689776478 PECOS PAC ID: 3577608728 Enrollment ID: I20100226000722 |
| Provider Name | Charles Joseph Chase |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1851341374 PECOS PAC ID: 5092887372 Enrollment ID: I20100226000755 |
| Provider Name | James Quintessenza |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1962476648 PECOS PAC ID: 9830098615 Enrollment ID: I20100303000458 |
| Provider Name | Holly J Wood |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558692160 PECOS PAC ID: 3870638760 Enrollment ID: I20100303000473 |
| Provider Name | Alejandro a Caballero |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1669403259 PECOS PAC ID: 5890830731 Enrollment ID: I20100304000518 |
| Provider Name | Joseph Ferguson |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1902133846 PECOS PAC ID: 1254476633 Enrollment ID: I20100310000397 |
| Provider Name | Martin R Back |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1962414342 PECOS PAC ID: 9133254303 Enrollment ID: I20100315000183 |
| Provider Name | George P Samraj |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386675155 PECOS PAC ID: 3577698190 Enrollment ID: I20100320000105 |
| Provider Name | William J Montgomery |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609848779 PECOS PAC ID: 2365577848 Enrollment ID: I20100323000512 |
| Provider Name | Michael Okun |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1982702254 PECOS PAC ID: 4789710070 Enrollment ID: I20100325000606 |
| Provider Name | Bruce Stechmiller |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1245234624 PECOS PAC ID: 5597658450 Enrollment ID: I20100329000063 |
| Provider Name | Jon Radnothy |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1730150343 PECOS PAC ID: 5799719944 Enrollment ID: I20100329000293 |
| Provider Name | Joe E Thornton |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801986682 PECOS PAC ID: 9436285285 Enrollment ID: I20100331000276 |
| Provider Name | Justin C Burney |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1851613335 PECOS PAC ID: 0244366938 Enrollment ID: I20100406000235 |
| Provider Name | Jessica L Camp |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1255653812 PECOS PAC ID: 2860529393 Enrollment ID: I20100414000964 |
| Provider Name | Kyle W Ruffing |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1619935889 PECOS PAC ID: 8325175896 Enrollment ID: I20100415000336 |
| Provider Name | Jozsef Endredi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1134317266 PECOS PAC ID: 3577690783 Enrollment ID: I20100420000683 |
| Provider Name | George Kim |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1316936040 PECOS PAC ID: 1153458906 Enrollment ID: I20100427000499 |
| Provider Name | Joshua M Vonmoss |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1851620207 PECOS PAC ID: 2365577988 Enrollment ID: I20100506000776 |
| Provider Name | Karen L Szuba |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1780856880 PECOS PAC ID: 6406921196 Enrollment ID: I20100507000616 |
| Provider Name | Bhagwan Dass |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427031145 PECOS PAC ID: 0749290898 Enrollment ID: I20100507000625 |
| Provider Name | John Z Malaty |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912088766 PECOS PAC ID: 8022146018 Enrollment ID: I20100512000754 |
| Provider Name | Michael V Owens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417126418 PECOS PAC ID: 3476681354 Enrollment ID: I20100513000765 |
| Provider Name | Michael R Marchick |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518097096 PECOS PAC ID: 3779659420 Enrollment ID: I20100521000464 |
| Provider Name | Richard Neiberger |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902847999 PECOS PAC ID: 5991834988 Enrollment ID: I20100601000600 |
| Provider Name | Kae O Pearson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669797064 PECOS PAC ID: 3476683046 Enrollment ID: I20100608000360 |
| Provider Name | Natalia Prieto |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1174847362 PECOS PAC ID: 4486784535 Enrollment ID: I20100616000345 |
| Provider Name | Jack L Taggart |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1457353120 PECOS PAC ID: 8729983705 Enrollment ID: I20100616000792 |
| Provider Name | Mark T Scarborough |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1285662940 PECOS PAC ID: 0042340085 Enrollment ID: I20100617000471 |
| Provider Name | Scott L Myers |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1306828793 PECOS PAC ID: 0941331524 Enrollment ID: I20100625000338 |
| Provider Name | Phinarak Hao |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1346576527 PECOS PAC ID: 8729119359 Enrollment ID: I20100626000027 |
| Provider Name | Sonal Tuli |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1114955796 PECOS PAC ID: 3779614318 Enrollment ID: I20100626000114 |
| Provider Name | Rohit P Patel |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1235346669 PECOS PAC ID: 3870645476 Enrollment ID: I20100626000221 |
| Provider Name | Richard G Vlasak |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1538197298 PECOS PAC ID: 6002947553 Enrollment ID: I20100626000437 |
| Provider Name | Debra L Caroli |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1962489476 PECOS PAC ID: 0446381966 Enrollment ID: I20100628000685 |
| Provider Name | Carolyn Fontana Stalvey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306872866 PECOS PAC ID: 2567520232 Enrollment ID: I20100628000767 |
| Provider Name | Raghuraj Singh Raghuwanshi |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1659475275 PECOS PAC ID: 2668503046 Enrollment ID: I20100629000269 |
| Provider Name | Ashleigh E H Wright |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235336686 PECOS PAC ID: 9931230976 Enrollment ID: I20100708000305 |
| Provider Name | Mark B Sherwood |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1528089299 PECOS PAC ID: 5294867180 Enrollment ID: I20100712000555 |
| Provider Name | Bruce a Mast |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1285670950 PECOS PAC ID: 7214092295 Enrollment ID: I20100716000615 |
| Provider Name | Petra Elke Townsend |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033348073 PECOS PAC ID: 8426180894 Enrollment ID: I20100720001027 |
| Provider Name | Henrique Elias Kallas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629025325 PECOS PAC ID: 2567594864 Enrollment ID: I20100722000472 |
| Provider Name | Daniel a Rubin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881614139 PECOS PAC ID: 1658403860 Enrollment ID: I20100722000768 |
| Provider Name | Debbie M Rafanan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1548298201 PECOS PAC ID: 7517099732 Enrollment ID: I20100722000831 |
| Provider Name | Karen C Daily Weinstein |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1770547648 PECOS PAC ID: 7810029048 Enrollment ID: I20100722000914 |
| Provider Name | Suzanne S Rae |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790002863 PECOS PAC ID: 5799817987 Enrollment ID: I20100723000518 |
| Provider Name | Michael Lauzardo |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1497796429 PECOS PAC ID: 4688706880 Enrollment ID: I20100723000684 |
| Provider Name | Thomas W Wright |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1093743759 PECOS PAC ID: 5294867339 Enrollment ID: I20100724000283 |
| Provider Name | Charles Parker Gibbs |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1366459448 PECOS PAC ID: 7618009770 Enrollment ID: I20100726000218 |
| Provider Name | Sreekala Prabhakaran |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083790570 PECOS PAC ID: 3678606761 Enrollment ID: I20100726000645 |
| Provider Name | Andrew R Seevaratnam |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1891971271 PECOS PAC ID: 4688707615 Enrollment ID: I20100728000522 |
| Provider Name | Wendy L Bloomquist |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1720307226 PECOS PAC ID: 8224161294 Enrollment ID: I20100728000922 |
| Provider Name | Charles E Riggs |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1528276086 PECOS PAC ID: 2365575131 Enrollment ID: I20100729000953 |
| Provider Name | Lijun Yang |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1437103405 PECOS PAC ID: 6800929670 Enrollment ID: I20100729000968 |
| Provider Name | Roberta Giudice-teller |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1710901145 PECOS PAC ID: 7810020575 Enrollment ID: I20100802000156 |
| Provider Name | Philip J Hess |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1366470023 PECOS PAC ID: 4981737525 Enrollment ID: I20100803000129 |
| Provider Name | Thomas M Beaver |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1043255607 PECOS PAC ID: 0749313385 Enrollment ID: I20100803000183 |
| Provider Name | Timothy C Flynn |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1972530822 PECOS PAC ID: 1254464803 Enrollment ID: I20100803000259 |
| Provider Name | Melissa Elder |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659328912 PECOS PAC ID: 3173656782 Enrollment ID: I20100803001079 |
| Provider Name | Francesca K Enneking |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1386660777 PECOS PAC ID: 2567503295 Enrollment ID: I20100803001155 |
| Provider Name | Robert Stanford Williams |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700822988 PECOS PAC ID: 6002990959 Enrollment ID: I20100803001206 |
| Provider Name | Alice S Rhoton Viasak |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841200342 PECOS PAC ID: 8628101243 Enrollment ID: I20100803001227 |
| Provider Name | Neil S Harris |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1538196944 PECOS PAC ID: 0345373973 Enrollment ID: I20100803001260 |
| Provider Name | Jacquelyn a Knapik |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1710914403 PECOS PAC ID: 3870626401 Enrollment ID: I20100803001283 |
| Provider Name | Stephen E Nadeau |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831115203 PECOS PAC ID: 7911030424 Enrollment ID: I20100804001026 |
| Provider Name | Stephan Eisenschenk |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1366498016 PECOS PAC ID: 0143353664 Enrollment ID: I20100804001108 |
| Provider Name | David W Burks |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1720033723 PECOS PAC ID: 1759414279 Enrollment ID: I20100804001149 |
| Provider Name | William Friedman |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1942237615 PECOS PAC ID: 8022190982 Enrollment ID: I20100805001121 |
| Provider Name | Yong Gang Peng |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1770509184 PECOS PAC ID: 8325171671 Enrollment ID: I20100806000351 |
| Provider Name | Tammy Y Euliano |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1396761789 PECOS PAC ID: 0042343303 Enrollment ID: I20100806000504 |
| Provider Name | Anthony T Yachnis |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1033146808 PECOS PAC ID: 3577696855 Enrollment ID: I20100806000664 |
| Provider Name | Lawrence J Caruso |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1063458701 PECOS PAC ID: 5799818076 Enrollment ID: I20100806000735 |
| Provider Name | Nikolaus Gravenstein |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1811913296 PECOS PAC ID: 8921182874 Enrollment ID: I20100806000759 |
| Provider Name | Jerry J Berger |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1518985472 PECOS PAC ID: 1850424144 Enrollment ID: I20100806000782 |
| Provider Name | Scott a Berceli |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1639118532 PECOS PAC ID: 6901939297 Enrollment ID: I20100806000836 |
| Provider Name | Thomas S Huber |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1154362176 PECOS PAC ID: 9537292826 Enrollment ID: I20100806000841 |
| Provider Name | Christine L Meyer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1861451072 PECOS PAC ID: 8325171622 Enrollment ID: I20100806000882 |
| Provider Name | Siegfried O Schmidt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750312526 PECOS PAC ID: 0840323044 Enrollment ID: I20100809000083 |
| Provider Name | Frederick S Southwick |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1851328520 PECOS PAC ID: 8729111927 Enrollment ID: I20100809000119 |
| Provider Name | Denise C Schain |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1659388577 PECOS PAC ID: 4880727098 Enrollment ID: I20100809000176 |
| Provider Name | David B Feller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376575654 PECOS PAC ID: 4385777598 Enrollment ID: I20100809000234 |
| Provider Name | James A. Hill |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1932115805 PECOS PAC ID: 6901939123 Enrollment ID: I20100809000264 |
| Provider Name | Reuben Ramphal |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1427165448 PECOS PAC ID: 2961535133 Enrollment ID: I20100809000871 |
| Provider Name | Ying L Nagoshi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396771861 PECOS PAC ID: 8820121098 Enrollment ID: I20100809000920 |
| Provider Name | Irving D Weiner |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1790717155 PECOS PAC ID: 3274666458 Enrollment ID: I20100809001078 |
| Provider Name | Jogiraju Tantravahi |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1730110594 PECOS PAC ID: 7517091648 Enrollment ID: I20100811000805 |
| Provider Name | Mark Brantly |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1619918646 PECOS PAC ID: 6406980549 Enrollment ID: I20100811000859 |
| Provider Name | Mark S. Segal |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1477574085 PECOS PAC ID: 5991839037 Enrollment ID: I20100811000935 |
| Provider Name | Clayton T Hunter |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811938970 PECOS PAC ID: 7416081567 Enrollment ID: I20100811000974 |
| Provider Name | Frederick J Fricker |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871554394 PECOS PAC ID: 4486788536 Enrollment ID: I20100811001017 |
| Provider Name | Patrick J Antonelli |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1023035813 PECOS PAC ID: 3577647429 Enrollment ID: I20100811001079 |
| Provider Name | Marc S Zumberg |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1487691895 PECOS PAC ID: 6608900766 Enrollment ID: I20100811001107 |
| Provider Name | Bradley Scott Fletcher |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1427099423 PECOS PAC ID: 8224162383 Enrollment ID: I20100811001124 |
| Provider Name | John MD Wingard |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1700818150 PECOS PAC ID: 0749188787 Enrollment ID: I20100812000735 |
| Provider Name | Mary Wagner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770523813 PECOS PAC ID: 7517091531 Enrollment ID: I20100812000883 |
| Provider Name | William B Slayton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083654982 PECOS PAC ID: 4688708613 Enrollment ID: I20100812000922 |
| Provider Name | Arwa Saidi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063473585 PECOS PAC ID: 4880728823 Enrollment ID: I20100812001135 |
| Provider Name | Wesley Reeves |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1093757817 PECOS PAC ID: 3971637927 Enrollment ID: I20100812001147 |
| Provider Name | Eric Sobel |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1417990789 PECOS PAC ID: 3870627821 Enrollment ID: I20100812001158 |
| Provider Name | Marie L Rivera-zengotita |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1326289455 PECOS PAC ID: 4789718735 Enrollment ID: I20100812001159 |
| Provider Name | Judy Lew |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801837844 PECOS PAC ID: 5193859072 Enrollment ID: I20100813000470 |
| Provider Name | Robert L Hatch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124059993 PECOS PAC ID: 8123152048 Enrollment ID: I20100813000952 |
| Provider Name | Stephanie F Ryan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255316543 PECOS PAC ID: 8527096882 Enrollment ID: I20100814000115 |
| Provider Name | Steven a Robicsek |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1740208503 PECOS PAC ID: 5597899435 Enrollment ID: I20100814000150 |
| Provider Name | Heather E Harrell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417992546 PECOS PAC ID: 2466586300 Enrollment ID: I20100814000192 |
| Provider Name | Mathew L Nguyen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083650261 PECOS PAC ID: 2163556010 Enrollment ID: I20100814000247 |
| Provider Name | Juan M Aranda |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1114933082 PECOS PAC ID: 5991839847 Enrollment ID: I20100816000095 |
| Provider Name | Linda a Hensley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578595948 PECOS PAC ID: 3577697358 Enrollment ID: I20100816000560 |
| Provider Name | James W Lynch |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1770524704 PECOS PAC ID: 1153455977 Enrollment ID: I20100816001019 |
| Provider Name | Steven N Roper |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1679500342 PECOS PAC ID: 3678607405 Enrollment ID: I20100816001081 |
| Provider Name | Jamie B Conti |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1205843745 PECOS PAC ID: 0446384275 Enrollment ID: I20100816001125 |
| Provider Name | Malcolm W Hickox |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1457385171 PECOS PAC ID: 5597899161 Enrollment ID: I20100818000378 |
| Provider Name | Katherine N Huber |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194753855 PECOS PAC ID: 0648304220 Enrollment ID: I20100818000438 |
| Provider Name | Eric I Rosenberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003844762 PECOS PAC ID: 7315071909 Enrollment ID: I20100818000520 |
| Provider Name | Christopher N Seubert |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1114030038 PECOS PAC ID: 6103950613 Enrollment ID: I20100819000833 |
| Provider Name | Vicky Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568483170 PECOS PAC ID: 8527192871 Enrollment ID: I20100823000427 |
| Provider Name | Roland Staud |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1588606271 PECOS PAC ID: 0042344319 Enrollment ID: I20100823000608 |
| Provider Name | Sharon Marie Deaton |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1346570959 PECOS PAC ID: 9436273703 Enrollment ID: I20100824000912 |
| Provider Name | Nashat Sayed Moawad |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659328243 PECOS PAC ID: 5597723304 Enrollment ID: I20100825000571 |
| Provider Name | Huong Le |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1326050170 PECOS PAC ID: 1254425994 Enrollment ID: I20100825001130 |
| Provider Name | Bradley S Bender |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1023053097 PECOS PAC ID: 4486778453 Enrollment ID: I20100826001252 |
| Provider Name | Newton Lawrence Edwards |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1578579694 PECOS PAC ID: 5294859260 Enrollment ID: I20100826001268 |
| Provider Name | Donald A. Novak |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649287798 PECOS PAC ID: 1153445150 Enrollment ID: I20100827000312 |
| Provider Name | Patricia L Mckey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306867932 PECOS PAC ID: 4587788583 Enrollment ID: I20100827000365 |
| Provider Name | Michael Wehle |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1427048222 PECOS PAC ID: 1557485588 Enrollment ID: I20100827000722 |
| Provider Name | William Patrick Duff |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285655985 PECOS PAC ID: 6002930955 Enrollment ID: I20100828000185 |
| Provider Name | Faheem Wagid Guirgis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831322072 PECOS PAC ID: 9133243058 Enrollment ID: I20100830000801 |
| Provider Name | Leo Soldner |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1033441886 PECOS PAC ID: 7315075405 Enrollment ID: I20100901000243 |
| Provider Name | Jeremy R Grimes |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1841482346 PECOS PAC ID: 6002930633 Enrollment ID: I20100902000694 |
| Provider Name | Robert a Zlotecki |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1821059338 PECOS PAC ID: 2769506302 Enrollment ID: I20100902000807 |
| Provider Name | Vincent G Bird |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1144259730 PECOS PAC ID: 6406864404 Enrollment ID: I20100902001033 |
| Provider Name | Kelly D Foote |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1336194380 PECOS PAC ID: 7719001387 Enrollment ID: I20100902001168 |
| Provider Name | Carl J Pepine |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1033124789 PECOS PAC ID: 0244354645 Enrollment ID: I20100907000601 |
| Provider Name | James M Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467480129 PECOS PAC ID: 4284758699 Enrollment ID: I20100907000803 |
| Provider Name | Robert N Averbuch |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548284904 PECOS PAC ID: 0446374805 Enrollment ID: I20100908000227 |
| Provider Name | Tomas D Martin |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1265464648 PECOS PAC ID: 1052435427 Enrollment ID: I20100908000271 |
| Provider Name | Kenneth H Rand |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1609817600 PECOS PAC ID: 4688798069 Enrollment ID: I20100908000388 |
| Provider Name | Pamela R Patton |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386665990 PECOS PAC ID: 2860517273 Enrollment ID: I20100908000939 |
| Provider Name | Daniel Hoh |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1316110901 PECOS PAC ID: 7113071309 Enrollment ID: I20100909000943 |
| Provider Name | Thomas a Berens |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1114938354 PECOS PAC ID: 5395860613 Enrollment ID: I20100909001146 |
| Provider Name | Arlisa J Payne |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1720308919 PECOS PAC ID: 7214052570 Enrollment ID: I20100910000383 |
| Provider Name | John D Davis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295771475 PECOS PAC ID: 7315062585 Enrollment ID: I20100910000637 |
| Provider Name | Joy Evans |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1275648461 PECOS PAC ID: 2264576883 Enrollment ID: I20100910001043 |
| Provider Name | Jason S Fromm |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205863271 PECOS PAC ID: 3678698891 Enrollment ID: I20100911000067 |
| Provider Name | Maureen a Novak |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952344327 PECOS PAC ID: 5294850459 Enrollment ID: I20100913000484 |
| Provider Name | Richard S Schofield |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1881603249 PECOS PAC ID: 7315062494 Enrollment ID: I20100913000843 |
| Provider Name | Meredith Elizabeth Mowitz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780806018 PECOS PAC ID: 2466577515 Enrollment ID: I20100914000454 |
| Provider Name | Sanjeev Yashvir Tuli |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194767749 PECOS PAC ID: 9830214782 Enrollment ID: I20100915000566 |
| Provider Name | Mark Panna |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1538112586 PECOS PAC ID: 9537190947 Enrollment ID: I20100915000896 |
| Provider Name | Anita Rajasekhar |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1437247822 PECOS PAC ID: 5991820805 Enrollment ID: I20100915001255 |
| Provider Name | John W Petersen |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1588868939 PECOS PAC ID: 2961527890 Enrollment ID: I20100916000168 |
| Provider Name | Robert J Amdur |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1235190752 PECOS PAC ID: 4789680596 Enrollment ID: I20100916000808 |
| Provider Name | Yana Serita Banks |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225140197 PECOS PAC ID: 3072638865 Enrollment ID: I20100916001106 |
| Provider Name | Elizabeth Benitez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083659387 PECOS PAC ID: 1052436789 Enrollment ID: I20100917000305 |
| Provider Name | Michael David Weiss |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861433898 PECOS PAC ID: 1759407257 Enrollment ID: I20100921001383 |
| Provider Name | Lori Beth Waxenberg |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518972173 PECOS PAC ID: 6608992110 Enrollment ID: I20100921001468 |
| Provider Name | Larry K Chidgey |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1316973852 PECOS PAC ID: 4587780002 Enrollment ID: I20100922000081 |
| Provider Name | Katheryn E Sarantos |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982628632 PECOS PAC ID: 9830215383 Enrollment ID: I20100922000371 |
| Provider Name | William L Clapp |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1700813573 PECOS PAC ID: 9537285911 Enrollment ID: I20100922000816 |
| Provider Name | Eileen M Handberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205845682 PECOS PAC ID: 2163548538 Enrollment ID: I20100923000576 |
| Provider Name | Christiana Marie Shaw |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1063532307 PECOS PAC ID: 8820169568 Enrollment ID: I20100923000611 |
| Provider Name | Bela Ilya Kudish |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598712168 PECOS PAC ID: 8921075433 Enrollment ID: I20100925000082 |
| Provider Name | Caroli Genis Harkness |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1346553203 PECOS PAC ID: 3375669443 Enrollment ID: I20100927000071 |
| Provider Name | Emily E Weber Lebrun |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972724433 PECOS PAC ID: 3577653880 Enrollment ID: I20100927000227 |
| Provider Name | Olga M Mas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154358000 PECOS PAC ID: 1456477546 Enrollment ID: I20100927000402 |
| Provider Name | Ashley Katherine Lentz |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1487739900 PECOS PAC ID: 3577689694 Enrollment ID: I20100927000785 |
| Provider Name | Salvatore T Scali |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1932390937 PECOS PAC ID: 4789690306 Enrollment ID: I20100927001095 |
| Provider Name | Hong Chen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356515886 PECOS PAC ID: 6901922905 Enrollment ID: I20100928000407 |
| Provider Name | Torrey D Baines |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871558106 PECOS PAC ID: 6406873819 Enrollment ID: I20100928001622 |
| Provider Name | Christopher Jolley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174563365 PECOS PAC ID: 8820114713 Enrollment ID: I20100928001642 |
| Provider Name | Steven J Hughes |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1891882411 PECOS PAC ID: 3678699592 Enrollment ID: I20100929000243 |
| Provider Name | Nikolaus R Mcfarland |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1962460915 PECOS PAC ID: 5496853640 Enrollment ID: I20100929000340 |
| Provider Name | Eric J Grieser |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1407846330 PECOS PAC ID: 5193841914 Enrollment ID: I20100929000398 |
| Provider Name | Tricia Swan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558410878 PECOS PAC ID: 5698841724 Enrollment ID: I20100929000456 |
| Provider Name | John Edward Muller |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1629309414 PECOS PAC ID: 5193841922 Enrollment ID: I20100929000527 |
| Provider Name | Richard C Holbert |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396766002 PECOS PAC ID: 4880710623 Enrollment ID: I20100929000590 |
| Provider Name | Maxim Norkin |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1841428588 PECOS PAC ID: 1153447958 Enrollment ID: I20100929001259 |
| Provider Name | James Fudge |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477728640 PECOS PAC ID: 3779551841 Enrollment ID: I20100929001370 |
| Provider Name | Lauren Marie Tenace |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447564059 PECOS PAC ID: 5597881201 Enrollment ID: I20100929001559 |
| Provider Name | Paul G Okunieff |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1215961750 PECOS PAC ID: 6204971559 Enrollment ID: I20101005000991 |
| Provider Name | Michelle E. Jacobs |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215978242 PECOS PAC ID: 4082806310 Enrollment ID: I20101005001125 |
| Provider Name | Shannon F. Patrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407890304 PECOS PAC ID: 4486846722 Enrollment ID: I20101005001202 |
| Provider Name | Anand R Gupte |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1821296039 PECOS PAC ID: 8921290123 Enrollment ID: I20101006000672 |
| Provider Name | Roberto T Zori |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1407887250 PECOS PAC ID: 6204028418 Enrollment ID: I20101006000813 |
| Provider Name | Marino E Leon |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1740281377 PECOS PAC ID: 3678463502 Enrollment ID: I20101007001093 |
| Provider Name | Marvin Dewar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669489241 PECOS PAC ID: 3072705086 Enrollment ID: I20101008000937 |
| Provider Name | R Whitney Curry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871539841 PECOS PAC ID: 2668556515 Enrollment ID: I20101008001094 |
| Provider Name | Jan Richard Rhodes |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1750374120 PECOS PAC ID: 5597957449 Enrollment ID: I20101011000257 |
| Provider Name | Josef Neu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730110222 PECOS PAC ID: 1557553435 Enrollment ID: I20101011000573 |
| Provider Name | Daniel Driscoll |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1093756082 PECOS PAC ID: 7416149307 Enrollment ID: I20101011000753 |
| Provider Name | Bashar Qumseya |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1770707838 PECOS PAC ID: 3072638303 Enrollment ID: I20101011000995 |
| Provider Name | David B Kirkland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720392772 PECOS PAC ID: 2961694609 Enrollment ID: I20101013000248 |
| Provider Name | Michael R. Bubb |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1770599094 PECOS PAC ID: 5991997520 Enrollment ID: I20101014000166 |
| Provider Name | Jorge E Lascano |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1780885921 PECOS PAC ID: 4789877317 Enrollment ID: I20101015000060 |
| Provider Name | Romeo E Castillo-melendez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336106137 PECOS PAC ID: 1951594332 Enrollment ID: I20101018000892 |
| Provider Name | Margaret G Ford |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1932121621 PECOS PAC ID: 8123211513 Enrollment ID: I20101018001031 |
| Provider Name | Margaret Anne Slayton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366478950 PECOS PAC ID: 0244423325 Enrollment ID: I20101021000439 |
| Provider Name | Malanie G Hagen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649208307 PECOS PAC ID: 1153514187 Enrollment ID: I20101021001162 |
| Provider Name | Charles Williams |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740212182 PECOS PAC ID: 1850584632 Enrollment ID: I20101025001215 |
| Provider Name | Paulette Hahn |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1043255839 PECOS PAC ID: 5799979464 Enrollment ID: I20101027000727 |
| Provider Name | Michael J Mctiernan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154337665 PECOS PAC ID: 3173717790 Enrollment ID: I20101027001472 |
| Provider Name | Trina Marie Hutton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891006045 PECOS PAC ID: 6800925835 Enrollment ID: I20101028000669 |
| Provider Name | Timothy E Morey |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1568480325 PECOS PAC ID: 4880888080 Enrollment ID: I20101102000335 |
| Provider Name | Laurie K Davies |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1033137997 PECOS PAC ID: 4082809850 Enrollment ID: I20101108000327 |
| Provider Name | Amy Rochelle Mullikin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043471998 PECOS PAC ID: 9234324831 Enrollment ID: I20101109000693 |
| Provider Name | Deqing Li |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811048622 PECOS PAC ID: 4486849049 Enrollment ID: I20101109001431 |
| Provider Name | Jonathan Snyderman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871796128 PECOS PAC ID: 3274685979 Enrollment ID: I20101110001003 |
| Provider Name | David J Burchfield |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760403471 PECOS PAC ID: 5991990152 Enrollment ID: I20101112000879 |
| Provider Name | Samantha S Greene |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1972544997 PECOS PAC ID: 0042405151 Enrollment ID: I20101115001300 |
| Provider Name | Cherrie Print Patel |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1184931107 PECOS PAC ID: 4385839257 Enrollment ID: I20101117000963 |
| Provider Name | David Selman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437258829 PECOS PAC ID: 6507052388 Enrollment ID: I20101118000867 |
| Provider Name | Stephanie Anne Moawad |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164586558 PECOS PAC ID: 5799971495 Enrollment ID: I20101119000993 |
| Provider Name | Susan Jimenez Nesbit |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548300684 PECOS PAC ID: 5597951038 Enrollment ID: I20101123001158 |
| Provider Name | Michael J Koren |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1083645782 PECOS PAC ID: 1052385168 Enrollment ID: I20101206000176 |
| Provider Name | William Joshua Hooghuis |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1861702920 PECOS PAC ID: 1456548312 Enrollment ID: I20101206000350 |
| Provider Name | Kathy Kim-chau Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659303097 PECOS PAC ID: 0941497663 Enrollment ID: I20101207001152 |
| Provider Name | Indraneel Bhattacharyya |
|---|---|
| Provider Type | Practitioner - Oral And Maxillofacial Pathology |
| Provider Identifiers | NPI Number: 1326004813 PECOS PAC ID: 7214124478 Enrollment ID: I20101214000561 |
| Provider Name | Rizan S Yozgat |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295798833 PECOS PAC ID: 2567659626 Enrollment ID: I20101215000465 |
| Provider Name | Kathleen a Ryan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336171180 PECOS PAC ID: 8022206168 Enrollment ID: I20101216000252 |
| Provider Name | Ann M Grooms |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679599559 PECOS PAC ID: 5496943474 Enrollment ID: I20101216000893 |
| Provider Name | John a Heinbockel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1578651212 PECOS PAC ID: 9032270111 Enrollment ID: I20101221000138 |
| Provider Name | Kenneth R. Schroer |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1265593982 PECOS PAC ID: 8527090117 Enrollment ID: I20101222000128 |
| Provider Name | Renee L Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083924427 PECOS PAC ID: 2365630910 Enrollment ID: I20101222001009 |
| Provider Name | Dana DJ Leach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225045552 PECOS PAC ID: 5294924387 Enrollment ID: I20110105000288 |
| Provider Name | Maria B Grant |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1093814162 PECOS PAC ID: 1951590959 Enrollment ID: I20110106000385 |
| Provider Name | Ronald Lee Berry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346283405 PECOS PAC ID: 8729277736 Enrollment ID: I20110106000447 |
| Provider Name | Evelyn V Santiago Gonzalez |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1053621292 PECOS PAC ID: 7012106701 Enrollment ID: I20110111000891 |
| Provider Name | Libby H King |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1215943113 PECOS PAC ID: 0749479277 Enrollment ID: I20110113000858 |
| Provider Name | David Rangel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1285936567 PECOS PAC ID: 1052500386 Enrollment ID: I20110118000719 |
| Provider Name | Jessica Koffman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1134420003 PECOS PAC ID: 6507055878 Enrollment ID: I20110118001143 |
| Provider Name | Amitabh Kumar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1346215712 PECOS PAC ID: 5496742629 Enrollment ID: I20110124001196 |
| Provider Name | Drazen M Jukic |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1134193774 PECOS PAC ID: 3274509047 Enrollment ID: I20110211000542 |
| Provider Name | Palma Iannucci Schmidt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255372298 PECOS PAC ID: 1456532746 Enrollment ID: I20110218000794 |
| Provider Name | Kimberly Warren |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1326367939 PECOS PAC ID: 5890976625 Enrollment ID: I20110225000675 |
| Provider Name | Robert Matthias |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1770512949 PECOS PAC ID: 4284639808 Enrollment ID: I20110302000269 |
| Provider Name | Debbra a Livingston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356373641 PECOS PAC ID: 3971784521 Enrollment ID: I20110302000304 |
| Provider Name | Mark Bender |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1659603090 PECOS PAC ID: 7113108473 Enrollment ID: I20110304000428 |
| Provider Name | Tara M Dyson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1194797605 PECOS PAC ID: 3274552476 Enrollment ID: I20110314000527 |
| Provider Name | Andres Pelaez Freidel |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1427069590 PECOS PAC ID: 5799756573 Enrollment ID: I20110316000871 |
| Provider Name | Aparna Wagle Shukla |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1124228747 PECOS PAC ID: 5193912418 Enrollment ID: I20110317000405 |
| Provider Name | Jennifer Donelan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548319551 PECOS PAC ID: 0648345082 Enrollment ID: I20110317000700 |
| Provider Name | Ellen K Bowser |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1700187200 PECOS PAC ID: 0840473229 Enrollment ID: I20110322000894 |
| Provider Name | Li Lu |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1699706432 PECOS PAC ID: 3375726110 Enrollment ID: I20110331000592 |
| Provider Name | Robert Tabb |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1639475643 PECOS PAC ID: 5294919023 Enrollment ID: I20110401000816 |
| Provider Name | Kisten Dian Walker |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265737936 PECOS PAC ID: 7214111954 Enrollment ID: I20110405000348 |
| Provider Name | Peter W Stacpoole |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1558474478 PECOS PAC ID: 0345424727 Enrollment ID: I20110408000391 |
| Provider Name | Cartsen M Schmalfuss |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1841209202 PECOS PAC ID: 5597949552 Enrollment ID: I20110415000423 |
| Provider Name | Ricardo J Rosado |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1629048228 PECOS PAC ID: 6406934496 Enrollment ID: I20110425000198 |
| Provider Name | Dawn J Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316979164 PECOS PAC ID: 7719065614 Enrollment ID: I20110428000685 |
| Provider Name | Valerie M Layton |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1942218334 PECOS PAC ID: 4284819517 Enrollment ID: I20110429000454 |
| Provider Name | Janet Romrell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1235242041 PECOS PAC ID: 2264618198 Enrollment ID: I20110510000910 |
| Provider Name | Amy Dendinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467683896 PECOS PAC ID: 4385780402 Enrollment ID: I20110511000527 |
| Provider Name | Lilla Gayle Martin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1275516999 PECOS PAC ID: 1052597887 Enrollment ID: I20110512000394 |
| Provider Name | Amy U Aponick |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1457660425 PECOS PAC ID: 3678590452 Enrollment ID: I20110517000188 |
| Provider Name | William J Triggs |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1205853769 PECOS PAC ID: 3779769310 Enrollment ID: I20110517000387 |
| Provider Name | Daniel R Stewart |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1750691960 PECOS PAC ID: 9931385432 Enrollment ID: I20110518000269 |
| Provider Name | Jeb Mahan Justice |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1689842429 PECOS PAC ID: 3971780248 Enrollment ID: I20110614000587 |
| Provider Name | Lawrence L Yeung |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1104909548 PECOS PAC ID: 4284765413 Enrollment ID: I20110615000175 |
| Provider Name | Cooper W Dean |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134218944 PECOS PAC ID: 5698952802 Enrollment ID: I20110615000261 |
| Provider Name | Richard J Giovannelli |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1588602783 PECOS PAC ID: 6709783087 Enrollment ID: I20110615000750 |
| Provider Name | Reordan Osiris De Jesus |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588872212 PECOS PAC ID: 0345428462 Enrollment ID: I20110620000597 |
| Provider Name | Ettore Crimi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1891821211 PECOS PAC ID: 0840478970 Enrollment ID: I20110620000661 |
| Provider Name | Anthony Gregg |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205890399 PECOS PAC ID: 8729058235 Enrollment ID: I20110624000084 |
| Provider Name | Allen E Coleman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1215263025 PECOS PAC ID: 4587842190 Enrollment ID: I20110630000440 |
| Provider Name | Amit Badiye |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1245481944 PECOS PAC ID: 7719165026 Enrollment ID: I20110708000258 |
| Provider Name | Jennifer G Co-vu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073724068 PECOS PAC ID: 3476731704 Enrollment ID: I20110708000485 |
| Provider Name | David E Winchester |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1194947929 PECOS PAC ID: 0547448870 Enrollment ID: I20110708000500 |
| Provider Name | Zachary J Prietz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1194980029 PECOS PAC ID: 0446325286 Enrollment ID: I20110712000365 |
| Provider Name | Pamela S Gould |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528090974 PECOS PAC ID: 4082882329 Enrollment ID: I20110712000750 |
| Provider Name | Walter Allan Steigleman |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1386601904 PECOS PAC ID: 4284802901 Enrollment ID: I20110725000711 |
| Provider Name | Erin a Murray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770891418 PECOS PAC ID: 6406024850 Enrollment ID: I20110729000504 |
| Provider Name | Michael Shillingford |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1639299936 PECOS PAC ID: 9739204413 Enrollment ID: I20110805000351 |
| Provider Name | Kouji J Bowser |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063707933 PECOS PAC ID: 3870762925 Enrollment ID: I20110808000374 |
| Provider Name | Michelle L Pennie |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1497932784 PECOS PAC ID: 3072643345 Enrollment ID: I20110808000668 |
| Provider Name | Raul Perez Cano |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497843205 PECOS PAC ID: 8527237593 Enrollment ID: I20110808000718 |
| Provider Name | Uma Suryadevara |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336342567 PECOS PAC ID: 1254500234 Enrollment ID: I20110808000849 |
| Provider Name | Janice WS Lawson |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1083701908 PECOS PAC ID: 0244409191 Enrollment ID: I20110809000872 |
| Provider Name | Kim N Nguyen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528230190 PECOS PAC ID: 4587833439 Enrollment ID: I20110809000902 |
| Provider Name | Brittany Lynn Mcdonald |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477862472 PECOS PAC ID: 0547439374 Enrollment ID: I20110811000325 |
| Provider Name | Robert J Mazalewski |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1841587540 PECOS PAC ID: 7012186703 Enrollment ID: I20110815000594 |
| Provider Name | Saundra Alicia Jackson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578724142 PECOS PAC ID: 9537284252 Enrollment ID: I20110815000941 |
| Provider Name | Katherine M Edenfield |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811180656 PECOS PAC ID: 9335318906 Enrollment ID: I20110816000797 |
| Provider Name | Shawn D Larson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1982798344 PECOS PAC ID: 3577732007 Enrollment ID: I20110817000782 |
| Provider Name | John Herbert Rees |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033199344 PECOS PAC ID: 3274517446 Enrollment ID: I20110823000992 |
| Provider Name | Frederick a Moore |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1992743850 PECOS PAC ID: 4789687690 Enrollment ID: I20110824000696 |
| Provider Name | Jacqueline J Russo |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1316028376 PECOS PAC ID: 2860662129 Enrollment ID: I20110824000899 |
| Provider Name | Calvin Y Choi |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1710076724 PECOS PAC ID: 8820268188 Enrollment ID: I20110824000950 |
| Provider Name | Heather R Wright |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477847465 PECOS PAC ID: 8729258918 Enrollment ID: I20110825000413 |
| Provider Name | Nicholas W Metakes |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023308723 PECOS PAC ID: 2466622501 Enrollment ID: I20110830000088 |
| Provider Name | Lucia R Hansen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578725271 PECOS PAC ID: 1052582699 Enrollment ID: I20110912000662 |
| Provider Name | Rochelle Wendy Fox |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1770870255 PECOS PAC ID: 4082885231 Enrollment ID: I20110919000617 |
| Provider Name | Lynn a Wackerly |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1699063768 PECOS PAC ID: 0648441667 Enrollment ID: I20110923000493 |
| Provider Name | Peggy Ann White |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1184784720 PECOS PAC ID: 0042481921 Enrollment ID: I20110926000630 |
| Provider Name | Chasen a Croft |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1255451662 PECOS PAC ID: 6507036035 Enrollment ID: I20111004000240 |
| Provider Name | Frank a Orlando |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538217294 PECOS PAC ID: 4183896624 Enrollment ID: I20111005000930 |
| Provider Name | Jennifer Marie Diaz-wicke |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1821378944 PECOS PAC ID: 5890967285 Enrollment ID: I20111006000620 |
| Provider Name | Brian C Rhoden |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417237371 PECOS PAC ID: 6507038999 Enrollment ID: I20111006000653 |
| Provider Name | Kerrin D Hartley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992084099 PECOS PAC ID: 1658543095 Enrollment ID: I20111007000420 |
| Provider Name | Natalia Moguillansky |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1891002697 PECOS PAC ID: 6204023245 Enrollment ID: I20111018000753 |
| Provider Name | Michael Munz |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1093712572 PECOS PAC ID: 1850283581 Enrollment ID: I20111021000224 |
| Provider Name | Michael Nias |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548448251 PECOS PAC ID: 3870766652 Enrollment ID: I20111024000738 |
| Provider Name | Michael L Krick |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922272079 PECOS PAC ID: 3173796745 Enrollment ID: I20111026000323 |
| Provider Name | Diego Moguillansky |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497984447 PECOS PAC ID: 6103099635 Enrollment ID: I20111028000485 |
| Provider Name | Raja Sawhney |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1962612184 PECOS PAC ID: 0749312023 Enrollment ID: I20111101000439 |
| Provider Name | Diana Rogers |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1649576653 PECOS PAC ID: 2062685035 Enrollment ID: I20111108000398 |
| Provider Name | Carla S White |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1962437186 PECOS PAC ID: 9436237336 Enrollment ID: I20111122000827 |
| Provider Name | David J Black |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295756682 PECOS PAC ID: 3870767999 Enrollment ID: I20111129000294 |
| Provider Name | Robert M Warner |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1679850309 PECOS PAC ID: 1759556103 Enrollment ID: I20111213000613 |
| Provider Name | Brenda G Fahy |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1467568469 PECOS PAC ID: 9335313436 Enrollment ID: I20111227000179 |
| Provider Name | Carol Lewis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1275737488 PECOS PAC ID: 6608042122 Enrollment ID: I20120105000339 |
| Provider Name | Robert S Egerman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881651750 PECOS PAC ID: 8527252295 Enrollment ID: I20120113000219 |
| Provider Name | Gregory M Janelle |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1609894567 PECOS PAC ID: 1254508609 Enrollment ID: I20120125000677 |
| Provider Name | Elizabeth C Sanders |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811926363 PECOS PAC ID: 0345396636 Enrollment ID: I20120126000411 |
| Provider Name | Peter Jiang |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1629098751 PECOS PAC ID: 0648437731 Enrollment ID: I20120201000160 |
| Provider Name | Rafael Montalvo |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1760405435 PECOS PAC ID: 9436316536 Enrollment ID: I20120201000308 |
| Provider Name | Rachel M Coleman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346349545 PECOS PAC ID: 4082703038 Enrollment ID: I20120201000576 |
| Provider Name | Kenneth Cusi |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1770690752 PECOS PAC ID: 4688707219 Enrollment ID: I20120202000651 |
| Provider Name | Melissa Diane Kapp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255616512 PECOS PAC ID: 7416120472 Enrollment ID: I20120224000003 |
| Provider Name | Brad a Depuydt |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1841561826 PECOS PAC ID: 7416115159 Enrollment ID: I20120227000193 |
| Provider Name | Karin H Vangura |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1124220132 PECOS PAC ID: 4789842451 Enrollment ID: I20120227000555 |
| Provider Name | Ragini Pillay |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1174894174 PECOS PAC ID: 0244499358 Enrollment ID: I20120309000088 |
| Provider Name | Edrei Lugo |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1285624403 PECOS PAC ID: 1951575836 Enrollment ID: I20120315000872 |
| Provider Name | Robert S Logano |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1477531804 PECOS PAC ID: 5395792998 Enrollment ID: I20120321000423 |
| Provider Name | Tameka L Wyckoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912270919 PECOS PAC ID: 2961662283 Enrollment ID: I20120323000528 |
| Provider Name | Robert K Dodson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1447521976 PECOS PAC ID: 7618137704 Enrollment ID: I20120327000911 |
| Provider Name | Yolanda M Gertsch Lapcevic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326093238 PECOS PAC ID: 7214197144 Enrollment ID: I20120329000545 |
| Provider Name | Steven S Goldstein |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1740354760 PECOS PAC ID: 3971764671 Enrollment ID: I20120405000130 |
| Provider Name | William L Self |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1245503093 PECOS PAC ID: 4587825138 Enrollment ID: I20120409000458 |
| Provider Name | Susan D. Schaffer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538142377 PECOS PAC ID: 9032370895 Enrollment ID: I20120423000321 |
| Provider Name | Joan E English |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1669476347 PECOS PAC ID: 8729241575 Enrollment ID: I20120515000553 |
| Provider Name | Ashutosh M Shukla |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1558585711 PECOS PAC ID: 3375695927 Enrollment ID: I20120517000086 |
| Provider Name | Maryam Rahman |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1821167248 PECOS PAC ID: 4587827092 Enrollment ID: I20120521000374 |
| Provider Name | Jaclyn L Otero |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992947238 PECOS PAC ID: 2961665336 Enrollment ID: I20120522001083 |
| Provider Name | Hiren J Mehta |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1922364249 PECOS PAC ID: 0840453189 Enrollment ID: I20120523000504 |
| Provider Name | Roi Dagan |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1952508491 PECOS PAC ID: 3971766007 Enrollment ID: I20120529000431 |
| Provider Name | Osman S Farooq |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1013168723 PECOS PAC ID: 6901060961 Enrollment ID: I20120604000523 |
| Provider Name | Anugya Poudel Chataut |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215244108 PECOS PAC ID: 7618131475 Enrollment ID: I20120607000591 |
| Provider Name | Joseph M Graham |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1437359056 PECOS PAC ID: 0749444313 Enrollment ID: I20120611000588 |
| Provider Name | Tara C Massini |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174732051 PECOS PAC ID: 7012171341 Enrollment ID: I20120615000570 |
| Provider Name | Stephanie M Kirkconnel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912140831 PECOS PAC ID: 0244494516 Enrollment ID: I20120618000393 |
| Provider Name | Jason L Zaremski |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1629231477 PECOS PAC ID: 9032373279 Enrollment ID: I20120619000520 |
| Provider Name | Christina C Clemow |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205984895 PECOS PAC ID: 5092970129 Enrollment ID: I20120622000340 |
| Provider Name | Wendy Christine Slabaugh |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1861764334 PECOS PAC ID: 4385804178 Enrollment ID: I20120622000627 |
| Provider Name | Joseph J King |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1356501332 PECOS PAC ID: 6800051897 Enrollment ID: I20120625000371 |
| Provider Name | Molly H.W. Mandernach |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1912088063 PECOS PAC ID: 3971768383 Enrollment ID: I20120710000771 |
| Provider Name | Daniel R Urbine |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1801006275 PECOS PAC ID: 3476627787 Enrollment ID: I20120716000088 |
| Provider Name | Nancy M Worthington |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780679589 PECOS PAC ID: 1951567007 Enrollment ID: I20120718000445 |
| Provider Name | Janeen R Jordan |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1972659647 PECOS PAC ID: 4486810488 Enrollment ID: I20120719000080 |
| Provider Name | Kristy Breuhl Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588864201 PECOS PAC ID: 3678739505 Enrollment ID: I20120723000219 |
| Provider Name | Michael L Gray |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1073873949 PECOS PAC ID: 4082870514 Enrollment ID: I20120726000695 |
| Provider Name | Giuliano E De Portu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841421294 PECOS PAC ID: 9436315942 Enrollment ID: I20120727000713 |
| Provider Name | Thomas Moon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982821799 PECOS PAC ID: 3476719899 Enrollment ID: I20120730000200 |
| Provider Name | Tarah Daly Doshi |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1518229889 PECOS PAC ID: 1456507672 Enrollment ID: I20120803000286 |
| Provider Name | Jennifer a Compton |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1013274265 PECOS PAC ID: 3779739891 Enrollment ID: I20120806000609 |
| Provider Name | Michael a Arnold |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1902048127 PECOS PAC ID: 2769638501 Enrollment ID: I20120809000381 |
| Provider Name | Joseph K Francis |
|---|---|
| Provider Type | Practitioner - Micrographic Dermatologic Surgery (mds) |
| Provider Identifiers | NPI Number: 1386841724 PECOS PAC ID: 1850547654 Enrollment ID: I20120810000089 |
| Provider Name | Heather B Rossidis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881949220 PECOS PAC ID: 9032365598 Enrollment ID: I20120816000092 |
| Provider Name | Iesha L Zilcosky |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1144580671 PECOS PAC ID: 2961659156 Enrollment ID: I20120822000736 |
| Provider Name | Vincent Conte |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1124003033 PECOS PAC ID: 7012164833 Enrollment ID: I20120830000423 |
| Provider Name | Alexander Rivera Rosado |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1831454784 PECOS PAC ID: 1951558543 Enrollment ID: I20120905000080 |
| Provider Name | Thomas F Payton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184689598 PECOS PAC ID: 0042293680 Enrollment ID: I20120905000349 |
| Provider Name | Tatsiana Bryko Giles |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1760738009 PECOS PAC ID: 8224285762 Enrollment ID: I20120905000824 |
| Provider Name | John Allen Fort |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528129467 PECOS PAC ID: 1254589427 Enrollment ID: I20120912000663 |
| Provider Name | Sandra N Gonzalez |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1568629632 PECOS PAC ID: 9335397322 Enrollment ID: I20120917000650 |
| Provider Name | Marina Helene Trevisani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275881963 PECOS PAC ID: 3476701368 Enrollment ID: I20120918000943 |
| Provider Name | Cyrus Alexander Monroe |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366650756 PECOS PAC ID: 1658529409 Enrollment ID: I20120919000703 |
| Provider Name | Shannon E Mckaig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750642773 PECOS PAC ID: 9537317334 Enrollment ID: I20120920000403 |
| Provider Name | Mohammed Nadimul Islam |
|---|---|
| Provider Type | Practitioner - Oral And Maxillofacial Pathology |
| Provider Identifiers | NPI Number: 1477750263 PECOS PAC ID: 7113108010 Enrollment ID: I20120925000089 |
| Provider Name | Lori Schmerling |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003130071 PECOS PAC ID: 6608025184 Enrollment ID: I20120926000545 |
| Provider Name | David a Boyd |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1164401311 PECOS PAC ID: 5890944318 Enrollment ID: I20120927000160 |
| Provider Name | Alpna Raveendra Limaye |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1639329055 PECOS PAC ID: 9739338286 Enrollment ID: I20120927000500 |
| Provider Name | Carolyn Holland |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225197726 PECOS PAC ID: 9436251345 Enrollment ID: I20120927000812 |
| Provider Name | Jessica Frances Doerrler |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750637815 PECOS PAC ID: 7911156344 Enrollment ID: I20120928000609 |
| Provider Name | William Wayne Hollifield |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1912202458 PECOS PAC ID: 6002065463 Enrollment ID: I20121001000239 |
| Provider Name | Scott K Morris |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1740243385 PECOS PAC ID: 5092755793 Enrollment ID: I20121004000011 |
| Provider Name | William a Yvorchuk |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1265475222 PECOS PAC ID: 5193711679 Enrollment ID: I20121011000926 |
| Provider Name | Sonia D Mehta |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1760689210 PECOS PAC ID: 0547410219 Enrollment ID: I20121016000349 |
| Provider Name | Nimish K Nemani |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1871514570 PECOS PAC ID: 8426013756 Enrollment ID: I20121018000651 |
| Provider Name | Doni R Walker-jackson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285980136 PECOS PAC ID: 7416107966 Enrollment ID: I20121018000747 |
| Provider Name | Sebastien Charles |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1376893123 PECOS PAC ID: 6002066255 Enrollment ID: I20121024000167 |
| Provider Name | Sam X Cheng |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952537672 PECOS PAC ID: 4385894245 Enrollment ID: I20121030000541 |
| Provider Name | Minh Nguyet Thi Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639427248 PECOS PAC ID: 5294985156 Enrollment ID: I20121030000542 |
| Provider Name | Kevin D Reilly |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1962754804 PECOS PAC ID: 9638320203 Enrollment ID: I20121107000317 |
| Provider Name | Danielle Lynn Gregory |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659622397 PECOS PAC ID: 5991956344 Enrollment ID: I20121112000087 |
| Provider Name | Jacqueline C Darna |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1497004790 PECOS PAC ID: 1759532104 Enrollment ID: I20121112000149 |
| Provider Name | Molly Reiss Posa |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932341120 PECOS PAC ID: 2961653324 Enrollment ID: I20121112000256 |
| Provider Name | Justin a West |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1003167164 PECOS PAC ID: 9133370489 Enrollment ID: I20121113000735 |
| Provider Name | Revathi Iyengar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1457509168 PECOS PAC ID: 9739330853 Enrollment ID: I20121119000045 |
| Provider Name | Lisa RP Spiguel |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1407150972 PECOS PAC ID: 1557529799 Enrollment ID: I20121126000319 |
| Provider Name | Nadia Miller |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1972856219 PECOS PAC ID: 7416109624 Enrollment ID: I20121217000337 |
| Provider Name | Lindsay M Rohan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730401142 PECOS PAC ID: 4981856010 Enrollment ID: I20121218000184 |
| Provider Name | Brett W Hilliard |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1205196144 PECOS PAC ID: 8820240963 Enrollment ID: I20121218000282 |
| Provider Name | Dawn L Daigen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1730424557 PECOS PAC ID: 2961655907 Enrollment ID: I20121227000061 |
| Provider Name | Naueen Akbar Chaudhry |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1457600579 PECOS PAC ID: 8224281126 Enrollment ID: I20121228000333 |
| Provider Name | Akaluck Thatayatikom |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366650236 PECOS PAC ID: 1658466057 Enrollment ID: I20130107000201 |
| Provider Name | Jaclyn Y Pugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073858114 PECOS PAC ID: 1052564234 Enrollment ID: I20130122000249 |
| Provider Name | Rajesh Mali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083877575 PECOS PAC ID: 3375667462 Enrollment ID: I20130123000057 |
| Provider Name | Sarah C Wittstruck |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275569865 PECOS PAC ID: 8628222791 Enrollment ID: I20130128000141 |
| Provider Name | Megan Anne Smith |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1154668762 PECOS PAC ID: 2466606801 Enrollment ID: I20130212000041 |
| Provider Name | Matthew D Barnes |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1801198635 PECOS PAC ID: 9830343227 Enrollment ID: I20130212000574 |
| Provider Name | Hisham Izzadin Ibrahim |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1619918760 PECOS PAC ID: 2062497217 Enrollment ID: I20130213000294 |
| Provider Name | Guillermo Noguera |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861720377 PECOS PAC ID: 2567617723 Enrollment ID: I20130220000079 |
| Provider Name | Paul Joseph Fisher |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1457697757 PECOS PAC ID: 6507011665 Enrollment ID: I20130221000537 |
| Provider Name | CR J Morales |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1013170513 PECOS PAC ID: 0749342699 Enrollment ID: I20130227000322 |
| Provider Name | Yea-pyng Luo |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891092383 PECOS PAC ID: 3577718105 Enrollment ID: I20130304000592 |
| Provider Name | Neil Rosenquist |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1760443915 PECOS PAC ID: 4688624950 Enrollment ID: I20130320000595 |
| Provider Name | Henry F Patalinghug |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1003156498 PECOS PAC ID: 0547405565 Enrollment ID: I20130322000265 |
| Provider Name | Kenley Pierre Louis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821352790 PECOS PAC ID: 1759526353 Enrollment ID: I20130403000090 |
| Provider Name | Danielle Witkowski |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1053656454 PECOS PAC ID: 4981849452 Enrollment ID: I20130404000295 |
| Provider Name | Genie Lynn Kahn Beasley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194920553 PECOS PAC ID: 8628213030 Enrollment ID: I20130405000144 |
| Provider Name | Brittany M Knight |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164651162 PECOS PAC ID: 9335385848 Enrollment ID: I20130429000087 |
| Provider Name | Anil K Sharma |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1609898618 PECOS PAC ID: 2466451935 Enrollment ID: I20130429000301 |
| Provider Name | Roland J Adamsons |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1164495172 PECOS PAC ID: 6608899737 Enrollment ID: I20130502000219 |
| Provider Name | Ameeth Vedre |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578643474 PECOS PAC ID: 1759576358 Enrollment ID: I20130506000389 |
| Provider Name | Kathryn M Leveen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578800355 PECOS PAC ID: 1759528631 Enrollment ID: I20130513000618 |
| Provider Name | Gregory M Christman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669565875 PECOS PAC ID: 0648307587 Enrollment ID: I20130522000379 |
| Provider Name | Michael a Shapiro |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417118977 PECOS PAC ID: 0840438271 Enrollment ID: I20130524000319 |
| Provider Name | Cameron Mcdougald Rosenthal |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659696490 PECOS PAC ID: 1153569496 Enrollment ID: I20130529000165 |
| Provider Name | Victor M Valdivia |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1407145097 PECOS PAC ID: 4385882463 Enrollment ID: I20130531000117 |
| Provider Name | Aaron Hess |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1497095350 PECOS PAC ID: 8426296369 Enrollment ID: I20130604000636 |
| Provider Name | Jennifer Posner |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1326481508 PECOS PAC ID: 6406094135 Enrollment ID: I20130607000342 |
| Provider Name | Brandon Russell Allen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376864827 PECOS PAC ID: 5991944613 Enrollment ID: I20130610000403 |
| Provider Name | Paul L Crispen |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1972793396 PECOS PAC ID: 0840383915 Enrollment ID: I20130620000599 |
| Provider Name | Joshua Warren Sappenfield |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1083875348 PECOS PAC ID: 6507005568 Enrollment ID: I20130624000308 |
| Provider Name | Renata Shih |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184827248 PECOS PAC ID: 1153560966 Enrollment ID: I20130626000488 |
| Provider Name | Kiran K Upadhyay |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588831291 PECOS PAC ID: 6002084472 Enrollment ID: I20130626000752 |
| Provider Name | Mariam Rahmani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568690956 PECOS PAC ID: 0648410456 Enrollment ID: I20130627000704 |
| Provider Name | Joseph Philip |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215201751 PECOS PAC ID: 1658511258 Enrollment ID: I20130702000389 |
| Provider Name | Melinda Williams Fernandez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881915692 PECOS PAC ID: 3072753672 Enrollment ID: I20130702000425 |
| Provider Name | Steven Glynn Gordon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366760647 PECOS PAC ID: 7214177799 Enrollment ID: I20130703000605 |
| Provider Name | Irene Mison Estores |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1841221330 PECOS PAC ID: 8224278643 Enrollment ID: I20130709000118 |
| Provider Name | Wai Lang Lau |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1841207388 PECOS PAC ID: 7113119314 Enrollment ID: I20130709000211 |
| Provider Name | William C Hicks |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1003154022 PECOS PAC ID: 2860632148 Enrollment ID: I20130710000219 |
| Provider Name | James E Cooley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1194061648 PECOS PAC ID: 4284874579 Enrollment ID: I20130710000270 |
| Provider Name | Christina a Wilson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1417112772 PECOS PAC ID: 3274773304 Enrollment ID: I20130712000183 |
| Provider Name | Jason M Jones |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699086843 PECOS PAC ID: 3476793522 Enrollment ID: I20130712000421 |
| Provider Name | Diana Barb |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1730347311 PECOS PAC ID: 2860632924 Enrollment ID: I20130712000630 |
| Provider Name | Obai Abdullah |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1417263450 PECOS PAC ID: 3678713690 Enrollment ID: I20130715000577 |
| Provider Name | Zeeshan Zafar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306281381 PECOS PAC ID: 7315187309 Enrollment ID: I20130716000534 |
| Provider Name | Ratna Acharya |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467629170 PECOS PAC ID: 2466640339 Enrollment ID: I20130717000303 |
| Provider Name | Peter T Dziegielewski |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1013287101 PECOS PAC ID: 3072777952 Enrollment ID: I20130717000383 |
| Provider Name | Carolyn Gosch Herman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1366882284 PECOS PAC ID: 1951542869 Enrollment ID: I20130718000386 |
| Provider Name | Juan N Kattan Villegas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518292606 PECOS PAC ID: 5395986210 Enrollment ID: I20130718000548 |
| Provider Name | Amanda K Waters |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063850493 PECOS PAC ID: 7113168071 Enrollment ID: I20130719000133 |
| Provider Name | Anna S Tsikouris |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689990533 PECOS PAC ID: 4082855960 Enrollment ID: I20130719000416 |
| Provider Name | Michael Joseph Jansen |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1740302587 PECOS PAC ID: 1759522501 Enrollment ID: I20130722000137 |
| Provider Name | Christopher William Hess |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1881848836 PECOS PAC ID: 7012190283 Enrollment ID: I20130723000362 |
| Provider Name | Cesar Bertolotti |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1871813147 PECOS PAC ID: 1759526734 Enrollment ID: I20130725000088 |
| Provider Name | Carolyn a Rollins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154673606 PECOS PAC ID: 7416198858 Enrollment ID: I20130726000302 |
| Provider Name | Jonathan G Harrell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831417799 PECOS PAC ID: 9133360506 Enrollment ID: I20130726000671 |
| Provider Name | Zachary T Wilson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508023029 PECOS PAC ID: 5991975310 Enrollment ID: I20130729000185 |
| Provider Name | David Hernandez Gonzalo |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1578706180 PECOS PAC ID: 5799926036 Enrollment ID: I20130729000553 |
| Provider Name | Rubjit K Nagpal |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992721963 PECOS PAC ID: 6507839172 Enrollment ID: I20130801000871 |
| Provider Name | Eric S Papierniak |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1689871964 PECOS PAC ID: 0547401580 Enrollment ID: I20130802000281 |
| Provider Name | Olga Cristina Nin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1922233725 PECOS PAC ID: 7113169160 Enrollment ID: I20130805000315 |
| Provider Name | Mustafa M Ahmed |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1730397886 PECOS PAC ID: 2769637701 Enrollment ID: I20130806000293 |
| Provider Name | Ashley W Tischler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396186516 PECOS PAC ID: 4587806088 Enrollment ID: I20130813000547 |
| Provider Name | Ryan W Nall |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366679656 PECOS PAC ID: 4385891704 Enrollment ID: I20130814000054 |
| Provider Name | Daiana Jazon |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1316288921 PECOS PAC ID: 7719129097 Enrollment ID: I20130815000890 |
| Provider Name | Sukumar Suguna Narasimhulu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124311535 PECOS PAC ID: 3577705656 Enrollment ID: I20130820000826 |
| Provider Name | Raam Sambandam |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1528226388 PECOS PAC ID: 2961644059 Enrollment ID: I20130820000954 |
| Provider Name | Michael E Mathson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1437347606 PECOS PAC ID: 5698863801 Enrollment ID: I20130820000959 |
| Provider Name | Thiago Beduschi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1144532680 PECOS PAC ID: 1951544071 Enrollment ID: I20130821000338 |
| Provider Name | Larry Crisco |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1952395782 PECOS PAC ID: 2668569542 Enrollment ID: I20130823000908 |
| Provider Name | Israel Hernandez Ramirez |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1225479801 PECOS PAC ID: 1951544865 Enrollment ID: I20130826000115 |
| Provider Name | Kristen Marie Teel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1720420631 PECOS PAC ID: 0648413286 Enrollment ID: I20130829000075 |
| Provider Name | Andre R Spiguel |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1235386095 PECOS PAC ID: 5193973402 Enrollment ID: I20130906000255 |
| Provider Name | Kartikeya Cherabuddi |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1295053239 PECOS PAC ID: 9335382555 Enrollment ID: I20130906000522 |
| Provider Name | Andre R Da Camara |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1487816963 PECOS PAC ID: 3971747072 Enrollment ID: I20130911000235 |
| Provider Name | Kailey N Gilley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851724082 PECOS PAC ID: 8921242033 Enrollment ID: I20130911000297 |
| Provider Name | Whitney Ryan Carmichael |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598107013 PECOS PAC ID: 9133363252 Enrollment ID: I20130911000522 |
| Provider Name | Kate E Olsen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1629415179 PECOS PAC ID: 4486898400 Enrollment ID: I20130912000804 |
| Provider Name | Karyn Denise Taylor |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1972789675 PECOS PAC ID: 8527137892 Enrollment ID: I20130920000192 |
| Provider Name | Lakimberly M Coleman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1083054456 PECOS PAC ID: 5395989966 Enrollment ID: I20130920000523 |
| Provider Name | Jonathan a Higgins |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1548426356 PECOS PAC ID: 5193969780 Enrollment ID: I20130923000006 |
| Provider Name | Himesh V Vyas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750360970 PECOS PAC ID: 0648241893 Enrollment ID: I20130923000128 |
| Provider Name | Kara E Godwin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619300845 PECOS PAC ID: 7719121318 Enrollment ID: I20130923000162 |
| Provider Name | Ellen M Zimmerman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1982789590 PECOS PAC ID: 4981748167 Enrollment ID: I20130923000576 |
| Provider Name | Paul T Mcturk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710029582 PECOS PAC ID: 3577504851 Enrollment ID: I20130927000079 |
| Provider Name | Anita Wokhlu |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1134131774 PECOS PAC ID: 3274537147 Enrollment ID: I20131001000265 |
| Provider Name | Arjun Bamzai |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942252184 PECOS PAC ID: 9537181912 Enrollment ID: I20131001000482 |
| Provider Name | Yiu-hei Ching |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1629204243 PECOS PAC ID: 0941434179 Enrollment ID: I20131001000561 |
| Provider Name | James a West |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1306177464 PECOS PAC ID: 0143454256 Enrollment ID: I20131003000236 |
| Provider Name | Lubna Mustafa Al Hourani |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1770713604 PECOS PAC ID: 2769616820 Enrollment ID: I20131004000173 |
| Provider Name | Lindsay a Courson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1366741613 PECOS PAC ID: 9638303647 Enrollment ID: I20131007000647 |
| Provider Name | Romano T Demarco |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1093802134 PECOS PAC ID: 9739167065 Enrollment ID: I20131007001537 |
| Provider Name | Elias J Sayour |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821314865 PECOS PAC ID: 0244464113 Enrollment ID: I20131008000923 |
| Provider Name | Janice a Taylor |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144423088 PECOS PAC ID: 8921264755 Enrollment ID: I20131009000988 |
| Provider Name | Free N Hess |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124260393 PECOS PAC ID: 9335324235 Enrollment ID: I20131009001344 |
| Provider Name | Ann D Chauffe |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1306039201 PECOS PAC ID: 5991999211 Enrollment ID: I20131014001726 |
| Provider Name | Amy Yomiko Vittor |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1861690646 PECOS PAC ID: 0547494130 Enrollment ID: I20131015001035 |
| Provider Name | Anna a Kairalla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902247042 PECOS PAC ID: 5193959625 Enrollment ID: I20131016000204 |
| Provider Name | Lynn a Leonard |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1538191903 PECOS PAC ID: 3072416577 Enrollment ID: I20131016001139 |
| Provider Name | Tessa Baumgardner |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1013150234 PECOS PAC ID: 9638312028 Enrollment ID: I20131017000371 |
| Provider Name | Catherine G Boon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093747552 PECOS PAC ID: 8426282823 Enrollment ID: I20131017000549 |
| Provider Name | Carey D Boudreau |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1114354495 PECOS PAC ID: 9032344395 Enrollment ID: I20131023000825 |
| Provider Name | Kirsty Freshwater |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407296726 PECOS PAC ID: 7911132626 Enrollment ID: I20131106000512 |
| Provider Name | Soo Chon Kim |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932408358 PECOS PAC ID: 2365677895 Enrollment ID: I20131108000633 |
| Provider Name | Amanda Newsome Prine |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386999647 PECOS PAC ID: 8628204187 Enrollment ID: I20131112000996 |
| Provider Name | Lina Marcela Chapman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1407297773 PECOS PAC ID: 9234365586 Enrollment ID: I20131115000869 |
| Provider Name | Sunny R Yost |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1770763609 PECOS PAC ID: 0749370765 Enrollment ID: I20131118000519 |
| Provider Name | Aubrey Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780026393 PECOS PAC ID: 6800022658 Enrollment ID: I20131126001393 |
| Provider Name | Margaux a Hill |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1700144490 PECOS PAC ID: 4486880234 Enrollment ID: I20131126001611 |
| Provider Name | Priyanka Vyas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306050232 PECOS PAC ID: 9931223914 Enrollment ID: I20131203001227 |
| Provider Name | Joseph Mcnamara |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1336572510 PECOS PAC ID: 4183850720 Enrollment ID: I20131204000276 |
| Provider Name | Gena C Rhoden |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1063652188 PECOS PAC ID: 5597991174 Enrollment ID: I20131204001632 |
| Provider Name | Brent Healey Woodward |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1407125008 PECOS PAC ID: 7113153792 Enrollment ID: I20131204001672 |
| Provider Name | Richard L Henry |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1952739948 PECOS PAC ID: 9830326495 Enrollment ID: I20131206000120 |
| Provider Name | Gregory E Wells |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1376771576 PECOS PAC ID: 4385799188 Enrollment ID: I20131213001255 |
| Provider Name | Samuel T Kim |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1962832477 PECOS PAC ID: 9032347620 Enrollment ID: I20140103000944 |
| Provider Name | Karah Kiley Rae Sickler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164854584 PECOS PAC ID: 6406084060 Enrollment ID: I20140107000039 |
| Provider Name | Alicia M Mohr |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1225127079 PECOS PAC ID: 1254303142 Enrollment ID: I20140110000588 |
| Provider Name | Shantelle Bartra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689004905 PECOS PAC ID: 7719116482 Enrollment ID: I20140130000278 |
| Provider Name | Sandra Elise Sullivan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770524829 PECOS PAC ID: 2365462488 Enrollment ID: I20140131000773 |
| Provider Name | Julia Peach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255449278 PECOS PAC ID: 2567569452 Enrollment ID: I20140131001201 |
| Provider Name | Mark Pillinger |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1982034385 PECOS PAC ID: 5799914677 Enrollment ID: I20140219000900 |
| Provider Name | Marko Trkulja |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1760815526 PECOS PAC ID: 3274763107 Enrollment ID: I20140220000675 |
| Provider Name | Ana L Moros-hanley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902838477 PECOS PAC ID: 8820228612 Enrollment ID: I20140221001451 |
| Provider Name | Katherine Tripi |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1639468556 PECOS PAC ID: 7719162627 Enrollment ID: I20140312001484 |
| Provider Name | Sanjeev Kumar |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1245407279 PECOS PAC ID: 0749436921 Enrollment ID: I20140314000798 |
| Provider Name | Misty Audette |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043631245 PECOS PAC ID: 6709017668 Enrollment ID: I20140319000553 |
| Provider Name | Stephen Hovis |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1659796092 PECOS PAC ID: 5991936460 Enrollment ID: I20140326000840 |
| Provider Name | Amanda D Lascano |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1518381292 PECOS PAC ID: 4789815044 Enrollment ID: I20140331000181 |
| Provider Name | Natalie J Snodgrass |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093069676 PECOS PAC ID: 5294966339 Enrollment ID: I20140402001790 |
| Provider Name | Shermeika C Greene |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1841621174 PECOS PAC ID: 8527290444 Enrollment ID: I20140408001527 |
| Provider Name | Sarah K Ebersole |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1538587472 PECOS PAC ID: 8628200094 Enrollment ID: I20140417001005 |
| Provider Name | Tiffany Autry Gaither |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306263140 PECOS PAC ID: 6305078577 Enrollment ID: I20140423000052 |
| Provider Name | Valerie L Prietz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1255753471 PECOS PAC ID: 1951534080 Enrollment ID: I20140425001004 |
| Provider Name | Shealy Aghamalian |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750706545 PECOS PAC ID: 9638302318 Enrollment ID: I20140503000008 |
| Provider Name | Aisha M Ladson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598181224 PECOS PAC ID: 8921221144 Enrollment ID: I20140515001260 |
| Provider Name | Amy M Loyd |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1851597009 PECOS PAC ID: 6901029123 Enrollment ID: I20140515001336 |
| Provider Name | Brenda Grace Levesque |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1316366016 PECOS PAC ID: 0244454445 Enrollment ID: I20140609002040 |
| Provider Name | Catalina Bazacliu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063655603 PECOS PAC ID: 2769660406 Enrollment ID: I20140609002104 |
| Provider Name | Neil K Sanghvi |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1568598159 PECOS PAC ID: 8628123890 Enrollment ID: I20140623000318 |
| Provider Name | Edlira Maska |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477845428 PECOS PAC ID: 9830330612 Enrollment ID: I20140624002151 |
| Provider Name | Neal Pifer Holland |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366735417 PECOS PAC ID: 7810125481 Enrollment ID: I20140625001127 |
| Provider Name | John Paul Massini |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1588899231 PECOS PAC ID: 9739321027 Enrollment ID: I20140625001376 |
| Provider Name | Ana Thomas Turner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417277583 PECOS PAC ID: 0143464032 Enrollment ID: I20140630001891 |
| Provider Name | Dhanashree Abhijit Rajderkar |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1225344054 PECOS PAC ID: 9436388063 Enrollment ID: I20140701002247 |
| Provider Name | Constance Marie Alford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124459920 PECOS PAC ID: 9537384680 Enrollment ID: I20140702002109 |
| Provider Name | Mengkha Gurung |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1225449648 PECOS PAC ID: 9739304882 Enrollment ID: I20140702002410 |
| Provider Name | Jillian W Bowdoin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467867283 PECOS PAC ID: 2860618378 Enrollment ID: I20140718000692 |
| Provider Name | Kimberly Ann Algarra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124116280 PECOS PAC ID: 9830162759 Enrollment ID: I20140721001745 |
| Provider Name | Barbara Joeann Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013257583 PECOS PAC ID: 5193941466 Enrollment ID: I20140722001695 |
| Provider Name | Asha L Bansari |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144518176 PECOS PAC ID: 0244468270 Enrollment ID: I20140725002085 |
| Provider Name | Joanne Marie Duffield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932514502 PECOS PAC ID: 6305062423 Enrollment ID: I20140726000024 |
| Provider Name | Jennifer Susan Rackley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306251244 PECOS PAC ID: 3577789692 Enrollment ID: I20140726000049 |
| Provider Name | Michael Lazarowicz |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1518126523 PECOS PAC ID: 2466681697 Enrollment ID: I20140728001682 |
| Provider Name | Charles a Brooks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851725311 PECOS PAC ID: 0648496521 Enrollment ID: I20140730000443 |
| Provider Name | Tan-lucien Mohammed |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063476356 PECOS PAC ID: 3971499229 Enrollment ID: I20140730001807 |
| Provider Name | Wendy Elicia Redmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184037061 PECOS PAC ID: 5092931832 Enrollment ID: I20140730002752 |
| Provider Name | Harvey W Chim |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1750581120 PECOS PAC ID: 2961642988 Enrollment ID: I20140731000910 |
| Provider Name | April J Yancey |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1427460955 PECOS PAC ID: 5597981373 Enrollment ID: I20140731001107 |
| Provider Name | Katherine R Lehigh |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063855633 PECOS PAC ID: 4082848890 Enrollment ID: I20140731002199 |
| Provider Name | Rull James Toussaint |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1598924920 PECOS PAC ID: 8921266602 Enrollment ID: I20140801000633 |
| Provider Name | Staccie Anne Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770998890 PECOS PAC ID: 5395962013 Enrollment ID: I20140804001418 |
| Provider Name | Amir Mohammad Emtiazjoo |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1720310816 PECOS PAC ID: 1557509874 Enrollment ID: I20140805001226 |
| Provider Name | Claston S Reid |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1831502194 PECOS PAC ID: 6002033693 Enrollment ID: I20140805001581 |
| Provider Name | Yury Zasimovich |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1366754731 PECOS PAC ID: 6800020371 Enrollment ID: I20140807001490 |
| Provider Name | Dimy Fluyau |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1578812723 PECOS PAC ID: 9234356650 Enrollment ID: I20140808000730 |
| Provider Name | Gillian Kathleen Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538579115 PECOS PAC ID: 4981821311 Enrollment ID: I20140808001046 |
| Provider Name | Andrew J Bryant |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1295939775 PECOS PAC ID: 3678720638 Enrollment ID: I20140813000489 |
| Provider Name | Tiffany Amber Riley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1154738094 PECOS PAC ID: 1355568270 Enrollment ID: I20140815001509 |
| Provider Name | Casey Justin Beal |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1003120262 PECOS PAC ID: 9931341161 Enrollment ID: I20140816000152 |
| Provider Name | Jesse Lee Kresak |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1134447311 PECOS PAC ID: 9931340262 Enrollment ID: I20140818001425 |
| Provider Name | Nelson Nicolas Algarra |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1215019302 PECOS PAC ID: 0244283182 Enrollment ID: I20140818001475 |
| Provider Name | Kendall R Steadmon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134411762 PECOS PAC ID: 7113155110 Enrollment ID: I20140821000968 |
| Provider Name | Rachel Villicana |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588070809 PECOS PAC ID: 6608094347 Enrollment ID: I20140821002408 |
| Provider Name | Stephen Oliver Vose |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1851527915 PECOS PAC ID: 3779727763 Enrollment ID: I20140823000069 |
| Provider Name | Joshua a Walker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669608857 PECOS PAC ID: 2062673569 Enrollment ID: I20140825001931 |
| Provider Name | Matthew B Steiner |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1508039421 PECOS PAC ID: 7315165800 Enrollment ID: I20140825002304 |
| Provider Name | Lawrence Raymond Shoemaker |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063496594 PECOS PAC ID: 1355331679 Enrollment ID: I20140826001342 |
| Provider Name | Jessica Rachel Holder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740696954 PECOS PAC ID: 6204054679 Enrollment ID: I20140826002565 |
| Provider Name | Amanda Takako Fries |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1124359435 PECOS PAC ID: 4082858816 Enrollment ID: I20140826002803 |
| Provider Name | Rachel Quintana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043622467 PECOS PAC ID: 0749408953 Enrollment ID: I20140902000349 |
| Provider Name | Jianhong Hua |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1629396379 PECOS PAC ID: 3971733577 Enrollment ID: I20140904001772 |
| Provider Name | Joel C Rowe |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316231905 PECOS PAC ID: 5799928255 Enrollment ID: I20140905001548 |
| Provider Name | Sarah-jean Yvonne Reeves |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1184031775 PECOS PAC ID: 8820216765 Enrollment ID: I20140905001618 |
| Provider Name | Blake Allen Livingston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215341086 PECOS PAC ID: 5698993541 Enrollment ID: I20140905002149 |
| Provider Name | Nicholas G Maldonado |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528382348 PECOS PAC ID: 1153588926 Enrollment ID: I20140906000050 |
| Provider Name | Maeve M Donaldson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1619377744 PECOS PAC ID: 0749409332 Enrollment ID: I20140912001463 |
| Provider Name | Sitha Rao Konopack |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104112770 PECOS PAC ID: 5890930994 Enrollment ID: I20140915000989 |
| Provider Name | Syed Gibran Khurshid |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1720247752 PECOS PAC ID: 8426129511 Enrollment ID: I20140915001131 |
| Provider Name | Desmond Emmett Fitzpatrick |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356635940 PECOS PAC ID: 5799929915 Enrollment ID: I20140916001499 |
| Provider Name | Divya Chandrakant Patel |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1336319466 PECOS PAC ID: 6507085974 Enrollment ID: I20140917000584 |
| Provider Name | Shivani Bishnoi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528224839 PECOS PAC ID: 9739352725 Enrollment ID: I20140917000994 |
| Provider Name | Stacy Gurevitz Beal |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1841420494 PECOS PAC ID: 1355585456 Enrollment ID: I20140920000101 |
| Provider Name | Justin N Reed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346532215 PECOS PAC ID: 8921241571 Enrollment ID: I20140923000609 |
| Provider Name | Katherine Andrea Walker |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1659789378 PECOS PAC ID: 8527287523 Enrollment ID: I20140923001719 |
| Provider Name | Maritza a Plaza-verduin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073756565 PECOS PAC ID: 8426294521 Enrollment ID: I20140924001207 |
| Provider Name | Cheryl Lee Garganta |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1831205632 PECOS PAC ID: 0648229401 Enrollment ID: I20140925000541 |
| Provider Name | Heather Lynn Dempsey |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1346656410 PECOS PAC ID: 8921228941 Enrollment ID: I20140925000801 |
| Provider Name | Stacey Lee Gleim |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891102455 PECOS PAC ID: 5496975419 Enrollment ID: I20140925001097 |
| Provider Name | Brittany Oliphant Venegas |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1952717613 PECOS PAC ID: 0648490698 Enrollment ID: I20140925001929 |
| Provider Name | Kendra Danielle Murphy |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013323112 PECOS PAC ID: 5395965370 Enrollment ID: I20140926000611 |
| Provider Name | Shruthi Mahadevaiah |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952549966 PECOS PAC ID: 1456571348 Enrollment ID: I20140926001198 |
| Provider Name | Biagio Antonio Pietra |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134296296 PECOS PAC ID: 2163561465 Enrollment ID: I20140926001543 |
| Provider Name | Rene Gonzalez-ramos |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1730492448 PECOS PAC ID: 3779716279 Enrollment ID: I20140930002883 |
| Provider Name | Andreas Giovanni Zori |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1235422809 PECOS PAC ID: 7416190012 Enrollment ID: I20141008001508 |
| Provider Name | Krysta-gaye Burchenson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629485909 PECOS PAC ID: 9537380696 Enrollment ID: I20141015001149 |
| Provider Name | Petr Starostik |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1720069594 PECOS PAC ID: 7911036413 Enrollment ID: I20141015002194 |
| Provider Name | Janice Ann Follmer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1811968845 PECOS PAC ID: 1254353741 Enrollment ID: I20141016001995 |
| Provider Name | Ann M Redfern |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396173290 PECOS PAC ID: 8527289271 Enrollment ID: I20141021001903 |
| Provider Name | Erica Cherie Noegel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518368174 PECOS PAC ID: 7113148842 Enrollment ID: I20141022001997 |
| Provider Name | Joseph Peter Ray Pelletier |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1649258930 PECOS PAC ID: 2163643735 Enrollment ID: I20141023001394 |
| Provider Name | Melanie Mcdiarmid Nelson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1114935830 PECOS PAC ID: 1951305382 Enrollment ID: I20141028002223 |
| Provider Name | Rene Przkora |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1720167216 PECOS PAC ID: 2365575842 Enrollment ID: I20141029000913 |
| Provider Name | Elizabeth R Patton |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1164833166 PECOS PAC ID: 3870715089 Enrollment ID: I20141103002044 |
| Provider Name | Eileen S Yale |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043310790 PECOS PAC ID: 2961533815 Enrollment ID: I20141103002529 |
| Provider Name | Derek James Wilson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1558760132 PECOS PAC ID: 5799907820 Enrollment ID: I20141105001430 |
| Provider Name | Patricia M Brown |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1215338926 PECOS PAC ID: 8921220971 Enrollment ID: I20141107000477 |
| Provider Name | Jennifer Lynn Carroll |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1487053997 PECOS PAC ID: 7618199662 Enrollment ID: I20141107000628 |
| Provider Name | Kellie J Dunlap |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1972906113 PECOS PAC ID: 7810119872 Enrollment ID: I20141107000961 |
| Provider Name | Charmaine Gonzaga Turkdogan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609175926 PECOS PAC ID: 7618128158 Enrollment ID: I20141110001233 |
| Provider Name | Jeffrey Wade Schultz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518201219 PECOS PAC ID: 7315169034 Enrollment ID: I20141113001535 |
| Provider Name | Matthew Kratish |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1922415157 PECOS PAC ID: 5395967624 Enrollment ID: I20141120002043 |
| Provider Name | Chad Edward Rhoden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225431166 PECOS PAC ID: 9830311174 Enrollment ID: I20141120002121 |
| Provider Name | Elizabeth Lynn Carter |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1528469269 PECOS PAC ID: 6709108970 Enrollment ID: I20141126000161 |
| Provider Name | Christine B Ormsby |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174788558 PECOS PAC ID: 9830339035 Enrollment ID: I20141209002292 |
| Provider Name | Jessica Ann Cameron |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1891135877 PECOS PAC ID: 5496077091 Enrollment ID: I20141210001759 |
| Provider Name | Suzanne M Holder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467855981 PECOS PAC ID: 1759603152 Enrollment ID: I20141212001404 |
| Provider Name | Saraswathi Gopal |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1932417987 PECOS PAC ID: 0941493100 Enrollment ID: I20141215001861 |
| Provider Name | Mitsu Andre |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1831594688 PECOS PAC ID: 8921321100 Enrollment ID: I20141218002050 |
| Provider Name | Daniellle Dawn Marchio |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1114334976 PECOS PAC ID: 3072836261 Enrollment ID: I20141218002245 |
| Provider Name | Faisal Mukhtar |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1093973943 PECOS PAC ID: 3779635354 Enrollment ID: I20141219000879 |
| Provider Name | Li Wang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295132785 PECOS PAC ID: 1951624451 Enrollment ID: I20150107001840 |
| Provider Name | Nakechand Pooran |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1841258449 PECOS PAC ID: 1153229620 Enrollment ID: I20150115001682 |
| Provider Name | Martha M Green |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962697342 PECOS PAC ID: 3678607108 Enrollment ID: I20150116000038 |
| Provider Name | Chetan C Shah |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346446911 PECOS PAC ID: 6204901168 Enrollment ID: I20150122001279 |
| Provider Name | Tiago Noguchi Machuca |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1013305648 PECOS PAC ID: 4587988399 Enrollment ID: I20150128000163 |
| Provider Name | Cary Howard Meyers |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1851329833 PECOS PAC ID: 5890699979 Enrollment ID: I20150218000410 |
| Provider Name | Rupam Ruchi |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1609003334 PECOS PAC ID: 0840516423 Enrollment ID: I20150225000984 |
| Provider Name | Saroja Devi Rampertab |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1215995451 PECOS PAC ID: 6709809403 Enrollment ID: I20150225001598 |
| Provider Name | Kelsie M Mackenzie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033552534 PECOS PAC ID: 0749506178 Enrollment ID: I20150303000624 |
| Provider Name | Jennifer Hagen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1619132107 PECOS PAC ID: 5698091981 Enrollment ID: I20150304000784 |
| Provider Name | Sthorn Thatayatikom |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1134394596 PECOS PAC ID: 5496816910 Enrollment ID: I20150309000379 |
| Provider Name | Desiree Machado |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194116004 PECOS PAC ID: 6800112822 Enrollment ID: I20150309002478 |
| Provider Name | Bryce C Catarelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437553161 PECOS PAC ID: 9739405531 Enrollment ID: I20150312002107 |
| Provider Name | Tamara Warner |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1245401504 PECOS PAC ID: 9830248525 Enrollment ID: I20150313000451 |
| Provider Name | Robert Stephen Smith |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1285632828 PECOS PAC ID: 1254306863 Enrollment ID: I20150324002600 |
| Provider Name | Jessica Lynn Wille |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396170494 PECOS PAC ID: 1658597042 Enrollment ID: I20150402001276 |
| Provider Name | Diana L Hathaway |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1225427123 PECOS PAC ID: 7618295536 Enrollment ID: I20150406000344 |
| Provider Name | Sarah a Ransom |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1710389903 PECOS PAC ID: 3971821083 Enrollment ID: I20150421000367 |
| Provider Name | Monica Arodak |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1801285879 PECOS PAC ID: 1658690755 Enrollment ID: I20150511002373 |
| Provider Name | Matthew Joseph Barabas |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1972897635 PECOS PAC ID: 6507186418 Enrollment ID: I20150516000077 |
| Provider Name | Circe Laura Laucerica |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851784565 PECOS PAC ID: 4183944036 Enrollment ID: I20150518001391 |
| Provider Name | Julie Lynn Wheeler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063805679 PECOS PAC ID: 0345560298 Enrollment ID: I20150518001458 |
| Provider Name | Amy Elizabeth Maclean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053711788 PECOS PAC ID: 6507186467 Enrollment ID: I20150518001556 |
| Provider Name | Amina Black |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1508257999 PECOS PAC ID: 5395065163 Enrollment ID: I20150519000210 |
| Provider Name | Jack Hagan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1043247810 PECOS PAC ID: 5092970830 Enrollment ID: I20150519001561 |
| Provider Name | Sierra a Hobbs |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063765774 PECOS PAC ID: 0446570071 Enrollment ID: I20150522000794 |
| Provider Name | Joshua Zaritsky |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1396871844 PECOS PAC ID: 0446355515 Enrollment ID: I20150527000493 |
| Provider Name | Marcie Houser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669716239 PECOS PAC ID: 7719132281 Enrollment ID: I20150527001639 |
| Provider Name | Jonathan P Carroll |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1093115818 PECOS PAC ID: 0547580797 Enrollment ID: I20150529000460 |
| Provider Name | Stephanie D Markle |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1992937403 PECOS PAC ID: 9931326196 Enrollment ID: I20150529000468 |
| Provider Name | Fred C Dooley |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1215252051 PECOS PAC ID: 3375786098 Enrollment ID: I20150529000649 |
| Provider Name | Ibrahim Tuna |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275828212 PECOS PAC ID: 5092949222 Enrollment ID: I20150530000022 |
| Provider Name | Richard D'alli |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114080983 PECOS PAC ID: 4587857743 Enrollment ID: I20150604002287 |
| Provider Name | Joseph Grajo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467689232 PECOS PAC ID: 3072738996 Enrollment ID: I20150604002616 |
| Provider Name | Nupur Verma |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154565083 PECOS PAC ID: 3375864077 Enrollment ID: I20150605002906 |
| Provider Name | Sohit Kumar Khanna |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1508819343 PECOS PAC ID: 8921057183 Enrollment ID: I20150611002336 |
| Provider Name | Martina Murphy |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1609001361 PECOS PAC ID: 6901049006 Enrollment ID: I20150612002099 |
| Provider Name | Hannah Mary Stahmer |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1780079525 PECOS PAC ID: 1355652504 Enrollment ID: I20150615002707 |
| Provider Name | Kristianna Marie Fredenburg |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1649404989 PECOS PAC ID: 4385872381 Enrollment ID: I20150616001334 |
| Provider Name | Brian David Stewart |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1912254699 PECOS PAC ID: 3476875063 Enrollment ID: I20150616002803 |
| Provider Name | James Lawrence Wynn |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811073794 PECOS PAC ID: 8224109046 Enrollment ID: I20150618000261 |
| Provider Name | Hernan MD Prieto Saavedra |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1588910632 PECOS PAC ID: 5294976775 Enrollment ID: I20150618002380 |
| Provider Name | Matthew R Tice |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003175233 PECOS PAC ID: 5092940536 Enrollment ID: I20150622002644 |
| Provider Name | Rene a Larrieu |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1467743146 PECOS PAC ID: 5890006423 Enrollment ID: I20150623001218 |
| Provider Name | Saurabh Sheel |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1265452791 PECOS PAC ID: 4880654771 Enrollment ID: I20150623002859 |
| Provider Name | Adam Jordan Polifka |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1427251230 PECOS PAC ID: 5991017394 Enrollment ID: I20150626000813 |
| Provider Name | John Thomas Sladky |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174550388 PECOS PAC ID: 1153633557 Enrollment ID: I20150626000870 |
| Provider Name | Kiran Lukose |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548529548 PECOS PAC ID: 1355582735 Enrollment ID: I20150626001505 |
| Provider Name | Kun Xiang |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1144451873 PECOS PAC ID: 6305062027 Enrollment ID: I20150629002819 |
| Provider Name | Dima R Ezmigna |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659794170 PECOS PAC ID: 9335379874 Enrollment ID: I20150701002641 |
| Provider Name | Zachary L Lukowski |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1063704898 PECOS PAC ID: 1355562463 Enrollment ID: I20150707003127 |
| Provider Name | Caroline Srihari |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194088674 PECOS PAC ID: 7416269261 Enrollment ID: I20150707003256 |
| Provider Name | Giri V Kaliki |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619117850 PECOS PAC ID: 7214192558 Enrollment ID: I20150708002654 |
| Provider Name | Meagan Brianne Humphries |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1346629151 PECOS PAC ID: 2466764964 Enrollment ID: I20150710001703 |
| Provider Name | Jason Wilt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487065751 PECOS PAC ID: 4183937634 Enrollment ID: I20150713003214 |
| Provider Name | Ashley Parham Ghiaseddin |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1952622045 PECOS PAC ID: 0547573651 Enrollment ID: I20150720000221 |
| Provider Name | William Benjamin Cutting |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1669732541 PECOS PAC ID: 5890938674 Enrollment ID: I20150720002820 |
| Provider Name | Priya Sharma |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851529275 PECOS PAC ID: 8729391693 Enrollment ID: I20150721001988 |
| Provider Name | Stephanie J Carstens |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1518252501 PECOS PAC ID: 1557505328 Enrollment ID: I20150721002634 |
| Provider Name | Adrienne R Eisner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144514605 PECOS PAC ID: 5395988950 Enrollment ID: I20150721003213 |
| Provider Name | Ramil Nmi Goel |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1235190125 PECOS PAC ID: 5294769741 Enrollment ID: I20150722005141 |
| Provider Name | Carol Mathews |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104847318 PECOS PAC ID: 4789621715 Enrollment ID: I20150722005957 |
| Provider Name | James Freeman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972824506 PECOS PAC ID: 6103060850 Enrollment ID: I20150729009824 |
| Provider Name | Patricia Gonzalez |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104207281 PECOS PAC ID: 8820302995 Enrollment ID: I20150803001327 |
| Provider Name | Michael a Cometa |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1831396902 PECOS PAC ID: 4183894595 Enrollment ID: I20150804005558 |
| Provider Name | Alexandra Maria Stern |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164783858 PECOS PAC ID: 3274778113 Enrollment ID: I20150805007131 |
| Provider Name | Dianne Lynn Goede |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538429287 PECOS PAC ID: 5395985808 Enrollment ID: I20150805007881 |
| Provider Name | Mark William Johnson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649313909 PECOS PAC ID: 5496706038 Enrollment ID: I20150805009223 |
| Provider Name | Diomel Marasigan De La Cruz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487882577 PECOS PAC ID: 2769611482 Enrollment ID: I20150805009547 |
| Provider Name | Danielle Brianne Chaplin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689081689 PECOS PAC ID: 8527373117 Enrollment ID: I20150811004849 |
| Provider Name | Yue Wang |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1306157995 PECOS PAC ID: 2264673821 Enrollment ID: I20150811005139 |
| Provider Name | Nirupama Gupta |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295979896 PECOS PAC ID: 0840432985 Enrollment ID: I20150812007337 |
| Provider Name | Juan R Vilaro |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1033316948 PECOS PAC ID: 2264669431 Enrollment ID: I20150813012278 |
| Provider Name | Angelina Valladares Bernier |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295887289 PECOS PAC ID: 2062682107 Enrollment ID: I20150818003591 |
| Provider Name | Elise Johanna Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245627066 PECOS PAC ID: 0749595874 Enrollment ID: I20150818004919 |
| Provider Name | L Daphna Yasova Barbeau |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417210527 PECOS PAC ID: 9032349873 Enrollment ID: I20150822014885 |
| Provider Name | Ian R Mccomb |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1740665744 PECOS PAC ID: 0446566244 Enrollment ID: I20150824001929 |
| Provider Name | Divis Kaur Khaira |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1285637298 PECOS PAC ID: 7810981727 Enrollment ID: I20150826002451 |
| Provider Name | Gregory Fenn |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1225410426 PECOS PAC ID: 6901112507 Enrollment ID: I20150827000909 |
| Provider Name | Timothy Wayne Martin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1912097486 PECOS PAC ID: 7113908393 Enrollment ID: I20150827002121 |
| Provider Name | Eddie W Manning |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1770745259 PECOS PAC ID: 5597931881 Enrollment ID: I20150827003081 |
| Provider Name | Maribeth P Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487965265 PECOS PAC ID: 1850530122 Enrollment ID: I20150828000120 |
| Provider Name | Christopher E Swanson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1548429525 PECOS PAC ID: 7719134857 Enrollment ID: I20150828001841 |
| Provider Name | Dennise Staab |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1548641244 PECOS PAC ID: 1850607227 Enrollment ID: I20150831001530 |
| Provider Name | Stephanie Brombacher O'connell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1689061632 PECOS PAC ID: 1557677952 Enrollment ID: I20150831002269 |
| Provider Name | Michael Anthony Pizzi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1932499803 PECOS PAC ID: 9032425459 Enrollment ID: I20150831002910 |
| Provider Name | Eyad Alakrad |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1366759128 PECOS PAC ID: 8123252475 Enrollment ID: I20150901000148 |
| Provider Name | Michael B Simon |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1669479374 PECOS PAC ID: 3577523828 Enrollment ID: I20150901001534 |
| Provider Name | Amanda C Day |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1356726277 PECOS PAC ID: 8224344312 Enrollment ID: I20150903002637 |
| Provider Name | Jason Andrew Collins |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1528293750 PECOS PAC ID: 3577870484 Enrollment ID: I20150909002458 |
| Provider Name | Elida Benitez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932584026 PECOS PAC ID: 3678880499 Enrollment ID: I20150911000022 |
| Provider Name | Fiona a Crozier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073900973 PECOS PAC ID: 2668789124 Enrollment ID: I20150915003518 |
| Provider Name | Michael Martin Feely |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1972891125 PECOS PAC ID: 5193951671 Enrollment ID: I20150916001326 |
| Provider Name | Kristin M Graham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982087243 PECOS PAC ID: 4789991126 Enrollment ID: I20150916002714 |
| Provider Name | Susan Margaret Alvarez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639552888 PECOS PAC ID: 7416264874 Enrollment ID: I20150916003569 |
| Provider Name | Melissa Jo Armstrong |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1881714194 PECOS PAC ID: 2264530948 Enrollment ID: I20150919000112 |
| Provider Name | Leanne Stroud |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1699160606 PECOS PAC ID: 7517274731 Enrollment ID: I20150921000002 |
| Provider Name | Charles D Jones |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629454640 PECOS PAC ID: 9032426267 Enrollment ID: I20150921000374 |
| Provider Name | Sharon H Aroda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578839544 PECOS PAC ID: 5890002919 Enrollment ID: I20150922000457 |
| Provider Name | Tara Thomley Garrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699141051 PECOS PAC ID: 4981911062 Enrollment ID: I20150922002840 |
| Provider Name | Constance Anne Weaver |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1124404892 PECOS PAC ID: 4789991878 Enrollment ID: I20150922002997 |
| Provider Name | Erica Estess |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205229713 PECOS PAC ID: 3577870666 Enrollment ID: I20150922003099 |
| Provider Name | Rachel Ann Reedy |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1245611284 PECOS PAC ID: 6103134135 Enrollment ID: I20150924001892 |
| Provider Name | Chintan V Shah |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1487968137 PECOS PAC ID: 6709194731 Enrollment ID: I20150924002052 |
| Provider Name | Josephine I Medina |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265812242 PECOS PAC ID: 1759699739 Enrollment ID: I20150925000363 |
| Provider Name | Victoria Mulandi |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1144598657 PECOS PAC ID: 9638338312 Enrollment ID: I20150925000480 |
| Provider Name | Paige Nicole Smith |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063898898 PECOS PAC ID: 7618285594 Enrollment ID: I20150925000576 |
| Provider Name | Sailesh Konda |
|---|---|
| Provider Type | Practitioner - Micrographic Dermatologic Surgery (mds) |
| Provider Identifiers | NPI Number: 1104051515 PECOS PAC ID: 8628295912 Enrollment ID: I20150928002485 |
| Provider Name | Thao Tran |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1376928028 PECOS PAC ID: 4284942855 Enrollment ID: I20150930002665 |
| Provider Name | Shirley Sia Phan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1679953657 PECOS PAC ID: 7315255999 Enrollment ID: I20150930003237 |
| Provider Name | Silvia Del Rocio Delgado Villalta |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780996884 PECOS PAC ID: 0648411488 Enrollment ID: I20151005002489 |
| Provider Name | Maria Isabel Longo-imedio |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1285028126 PECOS PAC ID: 7416265798 Enrollment ID: I20151006003139 |
| Provider Name | Laurie a Solomon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194010694 PECOS PAC ID: 5092959031 Enrollment ID: I20151007002177 |
| Provider Name | Taylor Grace Bennett |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1356710693 PECOS PAC ID: 5092023283 Enrollment ID: I20151008001166 |
| Provider Name | Shriharsha Kallahalli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609153832 PECOS PAC ID: 4284862418 Enrollment ID: I20151008002836 |
| Provider Name | Jennifer Jane Schoch |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1992026678 PECOS PAC ID: 9335311307 Enrollment ID: I20151009001088 |
| Provider Name | Gary Miller |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1447297528 PECOS PAC ID: 4981596673 Enrollment ID: I20151012000020 |
| Provider Name | Ivan C Davis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467645788 PECOS PAC ID: 8426297938 Enrollment ID: I20151012000894 |
| Provider Name | Aldo Gutierrez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093068462 PECOS PAC ID: 5698084606 Enrollment ID: I20151014000599 |
| Provider Name | San K Chang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821382730 PECOS PAC ID: 0345483681 Enrollment ID: I20151014001765 |
| Provider Name | Irina Marina Murray - Casanova |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1699923706 PECOS PAC ID: 3476796418 Enrollment ID: I20151016001737 |
| Provider Name | Paul Antonio Castillo Caro |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891944518 PECOS PAC ID: 7113236894 Enrollment ID: I20151020001615 |
| Provider Name | Ivette Valdes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982087466 PECOS PAC ID: 7315256047 Enrollment ID: I20151021000235 |
| Provider Name | Thomas a Howard |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1194837724 PECOS PAC ID: 0143249615 Enrollment ID: I20151021001149 |
| Provider Name | Elizabeth Aaron Sermons |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1841667862 PECOS PAC ID: 7810206323 Enrollment ID: I20151023001956 |
| Provider Name | Ruchita Kachru |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114047362 PECOS PAC ID: 0547236317 Enrollment ID: I20151028001894 |
| Provider Name | Pamela Nicole Trotter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518205178 PECOS PAC ID: 0446569677 Enrollment ID: I20151028002782 |
| Provider Name | Emily S Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285017616 PECOS PAC ID: 2769782887 Enrollment ID: I20151121000294 |
| Provider Name | Christina Joy Fielding |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477926251 PECOS PAC ID: 7517267578 Enrollment ID: I20151123001616 |
| Provider Name | Christopher W Snyder |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1730393562 PECOS PAC ID: 1456501659 Enrollment ID: I20151203000866 |
| Provider Name | Matthew R Patrick |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1548495229 PECOS PAC ID: 3971745241 Enrollment ID: I20151203002649 |
| Provider Name | Scott Fosko |
|---|---|
| Provider Type | Practitioner - Micrographic Dermatologic Surgery (mds) |
| Provider Identifiers | NPI Number: 1598782476 PECOS PAC ID: 8628116894 Enrollment ID: I20151207000750 |
| Provider Name | Melissa Marie Alvarez Perez |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1457532228 PECOS PAC ID: 6709067234 Enrollment ID: I20151208003230 |
| Provider Name | Gayle a Lyew-ayee |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1720401524 PECOS PAC ID: 5597988741 Enrollment ID: I20151216002166 |
| Provider Name | Chelsea Elizabeth Teague |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1164895108 PECOS PAC ID: 6406157429 Enrollment ID: I20151216002721 |
| Provider Name | Olga N Lewis |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1518098508 PECOS PAC ID: 6901984780 Enrollment ID: I20151221000654 |
| Provider Name | Cynthia J Gries |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1417904210 PECOS PAC ID: 3173548427 Enrollment ID: I20160106002116 |
| Provider Name | Frank a Manning |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700938115 PECOS PAC ID: 9335201078 Enrollment ID: I20160111002142 |
| Provider Name | Sevin Barghan |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1801236955 PECOS PAC ID: 2466755400 Enrollment ID: I20160125002184 |
| Provider Name | Lars Nelson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1780813592 PECOS PAC ID: 7012153240 Enrollment ID: I20160125002187 |
| Provider Name | Jeanne Krauser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144535493 PECOS PAC ID: 1759405723 Enrollment ID: I20160202000476 |
| Provider Name | Brett Douglas Howard |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1902262843 PECOS PAC ID: 8921302324 Enrollment ID: I20160204001962 |
| Provider Name | Robin L Guiab |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1356421614 PECOS PAC ID: 3072617778 Enrollment ID: I20160210000778 |
| Provider Name | Jonathan Daniel Licht |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1720158116 PECOS PAC ID: 8921095332 Enrollment ID: I20160210002373 |
| Provider Name | Beth Irene Wallace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871906909 PECOS PAC ID: 2062716012 Enrollment ID: I20160211000885 |
| Provider Name | Edilberto Benitez |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1104168673 PECOS PAC ID: 3870717606 Enrollment ID: I20160225001233 |
| Provider Name | Samantha B Stoner |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1609245570 PECOS PAC ID: 4688979628 Enrollment ID: I20160229002024 |
| Provider Name | Oluwagbemiga a Adeyemi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1184611550 PECOS PAC ID: 7911989363 Enrollment ID: I20160301000667 |
| Provider Name | Juliet Davis |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1598033854 PECOS PAC ID: 4486890258 Enrollment ID: I20160301002156 |
| Provider Name | Pushpa Raj Poudel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306158035 PECOS PAC ID: 4981737624 Enrollment ID: I20160315000925 |
| Provider Name | Alejandro Navarro |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1962719492 PECOS PAC ID: 0345546453 Enrollment ID: I20160315001767 |
| Provider Name | Nikita Antuane Hope |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215312392 PECOS PAC ID: 0345546446 Enrollment ID: I20160316001214 |
| Provider Name | Sheridan Lauren Primack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790145241 PECOS PAC ID: 9234436031 Enrollment ID: I20160322001672 |
| Provider Name | Djenie Helne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275901977 PECOS PAC ID: 8022315779 Enrollment ID: I20160324001125 |
| Provider Name | Julian S Edelschick |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942565916 PECOS PAC ID: 4284931544 Enrollment ID: I20160331001001 |
| Provider Name | Brent Randall Carr |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427102524 PECOS PAC ID: 0143549568 Enrollment ID: I20160406000451 |
| Provider Name | Keith Kocis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740360841 PECOS PAC ID: 0042499030 Enrollment ID: I20160406000932 |
| Provider Name | Joshua M Rio |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1750757639 PECOS PAC ID: 7911205810 Enrollment ID: I20160408001375 |
| Provider Name | Sara Dunne |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1053671859 PECOS PAC ID: 1355597188 Enrollment ID: I20160411000152 |
| Provider Name | Julio Alberto Leeycasella |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1295856987 PECOS PAC ID: 8022205830 Enrollment ID: I20160415001914 |
| Provider Name | Mary R Moore |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1376642173 PECOS PAC ID: 1951291962 Enrollment ID: I20160419001237 |
| Provider Name | Manuel Alberto Amaris |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1578599080 PECOS PAC ID: 0941213532 Enrollment ID: I20160419002579 |
| Provider Name | Dennie Vance Jones |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1912914953 PECOS PAC ID: 2769415504 Enrollment ID: I20160427002089 |
| Provider Name | Michael Scott Jaffee |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1255319281 PECOS PAC ID: 3173765864 Enrollment ID: I20160504000924 |
| Provider Name | Siva Iyer |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1831361690 PECOS PAC ID: 5597992347 Enrollment ID: I20160506001413 |
| Provider Name | Christa Marie Campbell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1134512791 PECOS PAC ID: 4183923410 Enrollment ID: I20160509000409 |
| Provider Name | Eva Berry |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730592411 PECOS PAC ID: 1456578376 Enrollment ID: I20160509002386 |
| Provider Name | Frieda Pozie Ansoanuur |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1952606725 PECOS PAC ID: 8325337629 Enrollment ID: I20160510000230 |
| Provider Name | Brandace Michele Kenworthy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003272311 PECOS PAC ID: 2567751274 Enrollment ID: I20160519001808 |
| Provider Name | James Paul Wymer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1720037278 PECOS PAC ID: 5395756514 Enrollment ID: I20160523002366 |
| Provider Name | Gary L Kanter |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588799712 PECOS PAC ID: 6901197490 Enrollment ID: I20160613002209 |
| Provider Name | Katharine Lee Mcdonald |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1154798569 PECOS PAC ID: 7416248729 Enrollment ID: I20160616001549 |
| Provider Name | David Lawrence |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1871716357 PECOS PAC ID: 5991096166 Enrollment ID: I20160617000878 |
| Provider Name | Awewura Kwara |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1679538110 PECOS PAC ID: 4880677590 Enrollment ID: I20160621002480 |
| Provider Name | Christopher C Edwards |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1821307877 PECOS PAC ID: 8224329297 Enrollment ID: I20160622000916 |
| Provider Name | Brian Keith Yorkgitis |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1255379079 PECOS PAC ID: 0547173692 Enrollment ID: I20160622002204 |
| Provider Name | Mariam W Hanna |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1013228246 PECOS PAC ID: 4789822545 Enrollment ID: I20160622002426 |
| Provider Name | Daniel Rivera |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1245686765 PECOS PAC ID: 0547551236 Enrollment ID: I20160628001616 |
| Provider Name | Lindsey K Mcnutt |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1871949503 PECOS PAC ID: 1658662358 Enrollment ID: I20160628001894 |
| Provider Name | Jill Angela Star |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1437510518 PECOS PAC ID: 6901197540 Enrollment ID: I20160629000307 |
| Provider Name | Maggie P Angelica |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1770738536 PECOS PAC ID: 9537315957 Enrollment ID: I20160629001102 |
| Provider Name | Ali Ataya |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1154635928 PECOS PAC ID: 7719116540 Enrollment ID: I20160629001935 |
| Provider Name | Kawther Farouk Alquadan |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1346538444 PECOS PAC ID: 3173751195 Enrollment ID: I20160629003094 |
| Provider Name | Naykky Maruquel Singh Ospina |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1407164320 PECOS PAC ID: 7113160201 Enrollment ID: I20160711000692 |
| Provider Name | Jessica Brown |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1992942023 PECOS PAC ID: 2668538422 Enrollment ID: I20160712000074 |
| Provider Name | Lalitkumar Jaykrishan Mundhra |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487083721 PECOS PAC ID: 8426377953 Enrollment ID: I20160714000125 |
| Provider Name | Jaime Michelle Warren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134599558 PECOS PAC ID: 1658663497 Enrollment ID: I20160714001093 |
| Provider Name | Derek a Bush |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1184084881 PECOS PAC ID: 8628360492 Enrollment ID: I20160714002140 |
| Provider Name | John Nadayil George |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659718385 PECOS PAC ID: 5698903169 Enrollment ID: I20160714002392 |
| Provider Name | Charles William Hwang |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639517972 PECOS PAC ID: 5193951754 Enrollment ID: I20160718001155 |
| Provider Name | Leonardo Brito De Almeida |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1013224427 PECOS PAC ID: 3274779947 Enrollment ID: I20160719002719 |
| Provider Name | Faizan Jafri |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1245685692 PECOS PAC ID: 5294028320 Enrollment ID: I20160726002908 |
| Provider Name | Cheryl W Rogers |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356365613 PECOS PAC ID: 3577515113 Enrollment ID: I20160726003039 |
| Provider Name | Rensheng Victor Zhang |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1104860923 PECOS PAC ID: 2264445832 Enrollment ID: I20160727000628 |
| Provider Name | Ferenc Rabai |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1962767863 PECOS PAC ID: 5496996787 Enrollment ID: I20160801000902 |
| Provider Name | Cameron Reid Smith |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1801158696 PECOS PAC ID: 0648409466 Enrollment ID: I20160802000682 |
| Provider Name | Raul Masing |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1134186752 PECOS PAC ID: 0446264626 Enrollment ID: I20160803001007 |
| Provider Name | Robyn Melanie Rattray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295181014 PECOS PAC ID: 8123312881 Enrollment ID: I20160803002737 |
| Provider Name | Kyla M Swart |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265879217 PECOS PAC ID: 1850534348 Enrollment ID: I20160808000395 |
| Provider Name | Katharina Busl |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1356463459 PECOS PAC ID: 2163691528 Enrollment ID: I20160808002239 |
| Provider Name | Jessica H Willis |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104275874 PECOS PAC ID: 6406140730 Enrollment ID: I20160810000722 |
| Provider Name | Gautam Subbaiah Kalyatanda |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1669784450 PECOS PAC ID: 2961632799 Enrollment ID: I20160811000539 |
| Provider Name | Puneet K Tung |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124346804 PECOS PAC ID: 5799079851 Enrollment ID: I20160811002497 |
| Provider Name | Marie Nguyen Dibra |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1659661924 PECOS PAC ID: 5597908467 Enrollment ID: I20160812002142 |
| Provider Name | Greg Samuel Westwood |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578900155 PECOS PAC ID: 2769626761 Enrollment ID: I20160812002174 |
| Provider Name | Sophie Mak |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1639520810 PECOS PAC ID: 0446544308 Enrollment ID: I20160816001019 |
| Provider Name | Diana Camila Mora-montero |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629417142 PECOS PAC ID: 6901031459 Enrollment ID: I20160819001586 |
| Provider Name | Lara Nicolas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821309618 PECOS PAC ID: 7416186747 Enrollment ID: I20160822001279 |
| Provider Name | Diane Michelle Howell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346441011 PECOS PAC ID: 1052436441 Enrollment ID: I20160823002429 |
| Provider Name | Michael Knight Davis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902993421 PECOS PAC ID: 3274828678 Enrollment ID: I20160824002145 |
| Provider Name | Celine Cattier |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1083901102 PECOS PAC ID: 5395062046 Enrollment ID: I20160829001362 |
| Provider Name | Jessica Laurenwalker Walker |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366670424 PECOS PAC ID: 2466608195 Enrollment ID: I20160831000974 |
| Provider Name | Hans Shuhaiber |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1144412651 PECOS PAC ID: 0547572018 Enrollment ID: I20160831001715 |
| Provider Name | Miguel Rodriguez |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1255418984 PECOS PAC ID: 0648464529 Enrollment ID: I20160906000714 |
| Provider Name | Luis F Seguias |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285604025 PECOS PAC ID: 7214093046 Enrollment ID: I20160907001071 |
| Provider Name | Matthew a Bzdega |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1881957876 PECOS PAC ID: 1759524275 Enrollment ID: I20160907002342 |
| Provider Name | Ashley Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932550332 PECOS PAC ID: 1557657020 Enrollment ID: I20160908002780 |
| Provider Name | Cesar Augusto Trillo Alvarez |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1124220991 PECOS PAC ID: 2163518887 Enrollment ID: I20160912000745 |
| Provider Name | Mohammad Reza Massoomi |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1538393715 PECOS PAC ID: 5597909663 Enrollment ID: I20160912002682 |
| Provider Name | Kenechukwu a Chukwuanu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619264819 PECOS PAC ID: 7911220298 Enrollment ID: I20160913000757 |
| Provider Name | Jessica M Schmit |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1659692762 PECOS PAC ID: 9234360074 Enrollment ID: I20160913001657 |
| Provider Name | Kishan Nallapula |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265710586 PECOS PAC ID: 3678708773 Enrollment ID: I20160913002913 |
| Provider Name | Jose F Hernandez Rivera |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1790124972 PECOS PAC ID: 6204122344 Enrollment ID: I20160915001470 |
| Provider Name | Kevin M Funez |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1285900258 PECOS PAC ID: 7719274885 Enrollment ID: I20160919000885 |
| Provider Name | Vesta Anilus |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386909406 PECOS PAC ID: 3577878578 Enrollment ID: I20160920002030 |
| Provider Name | Joshua Carson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1326298936 PECOS PAC ID: 3779870662 Enrollment ID: I20160920002598 |
| Provider Name | Lisa Renee Chacko |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104264654 PECOS PAC ID: 9830327402 Enrollment ID: I20160921001184 |
| Provider Name | Josephine M Santiago |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730347964 PECOS PAC ID: 3971673724 Enrollment ID: I20160921001492 |
| Provider Name | Alexis Maddern Lovelace |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1972966067 PECOS PAC ID: 3173810025 Enrollment ID: I20160921001605 |
| Provider Name | Lauren Claire Berkow |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1164487062 PECOS PAC ID: 1850429549 Enrollment ID: I20160921002083 |
| Provider Name | John Matthew Howes |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1023410594 PECOS PAC ID: 6002132339 Enrollment ID: I20160922001019 |
| Provider Name | Yin Ting Lo Dougherty |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497208862 PECOS PAC ID: 9739476425 Enrollment ID: I20160923000391 |
| Provider Name | Amber Finiels |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1366825168 PECOS PAC ID: 8729394614 Enrollment ID: I20160926002014 |
| Provider Name | Kelly G Coughlin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1679923601 PECOS PAC ID: 6901193465 Enrollment ID: I20160927001294 |
| Provider Name | Moiz M Mustafa |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1952421208 PECOS PAC ID: 1052608536 Enrollment ID: I20160927002201 |
| Provider Name | Kim Rolfsen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1346794278 PECOS PAC ID: 6709173156 Enrollment ID: I20160928001670 |
| Provider Name | Ruth Nicastro |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1669831210 PECOS PAC ID: 0345537692 Enrollment ID: I20160929002205 |
| Provider Name | Rocky J Lupi |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1275676538 PECOS PAC ID: 3577558899 Enrollment ID: I20160929002412 |
| Provider Name | Carlos Anthony Leon |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336586387 PECOS PAC ID: 0244473957 Enrollment ID: I20161003001181 |
| Provider Name | Paige Comstock Barker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558624999 PECOS PAC ID: 5294032371 Enrollment ID: I20161004002426 |
| Provider Name | Heather M Reed |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1083900799 PECOS PAC ID: 7810130937 Enrollment ID: I20161004002856 |
| Provider Name | Brandon Lopez |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1205127644 PECOS PAC ID: 7315240850 Enrollment ID: I20161006001179 |
| Provider Name | Ryleigh S Cahill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831544139 PECOS PAC ID: 9032407051 Enrollment ID: I20161006001943 |
| Provider Name | Vera Eugenia Brecken-marquis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235586231 PECOS PAC ID: 7012205974 Enrollment ID: I20161007001301 |
| Provider Name | Marika Rose Alois |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508181678 PECOS PAC ID: 6800024258 Enrollment ID: I20161012002032 |
| Provider Name | Leslie Patricia Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720431075 PECOS PAC ID: 2961790654 Enrollment ID: I20161012002402 |
| Provider Name | Nosha Farhadfar |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1760819304 PECOS PAC ID: 1951612977 Enrollment ID: I20161012002605 |
| Provider Name | Asim Merchant |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376851451 PECOS PAC ID: 3678715091 Enrollment ID: I20161014002015 |
| Provider Name | Amanda L Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962871905 PECOS PAC ID: 7911207774 Enrollment ID: I20161015000070 |
| Provider Name | Jessica Ching |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1710113337 PECOS PAC ID: 6406144948 Enrollment ID: I20161017000009 |
| Provider Name | Whitney W Woodmansee |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1689764367 PECOS PAC ID: 6204852007 Enrollment ID: I20161018001802 |
| Provider Name | Richa Wardhan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1255659108 PECOS PAC ID: 4981738325 Enrollment ID: I20161019001131 |
| Provider Name | Ashley Zapf |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1821383126 PECOS PAC ID: 1254653694 Enrollment ID: I20161019002069 |
| Provider Name | Tanya Chadha |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1831351204 PECOS PAC ID: 0840578977 Enrollment ID: I20161025001207 |
| Provider Name | Lauren Tamiko Khouri Mclaren |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1164876892 PECOS PAC ID: 6103104252 Enrollment ID: I20161025002106 |
| Provider Name | Mehmet Sait Albayram |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437605037 PECOS PAC ID: 4880972843 Enrollment ID: I20161025002709 |
| Provider Name | Sarah Isabel Fernandez |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1861695843 PECOS PAC ID: 8729212691 Enrollment ID: I20161026001909 |
| Provider Name | Deepa Danan |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1295024339 PECOS PAC ID: 1254568405 Enrollment ID: I20161026002392 |
| Provider Name | Kiran Motaparthi |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1205081577 PECOS PAC ID: 0143476028 Enrollment ID: I20161028001064 |
| Provider Name | Abigail Gabriel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902805526 PECOS PAC ID: 1759669427 Enrollment ID: I20161031002410 |
| Provider Name | Kimberly Rachael Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790230662 PECOS PAC ID: 0042598765 Enrollment ID: I20161101001614 |
| Provider Name | Mark Ingram |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1124079017 PECOS PAC ID: 4486786894 Enrollment ID: I20161102001596 |
| Provider Name | Sean Danek |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1992258495 PECOS PAC ID: 2163700683 Enrollment ID: I20161103000030 |
| Provider Name | Kelly Nash |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1124474853 PECOS PAC ID: 5395023873 Enrollment ID: I20161103002262 |
| Provider Name | Christopher J Munoz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902220593 PECOS PAC ID: 5890002141 Enrollment ID: I20161108001450 |
| Provider Name | Brandy Nicole Bonner |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447603774 PECOS PAC ID: 2264711506 Enrollment ID: I20161109002070 |
| Provider Name | Danielle Nelson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124221767 PECOS PAC ID: 2567659758 Enrollment ID: I20161110000291 |
| Provider Name | Patricia De Leon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518910413 PECOS PAC ID: 9436179918 Enrollment ID: I20161110000465 |
| Provider Name | Daniela Susana Shillington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770628380 PECOS PAC ID: 3577842772 Enrollment ID: I20161110001814 |
| Provider Name | William Turner |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043610520 PECOS PAC ID: 2163701251 Enrollment ID: I20161112000266 |
| Provider Name | Marcia Ruth Morris |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619914256 PECOS PAC ID: 9335428424 Enrollment ID: I20161112000317 |
| Provider Name | Brandon Chase Simpson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1578915872 PECOS PAC ID: 0840579934 Enrollment ID: I20161114000024 |
| Provider Name | Inelisse Otero-diaz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952735862 PECOS PAC ID: 1557640661 Enrollment ID: I20161114000564 |
| Provider Name | Vanessa J Hoppner |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1851849145 PECOS PAC ID: 8729367636 Enrollment ID: I20161117000745 |
| Provider Name | Maria a Neihoff |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1568814648 PECOS PAC ID: 0749569572 Enrollment ID: I20161117001853 |
| Provider Name | Mohamed Sayed |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1760847925 PECOS PAC ID: 2466731187 Enrollment ID: I20161119000155 |
| Provider Name | Maria Cecilia Balbuena |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174072714 PECOS PAC ID: 1153600887 Enrollment ID: I20161119000381 |
| Provider Name | Kyle Robert Hazen |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1609324730 PECOS PAC ID: 6406135136 Enrollment ID: I20161119000471 |
| Provider Name | Kevan Matthew Sharp |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1427509397 PECOS PAC ID: 4385923036 Enrollment ID: I20161121000406 |
| Provider Name | Joseph Raymond Roebuck |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932139409 PECOS PAC ID: 4385688860 Enrollment ID: I20161122002259 |
| Provider Name | Teletha L Ruth |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1447616917 PECOS PAC ID: 8022313576 Enrollment ID: I20161129000481 |
| Provider Name | Nicole a Ridle |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1861946113 PECOS PAC ID: 2860772381 Enrollment ID: I20161129001460 |
| Provider Name | Lindsey Lee Kranson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1093170037 PECOS PAC ID: 5890075345 Enrollment ID: I20161129002612 |
| Provider Name | Jena Auerbach |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1851683742 PECOS PAC ID: 3375867948 Enrollment ID: I20161129002812 |
| Provider Name | Eric Nelson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538484639 PECOS PAC ID: 8729368055 Enrollment ID: I20161202001732 |
| Provider Name | Monica Aggarwal |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1477513802 PECOS PAC ID: 6103827555 Enrollment ID: I20161203000206 |
| Provider Name | Dipankar Gupta |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912296773 PECOS PAC ID: 1153601273 Enrollment ID: I20161207001936 |
| Provider Name | William Troy Donahoo |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1184754939 PECOS PAC ID: 2163403734 Enrollment ID: I20161212001006 |
| Provider Name | Victoria N Goordeen |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1962950246 PECOS PAC ID: 1850672411 Enrollment ID: I20161220000962 |
| Provider Name | Maria L Pieczonka |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1598114175 PECOS PAC ID: 3971884347 Enrollment ID: I20161222000520 |
| Provider Name | Omar Taha |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639590417 PECOS PAC ID: 1153559364 Enrollment ID: I20161227000874 |
| Provider Name | Adrienne N Mcconaghy |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1922550797 PECOS PAC ID: 4688955800 Enrollment ID: I20161230001479 |
| Provider Name | Kaylee Elizabeth Schurer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1215488572 PECOS PAC ID: 0143501874 Enrollment ID: I20170111001712 |
| Provider Name | Sanjuana Rodriguez |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1376917252 PECOS PAC ID: 6800178492 Enrollment ID: I20170113001815 |
| Provider Name | Elvia Fidelina Cortes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316480460 PECOS PAC ID: 5395027775 Enrollment ID: I20170119001234 |
| Provider Name | Josue Sarmiento |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1174070973 PECOS PAC ID: 2062794464 Enrollment ID: I20170119001917 |
| Provider Name | Eittel Esteban Oppenheimer Gonzalez |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1083920367 PECOS PAC ID: 9436431855 Enrollment ID: I20170119002737 |
| Provider Name | Xu Zeng |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1134166630 PECOS PAC ID: 9133154891 Enrollment ID: I20170123000053 |
| Provider Name | Parta Hatamizadeh |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1861668824 PECOS PAC ID: 4486826104 Enrollment ID: I20170123002990 |
| Provider Name | Jessica Portillo-romero |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972731958 PECOS PAC ID: 9234389339 Enrollment ID: I20170125002701 |
| Provider Name | Donoffa Elisabeth Nelson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487027637 PECOS PAC ID: 6305128380 Enrollment ID: I20170127000232 |
| Provider Name | Adolfo Ramirez Zamora |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1922261270 PECOS PAC ID: 5991840670 Enrollment ID: I20170201002893 |
| Provider Name | Frances Berverlin Armstrong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992155410 PECOS PAC ID: 2668755422 Enrollment ID: I20170202000489 |
| Provider Name | Lorent Duce |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1922395433 PECOS PAC ID: 8921381799 Enrollment ID: I20170202000809 |
| Provider Name | Joy Cosenza |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1366778664 PECOS PAC ID: 2062795438 Enrollment ID: I20170208002629 |
| Provider Name | Michael Chang |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1427318336 PECOS PAC ID: 9335374883 Enrollment ID: I20170210002154 |
| Provider Name | Yanfei Huang |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1366791022 PECOS PAC ID: 7113153552 Enrollment ID: I20170213000272 |
| Provider Name | Daniel James Reimschiissel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1245585512 PECOS PAC ID: 4183874464 Enrollment ID: I20170216001548 |
| Provider Name | Kimberly Lynn Bain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073057683 PECOS PAC ID: 3779866728 Enrollment ID: I20170216002790 |
| Provider Name | Candy a Whitinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144764598 PECOS PAC ID: 6406130301 Enrollment ID: I20170221000538 |
| Provider Name | Danielle Elswick |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1801338629 PECOS PAC ID: 5193009033 Enrollment ID: I20170221002026 |
| Provider Name | Kelly Selby |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1326585720 PECOS PAC ID: 5597049932 Enrollment ID: I20170301002726 |
| Provider Name | Alison Parnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780121301 PECOS PAC ID: 8921382276 Enrollment ID: I20170304000206 |
| Provider Name | Marsha F Lewis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699018390 PECOS PAC ID: 2769772839 Enrollment ID: I20170316002365 |
| Provider Name | Stephen Ball |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1477556371 PECOS PAC ID: 1951409051 Enrollment ID: I20170320001277 |
| Provider Name | Mark Hill |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1396283834 PECOS PAC ID: 3072898683 Enrollment ID: I20170322002107 |
| Provider Name | Vincent Wright |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1609228196 PECOS PAC ID: 8022393644 Enrollment ID: I20170322002332 |
| Provider Name | Theresa Dickinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912445263 PECOS PAC ID: 2567747686 Enrollment ID: I20170331001549 |
| Provider Name | Michelle Marie Butler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336590454 PECOS PAC ID: 0941586077 Enrollment ID: I20170404001276 |
| Provider Name | Justin Deen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1295027050 PECOS PAC ID: 7416176466 Enrollment ID: I20170404002330 |
| Provider Name | Kristina Glaser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730539701 PECOS PAC ID: 0648556597 Enrollment ID: I20170410000078 |
| Provider Name | Shawyntee Mayo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952575854 PECOS PAC ID: 4981864527 Enrollment ID: I20170411000190 |
| Provider Name | Scott Davis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063654531 PECOS PAC ID: 9537445283 Enrollment ID: I20170411001682 |
| Provider Name | Kristie Jetter |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750624805 PECOS PAC ID: 2264718931 Enrollment ID: I20170411002648 |
| Provider Name | David a Coolman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1801872486 PECOS PAC ID: 9830284223 Enrollment ID: I20170417000302 |
| Provider Name | Luis M Rivera Duran |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093259822 PECOS PAC ID: 1658657184 Enrollment ID: I20170417000969 |
| Provider Name | Vanessa L Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295884575 PECOS PAC ID: 5890071286 Enrollment ID: I20170420000023 |
| Provider Name | Daniel L Huther |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1194149765 PECOS PAC ID: 3173756194 Enrollment ID: I20170424001044 |
| Provider Name | Sabrina Fornes |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1508812736 PECOS PAC ID: 3072529171 Enrollment ID: I20170424002039 |
| Provider Name | Brooke M Hinga |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1417401076 PECOS PAC ID: 9638456056 Enrollment ID: I20170511001396 |
| Provider Name | Deborah L Riley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1942279419 PECOS PAC ID: 2567445638 Enrollment ID: I20170515002031 |
| Provider Name | Sadiq Sherieef Shaik |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1447423678 PECOS PAC ID: 4385885169 Enrollment ID: I20170517002697 |
| Provider Name | Adetoun Olaoye |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1508074923 PECOS PAC ID: 0446317366 Enrollment ID: I20170517003065 |
| Provider Name | Dironada Strange |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033642210 PECOS PAC ID: 8022385020 Enrollment ID: I20170523000964 |
| Provider Name | Cindy Ann Nelly |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1043580186 PECOS PAC ID: 7315166931 Enrollment ID: I20170525002292 |
| Provider Name | Mauricio Pipkin |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1629501614 PECOS PAC ID: 3072880830 Enrollment ID: I20170525002601 |
| Provider Name | Mehmet Genc |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790702421 PECOS PAC ID: 9133141369 Enrollment ID: I20170525002636 |
| Provider Name | Axel Ruprecht |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1699763631 PECOS PAC ID: 3476634536 Enrollment ID: I20170601001794 |
| Provider Name | Lauren Decker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194259929 PECOS PAC ID: 4183992449 Enrollment ID: I20170612000161 |
| Provider Name | Andrew Shychuk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225458250 PECOS PAC ID: 6305063967 Enrollment ID: I20170616000832 |
| Provider Name | Daryl Reust |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1073564720 PECOS PAC ID: 1456334895 Enrollment ID: I20170616001958 |
| Provider Name | Jess Delaune |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1134548761 PECOS PAC ID: 6507084209 Enrollment ID: I20170616002368 |
| Provider Name | Cory James Hartman |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1447543954 PECOS PAC ID: 2860629391 Enrollment ID: I20170621002063 |
| Provider Name | Jinesh B Patel |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1427276286 PECOS PAC ID: 0840321394 Enrollment ID: I20170622001743 |
| Provider Name | Abbas Shahmohammadi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1144544651 PECOS PAC ID: 9032343876 Enrollment ID: I20170627000500 |
| Provider Name | Samuel Dickmann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831517317 PECOS PAC ID: 0840418620 Enrollment ID: I20170627000631 |
| Provider Name | Matthew Andoniadis |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1851361935 PECOS PAC ID: 2466508460 Enrollment ID: I20170627001264 |
| Provider Name | David Biel |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1336135045 PECOS PAC ID: 5890811251 Enrollment ID: I20170629002779 |
| Provider Name | Lydia Sweatt |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1295952430 PECOS PAC ID: 9638448814 Enrollment ID: I20170630001839 |
| Provider Name | Ali Zarrinpar |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1811185135 PECOS PAC ID: 0547394942 Enrollment ID: I20170703001775 |
| Provider Name | Mitchell L Rachman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1225564263 PECOS PAC ID: 0143599274 Enrollment ID: I20170706000250 |
| Provider Name | Thao Nhu Vu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952748493 PECOS PAC ID: 4486895695 Enrollment ID: I20170706000928 |
| Provider Name | Rachelle Maracic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538694328 PECOS PAC ID: 7113296047 Enrollment ID: I20170707001835 |
| Provider Name | Lance Governale |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1225117039 PECOS PAC ID: 8123210168 Enrollment ID: I20170712000986 |
| Provider Name | Gary Atkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316487176 PECOS PAC ID: 2769751312 Enrollment ID: I20170713000564 |
| Provider Name | Nancy Joseph |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619384195 PECOS PAC ID: 4688893415 Enrollment ID: I20170713002797 |
| Provider Name | Jason Elliott Blatt |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1487973111 PECOS PAC ID: 0446474407 Enrollment ID: I20170714002858 |
| Provider Name | Colleen Erin Ugliano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578094066 PECOS PAC ID: 9133499684 Enrollment ID: I20170717002349 |
| Provider Name | Marc-alain Babi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831483841 PECOS PAC ID: 5991075277 Enrollment ID: I20170719001421 |
| Provider Name | Majlinda Xhikola |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1437562337 PECOS PAC ID: 6305116658 Enrollment ID: I20170720000026 |
| Provider Name | Todd Everett Jones |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1982043485 PECOS PAC ID: 1355578873 Enrollment ID: I20170720001213 |
| Provider Name | Grant Lowther |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1881013407 PECOS PAC ID: 3072732247 Enrollment ID: I20170724003715 |
| Provider Name | Omar Amed Tolaymat |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1588082192 PECOS PAC ID: 8022324961 Enrollment ID: I20170727001096 |
| Provider Name | Amanda a Hernandez |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1376077149 PECOS PAC ID: 8325319015 Enrollment ID: I20170728001850 |
| Provider Name | Xenia T Blount |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003221672 PECOS PAC ID: 4688992332 Enrollment ID: I20170731002644 |
| Provider Name | Torben K Becker |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1538454772 PECOS PAC ID: 3678722774 Enrollment ID: I20170801000457 |
| Provider Name | Elizabeth Stacy |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1992094999 PECOS PAC ID: 3779768965 Enrollment ID: I20170801001613 |
| Provider Name | Shannon Bryant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164961678 PECOS PAC ID: 9537430004 Enrollment ID: I20170801002505 |
| Provider Name | Charles G Henderson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1912067273 PECOS PAC ID: 1557683596 Enrollment ID: I20170804000033 |
| Provider Name | Ellen Keeley |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1013972835 PECOS PAC ID: 1759487622 Enrollment ID: I20170804003014 |
| Provider Name | Christopher Paul Robinson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1952600793 PECOS PAC ID: 6204148315 Enrollment ID: I20170804003110 |
| Provider Name | Borna Mehrad |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1164485892 PECOS PAC ID: 2062518111 Enrollment ID: I20170807001996 |
| Provider Name | Robert Hamburger |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1619260783 PECOS PAC ID: 0749408458 Enrollment ID: I20170807002474 |
| Provider Name | James Mason |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1023300886 PECOS PAC ID: 1052554011 Enrollment ID: I20170808001521 |
| Provider Name | Brittany Ann Hoyes |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962821405 PECOS PAC ID: 1850516618 Enrollment ID: I20170809000148 |
| Provider Name | Tina Thuy-vy O'shea |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306284716 PECOS PAC ID: 9638307218 Enrollment ID: I20170809000663 |
| Provider Name | Candice C Cassano |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1487195491 PECOS PAC ID: 6002187036 Enrollment ID: I20170809001040 |
| Provider Name | Ashok K Srihari |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1689931826 PECOS PAC ID: 4385959022 Enrollment ID: I20170809001860 |
| Provider Name | Michael Franklin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1386901312 PECOS PAC ID: 8527364066 Enrollment ID: I20170809003821 |
| Provider Name | Daniel Joas Belizaire |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558890491 PECOS PAC ID: 8527339480 Enrollment ID: I20170810002629 |
| Provider Name | Ashwin Akki |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1740620798 PECOS PAC ID: 9436452232 Enrollment ID: I20170810003052 |
| Provider Name | Jaymin Ganeshbhai Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639584964 PECOS PAC ID: 9638440415 Enrollment ID: I20170814000907 |
| Provider Name | Amanda M Frantz |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1124389820 PECOS PAC ID: 8820236714 Enrollment ID: I20170814001329 |
| Provider Name | Robert Patrick Connolly Seifert |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1750657383 PECOS PAC ID: 0840584983 Enrollment ID: I20170814002232 |
| Provider Name | Martin Daniel Rosenthal |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1205154945 PECOS PAC ID: 0143458208 Enrollment ID: I20170814002427 |
| Provider Name | Taylor Marie Zeglam |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073927349 PECOS PAC ID: 4981824711 Enrollment ID: I20170814002991 |
| Provider Name | Elahe Meryl Shychuk |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346652278 PECOS PAC ID: 2860619350 Enrollment ID: I20170815000558 |
| Provider Name | Liesel E.A. Leedy |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1043286883 PECOS PAC ID: 0749236487 Enrollment ID: I20170816002341 |
| Provider Name | Carolina Barbosa Maciel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1811208614 PECOS PAC ID: 9032430160 Enrollment ID: I20170816002516 |
| Provider Name | Laura Maria Rodriguez-roman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114365822 PECOS PAC ID: 4880838309 Enrollment ID: I20170817002811 |
| Provider Name | Biljana Horn |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427090729 PECOS PAC ID: 7719991124 Enrollment ID: I20170818002282 |
| Provider Name | Alberto Antonio Marante |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932503349 PECOS PAC ID: 0749552115 Enrollment ID: I20170818002575 |
| Provider Name | Thuhien Nguyen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1134653942 PECOS PAC ID: 4789956756 Enrollment ID: I20170825001895 |
| Provider Name | Neha Solanky |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972944429 PECOS PAC ID: 6204122526 Enrollment ID: I20170826000425 |
| Provider Name | Arvin W Trippensee |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1023082963 PECOS PAC ID: 2264670702 Enrollment ID: I20170830001695 |
| Provider Name | Bradley Michael Schmit |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1184935306 PECOS PAC ID: 4082857347 Enrollment ID: I20170901002250 |
| Provider Name | Addie Walker |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1598031767 PECOS PAC ID: 2668745183 Enrollment ID: I20170906000174 |
| Provider Name | Kelly Harkins |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1356497754 PECOS PAC ID: 5890068324 Enrollment ID: I20170906000934 |
| Provider Name | Dana Rosenberger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346762754 PECOS PAC ID: 0547533911 Enrollment ID: I20170906002806 |
| Provider Name | Saidy Harper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417479460 PECOS PAC ID: 7315210671 Enrollment ID: I20170907003044 |
| Provider Name | Matthew Cascio |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851685168 PECOS PAC ID: 9335380724 Enrollment ID: I20170907003690 |
| Provider Name | Adetola F Louis-jacques |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851611123 PECOS PAC ID: 1456599729 Enrollment ID: I20170908000127 |
| Provider Name | Rita Ditommaso |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1407377252 PECOS PAC ID: 9638442932 Enrollment ID: I20170908000779 |
| Provider Name | Sierra Almengual |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1184146649 PECOS PAC ID: 5496028706 Enrollment ID: I20170908001127 |
| Provider Name | Giridhar Kalamangalam |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1164478111 PECOS PAC ID: 8628081882 Enrollment ID: I20170908001707 |
| Provider Name | Paul Erik Johnson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1407015712 PECOS PAC ID: 3476826629 Enrollment ID: I20170908003183 |
| Provider Name | Christian Guzman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467972596 PECOS PAC ID: 1052684206 Enrollment ID: I20170909000043 |
| Provider Name | Ankit A. Shah |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1629334065 PECOS PAC ID: 7618262122 Enrollment ID: I20170918002039 |
| Provider Name | Julie Avizinis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1093237083 PECOS PAC ID: 2466726286 Enrollment ID: I20170918002449 |
| Provider Name | Andrew L Owen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1649709031 PECOS PAC ID: 2961776653 Enrollment ID: I20170919002414 |
| Provider Name | Lara Beth Gadkowski |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1548433816 PECOS PAC ID: 7618042813 Enrollment ID: I20170919003840 |
| Provider Name | Jacquelyn Faryn Crews |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275945305 PECOS PAC ID: 3870867591 Enrollment ID: I20170919003998 |
| Provider Name | Brian Lobo |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1427340454 PECOS PAC ID: 2163661752 Enrollment ID: I20170919004050 |
| Provider Name | Grace Isaacs |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1538512967 PECOS PAC ID: 0345514956 Enrollment ID: I20170920003521 |
| Provider Name | Olusola Oduntan |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1174592125 PECOS PAC ID: 7517995459 Enrollment ID: I20170920003644 |
| Provider Name | Brittany H Sabarre |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1407388002 PECOS PAC ID: 1951675404 Enrollment ID: I20170921001528 |
| Provider Name | Yulia Orlova |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1598000861 PECOS PAC ID: 4789971482 Enrollment ID: I20170922002118 |
| Provider Name | Jason Hunt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073575387 PECOS PAC ID: 0345251765 Enrollment ID: I20170925001448 |
| Provider Name | Tiahna L Demps |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588185052 PECOS PAC ID: 9436423746 Enrollment ID: I20170926002089 |
| Provider Name | Kathryn Hitchcock |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1912267808 PECOS PAC ID: 6002045838 Enrollment ID: I20170927002058 |
| Provider Name | Eric Michael Teplicki |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1851724801 PECOS PAC ID: 4284908344 Enrollment ID: I20170928000679 |
| Provider Name | Jacqueline Michel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487065009 PECOS PAC ID: 3173741188 Enrollment ID: I20171002003550 |
| Provider Name | Preeti H Hawaldar |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1023452919 PECOS PAC ID: 8325278740 Enrollment ID: I20171003004300 |
| Provider Name | Ryan James Keller |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1760714810 PECOS PAC ID: 2264566975 Enrollment ID: I20171003004523 |
| Provider Name | Amanda Croft |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669992921 PECOS PAC ID: 2567737281 Enrollment ID: I20171005003219 |
| Provider Name | Eric Marquez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881936342 PECOS PAC ID: 3779858345 Enrollment ID: I20171006002292 |
| Provider Name | Sumita Bhaduri-mcintosh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952382251 PECOS PAC ID: 8527090943 Enrollment ID: I20171006002825 |
| Provider Name | Douglas Paul Ashley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538685961 PECOS PAC ID: 8426323031 Enrollment ID: I20171009000681 |
| Provider Name | Windy Purtlebaugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962927913 PECOS PAC ID: 1254606759 Enrollment ID: I20171010001412 |
| Provider Name | Matthew Daley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1083141832 PECOS PAC ID: 8022383389 Enrollment ID: I20171012001261 |
| Provider Name | Matthew Leland Furst |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396031126 PECOS PAC ID: 8628378999 Enrollment ID: I20171012001433 |
| Provider Name | Ashleigh Nicole Markowitz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396268967 PECOS PAC ID: 2264707470 Enrollment ID: I20171013000225 |
| Provider Name | Sara Moscovita Falzarano |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1700144375 PECOS PAC ID: 1951676121 Enrollment ID: I20171013002991 |
| Provider Name | Charles Kent Powers |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861803264 PECOS PAC ID: 4082938709 Enrollment ID: I20171016001943 |
| Provider Name | Sivasupiramaniam Sriharan |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1619944311 PECOS PAC ID: 0244280584 Enrollment ID: I20171023002737 |
| Provider Name | Jill Allison Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235668922 PECOS PAC ID: 8325314032 Enrollment ID: I20171025001028 |
| Provider Name | Ambili G Gopinathan Nair |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1942730544 PECOS PAC ID: 5597031955 Enrollment ID: I20171030003356 |
| Provider Name | Nicole Marie Lavin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366866485 PECOS PAC ID: 3779808316 Enrollment ID: I20171031001227 |
| Provider Name | Omobola Oduntan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871682559 PECOS PAC ID: 9234131624 Enrollment ID: I20171031001520 |
| Provider Name | Christian Donald Wolf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669922191 PECOS PAC ID: 1254607559 Enrollment ID: I20171031001656 |
| Provider Name | Melissa Munson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1568915122 PECOS PAC ID: 0941566194 Enrollment ID: I20171104000049 |
| Provider Name | Melissa Anne Burger |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1538398599 PECOS PAC ID: 5991932949 Enrollment ID: I20171104000233 |
| Provider Name | Tamara Bergamo |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750809414 PECOS PAC ID: 0941566095 Enrollment ID: I20171107000766 |
| Provider Name | Tanner W Kreuzer |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1770010571 PECOS PAC ID: 7719243732 Enrollment ID: I20171108000826 |
| Provider Name | David Emery |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1972012607 PECOS PAC ID: 2961768866 Enrollment ID: I20171109000973 |
| Provider Name | Stefanie M Vallancourt |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1881033561 PECOS PAC ID: 8123254240 Enrollment ID: I20171114000665 |
| Provider Name | Alexa Bledsoe Traub |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1639689953 PECOS PAC ID: 2668739079 Enrollment ID: I20171120001573 |
| Provider Name | Ashley Waldon |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477071942 PECOS PAC ID: 6406113661 Enrollment ID: I20171127002344 |
| Provider Name | Mohammed Ahmad |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1720514037 PECOS PAC ID: 2466719281 Enrollment ID: I20171204002855 |
| Provider Name | Gilbert R Upchurch |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1578664488 PECOS PAC ID: 0941340749 Enrollment ID: I20171206002529 |
| Provider Name | Lauren Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295111383 PECOS PAC ID: 0446535223 Enrollment ID: I20171206003176 |
| Provider Name | Anita Huerta Aviles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811342090 PECOS PAC ID: 7618268368 Enrollment ID: I20171212000784 |
| Provider Name | Lynsey Amanda Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881839116 PECOS PAC ID: 2365700705 Enrollment ID: I20171213000861 |
| Provider Name | Erin Michelle Peters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265766802 PECOS PAC ID: 5698075208 Enrollment ID: I20171214001871 |
| Provider Name | Catherine Vega Pillari |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891725750 PECOS PAC ID: 4183982341 Enrollment ID: I20171215000947 |
| Provider Name | Amy Morrison |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1437698545 PECOS PAC ID: 4688946635 Enrollment ID: I20171215001755 |
| Provider Name | Ryan O'neal Parker |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1407142219 PECOS PAC ID: 2567691355 Enrollment ID: I20171215002647 |
| Provider Name | Christine Lin |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1699979591 PECOS PAC ID: 1759566540 Enrollment ID: I20171219002424 |
| Provider Name | Maria Jose Bruzzone |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1679831812 PECOS PAC ID: 1052613312 Enrollment ID: I20180102000356 |
| Provider Name | Svetlana V Chembrovich |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1932493129 PECOS PAC ID: 2062663776 Enrollment ID: I20180103001422 |
| Provider Name | Joanna Chaffin |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1003102377 PECOS PAC ID: 1951543040 Enrollment ID: I20180104001153 |
| Provider Name | Rosemarie Fernandez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366402240 PECOS PAC ID: 8325022155 Enrollment ID: I20180104001882 |
| Provider Name | Melissa Jean Fitzgerald |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326483116 PECOS PAC ID: 2062736150 Enrollment ID: I20180108000256 |
| Provider Name | Megan Christine Becker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851802250 PECOS PAC ID: 5799044038 Enrollment ID: I20180112002243 |
| Provider Name | Hugh C Davis |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1871737007 PECOS PAC ID: 6800011586 Enrollment ID: I20180201002803 |
| Provider Name | Brian Fitzgerald |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093158685 PECOS PAC ID: 9335364884 Enrollment ID: I20180202001825 |
| Provider Name | Marie Therese Berg |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427216068 PECOS PAC ID: 1355465360 Enrollment ID: I20180209001467 |
| Provider Name | Karen Thompson |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1861423691 PECOS PAC ID: 4587611181 Enrollment ID: I20180215001748 |
| Provider Name | Chelsea Rorer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356852016 PECOS PAC ID: 5698036408 Enrollment ID: I20180219000518 |
| Provider Name | Reynaldo Matos-torres |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1831595123 PECOS PAC ID: 4587940234 Enrollment ID: I20180219001959 |
| Provider Name | Andres Pumariega |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629065529 PECOS PAC ID: 2264442821 Enrollment ID: I20180220001355 |
| Provider Name | Joanna Marie Mclaughlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205340304 PECOS PAC ID: 5698036291 Enrollment ID: I20180222001053 |
| Provider Name | Paola Andrea Goins |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1699297267 PECOS PAC ID: 9739440207 Enrollment ID: I20180223002157 |
| Provider Name | Diana C. Gomez Manjarres |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1659509461 PECOS PAC ID: 6204973852 Enrollment ID: I20180228002008 |
| Provider Name | Lauren Grandpre |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578982393 PECOS PAC ID: 5890056162 Enrollment ID: I20180301000283 |
| Provider Name | Robert Franklin Hall |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1184957052 PECOS PAC ID: 4688717119 Enrollment ID: I20180306000941 |
| Provider Name | Mona H Wagner |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093881666 PECOS PAC ID: 2466350434 Enrollment ID: I20180307002191 |
| Provider Name | Luis Felipe Pulido Sierra |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1639325855 PECOS PAC ID: 9436283512 Enrollment ID: I20180308000552 |
| Provider Name | Ali S Ahmed |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639518897 PECOS PAC ID: 1658677828 Enrollment ID: I20180309000309 |
| Provider Name | Ayman I Omar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1285894501 PECOS PAC ID: 3476629890 Enrollment ID: I20180309001971 |
| Provider Name | Regilda Anne Romero |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518392828 PECOS PAC ID: 7517229180 Enrollment ID: I20180319001491 |
| Provider Name | Zachary Michael Bean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497260616 PECOS PAC ID: 0749542397 Enrollment ID: I20180320002649 |
| Provider Name | Allison Birge |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1205343621 PECOS PAC ID: 4789946740 Enrollment ID: I20180403001094 |
| Provider Name | Kevin Gleim |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1124530845 PECOS PAC ID: 5092078808 Enrollment ID: I20180409001983 |
| Provider Name | David a Goddard |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1275032492 PECOS PAC ID: 3173886900 Enrollment ID: I20180410000165 |
| Provider Name | Kyle M Iketani |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639550478 PECOS PAC ID: 9638484124 Enrollment ID: I20180412000162 |
| Provider Name | Sarah Ashley Hula |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235657628 PECOS PAC ID: 4981967221 Enrollment ID: I20180418002568 |
| Provider Name | Douglas J Hyder |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104834605 PECOS PAC ID: 4981642501 Enrollment ID: I20180418002656 |
| Provider Name | Sara E Bussey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477062131 PECOS PAC ID: 5991068074 Enrollment ID: I20180425000328 |
| Provider Name | Lynn S Findley |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1285678177 PECOS PAC ID: 4082978127 Enrollment ID: I20180426000534 |
| Provider Name | Melinda Holder Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427551506 PECOS PAC ID: 5991069841 Enrollment ID: I20180501002687 |
| Provider Name | Kirsten Joy Jordan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770081192 PECOS PAC ID: 9830453604 Enrollment ID: I20180502000948 |
| Provider Name | Alexei Polk |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1972007003 PECOS PAC ID: 0345504791 Enrollment ID: I20180510001804 |
| Provider Name | John J Dunning |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1720581937 PECOS PAC ID: 3678837986 Enrollment ID: I20180512000044 |
| Provider Name | Dmitriy Shishkin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891230371 PECOS PAC ID: 1557626991 Enrollment ID: I20180605002880 |
| Provider Name | Jacob Thomas Bukaweski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316449515 PECOS PAC ID: 1850646985 Enrollment ID: I20180613002935 |
| Provider Name | Justin David Hilliard |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1144584095 PECOS PAC ID: 5890921407 Enrollment ID: I20180618002891 |
| Provider Name | Mala S Iyer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720131113 PECOS PAC ID: 8628054822 Enrollment ID: I20180619000201 |
| Provider Name | Lisa N Naidoo |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1144598798 PECOS PAC ID: 3375796311 Enrollment ID: I20180622001566 |
| Provider Name | Sunil P Singh |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1215171004 PECOS PAC ID: 2466744750 Enrollment ID: I20180625000294 |
| Provider Name | Juan Manuel Munoz Pena |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1164719530 PECOS PAC ID: 6103148309 Enrollment ID: I20180627001559 |
| Provider Name | Meghan M Brennan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1932543790 PECOS PAC ID: 8729214267 Enrollment ID: I20180629002019 |
| Provider Name | Vilma I Torres |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1528087145 PECOS PAC ID: 9032280979 Enrollment ID: I20180702003327 |
| Provider Name | Vidhu Kariyawasam |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1134560295 PECOS PAC ID: 7517256217 Enrollment ID: I20180709001710 |
| Provider Name | Laura M Jacobsen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073873907 PECOS PAC ID: 8325263841 Enrollment ID: I20180710000446 |
| Provider Name | Ahmaida Zeglam |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1518386762 PECOS PAC ID: 6406073394 Enrollment ID: I20180712001518 |
| Provider Name | Lori Khristine Axford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598253189 PECOS PAC ID: 3577819085 Enrollment ID: I20180712002672 |
| Provider Name | Mary Deffner Patterson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508893124 PECOS PAC ID: 6608951504 Enrollment ID: I20180716001493 |
| Provider Name | Olanrewaju Adebayo Olaoye |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1659535920 PECOS PAC ID: 8325217748 Enrollment ID: I20180720001053 |
| Provider Name | Michael Joseph Capozza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366829905 PECOS PAC ID: 9931415130 Enrollment ID: I20180723003002 |
| Provider Name | Eric I-hun Jeng |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1811212129 PECOS PAC ID: 6002125697 Enrollment ID: I20180724001649 |
| Provider Name | Natalie Joy Bracewell |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1184001554 PECOS PAC ID: 6002121241 Enrollment ID: I20180725001885 |
| Provider Name | Mohammad Faisal Al-khdarat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255707386 PECOS PAC ID: 8224322300 Enrollment ID: I20180726001151 |
| Provider Name | Kendra R Sylvester-armstrong |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104246396 PECOS PAC ID: 6305064072 Enrollment ID: I20180727002346 |
| Provider Name | Carmen Elisa Leon Astudillo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699039123 PECOS PAC ID: 5890043483 Enrollment ID: I20180730000525 |
| Provider Name | Allison Murray |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902318066 PECOS PAC ID: 1658629209 Enrollment ID: I20180730003026 |
| Provider Name | Amy Joy Sheer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639550692 PECOS PAC ID: 8729394069 Enrollment ID: I20180731000406 |
| Provider Name | Juan Camilo Mora Herrera |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1194168641 PECOS PAC ID: 2769607035 Enrollment ID: I20180731002415 |
| Provider Name | Lyda Cuervo Pardo |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1962843706 PECOS PAC ID: 1951684430 Enrollment ID: I20180801000274 |
| Provider Name | Michol Alexis Cooper |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1073837910 PECOS PAC ID: 0840570735 Enrollment ID: I20180803001379 |
| Provider Name | Robert E Heithaus |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285990739 PECOS PAC ID: 1759510704 Enrollment ID: I20180803001725 |
| Provider Name | Karyn M Governale |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902927155 PECOS PAC ID: 9739280595 Enrollment ID: I20180806002205 |
| Provider Name | Bahram Dideban |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992189948 PECOS PAC ID: 4284941840 Enrollment ID: I20180806003227 |
| Provider Name | Neal Weisbrod |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1407199748 PECOS PAC ID: 4486902418 Enrollment ID: I20180807002308 |
| Provider Name | Abdullah Malkawi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043565500 PECOS PAC ID: 6800197401 Enrollment ID: I20180808003802 |
| Provider Name | Thomas M Park |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619359288 PECOS PAC ID: 4385958263 Enrollment ID: I20180809004197 |
| Provider Name | Larry T Patterson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225060908 PECOS PAC ID: 7012182165 Enrollment ID: I20180810002332 |
| Provider Name | Albert Ka-ming Chan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780943068 PECOS PAC ID: 9133366123 Enrollment ID: I20180814001950 |
| Provider Name | Syreeta Karma Billings |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1518480565 PECOS PAC ID: 7214208107 Enrollment ID: I20180816000385 |
| Provider Name | Abel Torres |
|---|---|
| Provider Type | Practitioner - Micrographic Dermatologic Surgery (mds) |
| Provider Identifiers | NPI Number: 1063434223 PECOS PAC ID: 5698873032 Enrollment ID: I20180816001152 |
| Provider Name | Kimone Scott-kotb |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1427541572 PECOS PAC ID: 2163771536 Enrollment ID: I20180817000797 |
| Provider Name | Michael Tan |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1639619703 PECOS PAC ID: 7911256391 Enrollment ID: I20180817001134 |
| Provider Name | Jenifer Garbett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376045393 PECOS PAC ID: 0941559330 Enrollment ID: I20180817001872 |
| Provider Name | Lillian E Hummer |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1306348222 PECOS PAC ID: 3678822087 Enrollment ID: I20180817002445 |
| Provider Name | Jay Chan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1710325964 PECOS PAC ID: 0840589990 Enrollment ID: I20180820003154 |
| Provider Name | Christina Bennett Wiley |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1467963074 PECOS PAC ID: 4486903630 Enrollment ID: I20180821001849 |
| Provider Name | Jasmin Tanaja |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780079079 PECOS PAC ID: 4789986993 Enrollment ID: I20180823002339 |
| Provider Name | Reem Sameer Abu-rustum |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457854374 PECOS PAC ID: 2163771122 Enrollment ID: I20180823003337 |
| Provider Name | Riley Glynn Jones |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093076143 PECOS PAC ID: 5496057747 Enrollment ID: I20180823003676 |
| Provider Name | Angela Kim Pham |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1083993901 PECOS PAC ID: 5698904043 Enrollment ID: I20180824001105 |
| Provider Name | Alexis Dawkins Jorgenson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1275937963 PECOS PAC ID: 8426376567 Enrollment ID: I20180827000573 |
| Provider Name | Trenton Nickerson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629554894 PECOS PAC ID: 5294084067 Enrollment ID: I20180828001828 |
| Provider Name | Rex S Haberman |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1194751859 PECOS PAC ID: 0345212221 Enrollment ID: I20180828002018 |
| Provider Name | Neeka Nicole Akhavan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922485713 PECOS PAC ID: 4082929070 Enrollment ID: I20180828002457 |
| Provider Name | Christopher Marty Edwards |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1144562729 PECOS PAC ID: 7618110784 Enrollment ID: I20180828002482 |
| Provider Name | Peter G Alexandrov |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144649500 PECOS PAC ID: 8426367269 Enrollment ID: I20180828002875 |
| Provider Name | Thomas Read |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1669404042 PECOS PAC ID: 7416022397 Enrollment ID: I20180831000290 |
| Provider Name | Meredith C. Thompson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346669256 PECOS PAC ID: 1254550163 Enrollment ID: I20180831001112 |
| Provider Name | Carla Zingariello |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699061721 PECOS PAC ID: 1052601663 Enrollment ID: I20180831001923 |
| Provider Name | Michael David Robinson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528445061 PECOS PAC ID: 3173839867 Enrollment ID: I20180831002210 |
| Provider Name | Shawna Lord |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033604822 PECOS PAC ID: 0042560476 Enrollment ID: I20180906000737 |
| Provider Name | Tiffany Lauren Scalf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700363215 PECOS PAC ID: 7012267362 Enrollment ID: I20180906002260 |
| Provider Name | Joon S Choi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760790448 PECOS PAC ID: 6800146044 Enrollment ID: I20180907002729 |
| Provider Name | Jordan Rhea Meurer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679064224 PECOS PAC ID: 9335499508 Enrollment ID: I20180910001019 |
| Provider Name | Susanna Joy Roberts |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1801372719 PECOS PAC ID: 5193075380 Enrollment ID: I20180910001780 |
| Provider Name | Khayla N Merker |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1215420864 PECOS PAC ID: 2860742707 Enrollment ID: I20180913002549 |
| Provider Name | Crystal Johnson-mann |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1760743751 PECOS PAC ID: 1456572924 Enrollment ID: I20180918003119 |
| Provider Name | Karen Dawn Zak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477047405 PECOS PAC ID: 0244581817 Enrollment ID: I20180920000811 |
| Provider Name | Leandra Catarina Uribe Woolnough |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023308335 PECOS PAC ID: 9436429016 Enrollment ID: I20180921003050 |
| Provider Name | Linda Shupikayi Simoyi |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1295199669 PECOS PAC ID: 0941598189 Enrollment ID: I20181002003065 |
| Provider Name | Richard Louis Hutchison |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1821029497 PECOS PAC ID: 6800785262 Enrollment ID: I20181004001026 |
| Provider Name | John Kyle Proffitt |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1639664535 PECOS PAC ID: 1658623152 Enrollment ID: I20181011000526 |
| Provider Name | Bhavana Patel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1619314499 PECOS PAC ID: 5294032264 Enrollment ID: I20181011001147 |
| Provider Name | Christina Maria Eagan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396236568 PECOS PAC ID: 6103179957 Enrollment ID: I20181025001265 |
| Provider Name | David Brian Crabb |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679960827 PECOS PAC ID: 5092020040 Enrollment ID: I20181025002409 |
| Provider Name | Kristin Alexandra Dayton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023379252 PECOS PAC ID: 3971731704 Enrollment ID: I20181107002175 |
| Provider Name | Bently Patrick Doonan |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1992182604 PECOS PAC ID: 4183939101 Enrollment ID: I20181108001014 |
| Provider Name | Jordan M Budwick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811477078 PECOS PAC ID: 8729332796 Enrollment ID: I20181109000667 |
| Provider Name | Robin Theresa Petroze |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1699935007 PECOS PAC ID: 6002045846 Enrollment ID: I20181112001656 |
| Provider Name | Michelle Klenk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043670060 PECOS PAC ID: 5092004309 Enrollment ID: I20181112002204 |
| Provider Name | Star N Dix |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932696143 PECOS PAC ID: 0446504377 Enrollment ID: I20181113001784 |
| Provider Name | Dakota C Quinn |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1881141059 PECOS PAC ID: 4981988367 Enrollment ID: I20181116000166 |
| Provider Name | Jeremy S Scherer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568841971 PECOS PAC ID: 8426302076 Enrollment ID: I20181116001728 |
| Provider Name | Regina Sledge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245714302 PECOS PAC ID: 1052665627 Enrollment ID: I20181117000026 |
| Provider Name | Erin R Moore |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1730671660 PECOS PAC ID: 7315291986 Enrollment ID: I20181117000050 |
| Provider Name | Yu Wu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265912562 PECOS PAC ID: 9537413141 Enrollment ID: I20181119001358 |
| Provider Name | Robert Bostic |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1093750093 PECOS PAC ID: 5193850089 Enrollment ID: I20181119001949 |
| Provider Name | Joel Patrick Shoemaker |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1134601172 PECOS PAC ID: 9133473614 Enrollment ID: I20181120000825 |
| Provider Name | Melissa S Flanigan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1114124302 PECOS PAC ID: 8527111293 Enrollment ID: I20181120002199 |
| Provider Name | Amber Bryant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790266013 PECOS PAC ID: 6002160470 Enrollment ID: I20181121002033 |
| Provider Name | Hatem Al-takrouri |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1750471322 PECOS PAC ID: 3072657741 Enrollment ID: I20181121002447 |
| Provider Name | Michael Ryan Johnson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063998235 PECOS PAC ID: 7416291612 Enrollment ID: I20181128002901 |
| Provider Name | Jason S Robinson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1942792593 PECOS PAC ID: 5698019826 Enrollment ID: I20181129000756 |
| Provider Name | Padraic O'malley |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1194121053 PECOS PAC ID: 3971847054 Enrollment ID: I20181129002785 |
| Provider Name | Dayna Hagerty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063823789 PECOS PAC ID: 2567706641 Enrollment ID: I20181129003024 |
| Provider Name | Jaime Alexis Hones |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1124521570 PECOS PAC ID: 6204170228 Enrollment ID: I20181203001308 |
| Provider Name | Suzanne Nash |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497253439 PECOS PAC ID: 8123371267 Enrollment ID: I20181205002076 |
| Provider Name | Thomas Schrepfer |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1093168668 PECOS PAC ID: 1153665898 Enrollment ID: I20181206000468 |
| Provider Name | Cassie Ebert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851808224 PECOS PAC ID: 0941544621 Enrollment ID: I20181206001938 |
| Provider Name | Grace a Cruz |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1770993032 PECOS PAC ID: 3971721101 Enrollment ID: I20181206002885 |
| Provider Name | Mayra Romina Lomonaco |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1114366861 PECOS PAC ID: 4981838992 Enrollment ID: I20181212000325 |
| Provider Name | Alyssa Henry Proffitt |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1003301995 PECOS PAC ID: 7911242235 Enrollment ID: I20181214000626 |
| Provider Name | Ashley Tomlinson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306323928 PECOS PAC ID: 5092050310 Enrollment ID: I20181214000703 |
| Provider Name | Michael Yacoub |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1972847671 PECOS PAC ID: 4688817448 Enrollment ID: I20181217000774 |
| Provider Name | Michael D Choley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265923999 PECOS PAC ID: 7911242078 Enrollment ID: I20181218000603 |
| Provider Name | Amanda Jean Husband |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1700156965 PECOS PAC ID: 4486999505 Enrollment ID: I20181218002825 |
| Provider Name | Erin Vanzant |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1265750566 PECOS PAC ID: 3971746223 Enrollment ID: I20181219000755 |
| Provider Name | Svetlana Victorovna Ekubova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972070803 PECOS PAC ID: 4183969157 Enrollment ID: I20181219001151 |
| Provider Name | Rachel Huffman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508341934 PECOS PAC ID: 5597000539 Enrollment ID: I20181220000697 |
| Provider Name | Whitney Marie Marema |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659888683 PECOS PAC ID: 6800131574 Enrollment ID: I20181227002207 |
| Provider Name | Jane M Grant-kels |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1750386462 PECOS PAC ID: 5092831396 Enrollment ID: I20181228000400 |
| Provider Name | Pavel Balduyeu |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1659798940 PECOS PAC ID: 5092931824 Enrollment ID: I20181228000518 |
| Provider Name | Dia Marie O'connor |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1629558622 PECOS PAC ID: 9032454582 Enrollment ID: I20190102002680 |
| Provider Name | Ann Lucke-wold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902250210 PECOS PAC ID: 9739473497 Enrollment ID: I20190103001228 |
| Provider Name | Brittany L Maynard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881180503 PECOS PAC ID: 3971849498 Enrollment ID: I20190103003029 |
| Provider Name | Thomas Joseph Lewandowski |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1407808017 PECOS PAC ID: 8729991732 Enrollment ID: I20190108002499 |
| Provider Name | Kim Craig |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1992259170 PECOS PAC ID: 4587932355 Enrollment ID: I20190110001097 |
| Provider Name | Heather M Nations |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1780177097 PECOS PAC ID: 0345586483 Enrollment ID: I20190110003261 |
| Provider Name | Amie Ogunsakin |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1952533580 PECOS PAC ID: 2163661729 Enrollment ID: I20190110003289 |
| Provider Name | Jessica Brittany Bosch |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1417456799 PECOS PAC ID: 6406192434 Enrollment ID: I20190114000647 |
| Provider Name | Priya Patel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1194239939 PECOS PAC ID: 1951647759 Enrollment ID: I20190116000918 |
| Provider Name | Gina Marie Killian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164995916 PECOS PAC ID: 9436495132 Enrollment ID: I20190117001514 |
| Provider Name | Kathleen M Fischetti |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1215414073 PECOS PAC ID: 0244577682 Enrollment ID: I20190123003812 |
| Provider Name | Marjorie E Montanez-wiscovich |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1245521251 PECOS PAC ID: 0143462382 Enrollment ID: I20190124000349 |
| Provider Name | Arthur Chester Groves |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821065459 PECOS PAC ID: 6002890670 Enrollment ID: I20190124001510 |
| Provider Name | Rozina Ali |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1205123932 PECOS PAC ID: 6901188994 Enrollment ID: I20190124002797 |
| Provider Name | Daniel S Demos |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1831443159 PECOS PAC ID: 0648561068 Enrollment ID: I20190124003444 |
| Provider Name | Hannah Coleman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1508340183 PECOS PAC ID: 9537406731 Enrollment ID: I20190125001989 |
| Provider Name | Sarah G Fitzpatrick |
|---|---|
| Provider Type | Practitioner - Oral And Maxillofacial Pathology |
| Provider Identifiers | NPI Number: 1336243906 PECOS PAC ID: 5294072336 Enrollment ID: I20190128000695 |
| Provider Name | Mark G Kent |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1285783274 PECOS PAC ID: 9335318054 Enrollment ID: I20190129001029 |
| Provider Name | Tam Phu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669895405 PECOS PAC ID: 4385981372 Enrollment ID: I20190129002967 |
| Provider Name | Logan Alyssa Stephens |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336624089 PECOS PAC ID: 5496092397 Enrollment ID: I20190131000591 |
| Provider Name | Beverly Frazee Mcdaniel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386114403 PECOS PAC ID: 6800133653 Enrollment ID: I20190131003155 |
| Provider Name | Leah Teresa Weeks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598237356 PECOS PAC ID: 0941547749 Enrollment ID: I20190201001529 |
| Provider Name | Rashida Tharpe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255725503 PECOS PAC ID: 4587901236 Enrollment ID: I20190204000717 |
| Provider Name | Melissa Paige Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992276083 PECOS PAC ID: 8022356708 Enrollment ID: I20190205003741 |
| Provider Name | Christopher Lee |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1972077162 PECOS PAC ID: 1153669452 Enrollment ID: I20190212001998 |
| Provider Name | Matthew a Evans |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1356811244 PECOS PAC ID: 4880932185 Enrollment ID: I20190212002016 |
| Provider Name | Stephanie Ihnow |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1659634574 PECOS PAC ID: 9739483827 Enrollment ID: I20190212002159 |
| Provider Name | Jessica Lowther |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1245703297 PECOS PAC ID: 9739427980 Enrollment ID: I20190213001071 |
| Provider Name | Amelie Middlemas Tsao |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922575380 PECOS PAC ID: 0446598403 Enrollment ID: I20190218000358 |
| Provider Name | Alexander Brigantty-vazquez |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063914562 PECOS PAC ID: 7719225622 Enrollment ID: I20190218002516 |
| Provider Name | Sonia D Burns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003391681 PECOS PAC ID: 4688912496 Enrollment ID: I20190220001245 |
| Provider Name | Melissa Marie Cross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578045407 PECOS PAC ID: 4486814605 Enrollment ID: I20190221000205 |
| Provider Name | Jamie L Stormer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1083183115 PECOS PAC ID: 3870831662 Enrollment ID: I20190221001198 |
| Provider Name | Leslye Pennypacker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053424382 PECOS PAC ID: 0446374565 Enrollment ID: I20190222002214 |
| Provider Name | Jennifer L Evans |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1538226154 PECOS PAC ID: 8224377924 Enrollment ID: I20190225001018 |
| Provider Name | Rachel Margaret Martins |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1104392851 PECOS PAC ID: 1951640614 Enrollment ID: I20190225002764 |
| Provider Name | Niti Aggarwal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457745499 PECOS PAC ID: 0840507182 Enrollment ID: I20190226000120 |
| Provider Name | Sara Brooke Rosen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1487128682 PECOS PAC ID: 5597004101 Enrollment ID: I20190226002283 |
| Provider Name | Leah Marie Carroll |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1780151605 PECOS PAC ID: 5597004135 Enrollment ID: I20190226003351 |
| Provider Name | Timothy James Hornyak |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1851384473 PECOS PAC ID: 3072662295 Enrollment ID: I20190227001528 |
| Provider Name | Courtney E Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720595549 PECOS PAC ID: 7315286549 Enrollment ID: I20190305001757 |
| Provider Name | Marlene Fernandez |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1699273532 PECOS PAC ID: 7416296561 Enrollment ID: I20190307000149 |
| Provider Name | William R Lundgren |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1992275572 PECOS PAC ID: 2567701667 Enrollment ID: I20190307002343 |
| Provider Name | Amber Rose Coca |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1508344243 PECOS PAC ID: 7618216631 Enrollment ID: I20190308000143 |
| Provider Name | Kevin J Vaccarello |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1467928598 PECOS PAC ID: 7315286390 Enrollment ID: I20190308002604 |
| Provider Name | Christina Bricker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023222668 PECOS PAC ID: 1456423904 Enrollment ID: I20190312003327 |
| Provider Name | Justin S Piliego |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1073007076 PECOS PAC ID: 6608116553 Enrollment ID: I20190313000618 |
| Provider Name | Stacy Alice Mills |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1619440559 PECOS PAC ID: 3577803352 Enrollment ID: I20190313002086 |
| Provider Name | Paola J Maurtua-neumann |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1073757092 PECOS PAC ID: 7719136076 Enrollment ID: I20190314001642 |
| Provider Name | Maria B Vessell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184197949 PECOS PAC ID: 1951641307 Enrollment ID: I20190320003458 |
| Provider Name | James M Krick |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1679542195 PECOS PAC ID: 0244264638 Enrollment ID: I20190321001125 |
| Provider Name | Amanda L Gonzalez |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1932679503 PECOS PAC ID: 8628318003 Enrollment ID: I20190321001163 |
| Provider Name | Peter D Leroux |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1306882279 PECOS PAC ID: 3577698802 Enrollment ID: I20190327002820 |
| Provider Name | Mary Nentwig |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1699852210 PECOS PAC ID: 6103974530 Enrollment ID: I20190329001061 |
| Provider Name | Maggie Green |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1881884062 PECOS PAC ID: 1658457163 Enrollment ID: I20190329001878 |
| Provider Name | Jimmy Brown |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1508974395 PECOS PAC ID: 6002996626 Enrollment ID: I20190409002646 |
| Provider Name | Lynn Marie Millard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487002895 PECOS PAC ID: 4981945284 Enrollment ID: I20190416000029 |
| Provider Name | Tiffany L. Artman |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1053308601 PECOS PAC ID: 9133152358 Enrollment ID: I20190425002926 |
| Provider Name | Denielle Waschek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083176820 PECOS PAC ID: 2163764390 Enrollment ID: I20190508001675 |
| Provider Name | Mary T Konkel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801374681 PECOS PAC ID: 1254674807 Enrollment ID: I20190522001125 |
| Provider Name | Whitney Jacob Brophy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356844708 PECOS PAC ID: 8022351691 Enrollment ID: I20190522001800 |
| Provider Name | Mahmoud Ahmad |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1720463979 PECOS PAC ID: 8729321112 Enrollment ID: I20190529001030 |
| Provider Name | Teale Andreason Sykes |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1275096034 PECOS PAC ID: 6800139155 Enrollment ID: I20190530000583 |
| Provider Name | Kristi L Doke |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417426768 PECOS PAC ID: 8022341213 Enrollment ID: I20190603001251 |
| Provider Name | Reathea Felder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417411836 PECOS PAC ID: 3375876238 Enrollment ID: I20190607000667 |
| Provider Name | Craig Caldwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114482130 PECOS PAC ID: 5092048926 Enrollment ID: I20190610000700 |
| Provider Name | Miciah Jones |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1649544644 PECOS PAC ID: 0941511562 Enrollment ID: I20190613000681 |
| Provider Name | Orlando Gomez |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1235523705 PECOS PAC ID: 6709119373 Enrollment ID: I20190613001451 |
| Provider Name | Elanit Rich |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1861940694 PECOS PAC ID: 2567742034 Enrollment ID: I20190618001592 |
| Provider Name | Shirley Susana Cruz Beltran |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1518307149 PECOS PAC ID: 0749514040 Enrollment ID: I20190620000148 |
| Provider Name | Kaylin Laura Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508323312 PECOS PAC ID: 1951635044 Enrollment ID: I20190624001867 |
| Provider Name | Mohammad Ayoub S As Sayaideh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124470398 PECOS PAC ID: 3476887571 Enrollment ID: I20190624002016 |
| Provider Name | Giles Peek |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1851770630 PECOS PAC ID: 8527374693 Enrollment ID: I20190708001112 |
| Provider Name | Juvenal Havyarimana |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194187310 PECOS PAC ID: 0446544233 Enrollment ID: I20190709000028 |
| Provider Name | Zachary M Gohsman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285982082 PECOS PAC ID: 5395031611 Enrollment ID: I20190709001010 |
| Provider Name | Runelon Alcudia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518473370 PECOS PAC ID: 7214262369 Enrollment ID: I20190711000577 |
| Provider Name | Jedidiah D Polete |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1336560028 PECOS PAC ID: 8123251618 Enrollment ID: I20190715002931 |
| Provider Name | Stephen M Magar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407200975 PECOS PAC ID: 1153617964 Enrollment ID: I20190716000831 |
| Provider Name | Joshua H Altman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821475914 PECOS PAC ID: 3274827258 Enrollment ID: I20190717001329 |
| Provider Name | Bradley Joe Bruggeman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1649650458 PECOS PAC ID: 5698085637 Enrollment ID: I20190718003466 |
| Provider Name | Christina Baldwin Chadwick |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194068973 PECOS PAC ID: 1456687938 Enrollment ID: I20190722000866 |
| Provider Name | Zachary Joseph Gennaro |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043877210 PECOS PAC ID: 3375879646 Enrollment ID: I20190724001547 |
| Provider Name | Hiep C Nguyen |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1821189937 PECOS PAC ID: 9436251642 Enrollment ID: I20190724002287 |
| Provider Name | Michael Alan Brock |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780945477 PECOS PAC ID: 5991940256 Enrollment ID: I20190724003193 |
| Provider Name | Sara Jessica Hughley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821547217 PECOS PAC ID: 1759669336 Enrollment ID: I20190725003748 |
| Provider Name | Michael Charles Petrauskis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457738353 PECOS PAC ID: 5799083978 Enrollment ID: I20190729000575 |
| Provider Name | Sydney Kern |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811559578 PECOS PAC ID: 7911233937 Enrollment ID: I20190730001098 |
| Provider Name | Brittany C Beel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487008454 PECOS PAC ID: 6305132044 Enrollment ID: I20190801000447 |
| Provider Name | Wei Wang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962856146 PECOS PAC ID: 0749516441 Enrollment ID: I20190801000980 |
| Provider Name | Harold Woods Hunt |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558795005 PECOS PAC ID: 2163779240 Enrollment ID: I20190802000674 |
| Provider Name | Anthony Michael Sharp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801451984 PECOS PAC ID: 9234466889 Enrollment ID: I20190806001147 |
| Provider Name | Annamalai Arunachalam |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1235362344 PECOS PAC ID: 5597984252 Enrollment ID: I20190806004129 |
| Provider Name | Gabrielle G Barnes |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1548603566 PECOS PAC ID: 7012202658 Enrollment ID: I20190807003677 |
| Provider Name | Norman Laurence Beatty |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1972917664 PECOS PAC ID: 2264787803 Enrollment ID: I20190808001945 |
| Provider Name | Rahimullah Imran Asad |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871758953 PECOS PAC ID: 5799944575 Enrollment ID: I20190808002885 |
| Provider Name | Daylee Sue Sheppard |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811468028 PECOS PAC ID: 5395072532 Enrollment ID: I20190809001587 |
| Provider Name | Alexis Blaine Oglesby |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396300422 PECOS PAC ID: 8729315932 Enrollment ID: I20190812001044 |
| Provider Name | Olayinka E Ogedengbe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407412554 PECOS PAC ID: 6002143187 Enrollment ID: I20190813000114 |
| Provider Name | Jonathan Alexander Chatzkel |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1063852812 PECOS PAC ID: 1254564537 Enrollment ID: I20190813002594 |
| Provider Name | Travis W Murphy |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1447677455 PECOS PAC ID: 7214243146 Enrollment ID: I20190813003226 |
| Provider Name | Jessica Sanderson Heft |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1649536731 PECOS PAC ID: 2668709668 Enrollment ID: I20190814001703 |
| Provider Name | Georgia Marie Graham |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801276555 PECOS PAC ID: 6901116938 Enrollment ID: I20190814002471 |
| Provider Name | Carlos Rodrigo Franco-palacios |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1497966600 PECOS PAC ID: 5890841316 Enrollment ID: I20190816000851 |
| Provider Name | Jodi-anne M Wallace |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952764474 PECOS PAC ID: 8022304781 Enrollment ID: I20190821002466 |
| Provider Name | Patricia Ann Missall |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1427213651 PECOS PAC ID: 6002057940 Enrollment ID: I20190822002864 |
| Provider Name | Sarah Marie Marsicek |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619361128 PECOS PAC ID: 9133457310 Enrollment ID: I20190826003735 |
| Provider Name | Hala Anne Assar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811557291 PECOS PAC ID: 3072841287 Enrollment ID: I20190827000975 |
| Provider Name | Joanne Hollingsworth |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1578046694 PECOS PAC ID: 6002144987 Enrollment ID: I20190830001046 |
| Provider Name | Christopher T Harden |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1306282124 PECOS PAC ID: 0547559791 Enrollment ID: I20190903000575 |
| Provider Name | Suri S Shaw |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1639732795 PECOS PAC ID: 9436488111 Enrollment ID: I20190905000613 |
| Provider Name | Thomas Albert Krupko |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1831432681 PECOS PAC ID: 0345549051 Enrollment ID: I20190905002104 |
| Provider Name | Stefan Prokop |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1033595822 PECOS PAC ID: 7810226545 Enrollment ID: I20190905002810 |
| Provider Name | Muhannad Amin Leghrouz |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1861832263 PECOS PAC ID: 1850685140 Enrollment ID: I20190910002693 |
| Provider Name | Gevalin Srisooksai |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1194143032 PECOS PAC ID: 5890913271 Enrollment ID: I20190911003595 |
| Provider Name | Michelle J Larzelere |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801275623 PECOS PAC ID: 9234445925 Enrollment ID: I20190913001367 |
| Provider Name | Ryan Ac Boggs |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558706135 PECOS PAC ID: 7719127919 Enrollment ID: I20190916000902 |
| Provider Name | Keith a Howell |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1043321771 PECOS PAC ID: 5193741775 Enrollment ID: I20190916000988 |
| Provider Name | Charles Fahrenholtz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1073179735 PECOS PAC ID: 3779813670 Enrollment ID: I20190919000180 |
| Provider Name | Amanda Wnek |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1972062818 PECOS PAC ID: 8123358702 Enrollment ID: I20190924003608 |
| Provider Name | Abdulaziz Alburaih |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033340906 PECOS PAC ID: 2567603665 Enrollment ID: I20190924003624 |
| Provider Name | Rebecca Musgrove |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1073176780 PECOS PAC ID: 3375873789 Enrollment ID: I20190927002095 |
| Provider Name | Elizabeth Marie Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861058406 PECOS PAC ID: 4183954456 Enrollment ID: I20190930001753 |
| Provider Name | David Anthony Mclean |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447282074 PECOS PAC ID: 2062466014 Enrollment ID: I20190930002094 |
| Provider Name | Yasmin Mohiuddin |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1336529650 PECOS PAC ID: 5496015109 Enrollment ID: I20190930002990 |
| Provider Name | Krista Pennington Terracina |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1487947032 PECOS PAC ID: 0042450322 Enrollment ID: I20191002003309 |
| Provider Name | Lauren Jeang |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1760800254 PECOS PAC ID: 0042565889 Enrollment ID: I20191002003725 |
| Provider Name | Shannon Y Chiu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1891105417 PECOS PAC ID: 9436466992 Enrollment ID: I20191003002971 |
| Provider Name | Chad Aaron Mackman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053553966 PECOS PAC ID: 1658536719 Enrollment ID: I20191004000131 |
| Provider Name | Kanika Rathi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205281482 PECOS PAC ID: 7618208794 Enrollment ID: I20191004000940 |
| Provider Name | Amanda K Janner |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1346438009 PECOS PAC ID: 9436480431 Enrollment ID: I20191004002257 |
| Provider Name | Guy El Helou |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1255783528 PECOS PAC ID: 5799071312 Enrollment ID: I20191008000762 |
| Provider Name | Raed Al Yacoub |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1942688239 PECOS PAC ID: 4688905508 Enrollment ID: I20191008001274 |
| Provider Name | Tracee Roberson Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538714332 PECOS PAC ID: 8022349968 Enrollment ID: I20191008002052 |
| Provider Name | Sebastian Rodrigo Gatica Moris |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1124317862 PECOS PAC ID: 2062738800 Enrollment ID: I20191008002224 |
| Provider Name | Matthew Harrison Covey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992167308 PECOS PAC ID: 8224301379 Enrollment ID: I20191008002967 |
| Provider Name | Laura Murray Merzbacher |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1326693367 PECOS PAC ID: 2668703463 Enrollment ID: I20191009000901 |
| Provider Name | Katie Knight Waters |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1184273336 PECOS PAC ID: 1759612567 Enrollment ID: I20191009001395 |
| Provider Name | Domina Nyinawinyange |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1952655185 PECOS PAC ID: 8426203514 Enrollment ID: I20191010000709 |
| Provider Name | Kelcie Stiegler |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396300067 PECOS PAC ID: 3274864954 Enrollment ID: I20191010001064 |
| Provider Name | Nisha P Gupta |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063066694 PECOS PAC ID: 6305177015 Enrollment ID: I20191010002320 |
| Provider Name | Roland-austin Federico |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1063875755 PECOS PAC ID: 3274811682 Enrollment ID: I20191014003157 |
| Provider Name | Kaley Ann Mial |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285299958 PECOS PAC ID: 8527399971 Enrollment ID: I20191016000503 |
| Provider Name | Katherine Anne Alexander |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336796804 PECOS PAC ID: 3072844471 Enrollment ID: I20191016002950 |
| Provider Name | Alaina S. Ritter |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1689011900 PECOS PAC ID: 3870800451 Enrollment ID: I20191017002695 |
| Provider Name | Jolene M Nasman |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1235782681 PECOS PAC ID: 9032440268 Enrollment ID: I20191018001791 |
| Provider Name | Khanjan B Shah |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1164715116 PECOS PAC ID: 1951520329 Enrollment ID: I20191021002421 |
| Provider Name | Yaseen B Perbtani |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1851738892 PECOS PAC ID: 1850534603 Enrollment ID: I20191021002450 |
| Provider Name | Kelly Johnson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1497165450 PECOS PAC ID: 8325370596 Enrollment ID: I20191022000719 |
| Provider Name | Emma Emma Kissell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1952966400 PECOS PAC ID: 9032441142 Enrollment ID: I20191022003556 |
| Provider Name | Melissa Francois Laguerre |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1649837873 PECOS PAC ID: 2365774486 Enrollment ID: I20191022003777 |
| Provider Name | Jinghua Chen |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1912348624 PECOS PAC ID: 4789991845 Enrollment ID: I20191023000218 |
| Provider Name | Andrea Denise Guastello |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1851821748 PECOS PAC ID: 9032441001 Enrollment ID: I20191023002806 |
| Provider Name | Catherine Eileen Mendez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912558511 PECOS PAC ID: 1557693520 Enrollment ID: I20191023002949 |
| Provider Name | Hannah Jacon |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1114572567 PECOS PAC ID: 4183956105 Enrollment ID: I20191024001023 |
| Provider Name | Evan Mikell Incinelli |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1528623238 PECOS PAC ID: 1153653175 Enrollment ID: I20191024001172 |
| Provider Name | Susheela Hadigal |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1679832323 PECOS PAC ID: 7911202940 Enrollment ID: I20191024002843 |
| Provider Name | Tony M Calkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548725500 PECOS PAC ID: 0042542904 Enrollment ID: I20191024003328 |
| Provider Name | Sun Hee Kim |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1003464462 PECOS PAC ID: 2769714674 Enrollment ID: I20191025001867 |
| Provider Name | Si Chen |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1407121742 PECOS PAC ID: 3274893094 Enrollment ID: I20191028003275 |
| Provider Name | Brian D Stover |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164869715 PECOS PAC ID: 8123257920 Enrollment ID: I20191029000864 |
| Provider Name | Lisa Merck |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043429756 PECOS PAC ID: 6901965490 Enrollment ID: I20191029001516 |
| Provider Name | Samir Kaushik Shah |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1013180553 PECOS PAC ID: 8123246527 Enrollment ID: I20191029003192 |
| Provider Name | Frances Saccoccio |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467899393 PECOS PAC ID: 3779725692 Enrollment ID: I20191031000385 |
| Provider Name | Alison Leung |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205280146 PECOS PAC ID: 7911241799 Enrollment ID: I20191031002777 |
| Provider Name | Jeremy Marc Gordon |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1790337418 PECOS PAC ID: 8426380957 Enrollment ID: I20191101000381 |
| Provider Name | Andrew Layton White |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1467016378 PECOS PAC ID: 3870825300 Enrollment ID: I20191101000449 |
| Provider Name | Brian Bishop Hughley |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1528202041 PECOS PAC ID: 9638306582 Enrollment ID: I20191101001121 |
| Provider Name | Brian Ramnaraign |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1558629659 PECOS PAC ID: 1850682055 Enrollment ID: I20191101001391 |
| Provider Name | Adrian James Maurer |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1508250689 PECOS PAC ID: 2466747324 Enrollment ID: I20191104000260 |
| Provider Name | Candace Malinosky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821509936 PECOS PAC ID: 4183981632 Enrollment ID: I20191104002909 |
| Provider Name | Jaclyn C Urquiola Sorzano |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902260565 PECOS PAC ID: 1254663586 Enrollment ID: I20191105003072 |
| Provider Name | Ellen Stolle Satteson |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1467719658 PECOS PAC ID: 8527371947 Enrollment ID: I20191106000326 |
| Provider Name | Alex M Parker |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1376809962 PECOS PAC ID: 9335378140 Enrollment ID: I20191106000477 |
| Provider Name | Natalie Chaiser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720643562 PECOS PAC ID: 8224460530 Enrollment ID: I20191107000148 |
| Provider Name | Matthew Watkins Lazar |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1144690405 PECOS PAC ID: 7214218718 Enrollment ID: I20191108000906 |
| Provider Name | Ryan Paul Roach |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1932544046 PECOS PAC ID: 0840543245 Enrollment ID: I20191112002024 |
| Provider Name | Michael Mak |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1003458282 PECOS PAC ID: 0547692410 Enrollment ID: I20191114000713 |
| Provider Name | Jennifer Shifflet |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811540917 PECOS PAC ID: 9739511585 Enrollment ID: I20191115001283 |
| Provider Name | Belkis B Perez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407398118 PECOS PAC ID: 5799117248 Enrollment ID: I20191121001255 |
| Provider Name | Johnathan Richards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295284917 PECOS PAC ID: 5294014726 Enrollment ID: I20191122000468 |
| Provider Name | Andrew Howard Dubin |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1588656714 PECOS PAC ID: 2769494731 Enrollment ID: I20191122000509 |
| Provider Name | Scott Danek |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1316592694 PECOS PAC ID: 2860824257 Enrollment ID: I20191125000932 |
| Provider Name | Blas Y Betancourt |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1366856452 PECOS PAC ID: 4284067505 Enrollment ID: I20191127000722 |
| Provider Name | Jennifer Patricia Minella |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053888115 PECOS PAC ID: 3274966445 Enrollment ID: I20191202000334 |
| Provider Name | Adam Andrew Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659913531 PECOS PAC ID: 0840623054 Enrollment ID: I20191202001524 |
| Provider Name | Casey Marie Perry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386917524 PECOS PAC ID: 6406146794 Enrollment ID: I20191203000976 |
| Provider Name | Allison Gallup |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1700447737 PECOS PAC ID: 0941633028 Enrollment ID: I20191203002262 |
| Provider Name | Rachel De Oliveira Cruz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1194367334 PECOS PAC ID: 8224461314 Enrollment ID: I20191203002659 |
| Provider Name | Zachary Bautista |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629638176 PECOS PAC ID: 7810320934 Enrollment ID: I20191204000547 |
| Provider Name | Pooja Patel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1194380873 PECOS PAC ID: 2466885421 Enrollment ID: I20191204002832 |
| Provider Name | Sara Geiger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326698705 PECOS PAC ID: 7214360148 Enrollment ID: I20191209000303 |
| Provider Name | Elenora Bosman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780235903 PECOS PAC ID: 6507299369 Enrollment ID: I20191209001931 |
| Provider Name | Kristin Marshall Fajer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1265098487 PECOS PAC ID: 9638502271 Enrollment ID: I20191212000135 |
| Provider Name | Lynda Otalvaro Orozco |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1548498389 PECOS PAC ID: 0749597326 Enrollment ID: I20191212001445 |
| Provider Name | Matthew J Noonan |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1215969951 PECOS PAC ID: 7416943428 Enrollment ID: I20191212003028 |
| Provider Name | Jesse Allen Kane |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265430292 PECOS PAC ID: 8921909607 Enrollment ID: I20191219000516 |
| Provider Name | Chanel Grace Starke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568023844 PECOS PAC ID: 3173957651 Enrollment ID: I20191223000992 |
| Provider Name | Theresa Durham Coman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598995110 PECOS PAC ID: 9931335783 Enrollment ID: I20191230002156 |
| Provider Name | Flor Delcarmen Amaya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851946255 PECOS PAC ID: 2365876083 Enrollment ID: I20200103002184 |
| Provider Name | James M. Shwayder |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972521151 PECOS PAC ID: 1850341942 Enrollment ID: I20200108000027 |
| Provider Name | Michael Tudeen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700271038 PECOS PAC ID: 5991011892 Enrollment ID: I20200108000335 |
| Provider Name | Kruti D Shah |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1386026276 PECOS PAC ID: 8921304783 Enrollment ID: I20200115001293 |
| Provider Name | Michael Tin Sein |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1447484852 PECOS PAC ID: 0941467393 Enrollment ID: I20200115002878 |
| Provider Name | Bruce S Solomon |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1932165446 PECOS PAC ID: 9133160013 Enrollment ID: I20200116001477 |
| Provider Name | Mindaugas Rackauskas |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1538717111 PECOS PAC ID: 1355776576 Enrollment ID: I20200116001908 |
| Provider Name | Shyamsunder Brindavan Sabat |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750561569 PECOS PAC ID: 7618023417 Enrollment ID: I20200116002714 |
| Provider Name | Daniel Enrique Ortiz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871912477 PECOS PAC ID: 4880964113 Enrollment ID: I20200117001526 |
| Provider Name | Jason Jorge Arellano |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1154693562 PECOS PAC ID: 2466695721 Enrollment ID: I20200124001872 |
| Provider Name | Angelica Carolina Estrella |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093352973 PECOS PAC ID: 8628404282 Enrollment ID: I20200130002416 |
| Provider Name | Alicia Buck |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578917605 PECOS PAC ID: 8921396086 Enrollment ID: I20200203000184 |
| Provider Name | Nicole Gazzola |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750936100 PECOS PAC ID: 1456787480 Enrollment ID: I20200210002726 |
| Provider Name | Suzette Johnson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538242664 PECOS PAC ID: 3072591023 Enrollment ID: I20200214001387 |
| Provider Name | Jessica Wood |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1699329912 PECOS PAC ID: 5496182255 Enrollment ID: I20200218000391 |
| Provider Name | John Truong Tran |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1659901049 PECOS PAC ID: 7113354606 Enrollment ID: I20200221002340 |
| Provider Name | Gretchen R Lochridge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962843508 PECOS PAC ID: 1355778804 Enrollment ID: I20200224001875 |
| Provider Name | Daritza Herrera |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1184109282 PECOS PAC ID: 9032546387 Enrollment ID: I20200226000269 |
| Provider Name | Erica Lynn Iketani |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1003454786 PECOS PAC ID: 5799112058 Enrollment ID: I20200226000579 |
| Provider Name | Sotiris George Mitropanopoulos |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1164780748 PECOS PAC ID: 1557654951 Enrollment ID: I20200226001929 |
| Provider Name | Nikki Circelli |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386285195 PECOS PAC ID: 8224465406 Enrollment ID: I20200228000074 |
| Provider Name | Anita Gohel |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1841563947 PECOS PAC ID: 0143504878 Enrollment ID: I20200302001807 |
| Provider Name | Patrick Han |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1043203706 PECOS PAC ID: 2365418654 Enrollment ID: I20200303001254 |
| Provider Name | Sachi Mehta |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1134618093 PECOS PAC ID: 0749618668 Enrollment ID: I20200306001709 |
| Provider Name | Jessica Whitney Burnette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306103288 PECOS PAC ID: 1557799426 Enrollment ID: I20200309001126 |
| Provider Name | Matthew Ryan Meroney |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1730573171 PECOS PAC ID: 8628378049 Enrollment ID: I20200311001813 |
| Provider Name | Ryan Jeffrey Balbacal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922646975 PECOS PAC ID: 9830527589 Enrollment ID: I20200312000816 |
| Provider Name | Krystin C Granger |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1568779072 PECOS PAC ID: 2668616863 Enrollment ID: I20200313000991 |
| Provider Name | David Matthew Saulino |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1720474182 PECOS PAC ID: 3072941681 Enrollment ID: I20200313001513 |
| Provider Name | Rosalynn Solomon |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1639709025 PECOS PAC ID: 4789012253 Enrollment ID: I20200316001465 |
| Provider Name | Joseph P Hines |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699305243 PECOS PAC ID: 6608204102 Enrollment ID: I20200317000024 |
| Provider Name | Shawn Mcnichol |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1487207213 PECOS PAC ID: 6507294022 Enrollment ID: I20200317000528 |
| Provider Name | Mazen Al-mansour |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1316146756 PECOS PAC ID: 0941466742 Enrollment ID: I20200319000438 |
| Provider Name | Jeannetta Brooks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457892226 PECOS PAC ID: 0345517611 Enrollment ID: I20200319000932 |
| Provider Name | Austin Robert Traver |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1194371005 PECOS PAC ID: 8022446376 Enrollment ID: I20200319001617 |
| Provider Name | Arrie Lyn Selva |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1851956478 PECOS PAC ID: 5092143313 Enrollment ID: I20200320001472 |
| Provider Name | Andrew P Gonzalez |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1255964193 PECOS PAC ID: 7810325941 Enrollment ID: I20200323003294 |
| Provider Name | Heather Lynn Warner |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1033744032 PECOS PAC ID: 6800224965 Enrollment ID: I20200324001077 |
| Provider Name | Naomi Mostkoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366078016 PECOS PAC ID: 7618305640 Enrollment ID: I20200325000843 |
| Provider Name | Alonso Avendano |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1043243298 PECOS PAC ID: 2466532775 Enrollment ID: I20200325003671 |
| Provider Name | Zeina Al-mansour |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1265670822 PECOS PAC ID: 8022311141 Enrollment ID: I20200326003661 |
| Provider Name | Lucadet Raphael Vedrine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174166102 PECOS PAC ID: 1153750120 Enrollment ID: I20200326003720 |
| Provider Name | Megan Labuz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063826972 PECOS PAC ID: 4183849391 Enrollment ID: I20200327001040 |
| Provider Name | Keisha Thornton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972988764 PECOS PAC ID: 5698104503 Enrollment ID: I20200327002521 |
| Provider Name | Amy Lynn Crews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720613904 PECOS PAC ID: 1951730829 Enrollment ID: I20200330000943 |
| Provider Name | Sarah Cooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306471537 PECOS PAC ID: 2365871159 Enrollment ID: I20200330002393 |
| Provider Name | Kellen Osmond |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922640549 PECOS PAC ID: 0547699233 Enrollment ID: I20200331003618 |
| Provider Name | Rachel Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730714791 PECOS PAC ID: 9436588985 Enrollment ID: I20200403000661 |
| Provider Name | Tony Wen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114089372 PECOS PAC ID: 7214909647 Enrollment ID: I20200407000210 |
| Provider Name | Jessica Ortiz-colon |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1407281306 PECOS PAC ID: 6507095189 Enrollment ID: I20200407002183 |
| Provider Name | Amy Wiley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1538652581 PECOS PAC ID: 9537404181 Enrollment ID: I20200409001291 |
| Provider Name | Bethanie J Villanueva |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1508408063 PECOS PAC ID: 4688003866 Enrollment ID: I20200409001628 |
| Provider Name | Sarah a Galloway |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1083991350 PECOS PAC ID: 5193154268 Enrollment ID: I20200413000202 |
| Provider Name | Juan C La Rosa Pedroso |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1700168176 PECOS PAC ID: 5395026140 Enrollment ID: I20200416003965 |
| Provider Name | Kristina Panagiotopoulos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902451610 PECOS PAC ID: 0042640906 Enrollment ID: I20200417001031 |
| Provider Name | Shelley Marie Beldock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730716143 PECOS PAC ID: 8325478142 Enrollment ID: I20200420000660 |
| Provider Name | Allison M Ceccardi |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811486210 PECOS PAC ID: 8921438573 Enrollment ID: I20200422000683 |
| Provider Name | Gary Lewis Jones |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1912993940 PECOS PAC ID: 3173685112 Enrollment ID: I20200424001425 |
| Provider Name | Soleil S Schutte |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1942664271 PECOS PAC ID: 8820385958 Enrollment ID: I20200505001527 |
| Provider Name | Michael Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831742691 PECOS PAC ID: 2365873411 Enrollment ID: I20200506000435 |
| Provider Name | Kathryn Starr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215585104 PECOS PAC ID: 1951732015 Enrollment ID: I20200506000676 |
| Provider Name | Rebecca Ann Barnett |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1780627091 PECOS PAC ID: 3274668876 Enrollment ID: I20200507001921 |
| Provider Name | Casey Carr |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1417342007 PECOS PAC ID: 4082925789 Enrollment ID: I20200507003101 |
| Provider Name | Jessica a Hartwell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588290969 PECOS PAC ID: 1355772310 Enrollment ID: I20200507003246 |
| Provider Name | Pavneet Kaur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437674561 PECOS PAC ID: 8325305147 Enrollment ID: I20200508000485 |
| Provider Name | Elham Nasri |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1649658626 PECOS PAC ID: 3577876028 Enrollment ID: I20200508001803 |
| Provider Name | Lacey Ashton Coleman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245863844 PECOS PAC ID: 7911338827 Enrollment ID: I20200508002527 |
| Provider Name | Malik Dawoud |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720361835 PECOS PAC ID: 5597071969 Enrollment ID: I20200513000876 |
| Provider Name | Robert Smith |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760829147 PECOS PAC ID: 9335377449 Enrollment ID: I20200515000790 |
| Provider Name | Kathryn Mary Mcfadden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922628445 PECOS PAC ID: 4688005192 Enrollment ID: I20200518002185 |
| Provider Name | Kristin G Allison |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336468842 PECOS PAC ID: 3779614789 Enrollment ID: I20200518002680 |
| Provider Name | James Wirt Burnett |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1710349493 PECOS PAC ID: 9931530375 Enrollment ID: I20200519000998 |
| Provider Name | Christina L Albro |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1285255158 PECOS PAC ID: 8426479718 Enrollment ID: I20200521001482 |
| Provider Name | Dianne Melanie Fontanez Nieves |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1629402284 PECOS PAC ID: 3375820897 Enrollment ID: I20200522002027 |
| Provider Name | Fatima Noorulla |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407207889 PECOS PAC ID: 9032530225 Enrollment ID: I20200526000687 |
| Provider Name | Mohammed Ruzieh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1215344122 PECOS PAC ID: 2062716053 Enrollment ID: I20200526000693 |
| Provider Name | Kimberly Nicole Keller |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1346879327 PECOS PAC ID: 5799106936 Enrollment ID: I20200527000014 |
| Provider Name | Andrea Lindsey Mccollum |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1679193825 PECOS PAC ID: 9133540958 Enrollment ID: I20200603002613 |
| Provider Name | Austin C Reed |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447783436 PECOS PAC ID: 0345513685 Enrollment ID: I20200604002319 |
| Provider Name | Whitney Necole Mcneely |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255961017 PECOS PAC ID: 4082035688 Enrollment ID: I20200608001967 |
| Provider Name | Shiyi Pang |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1679005961 PECOS PAC ID: 8224300389 Enrollment ID: I20200609000249 |
| Provider Name | Gabriel Bonnell |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1407261373 PECOS PAC ID: 4587988506 Enrollment ID: I20200610002153 |
| Provider Name | Lauren Hughes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275154452 PECOS PAC ID: 1456772847 Enrollment ID: I20200611001568 |
| Provider Name | Jeremy M Archer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093847360 PECOS PAC ID: 0143379552 Enrollment ID: I20200612001223 |
| Provider Name | Victoria Claire James |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1760862312 PECOS PAC ID: 4880907971 Enrollment ID: I20200615001613 |
| Provider Name | Sneh a Xavier |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598128969 PECOS PAC ID: 0345537478 Enrollment ID: I20200615002372 |
| Provider Name | Dustin Conrad |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1427682368 PECOS PAC ID: 6800218173 Enrollment ID: I20200616001419 |
| Provider Name | Patrick Millan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1255795894 PECOS PAC ID: 4385938018 Enrollment ID: I20200618000322 |
| Provider Name | Diego Esteban Vanegas Acosta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023549672 PECOS PAC ID: 0143642231 Enrollment ID: I20200618000797 |
| Provider Name | Kaitlin L Karch |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1740817543 PECOS PAC ID: 0143642249 Enrollment ID: I20200618001395 |
| Provider Name | Elmer Riley |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1952749756 PECOS PAC ID: 1557667441 Enrollment ID: I20200622001202 |
| Provider Name | Pouya Alexander Ameli |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760801815 PECOS PAC ID: 9234421884 Enrollment ID: I20200624003273 |
| Provider Name | Cristoniel Santos Abrenica |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679982680 PECOS PAC ID: 3476975145 Enrollment ID: I20200625001639 |
| Provider Name | Michael Tan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1457975997 PECOS PAC ID: 4082036751 Enrollment ID: I20200625001789 |
| Provider Name | Ashley Rawls |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1477968451 PECOS PAC ID: 0345564860 Enrollment ID: I20200630001184 |
| Provider Name | Marcella Rodriguez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720438120 PECOS PAC ID: 3274826474 Enrollment ID: I20200701002006 |
| Provider Name | Jonathan Owen Wright |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1174902704 PECOS PAC ID: 8527379031 Enrollment ID: I20200701002409 |
| Provider Name | Brittany K Rogers |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1770903718 PECOS PAC ID: 1153548912 Enrollment ID: I20200702001877 |
| Provider Name | Mohammad Ahmad Zaki Al-ani |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1962842591 PECOS PAC ID: 2567698780 Enrollment ID: I20200706002192 |
| Provider Name | Laura L Magnelli |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801281605 PECOS PAC ID: 2567756653 Enrollment ID: I20200707000892 |
| Provider Name | Matthew Alan Decker |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1154761534 PECOS PAC ID: 1153558143 Enrollment ID: I20200707002507 |
| Provider Name | Hechu Li Prasada |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194188557 PECOS PAC ID: 8820384597 Enrollment ID: I20200709000647 |
| Provider Name | Ahmer Siddiqui |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295142180 PECOS PAC ID: 6800160888 Enrollment ID: I20200709000890 |
| Provider Name | Marcos Ramiro Lamas |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1154618700 PECOS PAC ID: 9133440704 Enrollment ID: I20200709001656 |
| Provider Name | Dhaval Naik |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1992124549 PECOS PAC ID: 5597986786 Enrollment ID: I20200709003094 |
| Provider Name | Juan David Vargas |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1083235683 PECOS PAC ID: 5294158127 Enrollment ID: I20200709003323 |
| Provider Name | Pratik Patel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396164513 PECOS PAC ID: 5597079376 Enrollment ID: I20200710002642 |
| Provider Name | Adam Austin |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1629496658 PECOS PAC ID: 4688097496 Enrollment ID: I20200713002789 |
| Provider Name | Parisa Zarreii |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1437511227 PECOS PAC ID: 9638463375 Enrollment ID: I20200714002683 |
| Provider Name | Kimberly Michelle Beavers |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871975474 PECOS PAC ID: 3971935412 Enrollment ID: I20200715001102 |
| Provider Name | Matthew Burns |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831509041 PECOS PAC ID: 4284938846 Enrollment ID: I20200716001527 |
| Provider Name | Andrea Macias |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1760836829 PECOS PAC ID: 8426472929 Enrollment ID: I20200716002372 |
| Provider Name | Brittany Arami |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558860296 PECOS PAC ID: 2466876925 Enrollment ID: I20200717000152 |
| Provider Name | Marco Elegante |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548619695 PECOS PAC ID: 9133410608 Enrollment ID: I20200717000885 |
| Provider Name | Kathleen Rose Green |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1225667330 PECOS PAC ID: 0446674832 Enrollment ID: I20200717001560 |
| Provider Name | Sherise Rogers |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1114346988 PECOS PAC ID: 4082976709 Enrollment ID: I20200717002345 |
| Provider Name | Jessica Lynn Dalton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972034437 PECOS PAC ID: 9335412667 Enrollment ID: I20200717002925 |
| Provider Name | Kenneth H Morse |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790736874 PECOS PAC ID: 1052735354 Enrollment ID: I20200720003239 |
| Provider Name | Bethany J Johnston |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659804912 PECOS PAC ID: 5193099117 Enrollment ID: I20200721000098 |
| Provider Name | Jordan Brewer |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1437507613 PECOS PAC ID: 7012295934 Enrollment ID: I20200721000589 |
| Provider Name | Catalina Sanchez Alvarez |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1619350519 PECOS PAC ID: 7517245368 Enrollment ID: I20200721000997 |
| Provider Name | Jason F Miles |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1194179630 PECOS PAC ID: 9133414857 Enrollment ID: I20200721001626 |
| Provider Name | Yu Yang |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1750777884 PECOS PAC ID: 9830408145 Enrollment ID: I20200722001597 |
| Provider Name | Da Y. Lee |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1255967451 PECOS PAC ID: 0648694638 Enrollment ID: I20200723001357 |
| Provider Name | Tierra Smith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063942928 PECOS PAC ID: 8123390689 Enrollment ID: I20200723002038 |
| Provider Name | Shannon Michaela Cohen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1528683760 PECOS PAC ID: 7012331978 Enrollment ID: I20200724000177 |
| Provider Name | Nathan Ordway |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1861021123 PECOS PAC ID: 9931523818 Enrollment ID: I20200724000881 |
| Provider Name | Candace Worsham |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1821451253 PECOS PAC ID: 0345535746 Enrollment ID: I20200724001909 |
| Provider Name | Stacy White |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053750323 PECOS PAC ID: 6507110087 Enrollment ID: I20200727000985 |
| Provider Name | Dianne Jemelle Roxborough |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205174257 PECOS PAC ID: 4082850144 Enrollment ID: I20200727001003 |
| Provider Name | Summer Moon Franks |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1427678846 PECOS PAC ID: 4587088356 Enrollment ID: I20200727001834 |
| Provider Name | Preeti Manavalan |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1316262637 PECOS PAC ID: 0042454001 Enrollment ID: I20200728000236 |
| Provider Name | Jennifer Hunt |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1063470441 PECOS PAC ID: 9436166915 Enrollment ID: I20200728001496 |
| Provider Name | Elizabeth Chandler Smith |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1346863289 PECOS PAC ID: 0042635757 Enrollment ID: I20200728003954 |
| Provider Name | Faread Jamalifard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730619016 PECOS PAC ID: 9931478880 Enrollment ID: I20200729000419 |
| Provider Name | Jason P Joseph |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1710366158 PECOS PAC ID: 1052632098 Enrollment ID: I20200729001672 |
| Provider Name | Alexandra Christina Clayton |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386268431 PECOS PAC ID: 6002231636 Enrollment ID: I20200730000279 |
| Provider Name | Jessica Mcquerry |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1336583194 PECOS PAC ID: 6507184835 Enrollment ID: I20200730000509 |
| Provider Name | Jessica Marie Schramm |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1801410840 PECOS PAC ID: 2860817327 Enrollment ID: I20200731001151 |
| Provider Name | Janaki Samaraweera |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073960514 PECOS PAC ID: 6608291000 Enrollment ID: I20200803000133 |
| Provider Name | Sherine Abdalla |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1366862997 PECOS PAC ID: 6507281805 Enrollment ID: I20200804001255 |
| Provider Name | Zain Shahid |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1194167296 PECOS PAC ID: 9537301700 Enrollment ID: I20200804003671 |
| Provider Name | Laura Wilson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366861908 PECOS PAC ID: 4981976875 Enrollment ID: I20200805001434 |
| Provider Name | Brenda Krygowski |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1154516888 PECOS PAC ID: 2567551450 Enrollment ID: I20200807000625 |
| Provider Name | Carol M Mathew |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1104265438 PECOS PAC ID: 7113159427 Enrollment ID: I20200807001098 |
| Provider Name | Tyler John Loftus |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1487915526 PECOS PAC ID: 3577706225 Enrollment ID: I20200810000486 |
| Provider Name | Katherine Marie Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588299770 PECOS PAC ID: 1153747993 Enrollment ID: I20200811003299 |
| Provider Name | Eric DK Brooks |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1447645577 PECOS PAC ID: 4880010578 Enrollment ID: I20200812000787 |
| Provider Name | Bryce Buchowicz |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1699155663 PECOS PAC ID: 4486966553 Enrollment ID: I20200812002951 |
| Provider Name | Nohra El Chalouhi |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1306189527 PECOS PAC ID: 0941423735 Enrollment ID: I20200812002961 |
| Provider Name | Jessica Elizabeth Taylor |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1790046704 PECOS PAC ID: 2567684459 Enrollment ID: I20200813002139 |
| Provider Name | Kirsten Freeman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1295977577 PECOS PAC ID: 8123269271 Enrollment ID: I20200813002217 |
| Provider Name | Lauren Moehle |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1861906596 PECOS PAC ID: 6103172820 Enrollment ID: I20200814000653 |
| Provider Name | Sara Kristen Greene |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417570912 PECOS PAC ID: 3476979923 Enrollment ID: I20200814001795 |
| Provider Name | Marina Follick |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1174153654 PECOS PAC ID: 6002232345 Enrollment ID: I20200817002812 |
| Provider Name | Andrea Marie Munden |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1912253535 PECOS PAC ID: 4486947652 Enrollment ID: I20200818003755 |
| Provider Name | Patrick Delage |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1659996361 PECOS PAC ID: 7416373600 Enrollment ID: I20200819000221 |
| Provider Name | Benmichael Idowu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679914493 PECOS PAC ID: 4385935139 Enrollment ID: I20200819001277 |
| Provider Name | Hamad a Alharbi |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1013251065 PECOS PAC ID: 4981020997 Enrollment ID: I20200820000806 |
| Provider Name | Pablo D Pizarro |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1831159375 PECOS PAC ID: 0345488813 Enrollment ID: I20200820001919 |
| Provider Name | Russell Terry |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1700225380 PECOS PAC ID: 2961645536 Enrollment ID: I20200825001366 |
| Provider Name | Amy C Flint |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1720336712 PECOS PAC ID: 9638314693 Enrollment ID: I20200825002200 |
| Provider Name | Susan Lo |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902420037 PECOS PAC ID: 2163849985 Enrollment ID: I20200825002502 |
| Provider Name | Aqsa Nasir |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1952703290 PECOS PAC ID: 6204130271 Enrollment ID: I20200826002541 |
| Provider Name | David Blevins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306479324 PECOS PAC ID: 2264859735 Enrollment ID: I20200828001001 |
| Provider Name | Kathleen Jenkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225640063 PECOS PAC ID: 7719304252 Enrollment ID: I20200831000426 |
| Provider Name | Yarlenis Miranda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104437789 PECOS PAC ID: 3375960768 Enrollment ID: I20200831002330 |
| Provider Name | Amber M Harp |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1427674795 PECOS PAC ID: 9133546468 Enrollment ID: I20200901000531 |
| Provider Name | Isaac Luria |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1780048900 PECOS PAC ID: 7416245246 Enrollment ID: I20200902000793 |
| Provider Name | Lindsay Bouchard |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1326660176 PECOS PAC ID: 5193142149 Enrollment ID: I20200904001346 |
| Provider Name | Paul C Logas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326099300 PECOS PAC ID: 7618394693 Enrollment ID: I20200908000490 |
| Provider Name | Noah Harrison Prince |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1750721585 PECOS PAC ID: 5799929725 Enrollment ID: I20200908001997 |
| Provider Name | Angelina Carmina Maneval |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1124447461 PECOS PAC ID: 6800013756 Enrollment ID: I20200909000505 |
| Provider Name | Shaunak Mulani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407387269 PECOS PAC ID: 0446524300 Enrollment ID: I20200909002161 |
| Provider Name | David Michael Mecka |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1215556634 PECOS PAC ID: 1951729797 Enrollment ID: I20200910003318 |
| Provider Name | Anupriya Singh |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1952925653 PECOS PAC ID: 8224456918 Enrollment ID: I20200911002016 |
| Provider Name | Morgan Mccormick |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1093327942 PECOS PAC ID: 8426476003 Enrollment ID: I20200914002044 |
| Provider Name | Dustin Burnham |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1346790011 PECOS PAC ID: 2062790587 Enrollment ID: I20200917000470 |
| Provider Name | Ashleigh Meghan Warman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1255690111 PECOS PAC ID: 9436312683 Enrollment ID: I20200917000783 |
| Provider Name | Clinton Thomas Zopf |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1992329726 PECOS PAC ID: 8224456645 Enrollment ID: I20200917001150 |
| Provider Name | David T Kimball |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053798082 PECOS PAC ID: 1254646250 Enrollment ID: I20200918002365 |
| Provider Name | Charles Kim |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1568516466 PECOS PAC ID: 4284722174 Enrollment ID: I20200922000673 |
| Provider Name | Sarah Andrews |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124432596 PECOS PAC ID: 5294089348 Enrollment ID: I20200922002535 |
| Provider Name | George Pappas |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1467062943 PECOS PAC ID: 7315365491 Enrollment ID: I20200922002615 |
| Provider Name | Michael Terence Talerico |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1427318070 PECOS PAC ID: 7719283027 Enrollment ID: I20200923001186 |
| Provider Name | Wendy Sayavongsone |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467012989 PECOS PAC ID: 8628497674 Enrollment ID: I20200924003167 |
| Provider Name | Alejandro Alonso |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386179927 PECOS PAC ID: 7810316510 Enrollment ID: I20200930000312 |
| Provider Name | Nicolas David Olivier Segal |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902338155 PECOS PAC ID: 4880965409 Enrollment ID: I20201001001594 |
| Provider Name | Shakera Alison Mangaroo |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1811502610 PECOS PAC ID: 7911326426 Enrollment ID: I20201002001105 |
| Provider Name | Navin Bajaj |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1558539924 PECOS PAC ID: 8022292846 Enrollment ID: I20201008001671 |
| Provider Name | Annalise M Deboef |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053926501 PECOS PAC ID: 4082034251 Enrollment ID: I20201009001579 |
| Provider Name | John Bruno |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1376063537 PECOS PAC ID: 8729408828 Enrollment ID: I20201012000257 |
| Provider Name | Shelby Nicole Gomez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407400559 PECOS PAC ID: 3173943271 Enrollment ID: I20201012000322 |
| Provider Name | Jens B Flock |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1457779803 PECOS PAC ID: 7416173471 Enrollment ID: I20201012002339 |
| Provider Name | Anderson Yeh |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1124642970 PECOS PAC ID: 6204256225 Enrollment ID: I20201013002368 |
| Provider Name | Nada Radwan |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1649884495 PECOS PAC ID: 5193145142 Enrollment ID: I20201014000246 |
| Provider Name | Ellese M Zalewski |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1659983765 PECOS PAC ID: 9133549199 Enrollment ID: I20201014000551 |
| Provider Name | Rutvi Vijay Vyas |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1487252573 PECOS PAC ID: 7911327747 Enrollment ID: I20201016002279 |
| Provider Name | Colleen Gutman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598007528 PECOS PAC ID: 0941520217 Enrollment ID: I20201020002872 |
| Provider Name | Amber Bart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053919985 PECOS PAC ID: 2365862802 Enrollment ID: I20201021002310 |
| Provider Name | Amir Jafari |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1023464484 PECOS PAC ID: 8022438472 Enrollment ID: I20201023000850 |
| Provider Name | Emily Toruno |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1669071080 PECOS PAC ID: 2264842467 Enrollment ID: I20201028003167 |
| Provider Name | Lauren M Yarholar |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1588000335 PECOS PAC ID: 8820390263 Enrollment ID: I20201030000213 |
| Provider Name | Jay Robert Jett |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1760007272 PECOS PAC ID: 8527478502 Enrollment ID: I20201103000170 |
| Provider Name | Kelli O'shaughnessy |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1962000950 PECOS PAC ID: 0345650271 Enrollment ID: I20201105000136 |
| Provider Name | Pedro Gabriel Mascaro |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1851786461 PECOS PAC ID: 9032538046 Enrollment ID: I20201112001029 |
| Provider Name | Katie Veron Taylor |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1235525643 PECOS PAC ID: 2860798014 Enrollment ID: I20201112002285 |
| Provider Name | Alexandra L Sadler |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588213490 PECOS PAC ID: 1557790243 Enrollment ID: I20201116000062 |
| Provider Name | Morgan Elizabeth Gilbert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104427251 PECOS PAC ID: 2163833500 Enrollment ID: I20201116002566 |
| Provider Name | Kristin Renee Lapham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598365306 PECOS PAC ID: 9537570361 Enrollment ID: I20201130000163 |
| Provider Name | Megan Ehlinger Boothe |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1497132658 PECOS PAC ID: 0042531550 Enrollment ID: I20201203000719 |
| Provider Name | Mar'tina Wimberly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386177053 PECOS PAC ID: 6305117151 Enrollment ID: I20201203000906 |
| Provider Name | Ming Jim Yang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821359589 PECOS PAC ID: 3072749498 Enrollment ID: I20201203002982 |
| Provider Name | Kelsey Morgan Kimball |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1164024253 PECOS PAC ID: 7214348754 Enrollment ID: I20201204001197 |
| Provider Name | Margery a Manuli |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720277353 PECOS PAC ID: 0941241046 Enrollment ID: I20201207000970 |
| Provider Name | Rachel Emily Cox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164022026 PECOS PAC ID: 0941612444 Enrollment ID: I20201207001251 |
| Provider Name | Donna Berezowski |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1558926394 PECOS PAC ID: 4385056860 Enrollment ID: I20201208001735 |
| Provider Name | Henrique Vale |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1497986673 PECOS PAC ID: 7719200898 Enrollment ID: I20201215000595 |
| Provider Name | Nicholas Scott Duarte |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1346847944 PECOS PAC ID: 9739591785 Enrollment ID: I20201215002895 |
| Provider Name | Jennifer Powell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982200200 PECOS PAC ID: 2264844042 Enrollment ID: I20201221000438 |
| Provider Name | Janette Lynn Brenneman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669084034 PECOS PAC ID: 4587077136 Enrollment ID: I20201229000477 |
| Provider Name | Jonathan W Byrnes |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457550923 PECOS PAC ID: 9234360769 Enrollment ID: I20210106000805 |
| Provider Name | Alexandrea G Rekas |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1982167326 PECOS PAC ID: 8628481975 Enrollment ID: I20210106002213 |
| Provider Name | Cyra Mae Malgapo Bunag |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1427667401 PECOS PAC ID: 1557774700 Enrollment ID: I20210106002683 |
| Provider Name | Kristin Pennington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871199901 PECOS PAC ID: 9335552389 Enrollment ID: I20210112000425 |
| Provider Name | Sommer Holloway |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922414242 PECOS PAC ID: 3678794682 Enrollment ID: I20210126002912 |
| Provider Name | Felicia Kavalec |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1992310585 PECOS PAC ID: 0446664577 Enrollment ID: I20210201000029 |
| Provider Name | Michelle Smith |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1720694326 PECOS PAC ID: 5597179358 Enrollment ID: I20210208000083 |
| Provider Name | Nicolai Sebastian Goettel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1437785524 PECOS PAC ID: 8729493531 Enrollment ID: I20210208002728 |
| Provider Name | Floyd Flemming |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1902498934 PECOS PAC ID: 9335554831 Enrollment ID: I20210216000411 |
| Provider Name | Hazel Lyann Lluberas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881286938 PECOS PAC ID: 4880009265 Enrollment ID: I20210217000589 |
| Provider Name | Trisa Westcott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942811500 PECOS PAC ID: 3870908254 Enrollment ID: I20210217000638 |
| Provider Name | Justin Thomas Chamberland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164019618 PECOS PAC ID: 6901211135 Enrollment ID: I20210219001501 |
| Provider Name | Stephanie Wordes |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1023320884 PECOS PAC ID: 7719265941 Enrollment ID: I20210223001492 |
| Provider Name | Talia R Mosher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821608712 PECOS PAC ID: 2062827033 Enrollment ID: I20210225001077 |
| Provider Name | Kensley Harmon Graves |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1205345253 PECOS PAC ID: 1052727799 Enrollment ID: I20210304001058 |
| Provider Name | Teresa D Russell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528658945 PECOS PAC ID: 1052727716 Enrollment ID: I20210304001892 |
| Provider Name | Yuhning Hu |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1457515314 PECOS PAC ID: 6507007564 Enrollment ID: I20210305001316 |
| Provider Name | Troy Burbank |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891389672 PECOS PAC ID: 8426464074 Enrollment ID: I20210308000519 |
| Provider Name | Jonathan V Korah |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1245830314 PECOS PAC ID: 4082020599 Enrollment ID: I20210309000286 |
| Provider Name | Terri Davis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932337698 PECOS PAC ID: 7911034046 Enrollment ID: I20210311000678 |
| Provider Name | Christopher Dylan Chambliss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801489497 PECOS PAC ID: 0547676629 Enrollment ID: I20210316000924 |
| Provider Name | Jeet J Mehta |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1558742411 PECOS PAC ID: 5193039238 Enrollment ID: I20210322001302 |
| Provider Name | Kelly E Comingore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821682840 PECOS PAC ID: 2163839747 Enrollment ID: I20210326000680 |
| Provider Name | Lija Mara Siltumens |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1730555442 PECOS PAC ID: 0648589184 Enrollment ID: I20210326000707 |
| Provider Name | Lynn Farrugia |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902126808 PECOS PAC ID: 6608019468 Enrollment ID: I20210401000877 |
| Provider Name | Lauren Schmidt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992183560 PECOS PAC ID: 2567774169 Enrollment ID: I20210408000989 |
| Provider Name | Jorge Alberto Fernandez |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1881071587 PECOS PAC ID: 1850709973 Enrollment ID: I20210409000329 |
| Provider Name | Shannon R Johns |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649760463 PECOS PAC ID: 8628324225 Enrollment ID: I20210412000431 |
| Provider Name | Benjamin D Zusman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669811311 PECOS PAC ID: 7214170356 Enrollment ID: I20210416000366 |
| Provider Name | Patricia Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942881396 PECOS PAC ID: 4385052901 Enrollment ID: I20210421000383 |
| Provider Name | Jose Gabriel Cabrera |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1366983538 PECOS PAC ID: 5496026619 Enrollment ID: I20210503000136 |
| Provider Name | Ramin Daneshvar |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1013597947 PECOS PAC ID: 8224447180 Enrollment ID: I20210505000258 |
| Provider Name | Kimberly M Johnson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598283251 PECOS PAC ID: 8820407760 Enrollment ID: I20210506000579 |
| Provider Name | Lauren Elise Tuck |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1528659281 PECOS PAC ID: 8527477298 Enrollment ID: I20210510001255 |
| Provider Name | Beulah Dinah Augustin |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1093291825 PECOS PAC ID: 9032528625 Enrollment ID: I20210512000259 |
| Provider Name | Julie L Holroyd |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1184165334 PECOS PAC ID: 0648541540 Enrollment ID: I20210512002285 |
| Provider Name | Sarah Lynn Chrabaszcz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326545815 PECOS PAC ID: 8820345507 Enrollment ID: I20210513001037 |
| Provider Name | Ian Tafel |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1205249596 PECOS PAC ID: 3577780618 Enrollment ID: I20210513001114 |
| Provider Name | Yazeed Fraij |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467835769 PECOS PAC ID: 2365865946 Enrollment ID: I20210513001977 |
| Provider Name | Kelcie Jacqueline Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639667520 PECOS PAC ID: 5294085262 Enrollment ID: I20210517002018 |
| Provider Name | Joshua Scott |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1265961783 PECOS PAC ID: 7214281203 Enrollment ID: I20210518000612 |
| Provider Name | Orrin Louis Dayton |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1457611873 PECOS PAC ID: 6002042744 Enrollment ID: I20210524000566 |
| Provider Name | John W Combs |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518498682 PECOS PAC ID: 0446677256 Enrollment ID: I20210524001400 |
| Provider Name | Lauren Nicole Blixt |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1710590138 PECOS PAC ID: 1456750470 Enrollment ID: I20210525001188 |
| Provider Name | Matthew Koch |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1366889529 PECOS PAC ID: 8426285198 Enrollment ID: I20210525001411 |
| Provider Name | Jeremy Dale Mcneely |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043848781 PECOS PAC ID: 5092114025 Enrollment ID: I20210525001644 |
| Provider Name | Joie Otto Cavazos |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912495045 PECOS PAC ID: 5092068759 Enrollment ID: I20210526000398 |
| Provider Name | Bruno Hochhegger |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528632122 PECOS PAC ID: 6204235138 Enrollment ID: I20210526002350 |
| Provider Name | Jeffrey David Johnson |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1942695416 PECOS PAC ID: 2961833967 Enrollment ID: I20210527001495 |
| Provider Name | Steven Williams |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1134768997 PECOS PAC ID: 8921407719 Enrollment ID: I20210527001548 |
| Provider Name | David Whisenant |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1184274862 PECOS PAC ID: 9931431343 Enrollment ID: I20210527002361 |
| Provider Name | Mustapha Bengara |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1356980197 PECOS PAC ID: 2163821836 Enrollment ID: I20210528002059 |
| Provider Name | Terrance Creighton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740786193 PECOS PAC ID: 3476808288 Enrollment ID: I20210601000656 |
| Provider Name | Torge Rempe |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1639521545 PECOS PAC ID: 9537432802 Enrollment ID: I20210601001433 |
| Provider Name | Marc Schecter |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811925167 PECOS PAC ID: 7618931916 Enrollment ID: I20210602000977 |
| Provider Name | Chanteil Deshon Ulatowski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386141620 PECOS PAC ID: 0648523159 Enrollment ID: I20210602000997 |
| Provider Name | Anastasia Jones |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1063946093 PECOS PAC ID: 0941573539 Enrollment ID: I20210603002408 |
| Provider Name | Edward Kenna De Leo |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1407350168 PECOS PAC ID: 8426301862 Enrollment ID: I20210603002442 |
| Provider Name | Tyler Culpepper |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629573506 PECOS PAC ID: 3678826088 Enrollment ID: I20210603002850 |
| Provider Name | Ernesto Martinez Duarte |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1043604259 PECOS PAC ID: 3779810429 Enrollment ID: I20210604000269 |
| Provider Name | Andrew Michael Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518462720 PECOS PAC ID: 5496009649 Enrollment ID: I20210604000678 |
| Provider Name | Rachael Hager |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851895494 PECOS PAC ID: 5193075000 Enrollment ID: I20210604000700 |
| Provider Name | Samantha Briggs Gilchrist Rios |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1346879558 PECOS PAC ID: 6305245754 Enrollment ID: I20210604001157 |
| Provider Name | Clint J Santiago |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1255970992 PECOS PAC ID: 9234538695 Enrollment ID: I20210604001910 |
| Provider Name | Jay Cook |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1790913622 PECOS PAC ID: 7315265071 Enrollment ID: I20210607001131 |
| Provider Name | Tyler Larae Jordan-black |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811571342 PECOS PAC ID: 2567862972 Enrollment ID: I20210607001398 |
| Provider Name | Steven Freeland |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1992236335 PECOS PAC ID: 5193097947 Enrollment ID: I20210607002490 |
| Provider Name | Vadim Katsenovich |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1750812566 PECOS PAC ID: 6507139847 Enrollment ID: I20210607002927 |
| Provider Name | Andrew J Hayden |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1790171130 PECOS PAC ID: 9537408364 Enrollment ID: I20210608000225 |
| Provider Name | Janelis Gonzalez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255835229 PECOS PAC ID: 7416208855 Enrollment ID: I20210608000648 |
| Provider Name | Brianna Wynne |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1124559455 PECOS PAC ID: 1658610977 Enrollment ID: I20210610000269 |
| Provider Name | Joseph Pompa |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396242624 PECOS PAC ID: 4082963293 Enrollment ID: I20210610000472 |
| Provider Name | Larry C Fuller |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912360421 PECOS PAC ID: 4284990698 Enrollment ID: I20210610000694 |
| Provider Name | Angela Hankins |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1164986675 PECOS PAC ID: 3072854280 Enrollment ID: I20210610001409 |
| Provider Name | April J Pinto |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588153563 PECOS PAC ID: 3779832811 Enrollment ID: I20210610001633 |
| Provider Name | Ashraf M El-hinnawi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1841577087 PECOS PAC ID: 4981831872 Enrollment ID: I20210610001781 |
| Provider Name | Wesley Swanson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487151080 PECOS PAC ID: 8224438338 Enrollment ID: I20210610003541 |
| Provider Name | Shivaani Rajnee Mahabir |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306214564 PECOS PAC ID: 7618377680 Enrollment ID: I20210611002493 |
| Provider Name | Juan B Toledo Atucha |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1083076228 PECOS PAC ID: 4486054483 Enrollment ID: I20210614000628 |
| Provider Name | Amita Singh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1952762874 PECOS PAC ID: 9032400650 Enrollment ID: I20210615000071 |
| Provider Name | Kevin J Campbell |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1427437318 PECOS PAC ID: 5597078261 Enrollment ID: I20210617002238 |
| Provider Name | Aaron Franke |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1730568403 PECOS PAC ID: 2668788464 Enrollment ID: I20210621000247 |
| Provider Name | Parker L Merritt |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265881031 PECOS PAC ID: 4880960681 Enrollment ID: I20210621001021 |
| Provider Name | Stephanie Cabrera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265936983 PECOS PAC ID: 0446651947 Enrollment ID: I20210622000465 |
| Provider Name | Shauna Schwartz |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1518498666 PECOS PAC ID: 9234402660 Enrollment ID: I20210622001338 |
| Provider Name | Brittany Sorensen Bruggeman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659768919 PECOS PAC ID: 5092021238 Enrollment ID: I20210623000583 |
| Provider Name | Clifford Dean Deerman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1710411152 PECOS PAC ID: 3375809445 Enrollment ID: I20210623002254 |
| Provider Name | Ramesh Srinivasan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1790902104 PECOS PAC ID: 9931358488 Enrollment ID: I20210623002787 |
| Provider Name | Nikhil Makhija |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1932630829 PECOS PAC ID: 2860743721 Enrollment ID: I20210623003382 |
| Provider Name | Ericka J Olgaard |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1679719017 PECOS PAC ID: 7416199161 Enrollment ID: I20210623003463 |
| Provider Name | Venkata Subhash Gorrepati |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1154633675 PECOS PAC ID: 7012144025 Enrollment ID: I20210623003736 |
| Provider Name | Saminder Singh Kalra |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1558746404 PECOS PAC ID: 9931418720 Enrollment ID: I20210624001321 |
| Provider Name | Abhishek Khatri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366974503 PECOS PAC ID: 0042582165 Enrollment ID: I20210624001659 |
| Provider Name | Yvette Nicole Kubica |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730757113 PECOS PAC ID: 0749681922 Enrollment ID: I20210624003663 |
| Provider Name | Joshua K Wong |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1083092837 PECOS PAC ID: 2264748805 Enrollment ID: I20210629001142 |
| Provider Name | Naveen Prasath Baskaran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841786670 PECOS PAC ID: 1557614328 Enrollment ID: I20210629001210 |
| Provider Name | Maximo Marin |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1629417886 PECOS PAC ID: 6204139140 Enrollment ID: I20210629001674 |
| Provider Name | Tracy Tholanikunnel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1033572870 PECOS PAC ID: 5496091787 Enrollment ID: I20210629002527 |
| Provider Name | Patrice Jovita Santiago Vigilia-abrenica |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356726350 PECOS PAC ID: 8729338116 Enrollment ID: I20210629002537 |
| Provider Name | Takahiro Soda |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316358237 PECOS PAC ID: 9436374063 Enrollment ID: I20210630000197 |
| Provider Name | Jihane Naous |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831525948 PECOS PAC ID: 3173924958 Enrollment ID: I20210630002978 |
| Provider Name | Alexander a Daoud |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1841653730 PECOS PAC ID: 1557692266 Enrollment ID: I20210630003805 |
| Provider Name | Rochelle Hardie |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1891104071 PECOS PAC ID: 4688075393 Enrollment ID: I20210701000140 |
| Provider Name | Juan David Sarmiento |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841770856 PECOS PAC ID: 4082958723 Enrollment ID: I20210701000794 |
| Provider Name | Sami Saikaly |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1831620004 PECOS PAC ID: 4183995152 Enrollment ID: I20210706000131 |
| Provider Name | Jennifer Leuzinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265919013 PECOS PAC ID: 6901208545 Enrollment ID: I20210706001455 |
| Provider Name | Lara T Dakhoul |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1144663147 PECOS PAC ID: 1456661545 Enrollment ID: I20210706003331 |
| Provider Name | Namratha Kodali |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1326489295 PECOS PAC ID: 5597997692 Enrollment ID: I20210707000778 |
| Provider Name | Georgios Vrakas |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1689217234 PECOS PAC ID: 0143655167 Enrollment ID: I20210707003210 |
| Provider Name | Oluwadamilola Oladeru |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1841649621 PECOS PAC ID: 9537431853 Enrollment ID: I20210708000301 |
| Provider Name | Hien T Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669042537 PECOS PAC ID: 5092117366 Enrollment ID: I20210708002149 |
| Provider Name | Stacy Odowd |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700853082 PECOS PAC ID: 9830177435 Enrollment ID: I20210708003090 |
| Provider Name | Ali Khawaja |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1629450531 PECOS PAC ID: 7113220260 Enrollment ID: I20210712001667 |
| Provider Name | Eduardo Paulino Milla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235634247 PECOS PAC ID: 9739425125 Enrollment ID: I20210712001719 |
| Provider Name | Erin Dean |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1376962449 PECOS PAC ID: 5698177715 Enrollment ID: I20210713000714 |
| Provider Name | Ibrahim Nassour |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1699041517 PECOS PAC ID: 8022266428 Enrollment ID: I20210713000854 |
| Provider Name | Sarina Faye Epstein |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1295223329 PECOS PAC ID: 6103228184 Enrollment ID: I20210713003678 |
| Provider Name | Sarah Ann Warren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659952372 PECOS PAC ID: 4082016910 Enrollment ID: I20210714001605 |
| Provider Name | Lauren Smajdor |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1538690045 PECOS PAC ID: 9133492531 Enrollment ID: I20210714003147 |
| Provider Name | Amber Carlie Mauldin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083284954 PECOS PAC ID: 1355743261 Enrollment ID: I20210715001077 |
| Provider Name | Jayme Nicole Looper |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1790216232 PECOS PAC ID: 6002189362 Enrollment ID: I20210719000740 |
| Provider Name | Bashar N H Alzghoul |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1346623089 PECOS PAC ID: 5294041497 Enrollment ID: I20210719001736 |
| Provider Name | Connie Trieu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952682346 PECOS PAC ID: 8123337615 Enrollment ID: I20210721000211 |
| Provider Name | Laura Kathleen Mckenna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174194153 PECOS PAC ID: 8527461185 Enrollment ID: I20210721000253 |
| Provider Name | Joyce Contreras |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1679142400 PECOS PAC ID: 8729481189 Enrollment ID: I20210722000843 |
| Provider Name | Kirsten L Kepple |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861913246 PECOS PAC ID: 4385047646 Enrollment ID: I20210723001297 |
| Provider Name | Anisa Laska |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1326613464 PECOS PAC ID: 8628471950 Enrollment ID: I20210726000262 |
| Provider Name | Steffin Golden |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1013448158 PECOS PAC ID: 4688945512 Enrollment ID: I20210726000465 |
| Provider Name | Gregory Olsen |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1922460955 PECOS PAC ID: 0840587580 Enrollment ID: I20210726000812 |
| Provider Name | Eric Austin Adcox |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1174194047 PECOS PAC ID: 4183027329 Enrollment ID: I20210726000983 |
| Provider Name | Emily Pohl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417433178 PECOS PAC ID: 9537562673 Enrollment ID: I20210727000882 |
| Provider Name | Kerri Ronli Whitlock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558937540 PECOS PAC ID: 0244633261 Enrollment ID: I20210728000316 |
| Provider Name | Mayank Pahadia |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1861065948 PECOS PAC ID: 2860895869 Enrollment ID: I20210728003283 |
| Provider Name | Waroot Nimjareansuk |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1356878292 PECOS PAC ID: 7618381872 Enrollment ID: I20210728003976 |
| Provider Name | Chelsea Frost |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1295197036 PECOS PAC ID: 7315231040 Enrollment ID: I20210729002598 |
| Provider Name | Nailatricia Vilela Barbosa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235701285 PECOS PAC ID: 0749684553 Enrollment ID: I20210802000743 |
| Provider Name | Romeena Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659862472 PECOS PAC ID: 6800290529 Enrollment ID: I20210803001631 |
| Provider Name | Ryan David Asencios |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1003484437 PECOS PAC ID: 5890199491 Enrollment ID: I20210804001053 |
| Provider Name | Scott a Thumser |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1396996864 PECOS PAC ID: 1951461938 Enrollment ID: I20210804001158 |
| Provider Name | Gayane Barsamyan |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1235525429 PECOS PAC ID: 8123358454 Enrollment ID: I20210804002093 |
| Provider Name | Virginia Gitin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1992370001 PECOS PAC ID: 8426452780 Enrollment ID: I20210809001474 |
| Provider Name | Diley Perez Garcia |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1508419110 PECOS PAC ID: 6406250794 Enrollment ID: I20210809002939 |
| Provider Name | Priscilla Shen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487143913 PECOS PAC ID: 8325384712 Enrollment ID: I20210810003392 |
| Provider Name | James Luel Poole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780242388 PECOS PAC ID: 5597169615 Enrollment ID: I20210811000609 |
| Provider Name | Ioana Brisc |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1487821971 PECOS PAC ID: 9234387739 Enrollment ID: I20210811003373 |
| Provider Name | Jake Gifford |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1922675321 PECOS PAC ID: 3476957572 Enrollment ID: I20210811004008 |
| Provider Name | Derek Holden |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1457928848 PECOS PAC ID: 6608270616 Enrollment ID: I20210812000176 |
| Provider Name | Christine Burgos-robles |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1518534916 PECOS PAC ID: 8527462563 Enrollment ID: I20210812001527 |
| Provider Name | Bilal Sadiq |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225529894 PECOS PAC ID: 8527315233 Enrollment ID: I20210812003912 |
| Provider Name | Andrea Teresa Aguirre |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1760844914 PECOS PAC ID: 6406198043 Enrollment ID: I20210813003250 |
| Provider Name | Jesse Lloyd Zadell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689178097 PECOS PAC ID: 5698011856 Enrollment ID: I20210816000807 |
| Provider Name | Scott Sacks |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1770150278 PECOS PAC ID: 9638574528 Enrollment ID: I20210816001242 |
| Provider Name | Beaulisa Metcalf |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114956042 PECOS PAC ID: 4385729631 Enrollment ID: I20210816003316 |
| Provider Name | Joseph Lewis |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1831585199 PECOS PAC ID: 4981009834 Enrollment ID: I20210816003617 |
| Provider Name | Liza Flory Parido Laquian |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1639430986 PECOS PAC ID: 0143463877 Enrollment ID: I20210818000142 |
| Provider Name | Musacide Z Ordulu Sahin |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1053792564 PECOS PAC ID: 6800103151 Enrollment ID: I20210818001683 |
| Provider Name | Benjamin Jacobs |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1992066062 PECOS PAC ID: 8426365149 Enrollment ID: I20210818001684 |
| Provider Name | Wen Xie |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1508438250 PECOS PAC ID: 6305278839 Enrollment ID: I20210818003536 |
| Provider Name | Emily Li |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1457882185 PECOS PAC ID: 8921372350 Enrollment ID: I20210818003660 |
| Provider Name | Isabella M Camperlengo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144995234 PECOS PAC ID: 6002211687 Enrollment ID: I20210819001573 |
| Provider Name | Rachel Cohen-shohet |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1588081798 PECOS PAC ID: 5496976185 Enrollment ID: I20210819003049 |
| Provider Name | Eduardo J Perez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326400508 PECOS PAC ID: 0042503708 Enrollment ID: I20210824002808 |
| Provider Name | Ashley Lynn Ellington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710445176 PECOS PAC ID: 4587069844 Enrollment ID: I20210825000146 |
| Provider Name | Ekaterina Grant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770163644 PECOS PAC ID: 4688079817 Enrollment ID: I20210825002985 |
| Provider Name | Marlene Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598394900 PECOS PAC ID: 4082019245 Enrollment ID: I20210826000057 |
| Provider Name | Tyler Fong |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1023541646 PECOS PAC ID: 0840695029 Enrollment ID: I20210826000725 |
| Provider Name | Joe Olivi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1578663191 PECOS PAC ID: 7214084136 Enrollment ID: I20210827002164 |
| Provider Name | Rhett Austin Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588338214 PECOS PAC ID: 0648676544 Enrollment ID: I20210901000042 |
| Provider Name | Veronica Demtchouk |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134548381 PECOS PAC ID: 4486943495 Enrollment ID: I20210901002224 |
| Provider Name | Jesus C Fabregas Mercado |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1467681833 PECOS PAC ID: 4789904053 Enrollment ID: I20210902000697 |
| Provider Name | Semiramis Carbajal Mamani |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1922545433 PECOS PAC ID: 1557637204 Enrollment ID: I20210903002362 |
| Provider Name | Daiki Soma |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1235616632 PECOS PAC ID: 2860898590 Enrollment ID: I20210903002849 |
| Provider Name | Maria Emilia Quinones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356015770 PECOS PAC ID: 0941606677 Enrollment ID: I20210903002894 |
| Provider Name | Denise Sherman |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1447365424 PECOS PAC ID: 2769446780 Enrollment ID: I20210907001318 |
| Provider Name | Annie Mei Li |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1669048716 PECOS PAC ID: 4183020746 Enrollment ID: I20210907001366 |
| Provider Name | Tara Elizabeth Hunter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679247407 PECOS PAC ID: 1759787310 Enrollment ID: I20210907001613 |
| Provider Name | Leo Colon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780252833 PECOS PAC ID: 1153727748 Enrollment ID: I20210907003001 |
| Provider Name | Carolynn Hazen-hamilton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922772276 PECOS PAC ID: 1658777271 Enrollment ID: I20210908000580 |
| Provider Name | Alexis Christina Gushiken |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1114380060 PECOS PAC ID: 8527353630 Enrollment ID: I20210908000970 |
| Provider Name | Hyehwan Yang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790187862 PECOS PAC ID: 3577851344 Enrollment ID: I20210908001706 |
| Provider Name | Lindsey G Jones |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447864459 PECOS PAC ID: 0547670671 Enrollment ID: I20210909000105 |
| Provider Name | Swapna Reddy |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1467754200 PECOS PAC ID: 2769619154 Enrollment ID: I20210909000454 |
| Provider Name | Kelly Lynn Andrews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679149983 PECOS PAC ID: 7012313539 Enrollment ID: I20210909000788 |
| Provider Name | Joanna Tseng |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992385744 PECOS PAC ID: 6305255589 Enrollment ID: I20210909002576 |
| Provider Name | Elizabeth Laura Justice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427232206 PECOS PAC ID: 5799181061 Enrollment ID: I20210913000604 |
| Provider Name | Ashley Thompson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1548655707 PECOS PAC ID: 7113220641 Enrollment ID: I20210913000667 |
| Provider Name | Thomas Konecny |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1023208493 PECOS PAC ID: 9739256900 Enrollment ID: I20210913001748 |
| Provider Name | David C Peters |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1417906918 PECOS PAC ID: 5698874972 Enrollment ID: I20210913003582 |
| Provider Name | Jessica Lee Mahon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013685577 PECOS PAC ID: 2365848439 Enrollment ID: I20210915001870 |
| Provider Name | Richard I Silver |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1346573912 PECOS PAC ID: 9032259106 Enrollment ID: I20210915002205 |
| Provider Name | Megan M Newton |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1720751019 PECOS PAC ID: 1254738206 Enrollment ID: I20210920000115 |
| Provider Name | Alberto Thomas Hernandez |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1568971463 PECOS PAC ID: 2769889682 Enrollment ID: I20210920003054 |
| Provider Name | Milind Patel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144615352 PECOS PAC ID: 1456650183 Enrollment ID: I20210921001758 |
| Provider Name | Kourtney Kayanne Guthrie |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396122891 PECOS PAC ID: 2264748219 Enrollment ID: I20210921002204 |
| Provider Name | Danielle Petty |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1609301498 PECOS PAC ID: 2769752625 Enrollment ID: I20210924000754 |
| Provider Name | Jessica Cipolla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043986813 PECOS PAC ID: 7214334713 Enrollment ID: I20210927001489 |
| Provider Name | Ilyas Sahin |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1174936835 PECOS PAC ID: 5890075063 Enrollment ID: I20210927002046 |
| Provider Name | Jason B Wittlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033718986 PECOS PAC ID: 6406253921 Enrollment ID: I20210927002215 |
| Provider Name | Patricia Setnicky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144671488 PECOS PAC ID: 0648563593 Enrollment ID: I20210928000208 |
| Provider Name | Alicia M Leahy |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1629503677 PECOS PAC ID: 4688071996 Enrollment ID: I20210928003370 |
| Provider Name | Ronnie Kuo Ren |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538556410 PECOS PAC ID: 0941590897 Enrollment ID: I20210930000828 |
| Provider Name | Rodrigo Hernando Valdes-rodriguez |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1518311778 PECOS PAC ID: 3072931195 Enrollment ID: I20210930001000 |
| Provider Name | Kayla Nicole Jeffries |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912678301 PECOS PAC ID: 5890193098 Enrollment ID: I20211001000672 |
| Provider Name | Chantal Emmanuelle Guidi |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1174115331 PECOS PAC ID: 5799183919 Enrollment ID: I20211001001433 |
| Provider Name | Jane Samaha |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1356799506 PECOS PAC ID: 4385939693 Enrollment ID: I20211004000012 |
| Provider Name | Jasmine Elaine Brown |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1679140982 PECOS PAC ID: 7214335488 Enrollment ID: I20211004000267 |
| Provider Name | Christian Andrew Delia |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1134899560 PECOS PAC ID: 4880092915 Enrollment ID: I20211004003408 |
| Provider Name | Megan Rodgers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881076495 PECOS PAC ID: 9830404771 Enrollment ID: I20211007001527 |
| Provider Name | Amber Brooke Lallo |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013559871 PECOS PAC ID: 2163855685 Enrollment ID: I20211007003636 |
| Provider Name | Haley Hensey Blanchette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013593755 PECOS PAC ID: 5799183596 Enrollment ID: I20211008001113 |
| Provider Name | Carla Patricia Vidal Merchant |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1043652142 PECOS PAC ID: 8123313996 Enrollment ID: I20211008001562 |
| Provider Name | Roberta Andreatta |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1023544517 PECOS PAC ID: 7810395381 Enrollment ID: I20211013003271 |
| Provider Name | Julia Eidelman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1629501697 PECOS PAC ID: 7012289796 Enrollment ID: I20211014000505 |
| Provider Name | Krystal Jean Hemingway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437826815 PECOS PAC ID: 8527466929 Enrollment ID: I20211015001800 |
| Provider Name | Elizabeth P Severance |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598841967 PECOS PAC ID: 2062810393 Enrollment ID: I20211018000728 |
| Provider Name | Adambeke Nwozuzu |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1164952909 PECOS PAC ID: 2365830676 Enrollment ID: I20211019000977 |
| Provider Name | Elizabeth Ansley Liufau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053985598 PECOS PAC ID: 7618365842 Enrollment ID: I20211020003184 |
| Provider Name | Linda Lee Davidson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124797154 PECOS PAC ID: 6709274962 Enrollment ID: I20211021001211 |
| Provider Name | Kaitlyn Kiss Dunbar |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1194284786 PECOS PAC ID: 1759618606 Enrollment ID: I20211021003026 |
| Provider Name | Wendy Michelle Juarez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639832868 PECOS PAC ID: 0345638482 Enrollment ID: I20211022001345 |
| Provider Name | Maisara Bledsoe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962172064 PECOS PAC ID: 9133517287 Enrollment ID: I20211022001501 |
| Provider Name | Elizabeth Kyung Chu |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1902257025 PECOS PAC ID: 8729310651 Enrollment ID: I20211023000028 |
| Provider Name | Kruti Patel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1215502398 PECOS PAC ID: 7214325166 Enrollment ID: I20211026000353 |
| Provider Name | Karthik Vijayan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1346539574 PECOS PAC ID: 7911155817 Enrollment ID: I20211028000289 |
| Provider Name | Johan Fredrik Nordenstam |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1952614265 PECOS PAC ID: 5698961332 Enrollment ID: I20211028001392 |
| Provider Name | Amalia Lenora Cochran |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1801986492 PECOS PAC ID: 4587689286 Enrollment ID: I20211029001418 |
| Provider Name | Hannah Camille Kennedy |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497320162 PECOS PAC ID: 9638567225 Enrollment ID: I20211101002869 |
| Provider Name | Mayra Montalvo Perero |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1104204650 PECOS PAC ID: 4486962412 Enrollment ID: I20211104000202 |
| Provider Name | Ansley Hannah Chou Hong |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1265071591 PECOS PAC ID: 1052709441 Enrollment ID: I20211104001733 |
| Provider Name | Juan Pablo Perdomo Rodriguez |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1942556907 PECOS PAC ID: 6305148958 Enrollment ID: I20211105000145 |
| Provider Name | Ahmad Abdul-rahim |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1497286405 PECOS PAC ID: 6103199591 Enrollment ID: I20211105000311 |
| Provider Name | Grace Wettengel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1164193322 PECOS PAC ID: 8022407469 Enrollment ID: I20211105000788 |
| Provider Name | Leah Michele Morissette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417584327 PECOS PAC ID: 8729409586 Enrollment ID: I20211105001281 |
| Provider Name | Kathryn L Marsh |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1053927004 PECOS PAC ID: 9931598281 Enrollment ID: I20211108002695 |
| Provider Name | Kelley D Holland |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1023787074 PECOS PAC ID: 7012306228 Enrollment ID: I20211109002764 |
| Provider Name | Samantha Ann Folsom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649759945 PECOS PAC ID: 6204160658 Enrollment ID: I20211117002803 |
| Provider Name | Joel Morrissey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366503476 PECOS PAC ID: 8325060262 Enrollment ID: I20211117003393 |
| Provider Name | Rebeca Mariana Siguenza Guatemala |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942966270 PECOS PAC ID: 4789073263 Enrollment ID: I20211123001210 |
| Provider Name | John Ligon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306188206 PECOS PAC ID: 4587054986 Enrollment ID: I20211129001026 |
| Provider Name | Mary Elizabeth Slaughter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063050292 PECOS PAC ID: 6800224510 Enrollment ID: I20211129002637 |
| Provider Name | Baraka Jeancy Tchatenda |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1124693759 PECOS PAC ID: 4183014376 Enrollment ID: I20211202000064 |
| Provider Name | Mylinda L Bielman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942393400 PECOS PAC ID: 6800844259 Enrollment ID: I20211206000586 |
| Provider Name | Victoria Pinchera Martell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1023601184 PECOS PAC ID: 0749670784 Enrollment ID: I20211206001090 |
| Provider Name | Haley Mckay Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316615040 PECOS PAC ID: 7810388402 Enrollment ID: I20211215000430 |
| Provider Name | Melissa Lynn Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225628902 PECOS PAC ID: 7618368176 Enrollment ID: I20211217001139 |
| Provider Name | Amanda L Rademaker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821752742 PECOS PAC ID: 9032500467 Enrollment ID: I20211220001018 |
| Provider Name | Wayne Colburn Denson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1225794266 PECOS PAC ID: 3870984990 Enrollment ID: I20211229000031 |
| Provider Name | Hiroko Beck |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1356485742 PECOS PAC ID: 5698917888 Enrollment ID: I20220110002733 |
| Provider Name | Michael Joseph Cebreros |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1134888399 PECOS PAC ID: 5597157164 Enrollment ID: I20220112001216 |
| Provider Name | Seamus Cobb |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1861751901 PECOS PAC ID: 4183016603 Enrollment ID: I20220113000722 |
| Provider Name | Arash Maleki |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1861150740 PECOS PAC ID: 8123410305 Enrollment ID: I20220120001091 |
| Provider Name | Lindsay Khan |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1285394981 PECOS PAC ID: 8022400191 Enrollment ID: I20220121001945 |
| Provider Name | Matthew Joseph Higgins |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1841386869 PECOS PAC ID: 1153329735 Enrollment ID: I20220124000163 |
| Provider Name | Rohan Virendra Mehta |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1255642427 PECOS PAC ID: 7719294172 Enrollment ID: I20220126001401 |
| Provider Name | Sandra Kamhoot |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831864883 PECOS PAC ID: 3072905926 Enrollment ID: I20220126002087 |
| Provider Name | Andrew Hoilman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1356930127 PECOS PAC ID: 0840682639 Enrollment ID: I20220128001787 |
| Provider Name | Hallie Maurisa Spicer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1245991272 PECOS PAC ID: 0143613935 Enrollment ID: I20220128002213 |
| Provider Name | Sandrie R Dieujuste |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003576752 PECOS PAC ID: 9830582626 Enrollment ID: I20220129000141 |
| Provider Name | Samuel Almengor |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1699166520 PECOS PAC ID: 8123346822 Enrollment ID: I20220129000238 |
| Provider Name | Karoline Korah Jameson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841566494 PECOS PAC ID: 0042603631 Enrollment ID: I20220202002878 |
| Provider Name | Brittany Biles |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1376296772 PECOS PAC ID: 1759774342 Enrollment ID: I20220202002963 |
| Provider Name | Kerith Brandt |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1457521775 PECOS PAC ID: 3274694666 Enrollment ID: I20220203000850 |
| Provider Name | Zahraa Ghandour |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1538554241 PECOS PAC ID: 4486047974 Enrollment ID: I20220204001292 |
| Provider Name | Nicole Christine Peckham |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1073052684 PECOS PAC ID: 1052688165 Enrollment ID: I20220204001358 |
| Provider Name | Eric Klinedinst |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1902347123 PECOS PAC ID: 7719257559 Enrollment ID: I20220208001693 |
| Provider Name | Reza Forghani |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306015623 PECOS PAC ID: 5193899953 Enrollment ID: I20220209002727 |
| Provider Name | Alp Demirag |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1881113215 PECOS PAC ID: 6204102759 Enrollment ID: I20220210001703 |
| Provider Name | Nigel J Price |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1326097726 PECOS PAC ID: 8325145352 Enrollment ID: I20220211000275 |
| Provider Name | William Woznicki |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1134713324 PECOS PAC ID: 4183017007 Enrollment ID: I20220216002219 |
| Provider Name | Madelyn Justice Frohm |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1538643622 PECOS PAC ID: 9133464365 Enrollment ID: I20220217001999 |
| Provider Name | Adel Bashirimoghaddam |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1518537612 PECOS PAC ID: 2062806565 Enrollment ID: I20220228000220 |
| Provider Name | Leon Jin Chen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1124643929 PECOS PAC ID: 8628462843 Enrollment ID: I20220303000662 |
| Provider Name | Marcelle Genis Harrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902551880 PECOS PAC ID: 9436543683 Enrollment ID: I20220303001861 |
| Provider Name | My Tien Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659798122 PECOS PAC ID: 3173822582 Enrollment ID: I20220304000719 |
| Provider Name | Paul Krafft |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1366857245 PECOS PAC ID: 5698994028 Enrollment ID: I20220304001193 |
| Provider Name | Troy Arcand |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1528636966 PECOS PAC ID: 8426442575 Enrollment ID: I20220307000746 |
| Provider Name | Sean Byrne |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1528501129 PECOS PAC ID: 9830475466 Enrollment ID: I20220307000952 |
| Provider Name | Joseph S Auteri |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1386613149 PECOS PAC ID: 7719955475 Enrollment ID: I20220309001886 |
| Provider Name | Yevgeny Zadov |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1356570212 PECOS PAC ID: 7810144862 Enrollment ID: I20220311002218 |
| Provider Name | Katherine Ann Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497251664 PECOS PAC ID: 8527461409 Enrollment ID: I20220315000643 |
| Provider Name | Cassie Marie Sciotto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760135875 PECOS PAC ID: 1052706744 Enrollment ID: I20220316000338 |
| Provider Name | Sandhya Meesala |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1306852066 PECOS PAC ID: 8224015433 Enrollment ID: I20220317002093 |
| Provider Name | Derek S Damrow |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1770016008 PECOS PAC ID: 3476821695 Enrollment ID: I20220318001982 |
| Provider Name | Nelson Max Rose |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1912329780 PECOS PAC ID: 1850519745 Enrollment ID: I20220318002399 |
| Provider Name | Gonzalo Javier Acosta |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1972025252 PECOS PAC ID: 8325433733 Enrollment ID: I20220322002158 |
| Provider Name | Jacob Kevin Hawkins |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1154855500 PECOS PAC ID: 4688941768 Enrollment ID: I20220323001299 |
| Provider Name | Henry St.george Teaford |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477987675 PECOS PAC ID: 0840563599 Enrollment ID: I20220324003017 |
| Provider Name | Leighton Elliott |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518490531 PECOS PAC ID: 4880964907 Enrollment ID: I20220328000193 |
| Provider Name | Neslihan Yorukoglu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457015042 PECOS PAC ID: 6305231432 Enrollment ID: I20220328000745 |
| Provider Name | Biplab Kumar Saha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053673160 PECOS PAC ID: 8224375316 Enrollment ID: I20220401002086 |
| Provider Name | Laura M Garro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588336259 PECOS PAC ID: 2365838174 Enrollment ID: I20220404002321 |
| Provider Name | Richa Vijayvargiya |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003349531 PECOS PAC ID: 0446650105 Enrollment ID: I20220405002172 |
| Provider Name | Sharon Elizabeth Hesher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851044606 PECOS PAC ID: 4587050299 Enrollment ID: I20220406000626 |
| Provider Name | Julie Quintrall |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386292670 PECOS PAC ID: 8224424957 Enrollment ID: I20220406001526 |
| Provider Name | Kalyan Chakravarthy Dadireddy |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1760823595 PECOS PAC ID: 3173898392 Enrollment ID: I20220409000152 |
| Provider Name | Letitia Erin Bible |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1447577465 PECOS PAC ID: 3375816606 Enrollment ID: I20220409000321 |
| Provider Name | Cassandra Grace Wills |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1073270278 PECOS PAC ID: 7416343991 Enrollment ID: I20220410000042 |
| Provider Name | Haylie Nicole Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831847615 PECOS PAC ID: 2466848809 Enrollment ID: I20220411002374 |
| Provider Name | Julianne C Fuchs |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285307504 PECOS PAC ID: 7315333606 Enrollment ID: I20220414000342 |
| Provider Name | Steven Godelman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1093154825 PECOS PAC ID: 9739320573 Enrollment ID: I20220419000425 |
| Provider Name | Aaron Saguil |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811976293 PECOS PAC ID: 4880818707 Enrollment ID: I20220420002788 |
| Provider Name | Thomas V Forestieri |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1245396050 PECOS PAC ID: 1052491297 Enrollment ID: I20220426000135 |
| Provider Name | Hunter Rooks |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1871956052 PECOS PAC ID: 9133516800 Enrollment ID: I20220427001710 |
| Provider Name | Maria Auxiliadora Deschaine |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1306101894 PECOS PAC ID: 6709273360 Enrollment ID: I20220428002122 |
| Provider Name | Gang Li |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1144217795 PECOS PAC ID: 6305894270 Enrollment ID: I20220502000451 |
| Provider Name | Rory Rodrigues |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134408123 PECOS PAC ID: 9931325883 Enrollment ID: I20220510002374 |
| Provider Name | Elisabeth Marie Porgesz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639814700 PECOS PAC ID: 1850778879 Enrollment ID: I20220512002744 |
| Provider Name | Jessica Elizabeth Dibianco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801476999 PECOS PAC ID: 0042619140 Enrollment ID: I20220513002411 |
| Provider Name | Janice Marie Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710630421 PECOS PAC ID: 6901283753 Enrollment ID: I20220516002818 |
| Provider Name | Eric Gars |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1043605645 PECOS PAC ID: 0749510824 Enrollment ID: I20220517001897 |
| Provider Name | Sebastian Carrasquillo Montalvo |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1013304179 PECOS PAC ID: 0840540852 Enrollment ID: I20220517001961 |
| Provider Name | Zachary Roward |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1326575499 PECOS PAC ID: 3870970510 Enrollment ID: I20220518000731 |
| Provider Name | Alejandra Laverde |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1174192561 PECOS PAC ID: 9335526003 Enrollment ID: I20220518001859 |
| Provider Name | David J Brewer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861427965 PECOS PAC ID: 7315999679 Enrollment ID: I20220518003021 |
| Provider Name | Roger a Vazquez Gomez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255868279 PECOS PAC ID: 4082091798 Enrollment ID: I20220519000273 |
| Provider Name | Kirsten Nicole Norrell |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1679968853 PECOS PAC ID: 3274825815 Enrollment ID: I20220519001655 |
| Provider Name | Carlos E Henriquez Felipe |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1710385414 PECOS PAC ID: 8820342041 Enrollment ID: I20220520000090 |
| Provider Name | Jacinto Fernandez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093378440 PECOS PAC ID: 7416285374 Enrollment ID: I20220520001760 |
| Provider Name | Francisco Antonio Betancourt |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1801353909 PECOS PAC ID: 0244617769 Enrollment ID: I20220520002469 |
| Provider Name | Nirav C Patel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053842559 PECOS PAC ID: 8123371093 Enrollment ID: I20220521000361 |
| Provider Name | Aditya Sanjay Shirali |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1477896025 PECOS PAC ID: 6709161177 Enrollment ID: I20220523001359 |
| Provider Name | Nita Chen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1881126258 PECOS PAC ID: 0547502080 Enrollment ID: I20220524002015 |
| Provider Name | Jordan B Milner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558780197 PECOS PAC ID: 6608297833 Enrollment ID: I20220524003331 |
| Provider Name | Chelsea Crose |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073176590 PECOS PAC ID: 5991034365 Enrollment ID: I20220525001028 |
| Provider Name | Hady Khalifa |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245734623 PECOS PAC ID: 9537557525 Enrollment ID: I20220525001177 |
| Provider Name | Mouaz Haj Bakri |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184184889 PECOS PAC ID: 6709264146 Enrollment ID: I20220526000307 |
| Provider Name | Gabriel Gomez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649769720 PECOS PAC ID: 6406240993 Enrollment ID: I20220526000348 |
| Provider Name | Kenneth F Kpuyuf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528717105 PECOS PAC ID: 1456739804 Enrollment ID: I20220526000618 |
| Provider Name | Richard J Nessif |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1497086342 PECOS PAC ID: 5092861096 Enrollment ID: I20220530000175 |
| Provider Name | Ethelbert Lara |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437232022 PECOS PAC ID: 0143244178 Enrollment ID: I20220531000585 |
| Provider Name | Morgan K Setteducato |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851854863 PECOS PAC ID: 2961834015 Enrollment ID: I20220531000730 |
| Provider Name | Thomas Casella |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1144975244 PECOS PAC ID: 9133507320 Enrollment ID: I20220531001131 |
| Provider Name | Bristol B Whiles |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1932632072 PECOS PAC ID: 5597036004 Enrollment ID: I20220601000286 |
| Provider Name | Michael Roth |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1255860029 PECOS PAC ID: 7719250547 Enrollment ID: I20220601002398 |
| Provider Name | Burak Zeybek |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1467869024 PECOS PAC ID: 4284913518 Enrollment ID: I20220602001388 |
| Provider Name | Abigail Ivy Corriveau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366185977 PECOS PAC ID: 0941688618 Enrollment ID: I20220608002032 |
| Provider Name | Clayton Daniel Selby |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1659529725 PECOS PAC ID: 5395806830 Enrollment ID: I20220609000454 |
| Provider Name | Jun Yu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629509328 PECOS PAC ID: 2062785454 Enrollment ID: I20220609001218 |
| Provider Name | Lauren Michelle Silva |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1487150397 PECOS PAC ID: 1052799608 Enrollment ID: I20220609002528 |
| Provider Name | Victoria Paige Sommer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1437787033 PECOS PAC ID: 3678951100 Enrollment ID: I20220611000406 |
| Provider Name | Nathan Tipper |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487148672 PECOS PAC ID: 1850647991 Enrollment ID: I20220613000344 |
| Provider Name | Jacob Warmath |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1700376795 PECOS PAC ID: 5597144956 Enrollment ID: I20220615002679 |
| Provider Name | Krupesh Dave |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1821592239 PECOS PAC ID: 1759630445 Enrollment ID: I20220617001854 |
| Provider Name | Matthew Gregory Wrench |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043741978 PECOS PAC ID: 4688932494 Enrollment ID: I20220617002093 |
| Provider Name | Patrick John Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689328023 PECOS PAC ID: 0547649600 Enrollment ID: I20220620001429 |
| Provider Name | Meggan Michelle Deveaux |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457814048 PECOS PAC ID: 7810329133 Enrollment ID: I20220620001815 |
| Provider Name | Alexandre Dias Mancano |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033857792 PECOS PAC ID: 4385023464 Enrollment ID: I20220621000060 |
| Provider Name | Nisarg Patel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1760979983 PECOS PAC ID: 2062767718 Enrollment ID: I20220621000909 |
| Provider Name | Shannon Bemis |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1134194699 PECOS PAC ID: 6507990231 Enrollment ID: I20220621001721 |
| Provider Name | Ahmed Sarheed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073076436 PECOS PAC ID: 1850626565 Enrollment ID: I20220621001792 |
| Provider Name | Lindy Williams Krebs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427511641 PECOS PAC ID: 3971832874 Enrollment ID: I20220621003389 |
| Provider Name | Adnan Bashir Bhat |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023661253 PECOS PAC ID: 6406185669 Enrollment ID: I20220623000965 |
| Provider Name | Diane Luna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841798816 PECOS PAC ID: 9638423346 Enrollment ID: I20220623001432 |
| Provider Name | Kevin Korenkiewicz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1124416045 PECOS PAC ID: 1557687761 Enrollment ID: I20220623002430 |
| Provider Name | Felipe Cadavid |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1669890299 PECOS PAC ID: 2163643248 Enrollment ID: I20220624000325 |
| Provider Name | Julia Nicole Ferrara |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1104452176 PECOS PAC ID: 4486033297 Enrollment ID: I20220624002607 |
| Provider Name | Christine N Smith |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831543537 PECOS PAC ID: 4486940210 Enrollment ID: I20220627000940 |
| Provider Name | Betsy Bridger |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922263920 PECOS PAC ID: 3577621259 Enrollment ID: I20220627003722 |
| Provider Name | Omar Jamal Al-radideh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780237529 PECOS PAC ID: 4385024975 Enrollment ID: I20220628003636 |
| Provider Name | Amer Belal |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1154853323 PECOS PAC ID: 4385916527 Enrollment ID: I20220629000368 |
| Provider Name | Anu Sharma |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1245545748 PECOS PAC ID: 9234356353 Enrollment ID: I20220629002831 |
| Provider Name | Ma'moon Mohammad Amin Al-ahmad |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1396307112 PECOS PAC ID: 7810377314 Enrollment ID: I20220629003884 |
| Provider Name | Lauren Faye Fanty |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1669908067 PECOS PAC ID: 0840568747 Enrollment ID: I20220630000033 |
| Provider Name | Steven Matthew Brady |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104386663 PECOS PAC ID: 8325377336 Enrollment ID: I20220630000201 |
| Provider Name | Patrick D Quade |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1295230753 PECOS PAC ID: 2264778653 Enrollment ID: I20220701000223 |
| Provider Name | Hussain Khalid |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1841653052 PECOS PAC ID: 8426438862 Enrollment ID: I20220701002279 |
| Provider Name | Joseph Zachary |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1386090702 PECOS PAC ID: 2466725171 Enrollment ID: I20220704000269 |
| Provider Name | Alicia Fikejs |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1740930536 PECOS PAC ID: 9133509300 Enrollment ID: I20220706000431 |
| Provider Name | Anthonia Dionne Rich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568193183 PECOS PAC ID: 7113307323 Enrollment ID: I20220706001828 |
| Provider Name | Mary Elizabeth Norris |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1053930511 PECOS PAC ID: 7719388990 Enrollment ID: I20220706001869 |
| Provider Name | Anatoly Mitrokhin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1376097238 PECOS PAC ID: 6507246717 Enrollment ID: I20220706002124 |
| Provider Name | Natalie Donn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194380907 PECOS PAC ID: 6204179609 Enrollment ID: I20220706002857 |
| Provider Name | James C Fleming |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1912401761 PECOS PAC ID: 1850640277 Enrollment ID: I20220707001051 |
| Provider Name | Jonathan C Liu |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1679136618 PECOS PAC ID: 5991033912 Enrollment ID: I20220707001124 |
| Provider Name | Daniel Alejandro Benito |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1285168609 PECOS PAC ID: 0840670824 Enrollment ID: I20220707004095 |
| Provider Name | Firoozeh Raygan |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1073251930 PECOS PAC ID: 5294115275 Enrollment ID: I20220708000011 |
| Provider Name | Syed Monis Ali Shah |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1912948597 PECOS PAC ID: 1254306269 Enrollment ID: I20220708000151 |
| Provider Name | Nayrobi Pena Cotui |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1992228712 PECOS PAC ID: 2466862933 Enrollment ID: I20220708003338 |
| Provider Name | Landon Sowell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568091585 PECOS PAC ID: 2062835036 Enrollment ID: I20220708003680 |
| Provider Name | John Michael Dibianco |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1821482845 PECOS PAC ID: 1355630518 Enrollment ID: I20220710000138 |
| Provider Name | Jorge Nicolas Gil |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1407389042 PECOS PAC ID: 8820361793 Enrollment ID: I20220711000180 |
| Provider Name | Joseph Aburahma |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1174027932 PECOS PAC ID: 9537411368 Enrollment ID: I20220711000566 |
| Provider Name | Nicole Mongilardi Valdez |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1609258961 PECOS PAC ID: 2062748510 Enrollment ID: I20220711001940 |
| Provider Name | Vanessa Billingsley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063076420 PECOS PAC ID: 4284963877 Enrollment ID: I20220711003317 |
| Provider Name | Jongmin Kim |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1740842897 PECOS PAC ID: 8729468525 Enrollment ID: I20220711003418 |
| Provider Name | Howard Spinowitz |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1891768214 PECOS PAC ID: 8224052147 Enrollment ID: I20220712001686 |
| Provider Name | Graham C Clifford |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730642901 PECOS PAC ID: 2365874500 Enrollment ID: I20220712001973 |
| Provider Name | Ady Marie Correa Mendoza |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1851823843 PECOS PAC ID: 0143601815 Enrollment ID: I20220713001676 |
| Provider Name | Monica Staley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1851912190 PECOS PAC ID: 2567843188 Enrollment ID: I20220713003712 |
| Provider Name | Melissa Dieter |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1922561091 PECOS PAC ID: 0244637239 Enrollment ID: I20220713004370 |
| Provider Name | Shadi Messiah |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1023544137 PECOS PAC ID: 4880965607 Enrollment ID: I20220714000958 |
| Provider Name | Yesenia Mary Malave Vazquez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487399366 PECOS PAC ID: 7719368224 Enrollment ID: I20220714003171 |
| Provider Name | Pooja Jayaprakash |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255891248 PECOS PAC ID: 1254660541 Enrollment ID: I20220714004254 |
| Provider Name | Sarah E Baxley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134474240 PECOS PAC ID: 9234421546 Enrollment ID: I20220715000112 |
| Provider Name | Rudy Forte |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962066613 PECOS PAC ID: 7315328861 Enrollment ID: I20220715000540 |
| Provider Name | Mohammad Al Mousily |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083095269 PECOS PAC ID: 9537412507 Enrollment ID: I20220715001280 |
| Provider Name | Francis Nuthalapaty |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457319170 PECOS PAC ID: 3476592494 Enrollment ID: I20220718000702 |
| Provider Name | Rushi Anil Shah |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1447659099 PECOS PAC ID: 8022499342 Enrollment ID: I20220718003952 |
| Provider Name | Megan Lowery |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1003200023 PECOS PAC ID: 0143621060 Enrollment ID: I20220720000923 |
| Provider Name | Caitlin Messiah |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811422355 PECOS PAC ID: 5890199970 Enrollment ID: I20220720001088 |
| Provider Name | Peter Nguyen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1831589316 PECOS PAC ID: 0345528261 Enrollment ID: I20220721000107 |
| Provider Name | Andrew Clark Smith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134682453 PECOS PAC ID: 0749519171 Enrollment ID: I20220721003006 |
| Provider Name | Kristina Akopyan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083175095 PECOS PAC ID: 2264769058 Enrollment ID: I20220722001047 |
| Provider Name | Nina Alexandra Talamas |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1255784831 PECOS PAC ID: 0345621249 Enrollment ID: I20220725000988 |
| Provider Name | Gary Donath |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1063589059 PECOS PAC ID: 9335219476 Enrollment ID: I20220725003417 |
| Provider Name | Nicholas Doher |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801320122 PECOS PAC ID: 1052683554 Enrollment ID: I20220727001396 |
| Provider Name | Reesa L Monir |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1477058303 PECOS PAC ID: 9830441641 Enrollment ID: I20220727002660 |
| Provider Name | Jonathan K Hu |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1831461458 PECOS PAC ID: 3971745175 Enrollment ID: I20220727003660 |
| Provider Name | Hae Soo Han |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659005395 PECOS PAC ID: 5496137135 Enrollment ID: I20220728000035 |
| Provider Name | Andrea a Segarra-salcedo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861929721 PECOS PAC ID: 3577945229 Enrollment ID: I20220728000517 |
| Provider Name | Ya Qin Wang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760116875 PECOS PAC ID: 8527440296 Enrollment ID: I20220728001094 |
| Provider Name | Paul Boothe |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1447605480 PECOS PAC ID: 8820385776 Enrollment ID: I20220728002213 |
| Provider Name | Aliyah Snyder |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1801321286 PECOS PAC ID: 9436570280 Enrollment ID: I20220729000743 |
| Provider Name | Amy Ann Westbrook Wiemers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104550037 PECOS PAC ID: 9638551294 Enrollment ID: I20220729001767 |
| Provider Name | Savannah Paige Ellenwood |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912460031 PECOS PAC ID: 7719219708 Enrollment ID: I20220729002547 |
| Provider Name | Jayike a Nwokolo |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1942704721 PECOS PAC ID: 2466700471 Enrollment ID: I20220730000482 |
| Provider Name | Shikerria Green |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871056879 PECOS PAC ID: 2062741788 Enrollment ID: I20220801002559 |
| Provider Name | Svitlana Smolenchuk |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1568981637 PECOS PAC ID: 8022366152 Enrollment ID: I20220802000117 |
| Provider Name | Sean Meagher |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134227804 PECOS PAC ID: 0840250973 Enrollment ID: I20220802000487 |
| Provider Name | Jessica Ryan Ray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104552793 PECOS PAC ID: 2567844954 Enrollment ID: I20220802000590 |
| Provider Name | Kathryn Alfonso |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1043744931 PECOS PAC ID: 7416205679 Enrollment ID: I20220802003702 |
| Provider Name | Eber Wright |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1407344203 PECOS PAC ID: 0648507707 Enrollment ID: I20220802003915 |
| Provider Name | Lindsey M Wright |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1083234702 PECOS PAC ID: 9931581295 Enrollment ID: I20220803000244 |
| Provider Name | Brodie Jolynn Pruitt |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285371427 PECOS PAC ID: 5698157964 Enrollment ID: I20220803000576 |
| Provider Name | Jennifer Halley Fieber |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1619388410 PECOS PAC ID: 3375925654 Enrollment ID: I20220803000824 |
| Provider Name | Daniyal Siddiqui |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326570060 PECOS PAC ID: 6608140355 Enrollment ID: I20220804000333 |
| Provider Name | Sarah Joy Reso |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831695436 PECOS PAC ID: 4284985557 Enrollment ID: I20220804000784 |
| Provider Name | Morgan Andrea Rosegger |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1184361339 PECOS PAC ID: 5799167961 Enrollment ID: I20220804000944 |
| Provider Name | John Spratt |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1598022386 PECOS PAC ID: 3779895651 Enrollment ID: I20220804002891 |
| Provider Name | Haley Baker |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700347002 PECOS PAC ID: 5799016473 Enrollment ID: I20220804003869 |
| Provider Name | Tori a Bagen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225762347 PECOS PAC ID: 8022490168 Enrollment ID: I20220805000628 |
| Provider Name | Manuel E Borobia |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801358148 PECOS PAC ID: 7618206517 Enrollment ID: I20220805001932 |
| Provider Name | Chase Pruitt |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497492615 PECOS PAC ID: 1254713357 Enrollment ID: I20220805003007 |
| Provider Name | Faiza Khalifa |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1013396001 PECOS PAC ID: 9436453412 Enrollment ID: I20220808000391 |
| Provider Name | Jessica Sheffield |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1942941224 PECOS PAC ID: 2466834429 Enrollment ID: I20220808001426 |
| Provider Name | John Merriman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235593559 PECOS PAC ID: 7618387564 Enrollment ID: I20220808001653 |
| Provider Name | Juan Diego Rondon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578025169 PECOS PAC ID: 4082096060 Enrollment ID: I20220808002430 |
| Provider Name | Crystal Lee Romero |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649830738 PECOS PAC ID: 9931581832 Enrollment ID: I20220809000082 |
| Provider Name | Pramod Kumar |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1942514203 PECOS PAC ID: 8123250719 Enrollment ID: I20220809001039 |
| Provider Name | Olivia Leila Azadikhah |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1962140707 PECOS PAC ID: 4486036324 Enrollment ID: I20220809001421 |
| Provider Name | Elyse Marie Chaviano |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902233554 PECOS PAC ID: 4880926344 Enrollment ID: I20220809001495 |
| Provider Name | Lorenna Rodrigues Silva Sombra |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1417517764 PECOS PAC ID: 9537562541 Enrollment ID: I20220809002744 |
| Provider Name | Tanvi Manohar |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1538680566 PECOS PAC ID: 1759701584 Enrollment ID: I20220809003147 |
| Provider Name | Paula Ackerman |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1831481399 PECOS PAC ID: 0941510432 Enrollment ID: I20220810000002 |
| Provider Name | Caitlin Williamson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881236545 PECOS PAC ID: 4284017179 Enrollment ID: I20220810000105 |
| Provider Name | Parker Dale Novak |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1972233492 PECOS PAC ID: 1456734300 Enrollment ID: I20220810002425 |
| Provider Name | Marcus Magidow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376274654 PECOS PAC ID: 1052794914 Enrollment ID: I20220810002651 |
| Provider Name | Nicole Premo |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1912401779 PECOS PAC ID: 7113275959 Enrollment ID: I20220811000344 |
| Provider Name | Emily a Harris |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1598110132 PECOS PAC ID: 9739562539 Enrollment ID: I20220811000727 |
| Provider Name | Thomas M Austin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1780851238 PECOS PAC ID: 8820276843 Enrollment ID: I20220811000795 |
| Provider Name | Miqi Wang |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1891158242 PECOS PAC ID: 5890080303 Enrollment ID: I20220811001063 |
| Provider Name | Juan Carlos Gonzalez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568967867 PECOS PAC ID: 8628321734 Enrollment ID: I20220812000160 |
| Provider Name | Jessica Matilsky O'madigan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861163636 PECOS PAC ID: 6507249273 Enrollment ID: I20220812000284 |
| Provider Name | Kaitlyn Renee Evans |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1730827296 PECOS PAC ID: 6305229006 Enrollment ID: I20220812001852 |
| Provider Name | Yusuf Aref |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1386099786 PECOS PAC ID: 5395031959 Enrollment ID: I20220812002986 |
| Provider Name | William Sutton |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1144950221 PECOS PAC ID: 4789067414 Enrollment ID: I20220813000002 |
| Provider Name | Ji Yoon Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558090050 PECOS PAC ID: 9335522937 Enrollment ID: I20220815002044 |
| Provider Name | Kyndal Smith |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1003444787 PECOS PAC ID: 6103209663 Enrollment ID: I20220816001353 |
| Provider Name | John Preston Baker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285196410 PECOS PAC ID: 8022347400 Enrollment ID: I20220816002142 |
| Provider Name | Mansi Sunil Dalal |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811344377 PECOS PAC ID: 1557651338 Enrollment ID: I20220816003713 |
| Provider Name | Gregory Thomas Welch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124753488 PECOS PAC ID: 5395128813 Enrollment ID: I20220816003828 |
| Provider Name | Cameron Busk |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427402106 PECOS PAC ID: 0244525954 Enrollment ID: I20220817001499 |
| Provider Name | John Dawson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1104320209 PECOS PAC ID: 0244577641 Enrollment ID: I20220817002326 |
| Provider Name | Sabrina Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336691658 PECOS PAC ID: 7911380316 Enrollment ID: I20220817003816 |
| Provider Name | Amber Pitman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477013415 PECOS PAC ID: 3971835224 Enrollment ID: I20220819000523 |
| Provider Name | Christopher Thomas Rainville |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609217611 PECOS PAC ID: 8527299908 Enrollment ID: I20220820000191 |
| Provider Name | Nayelah Sultan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619339215 PECOS PAC ID: 7315277126 Enrollment ID: I20220822000959 |
| Provider Name | Maflorence B Gotay |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1518536135 PECOS PAC ID: 4587047774 Enrollment ID: I20220822001061 |
| Provider Name | Basil M Patel |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1457705527 PECOS PAC ID: 4183056237 Enrollment ID: I20220822002626 |
| Provider Name | Yosaf Zeyed |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1720425176 PECOS PAC ID: 0244589489 Enrollment ID: I20220823004027 |
| Provider Name | Faye Pais |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1104213024 PECOS PAC ID: 3375875792 Enrollment ID: I20220825000500 |
| Provider Name | Deborah Sampson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851029078 PECOS PAC ID: 6608250592 Enrollment ID: I20220825003594 |
| Provider Name | Alyssa Middleton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639600356 PECOS PAC ID: 7012281033 Enrollment ID: I20220826000603 |
| Provider Name | Dewan Giri |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063065894 PECOS PAC ID: 7315278967 Enrollment ID: I20220826000685 |
| Provider Name | Olesya Ilkun |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1750817243 PECOS PAC ID: 2961755657 Enrollment ID: I20220826002195 |
| Provider Name | Mahmoud Masoudi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265093868 PECOS PAC ID: 5799169587 Enrollment ID: I20220828000066 |
| Provider Name | Waquas Yaqoob |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1679070270 PECOS PAC ID: 7012252489 Enrollment ID: I20220829002062 |
| Provider Name | Amira Quevedo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356769418 PECOS PAC ID: 5991091951 Enrollment ID: I20220829003619 |
| Provider Name | Payalben Danak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285362533 PECOS PAC ID: 3577947050 Enrollment ID: I20220901000624 |
| Provider Name | Paul D Fuldauer |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1578294666 PECOS PAC ID: 7214311729 Enrollment ID: I20220901001867 |
| Provider Name | Brandy N Johnson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851788376 PECOS PAC ID: 7113211376 Enrollment ID: I20220901002328 |
| Provider Name | Emily Legrand Oswald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134847940 PECOS PAC ID: 7810371085 Enrollment ID: I20220907002755 |
| Provider Name | Sai Pavan Chintalapati |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1265954622 PECOS PAC ID: 5991070260 Enrollment ID: I20220907003362 |
| Provider Name | Pooja Gurram |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1598147902 PECOS PAC ID: 4880901594 Enrollment ID: I20220907003957 |
| Provider Name | Erika Regina Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417592478 PECOS PAC ID: 6305220500 Enrollment ID: I20220907003985 |
| Provider Name | Raquel Lee Beauchamp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538887146 PECOS PAC ID: 0547644643 Enrollment ID: I20220908000598 |
| Provider Name | Charlotte Hart Chaiklin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558821371 PECOS PAC ID: 3779967815 Enrollment ID: I20220908002271 |
| Provider Name | Tiffany Anderson |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1306264692 PECOS PAC ID: 0345466819 Enrollment ID: I20220916001094 |
| Provider Name | Pooja Mysore |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629631395 PECOS PAC ID: 8729317425 Enrollment ID: I20220916001145 |
| Provider Name | Shawn Simek |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1487016929 PECOS PAC ID: 8123403763 Enrollment ID: I20220916002407 |
| Provider Name | Sheena Pramod |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1891956264 PECOS PAC ID: 5799094744 Enrollment ID: I20220916002724 |
| Provider Name | Nisha Patel D'souza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154985828 PECOS PAC ID: 5193052223 Enrollment ID: I20220919000205 |
| Provider Name | Aleksey Novikov |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1649546029 PECOS PAC ID: 1456606599 Enrollment ID: I20220922000341 |
| Provider Name | Catherine Gonsalves |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1609300904 PECOS PAC ID: 7113292699 Enrollment ID: I20220923001387 |
| Provider Name | Aneri Pandya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164159067 PECOS PAC ID: 6103201371 Enrollment ID: I20220923002931 |
| Provider Name | Christian Jose Escorcia |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1780313924 PECOS PAC ID: 3678958865 Enrollment ID: I20220926000137 |
| Provider Name | Saja Alramadhan |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1326533043 PECOS PAC ID: 1658757810 Enrollment ID: I20220926003381 |
| Provider Name | Sebastian Cuitiva |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598402505 PECOS PAC ID: 3173909330 Enrollment ID: I20220926003558 |
| Provider Name | Caroline Elizabeth Henika |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1174243463 PECOS PAC ID: 8426434523 Enrollment ID: I20220927001892 |
| Provider Name | Brandi Alexander Defio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891337432 PECOS PAC ID: 7315323953 Enrollment ID: I20221004003816 |
| Provider Name | Darya Smolievskaya |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1912626979 PECOS PAC ID: 6002292174 Enrollment ID: I20221005001699 |
| Provider Name | Cecilia Gutierrez Hampson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1164194833 PECOS PAC ID: 7113303603 Enrollment ID: I20221006002541 |
| Provider Name | Anisha Kapoor |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891287546 PECOS PAC ID: 2567718349 Enrollment ID: I20221007001999 |
| Provider Name | Shiv B Rawal |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1942720008 PECOS PAC ID: 2860824083 Enrollment ID: I20221010002068 |
| Provider Name | Michael Joseph Lavery |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1548935216 PECOS PAC ID: 4880070135 Enrollment ID: I20221010003338 |
| Provider Name | Min Zheng |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801511688 PECOS PAC ID: 8527444801 Enrollment ID: I20221011000957 |
| Provider Name | James Holcomb |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407836349 PECOS PAC ID: 1557549235 Enrollment ID: I20221012000050 |
| Provider Name | Helen Hu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689054413 PECOS PAC ID: 4385991124 Enrollment ID: I20221013003769 |
| Provider Name | Vanessa Delgado |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750034104 PECOS PAC ID: 4284000209 Enrollment ID: I20221017001797 |
| Provider Name | Tressie Landreth |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1598919987 PECOS PAC ID: 6204053267 Enrollment ID: I20221020000066 |
| Provider Name | Ling Tang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205582806 PECOS PAC ID: 4082080783 Enrollment ID: I20221020003451 |
| Provider Name | Tiffany Chua |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1245658194 PECOS PAC ID: 7315217684 Enrollment ID: I20221021002692 |
| Provider Name | Muhammad Ali Syed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235304940 PECOS PAC ID: 9234207960 Enrollment ID: I20221021002712 |
| Provider Name | Rashmin Savani |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114042538 PECOS PAC ID: 9234221631 Enrollment ID: I20221024000290 |
| Provider Name | Tiffany a Darling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679037626 PECOS PAC ID: 2567838048 Enrollment ID: I20221025002187 |
| Provider Name | Ianna Krystal Ann James Cason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447972492 PECOS PAC ID: 7517334964 Enrollment ID: I20221027003248 |
| Provider Name | Brandon Zielinski |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1154539112 PECOS PAC ID: 2668798810 Enrollment ID: I20221028000705 |
| Provider Name | Alexandra Mary Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548620644 PECOS PAC ID: 4486942471 Enrollment ID: I20221030000003 |
| Provider Name | Joshua Furtney |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619438231 PECOS PAC ID: 2264761444 Enrollment ID: I20221031001083 |
| Provider Name | Alyssa Lyn Saha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962127100 PECOS PAC ID: 4284001546 Enrollment ID: I20221031001527 |
| Provider Name | J'woin Maalik Harrison |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1003548637 PECOS PAC ID: 9537536784 Enrollment ID: I20221101002852 |
| Provider Name | Esther Dadson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033835855 PECOS PAC ID: 9436526308 Enrollment ID: I20221105000043 |
| Provider Name | Mohamad Anas Sukkari |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1932630779 PECOS PAC ID: 4385075340 Enrollment ID: I20221110003247 |
| Provider Name | Jennifer Favor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831806637 PECOS PAC ID: 4880061399 Enrollment ID: I20221111001495 |
| Provider Name | Kimberley Leanna Cousins |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1457884512 PECOS PAC ID: 8325416811 Enrollment ID: I20221114002289 |
| Provider Name | Alexandra Elizabeth Monaco |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750730792 PECOS PAC ID: 9335437409 Enrollment ID: I20221116000019 |
| Provider Name | Kansas Sampson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497499958 PECOS PAC ID: 2668840026 Enrollment ID: I20221116002417 |
| Provider Name | Chelsea Matthia |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699238717 PECOS PAC ID: 6002248127 Enrollment ID: I20221118001239 |
| Provider Name | Emily Saldanha |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1083287783 PECOS PAC ID: 4183092265 Enrollment ID: I20221121002074 |
| Provider Name | Kelsey Wehrenberg |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124401674 PECOS PAC ID: 9335455575 Enrollment ID: I20221123000255 |
| Provider Name | Niki R Patel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1710606678 PECOS PAC ID: 2365810116 Enrollment ID: I20221129000375 |
| Provider Name | Kent Trafton Mathias |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659728236 PECOS PAC ID: 1456645589 Enrollment ID: I20221201003017 |
| Provider Name | Victor Martins Tonso |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588387161 PECOS PAC ID: 4688043243 Enrollment ID: I20221205000394 |
| Provider Name | Kathryn Walker |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1265666242 PECOS PAC ID: 8022331891 Enrollment ID: I20221207000683 |
| Provider Name | Kayla Vautier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417588013 PECOS PAC ID: 1355710559 Enrollment ID: I20221209002549 |
| Provider Name | Erinn Rosenkrantz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1235763772 PECOS PAC ID: 3779952742 Enrollment ID: I20221214000431 |
| Provider Name | Atul Kapoor |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841503158 PECOS PAC ID: 6103052949 Enrollment ID: I20221214002390 |
| Provider Name | Nishanthi Kandiah |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1629251467 PECOS PAC ID: 8921276890 Enrollment ID: I20221216000145 |
| Provider Name | Werviston Lemes De Faria |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1982148144 PECOS PAC ID: 2769515675 Enrollment ID: I20221216001095 |
| Provider Name | Tommy Cohen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841908670 PECOS PAC ID: 7113396847 Enrollment ID: I20221219002997 |
| Provider Name | Brittany Lynn Bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639711237 PECOS PAC ID: 5092185678 Enrollment ID: I20221222001050 |
| Provider Name | Stephanie Jurczak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396317343 PECOS PAC ID: 8628448149 Enrollment ID: I20221228000156 |
| Provider Name | Benjamin Chapin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1720467541 PECOS PAC ID: 2567760762 Enrollment ID: I20221228000386 |
| Provider Name | Cheryl Bodiford Mcneil |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1982331906 PECOS PAC ID: 2860862273 Enrollment ID: I20221229001963 |
| Provider Name | Stephani C Lowery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003807371 PECOS PAC ID: 5890851430 Enrollment ID: I20230104002520 |
| Provider Name | Madison Marcano |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1003568254 PECOS PAC ID: 7214323260 Enrollment ID: I20230104003211 |
| Provider Name | Destiny Elia Sharp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851982953 PECOS PAC ID: 6204206428 Enrollment ID: I20230105000198 |
| Provider Name | Florina Mickel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902533565 PECOS PAC ID: 5698145795 Enrollment ID: I20230106000551 |
| Provider Name | Christian Rubio |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1497499941 PECOS PAC ID: 6002299344 Enrollment ID: I20230106001037 |
| Provider Name | John Anthony Coppola |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619325115 PECOS PAC ID: 7618263294 Enrollment ID: I20230109000738 |
| Provider Name | Bronson Crawford |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1558790576 PECOS PAC ID: 1951690502 Enrollment ID: I20230110002321 |
| Provider Name | Salvatore Steven Grasso |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194266866 PECOS PAC ID: 1355695123 Enrollment ID: I20230112000708 |
| Provider Name | Katharine Ridgeway Franz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396318473 PECOS PAC ID: 8527439132 Enrollment ID: I20230118002164 |
| Provider Name | Solomon a Seifu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710397393 PECOS PAC ID: 7416256219 Enrollment ID: I20230120001088 |
| Provider Name | Kamal Wahab |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1770045205 PECOS PAC ID: 4284035585 Enrollment ID: I20230120002063 |
| Provider Name | Dylan Mezey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427498575 PECOS PAC ID: 6608174891 Enrollment ID: I20230124000533 |
| Provider Name | Zasha Francheska Vazquez-colon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124432984 PECOS PAC ID: 0648609214 Enrollment ID: I20230124001058 |
| Provider Name | Marie B Blanarova |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1497861009 PECOS PAC ID: 6002067709 Enrollment ID: I20230125001055 |
| Provider Name | Caitlin Rose Macconnell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528771656 PECOS PAC ID: 3577934801 Enrollment ID: I20230125001503 |
| Provider Name | Jamie Bass |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1356602486 PECOS PAC ID: 8921223884 Enrollment ID: I20230126000329 |
| Provider Name | Julie Ann Perez Reside |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225740111 PECOS PAC ID: 7315318581 Enrollment ID: I20230126000469 |
| Provider Name | Meghan Marie Cequerella |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720790017 PECOS PAC ID: 1850762030 Enrollment ID: I20230126000600 |
| Provider Name | Charles Edward Middleton |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1275030702 PECOS PAC ID: 5496004194 Enrollment ID: I20230126001734 |
| Provider Name | Yansu Luo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851014393 PECOS PAC ID: 0547631681 Enrollment ID: I20230127000208 |
| Provider Name | Michael R Dziedzic |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1629780531 PECOS PAC ID: 5890166904 Enrollment ID: I20230128000274 |
| Provider Name | Young Jo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336646918 PECOS PAC ID: 5395141303 Enrollment ID: I20230131001990 |
| Provider Name | Naziheh Assarzadegan |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1598168130 PECOS PAC ID: 7618199324 Enrollment ID: I20230201000153 |
| Provider Name | Jessica Jean Limbaugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285347732 PECOS PAC ID: 1456723360 Enrollment ID: I20230202000090 |
| Provider Name | Julie Daneil Kingery |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1477757359 PECOS PAC ID: 1658698220 Enrollment ID: I20230207000064 |
| Provider Name | Sweety Mariam Varghese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376264820 PECOS PAC ID: 3577935816 Enrollment ID: I20230214001622 |
| Provider Name | Michael Presti |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1689833923 PECOS PAC ID: 9032264148 Enrollment ID: I20230220001593 |
| Provider Name | Lauren Monica Battaglia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245965490 PECOS PAC ID: 2466824438 Enrollment ID: I20230221002000 |
| Provider Name | Judy Ballich |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396441119 PECOS PAC ID: 1254704240 Enrollment ID: I20230221003371 |
| Provider Name | Ryan Carlisle |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1366014359 PECOS PAC ID: 6305219338 Enrollment ID: I20230222001820 |
| Provider Name | Marc O Maybauer |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1942458799 PECOS PAC ID: 6204986904 Enrollment ID: I20230222002028 |
| Provider Name | Ivan Rocha Ferreira Da Silva |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1356654735 PECOS PAC ID: 1658650650 Enrollment ID: I20230223000908 |
| Provider Name | Joseph James Triplet |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1457588717 PECOS PAC ID: 4688817240 Enrollment ID: I20230223002461 |
| Provider Name | Yuriy Stukov |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1710684600 PECOS PAC ID: 7113390089 Enrollment ID: I20230224001340 |
| Provider Name | Salima Powers |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1699195610 PECOS PAC ID: 4385938869 Enrollment ID: I20230228001856 |
| Provider Name | Kendal Hamer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750088191 PECOS PAC ID: 8729451174 Enrollment ID: I20230306000578 |
| Provider Name | Thorsten Haas |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1063122117 PECOS PAC ID: 3173996535 Enrollment ID: I20230306001001 |
| Provider Name | Katherine Virginia Good |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891421483 PECOS PAC ID: 4789057100 Enrollment ID: I20230307000035 |
| Provider Name | James a Beighley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770289167 PECOS PAC ID: 5496128787 Enrollment ID: I20230307003432 |
| Provider Name | Jong Woo Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255037644 PECOS PAC ID: 5193198273 Enrollment ID: I20230310002591 |
| Provider Name | Jessica Ann Miesch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275230716 PECOS PAC ID: 5294109302 Enrollment ID: I20230313000942 |
| Provider Name | Leah Gabrielle Kuntz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285350223 PECOS PAC ID: 4880068873 Enrollment ID: I20230314001545 |
| Provider Name | Yesha Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043925373 PECOS PAC ID: 6103290135 Enrollment ID: I20230314003132 |
| Provider Name | Timothy Paul Foster |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629502455 PECOS PAC ID: 7810260858 Enrollment ID: I20230316002522 |
| Provider Name | Miia Forte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447984059 PECOS PAC ID: 4082088646 Enrollment ID: I20230321003083 |
| Provider Name | Erin Elizabeth Jacobson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417670696 PECOS PAC ID: 3577937150 Enrollment ID: I20230322000628 |
| Provider Name | Lindsey Nicole Slimick |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902505308 PECOS PAC ID: 6709250152 Enrollment ID: I20230327000025 |
| Provider Name | James M Traver |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1891365904 PECOS PAC ID: 8022482496 Enrollment ID: I20230327000541 |
| Provider Name | Leanne Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801550579 PECOS PAC ID: 5496129686 Enrollment ID: I20230330001748 |
| Provider Name | Sunny Patel |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1124617634 PECOS PAC ID: 7618381542 Enrollment ID: I20230404000111 |
| Provider Name | Timothy Feldheim |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1013363506 PECOS PAC ID: 7113213810 Enrollment ID: I20230405000234 |
| Provider Name | Anjan Basoor |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649512054 PECOS PAC ID: 2860792777 Enrollment ID: I20230409000009 |
| Provider Name | Gregory M Pontone |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134275506 PECOS PAC ID: 6002983897 Enrollment ID: I20230410000031 |
| Provider Name | Jeffrey John Adams |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013544972 PECOS PAC ID: 1557736394 Enrollment ID: I20230411000054 |
| Provider Name | Musab K M Shouman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457988222 PECOS PAC ID: 3870968514 Enrollment ID: I20230411000270 |
| Provider Name | Nichole Joann Mcgrath |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1609579861 PECOS PAC ID: 0648645309 Enrollment ID: I20230411000979 |
| Provider Name | Amelia M Schaub |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437504065 PECOS PAC ID: 4981999307 Enrollment ID: I20230411001134 |
| Provider Name | Shiliang Alice Cao |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1750940920 PECOS PAC ID: 2365774130 Enrollment ID: I20230411001651 |
| Provider Name | Teng Jiao Peng Zhao |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093247827 PECOS PAC ID: 6002180049 Enrollment ID: I20230412001850 |
| Provider Name | Robert a Tokhunts |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1982100996 PECOS PAC ID: 0042567406 Enrollment ID: I20230414000230 |
| Provider Name | Victoria Brown |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1093152316 PECOS PAC ID: 9638390495 Enrollment ID: I20230417000969 |
| Provider Name | Renata Martins De Barros Mancano |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1053014688 PECOS PAC ID: 8224403589 Enrollment ID: I20230419000530 |
| Provider Name | Talal Seoud |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1003270075 PECOS PAC ID: 7517322811 Enrollment ID: I20230419002978 |
| Provider Name | Karen Mckinney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447589205 PECOS PAC ID: 4385785005 Enrollment ID: I20230420000124 |
| Provider Name | Michael Ioan Bulzan Bright |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1619404415 PECOS PAC ID: 9739457904 Enrollment ID: I20230420000418 |
| Provider Name | Paul Spencer Hiers |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679985519 PECOS PAC ID: 3870710759 Enrollment ID: I20230421001158 |
| Provider Name | Michael M Polmear |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1952898223 PECOS PAC ID: 8527423722 Enrollment ID: I20230421001765 |
| Provider Name | Majd Khasawneh |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1366962243 PECOS PAC ID: 0941579841 Enrollment ID: I20230424002205 |
| Provider Name | Ashraf Bahlul Muzwagi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619359312 PECOS PAC ID: 4082960422 Enrollment ID: I20230426001498 |
| Provider Name | Daniela Quinto Dos Reis Hochhegger |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356056451 PECOS PAC ID: 9931564838 Enrollment ID: I20230427003203 |
| Provider Name | Faith Ann Peats |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1932809183 PECOS PAC ID: 5294190195 Enrollment ID: I20230428000070 |
| Provider Name | Chelsea Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063113371 PECOS PAC ID: 5395100143 Enrollment ID: I20230429000251 |
| Provider Name | Caroline I Ripat |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1699156505 PECOS PAC ID: 6800251471 Enrollment ID: I20230503003601 |
| Provider Name | Trevor Simcox |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1467942003 PECOS PAC ID: 1759746357 Enrollment ID: I20230504001177 |
| Provider Name | Bebi Bacchus |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689606915 PECOS PAC ID: 5991712473 Enrollment ID: I20230510000596 |
| Provider Name | William Hartman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1053363622 PECOS PAC ID: 1850366717 Enrollment ID: I20230511000680 |
| Provider Name | Venkat Prajwal Naidu Mallarapu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043873607 PECOS PAC ID: 6709242829 Enrollment ID: I20230516002076 |
| Provider Name | Alberto Andres Arteaga Useche |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1912490400 PECOS PAC ID: 0648524330 Enrollment ID: I20230518003006 |
| Provider Name | Mustafa Yehya |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1114419165 PECOS PAC ID: 9032575865 Enrollment ID: I20230519001481 |
| Provider Name | Shreya Rani Aggarwal |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1376030247 PECOS PAC ID: 4688808397 Enrollment ID: I20230519002388 |
| Provider Name | Carrie a Hopkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427758770 PECOS PAC ID: 4789040544 Enrollment ID: I20230520000020 |
| Provider Name | John Clayton Rodriguez |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1801392709 PECOS PAC ID: 6002156361 Enrollment ID: I20230522000367 |
| Provider Name | Jessica R Sohn |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831718386 PECOS PAC ID: 4082034301 Enrollment ID: I20230523003653 |
| Provider Name | Michael Carl Roden-reynolds |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1508566605 PECOS PAC ID: 2961868567 Enrollment ID: I20230524002980 |
| Provider Name | Zeni Quinn Freeman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1619665627 PECOS PAC ID: 7911364468 Enrollment ID: I20230529000303 |
| Provider Name | Fernanda Carolina Cordeiro-rudnisky |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1700318730 PECOS PAC ID: 9234474131 Enrollment ID: I20230530001997 |
| Provider Name | Aisha Edith Droz Lopez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154893766 PECOS PAC ID: 1951768373 Enrollment ID: I20230531000118 |
| Provider Name | Ellen George |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023543204 PECOS PAC ID: 4284907635 Enrollment ID: I20230531002810 |
| Provider Name | Mariah Mae Renaud |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720785637 PECOS PAC ID: 5799142089 Enrollment ID: I20230531003465 |
| Provider Name | Jeffrey Kenneth Katz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831726090 PECOS PAC ID: 8325466634 Enrollment ID: I20230601000003 |
| Provider Name | Dale Hamilton Whitmire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538870563 PECOS PAC ID: 9234596404 Enrollment ID: I20230601003336 |
| Provider Name | Serendipity Zapanta Rinonos |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1942629258 PECOS PAC ID: 6901126119 Enrollment ID: I20230602001093 |
| Provider Name | Sheetal Patel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1003263484 PECOS PAC ID: 2769753326 Enrollment ID: I20230605000831 |
| Provider Name | Tyler Frederick Werbel |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1154881589 PECOS PAC ID: 5294155958 Enrollment ID: I20230605000993 |
| Provider Name | Jason Buschman |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1891720728 PECOS PAC ID: 6901060763 Enrollment ID: I20230605002798 |
| Provider Name | Garrett Wood |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1194716464 PECOS PAC ID: 6002855103 Enrollment ID: I20230607000143 |
| Provider Name | Madison M Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538758040 PECOS PAC ID: 2668866294 Enrollment ID: I20230612002450 |
| Provider Name | Haneen Saker |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942810270 PECOS PAC ID: 4688084981 Enrollment ID: I20230612003210 |
| Provider Name | Melissa Marie Petit |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1740743764 PECOS PAC ID: 7719215664 Enrollment ID: I20230613000656 |
| Provider Name | Sophia El Hamichi |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1255098562 PECOS PAC ID: 0749647378 Enrollment ID: I20230613000811 |
| Provider Name | Boyan Apostolov |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1083176184 PECOS PAC ID: 7911364542 Enrollment ID: I20230613000844 |
| Provider Name | Andrew Grees |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801423272 PECOS PAC ID: 1052778685 Enrollment ID: I20230613001041 |
| Provider Name | Meredith Campbell Joseph |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851770028 PECOS PAC ID: 6800108028 Enrollment ID: I20230613002104 |
| Provider Name | David Iglesias |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1548335417 PECOS PAC ID: 5092971010 Enrollment ID: I20230613002423 |
| Provider Name | Mayur Patel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871098004 PECOS PAC ID: 3476952656 Enrollment ID: I20230613003208 |
| Provider Name | Nazanin Ebrahimiadib |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1750073458 PECOS PAC ID: 3779941398 Enrollment ID: I20230614000869 |
| Provider Name | Pravin George |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1083857866 PECOS PAC ID: 3072737162 Enrollment ID: I20230614001284 |
| Provider Name | Melissa a Leggett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316637671 PECOS PAC ID: 9436517091 Enrollment ID: I20230614002681 |
| Provider Name | Raj a Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861989584 PECOS PAC ID: 4587913264 Enrollment ID: I20230614003106 |
| Provider Name | Reed Weston Kamyszek |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1962063891 PECOS PAC ID: 6305171505 Enrollment ID: I20230614003172 |
| Provider Name | Benjamin Arnold |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922628841 PECOS PAC ID: 0941629240 Enrollment ID: I20230614004152 |
| Provider Name | Cindy Marie Barbosa Nunez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033746342 PECOS PAC ID: 1052730181 Enrollment ID: I20230615000114 |
| Provider Name | Amelia Ordonez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194352245 PECOS PAC ID: 3577988997 Enrollment ID: I20230616000273 |
| Provider Name | Erin Barrett Bruney |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932728938 PECOS PAC ID: 6901264266 Enrollment ID: I20230618000033 |
| Provider Name | Mark Radetic |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1760915250 PECOS PAC ID: 7810264421 Enrollment ID: I20230621000007 |
| Provider Name | Nimy John |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1316322316 PECOS PAC ID: 3678866399 Enrollment ID: I20230621002735 |
| Provider Name | Urja M Patel |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1346771771 PECOS PAC ID: 4385982370 Enrollment ID: I20230622002142 |
| Provider Name | Matthew Aaron Remz |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1710481718 PECOS PAC ID: 0547628398 Enrollment ID: I20230626003649 |
| Provider Name | Pankit Jayesh Patel |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1891157327 PECOS PAC ID: 6800219478 Enrollment ID: I20230627000285 |
| Provider Name | Aman Prasad |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1306340914 PECOS PAC ID: 8022365881 Enrollment ID: I20230627000553 |
| Provider Name | Cassandra Mangan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1255001574 PECOS PAC ID: 9931597911 Enrollment ID: I20230703001036 |
| Provider Name | Alan D Pringle |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1750960878 PECOS PAC ID: 6002275492 Enrollment ID: I20230703001180 |
| Provider Name | Ryan C Cheek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497462246 PECOS PAC ID: 5890154249 Enrollment ID: I20230704000221 |
| Provider Name | Nicholas Gopal Rico |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1396438826 PECOS PAC ID: 5294194544 Enrollment ID: I20230705000256 |
| Provider Name | Macartney E Welborn |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1285298471 PECOS PAC ID: 0446670962 Enrollment ID: I20230705001652 |
| Provider Name | Shixie Jiang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750887022 PECOS PAC ID: 7517326846 Enrollment ID: I20230705002890 |
| Provider Name | Steven Joseph Ross |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1174901268 PECOS PAC ID: 9436465911 Enrollment ID: I20230706000078 |
| Provider Name | Mary Elaine Nyssen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1518547173 PECOS PAC ID: 3274992425 Enrollment ID: I20230706000339 |
| Provider Name | Matthew Frakes |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1104386754 PECOS PAC ID: 4880922160 Enrollment ID: I20230706001150 |
| Provider Name | Melissa Gronceski |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114546330 PECOS PAC ID: 2860812674 Enrollment ID: I20230706002157 |
| Provider Name | Nathaniel Rieveschl |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1851854731 PECOS PAC ID: 7012243140 Enrollment ID: I20230706003655 |
| Provider Name | Maria E Fermin Gutierrez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952753642 PECOS PAC ID: 3274863444 Enrollment ID: I20230706003799 |
| Provider Name | Margarita Berwick |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700441573 PECOS PAC ID: 9931431368 Enrollment ID: I20230708000564 |
| Provider Name | Andrey Suprun |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1518426790 PECOS PAC ID: 1850723024 Enrollment ID: I20230710000093 |
| Provider Name | Andrea Castro Cara |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1124607957 PECOS PAC ID: 0749649721 Enrollment ID: I20230710000226 |
| Provider Name | Allan Farquhar |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1639115157 PECOS PAC ID: 7113918921 Enrollment ID: I20230710000881 |
| Provider Name | Spencer Dechert |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1396429742 PECOS PAC ID: 2860851706 Enrollment ID: I20230710002889 |
| Provider Name | Randy Leung |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598393878 PECOS PAC ID: 4486013273 Enrollment ID: I20230712000051 |
| Provider Name | Jack Anthony Schneck |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1437619459 PECOS PAC ID: 6507194123 Enrollment ID: I20230713000075 |
| Provider Name | Thiago Santos Carneiro |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1013449313 PECOS PAC ID: 8921370768 Enrollment ID: I20230713004268 |
| Provider Name | Steven Raymond |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1033537899 PECOS PAC ID: 9032337142 Enrollment ID: I20230714003503 |
| Provider Name | Jeremy King |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194229658 PECOS PAC ID: 8022440155 Enrollment ID: I20230715000755 |
| Provider Name | Nikita Chapurin |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1073045654 PECOS PAC ID: 3971982109 Enrollment ID: I20230716000031 |
| Provider Name | William Buckner Weir |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1205216132 PECOS PAC ID: 9830404052 Enrollment ID: I20230718000302 |
| Provider Name | Kevin Dunne |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1306238936 PECOS PAC ID: 8729448030 Enrollment ID: I20230718004167 |
| Provider Name | Trevor Sudweeks |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1174082309 PECOS PAC ID: 3577891142 Enrollment ID: I20230719001644 |
| Provider Name | Steven Sidelsky |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1497133300 PECOS PAC ID: 6406103894 Enrollment ID: I20230720000230 |
| Provider Name | Jose Maria Cardenas Fimbres |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003267436 PECOS PAC ID: 8022440361 Enrollment ID: I20230720001697 |
| Provider Name | Patrick Britell |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1588980320 PECOS PAC ID: 3971725573 Enrollment ID: I20230720002346 |
| Provider Name | Juan Carlos Acosta Martinez |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1821521469 PECOS PAC ID: 7517387517 Enrollment ID: I20230720002696 |
| Provider Name | Talles Sidronio |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1013477496 PECOS PAC ID: 6608104229 Enrollment ID: I20230720002896 |
| Provider Name | Deepak Donthi |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1700300019 PECOS PAC ID: 6709150758 Enrollment ID: I20230721000240 |
| Provider Name | Cassandra Apicella |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1649731738 PECOS PAC ID: 8224437751 Enrollment ID: I20230721000517 |
| Provider Name | Benjamin Yunk |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982100038 PECOS PAC ID: 8729448766 Enrollment ID: I20230721001549 |
| Provider Name | Andrew Stein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447879606 PECOS PAC ID: 7810316114 Enrollment ID: I20230724000499 |
| Provider Name | Luke Landolt |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1205395308 PECOS PAC ID: 1658606405 Enrollment ID: I20230724000597 |
| Provider Name | David Matsibekker |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225651771 PECOS PAC ID: 8628438629 Enrollment ID: I20230724000609 |
| Provider Name | Laura Anne Glicksman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1326500281 PECOS PAC ID: 4880054782 Enrollment ID: I20230724000752 |
| Provider Name | Vishal Gautam Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326676446 PECOS PAC ID: 1254751233 Enrollment ID: I20230724002221 |
| Provider Name | Alison Baker |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1093321580 PECOS PAC ID: 6406217314 Enrollment ID: I20230725001890 |
| Provider Name | Erin Taylor Polk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316623184 PECOS PAC ID: 6800257759 Enrollment ID: I20230725003675 |
| Provider Name | Ashley Nalini Goordeen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1801455860 PECOS PAC ID: 5890021653 Enrollment ID: I20230726000500 |
| Provider Name | Elizabeth Maria Parimanath |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609405349 PECOS PAC ID: 6103246244 Enrollment ID: I20230726001589 |
| Provider Name | Matthew Apicella |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215557582 PECOS PAC ID: 2668833492 Enrollment ID: I20230726002909 |
| Provider Name | Michael Vincent Mamone |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104453190 PECOS PAC ID: 6103248745 Enrollment ID: I20230727003802 |
| Provider Name | Alex Thomas Marpole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356027809 PECOS PAC ID: 2769843408 Enrollment ID: I20230727004090 |
| Provider Name | Varsha Kurup |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740818376 PECOS PAC ID: 8921418492 Enrollment ID: I20230728000759 |
| Provider Name | Geoffry G Burks |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1164983177 PECOS PAC ID: 0648505289 Enrollment ID: I20230728000789 |
| Provider Name | Mariana Ribeiro Rodero Cardoso |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356029821 PECOS PAC ID: 7113388778 Enrollment ID: I20230728001300 |
| Provider Name | Meera Ramsooksingh |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1285168690 PECOS PAC ID: 6204216989 Enrollment ID: I20230729000050 |
| Provider Name | Ana DO |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1891958310 PECOS PAC ID: 1850563040 Enrollment ID: I20230731000353 |
| Provider Name | Alexandra N De Leo |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1114422482 PECOS PAC ID: 1557605995 Enrollment ID: I20230801003716 |
| Provider Name | Shirley Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083243356 PECOS PAC ID: 0345662714 Enrollment ID: I20230802001083 |
| Provider Name | Ensar Yekeler |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679214118 PECOS PAC ID: 2365819794 Enrollment ID: I20230802004096 |
| Provider Name | Josiah Mccain |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1225482052 PECOS PAC ID: 8820389042 Enrollment ID: I20230803000818 |
| Provider Name | Courtney Cramer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1427747583 PECOS PAC ID: 2860853868 Enrollment ID: I20230807000887 |
| Provider Name | Allan Brent Selph |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1720770993 PECOS PAC ID: 8123489184 Enrollment ID: I20230807003182 |
| Provider Name | Jacob Mcduffie |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1306545744 PECOS PAC ID: 3678935434 Enrollment ID: I20230811000403 |
| Provider Name | Joseph H Castellanos |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760048433 PECOS PAC ID: 4284001090 Enrollment ID: I20230811003181 |
| Provider Name | Derek Wayne Bruner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376228528 PECOS PAC ID: 2668834235 Enrollment ID: I20230814002481 |
| Provider Name | Jeremy Michael Scott Titus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861171365 PECOS PAC ID: 8123480696 Enrollment ID: I20230815003342 |
| Provider Name | Linda S Chow |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1750062998 PECOS PAC ID: 1254793763 Enrollment ID: I20230816000633 |
| Provider Name | Kevin M Priddy |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1255892675 PECOS PAC ID: 8729466875 Enrollment ID: I20230816003988 |
| Provider Name | David Hutchinson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1902300742 PECOS PAC ID: 2062768377 Enrollment ID: I20230816004292 |
| Provider Name | Stefanie Jones Gault |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881372761 PECOS PAC ID: 0446612832 Enrollment ID: I20230817000068 |
| Provider Name | Cynthia Ann Sharadin |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1134500788 PECOS PAC ID: 3779985502 Enrollment ID: I20230817000948 |
| Provider Name | Tarik Benidir |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1952971905 PECOS PAC ID: 0042614505 Enrollment ID: I20230818001424 |
| Provider Name | Matthew Turtzo |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1659804375 PECOS PAC ID: 9133502206 Enrollment ID: I20230821001135 |
| Provider Name | Sara Scarlet |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1679919021 PECOS PAC ID: 6204058464 Enrollment ID: I20230822001783 |
| Provider Name | Sarah Blake |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1619003092 PECOS PAC ID: 4082748132 Enrollment ID: I20230822004291 |
| Provider Name | Rohan Raj Sarna |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1467945485 PECOS PAC ID: 6204187743 Enrollment ID: I20230823000690 |
| Provider Name | Anthony Joseph Meyer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043874613 PECOS PAC ID: 7618209024 Enrollment ID: I20230823000927 |
| Provider Name | Ann Marie Monson Slagle |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1235829474 PECOS PAC ID: 5991168072 Enrollment ID: I20230823002426 |
| Provider Name | Jonathan Pruitt |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1194418673 PECOS PAC ID: 1355704354 Enrollment ID: I20230823003458 |
| Provider Name | Media Ismael |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1922530294 PECOS PAC ID: 2769754993 Enrollment ID: I20230823003942 |
| Provider Name | Diala Alawneh |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1255836573 PECOS PAC ID: 2466701792 Enrollment ID: I20230823004403 |
| Provider Name | Selina Sutchu |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1427589035 PECOS PAC ID: 4688947831 Enrollment ID: I20230823004665 |
| Provider Name | Lindsey M. Clayton |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1982396446 PECOS PAC ID: 5890158844 Enrollment ID: I20230824001118 |
| Provider Name | Nundia Louis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023646783 PECOS PAC ID: 0446613129 Enrollment ID: I20230829000203 |
| Provider Name | David Husband |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1629538202 PECOS PAC ID: 4082077722 Enrollment ID: I20230829003227 |
| Provider Name | Chand Rohatgi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1457438178 PECOS PAC ID: 2769426527 Enrollment ID: I20230830000397 |
| Provider Name | Federico Jimenez-ruiz |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1174055115 PECOS PAC ID: 3274806880 Enrollment ID: I20230831001883 |
| Provider Name | Taylor E Gray |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1396232955 PECOS PAC ID: 8224412879 Enrollment ID: I20230831001927 |
| Provider Name | Teresa Margaret Blood |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1669164687 PECOS PAC ID: 6507229929 Enrollment ID: I20230831002667 |
| Provider Name | Tara Brianne Lawrence |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1558618389 PECOS PAC ID: 6204299696 Enrollment ID: I20230901000900 |
| Provider Name | Mackenzie Leanne Olson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1740873413 PECOS PAC ID: 5799148193 Enrollment ID: I20230901001156 |
| Provider Name | Bryan Allan Smallwood |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1609513787 PECOS PAC ID: 7719340934 Enrollment ID: I20230905003294 |
| Provider Name | Reema Kashif |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386179638 PECOS PAC ID: 6305256421 Enrollment ID: I20230906000065 |
| Provider Name | Morgan Elizabeth Lowery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649953043 PECOS PAC ID: 3476917501 Enrollment ID: I20230907004089 |
| Provider Name | Larry Ferdinand |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1255599601 PECOS PAC ID: 8628249224 Enrollment ID: I20230911000867 |
| Provider Name | Keith Shamrock |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730717356 PECOS PAC ID: 2163841297 Enrollment ID: I20230912003992 |
| Provider Name | Kathleen Jennifer Mcdonald |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1598920134 PECOS PAC ID: 0547624348 Enrollment ID: I20230912004316 |
| Provider Name | Manuel Dayal Britto |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1366902801 PECOS PAC ID: 3274997820 Enrollment ID: I20230914002314 |
| Provider Name | Joshua Martin Jurczak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508471616 PECOS PAC ID: 9931563517 Enrollment ID: I20230914003632 |
| Provider Name | Summer Rye-buckingham |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649701194 PECOS PAC ID: 5597185066 Enrollment ID: I20230915000718 |
| Provider Name | Cody Emmerman |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1659157139 PECOS PAC ID: 6507220944 Enrollment ID: I20230918003798 |
| Provider Name | Jaclyn a Wagner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720372964 PECOS PAC ID: 4880862630 Enrollment ID: I20230918003983 |
| Provider Name | Harish Kumar Goli |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1003177049 PECOS PAC ID: 6507275484 Enrollment ID: I20230920000230 |
| Provider Name | Victoria Ulatowski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578172375 PECOS PAC ID: 6406200781 Enrollment ID: I20230921000738 |
| Provider Name | Tram B DO |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598442816 PECOS PAC ID: 1355795501 Enrollment ID: I20230921004280 |
| Provider Name | Corey Daniel Cowgill |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1821780529 PECOS PAC ID: 8022462142 Enrollment ID: I20230922003244 |
| Provider Name | Jennifer P Huckabee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689017345 PECOS PAC ID: 3375885551 Enrollment ID: I20230925000087 |
| Provider Name | Shanda Shrader |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831579853 PECOS PAC ID: 8325336787 Enrollment ID: I20230925001138 |
| Provider Name | Roland Loynaz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1457044380 PECOS PAC ID: 9133573926 Enrollment ID: I20230927003640 |
| Provider Name | Rodney K Edwards |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932145117 PECOS PAC ID: 6002911344 Enrollment ID: I20231002001522 |
| Provider Name | Debbie-ann Shirley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942343660 PECOS PAC ID: 9133366727 Enrollment ID: I20231003001498 |
| Provider Name | Zhengqiu Zhou |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669000543 PECOS PAC ID: 4688079544 Enrollment ID: I20231004000540 |
| Provider Name | Chelsy Elizabeth Van Winkle |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1053196436 PECOS PAC ID: 5698120095 Enrollment ID: I20231004002310 |
| Provider Name | April Rosemarie Chin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740467208 PECOS PAC ID: 8527132133 Enrollment ID: I20231004004134 |
| Provider Name | Areeb M Chaudhry |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881472256 PECOS PAC ID: 9638524960 Enrollment ID: I20231006000655 |
| Provider Name | Subbareddy Konda |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1770519084 PECOS PAC ID: 4981673738 Enrollment ID: I20231006001371 |
| Provider Name | Maria Jose Gay |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1710232467 PECOS PAC ID: 7416260344 Enrollment ID: I20231007000615 |
| Provider Name | Sabrina N Wyatt |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1376623603 PECOS PAC ID: 2365517521 Enrollment ID: I20231009000079 |
| Provider Name | Piers Alexander Frieden |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659908697 PECOS PAC ID: 7618397423 Enrollment ID: I20231009002400 |
| Provider Name | Shantell Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891570685 PECOS PAC ID: 2163877010 Enrollment ID: I20231012000506 |
| Provider Name | Simona Anatoleyvna Ilizarov |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1265164669 PECOS PAC ID: 1951757335 Enrollment ID: I20231020000965 |
| Provider Name | Jereth Barrio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437849254 PECOS PAC ID: 3173979333 Enrollment ID: I20231024001555 |
| Provider Name | Jennifer Popp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245928910 PECOS PAC ID: 9739535840 Enrollment ID: I20231026000255 |
| Provider Name | Shahrukh Bengali |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1992267470 PECOS PAC ID: 0345644589 Enrollment ID: I20231026000662 |
| Provider Name | Devan Blair Fridley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013791268 PECOS PAC ID: 6305292343 Enrollment ID: I20231026002182 |
| Provider Name | Ahsan Raza |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1477835908 PECOS PAC ID: 9739315359 Enrollment ID: I20231026002686 |
| Provider Name | Margaret Kiera Sylvester |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366176471 PECOS PAC ID: 5092161067 Enrollment ID: I20231026003522 |
| Provider Name | Simon Cavendish Mears |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1851340442 PECOS PAC ID: 4981731684 Enrollment ID: I20231027000033 |
| Provider Name | Patricia Melendez Moreno |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336590934 PECOS PAC ID: 8820335367 Enrollment ID: I20231027000088 |
| Provider Name | Hanan Mostafa El Shakankiry |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093100505 PECOS PAC ID: 3971989948 Enrollment ID: I20231027001298 |
| Provider Name | Michael Schmidt |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235164625 PECOS PAC ID: 9133110307 Enrollment ID: I20231028000447 |
| Provider Name | Angela Karcinski |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1659411700 PECOS PAC ID: 3971959842 Enrollment ID: I20231030000087 |
| Provider Name | Marley Leighann Schramm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154100790 PECOS PAC ID: 6305292202 Enrollment ID: I20231030001210 |
| Provider Name | Derik T Gotay |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1124715149 PECOS PAC ID: 2062873243 Enrollment ID: I20231030001705 |
| Provider Name | Kelly Lau |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1841076460 PECOS PAC ID: 1052767852 Enrollment ID: I20231031001871 |
| Provider Name | Sanaa Badour |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1760003479 PECOS PAC ID: 7416351473 Enrollment ID: I20231031002646 |
| Provider Name | Alexandra Paige Byers |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1265217848 PECOS PAC ID: 9032565692 Enrollment ID: I20231102001406 |
| Provider Name | Avni Bhula |
|---|---|
| Provider Type | Practitioner - Oral And Maxillofacial Radiology |
| Provider Identifiers | NPI Number: 1174112288 PECOS PAC ID: 0840647434 Enrollment ID: I20231102003447 |
| Provider Name | Valerie Amanda Juarez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073205522 PECOS PAC ID: 7618324278 Enrollment ID: I20231103002695 |
| Provider Name | Cole Mccarty |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1346747763 PECOS PAC ID: 4385986439 Enrollment ID: I20231104000534 |
| Provider Name | Bassam Zahid |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295232361 PECOS PAC ID: 9537554613 Enrollment ID: I20231106000308 |
| Provider Name | Karina Adriana Serban |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1255524518 PECOS PAC ID: 8123265121 Enrollment ID: I20231108003181 |
| Provider Name | Anna Deutsch |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1215636337 PECOS PAC ID: 4688021819 Enrollment ID: I20231109002833 |
| Provider Name | James Russell Williams |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043309560 PECOS PAC ID: 7416844626 Enrollment ID: I20231110000122 |
| Provider Name | Dario Dane Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740067172 PECOS PAC ID: 1456708577 Enrollment ID: I20231113000065 |
| Provider Name | Kimberly Marie Gallo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205614112 PECOS PAC ID: 4082061106 Enrollment ID: I20231113000106 |
| Provider Name | Natalie Ann Farinas |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1962282194 PECOS PAC ID: 0143677989 Enrollment ID: I20231115003068 |
| Provider Name | Nishil Patel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467089417 PECOS PAC ID: 0244650992 Enrollment ID: I20231118000135 |
| Provider Name | Abigayle Lahman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295515153 PECOS PAC ID: 7517315237 Enrollment ID: I20231118000174 |
| Provider Name | Rodericka Belt- Ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023759800 PECOS PAC ID: 7719335322 Enrollment ID: I20231120003536 |
| Provider Name | Burhan Radwan Kazaal |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1295450849 PECOS PAC ID: 6709234347 Enrollment ID: I20231121001244 |
| Provider Name | Casandra Marie Heusdens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013699222 PECOS PAC ID: 2668820952 Enrollment ID: I20231127003175 |
| Provider Name | Muhammad Naveed Khan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659347748 PECOS PAC ID: 1254486418 Enrollment ID: I20231129001517 |
| Provider Name | Aman Shah |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1770845851 PECOS PAC ID: 4284973215 Enrollment ID: I20231201001091 |
| Provider Name | Adrienne Desalvo |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1033588702 PECOS PAC ID: 6901254796 Enrollment ID: I20231205001984 |
| Provider Name | Thompson Cesar |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1861279085 PECOS PAC ID: 1658720446 Enrollment ID: I20231205002299 |
| Provider Name | Laura Anne Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265210868 PECOS PAC ID: 9638528466 Enrollment ID: I20231205003620 |
| Provider Name | Matthew S Mallard |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1669032082 PECOS PAC ID: 8224460332 Enrollment ID: I20231205003762 |
| Provider Name | Jacob Matthew Milling |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326675463 PECOS PAC ID: 2961815196 Enrollment ID: I20231207003626 |
| Provider Name | Justin Bailey |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1881254340 PECOS PAC ID: 0840522942 Enrollment ID: I20231208000984 |
| Provider Name | Nicole Welton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124723531 PECOS PAC ID: 6305295833 Enrollment ID: I20231209000567 |
| Provider Name | Dan Rosario |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1649734963 PECOS PAC ID: 2365782554 Enrollment ID: I20231213002413 |
| Provider Name | Gaurav Rana |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851821581 PECOS PAC ID: 3971847492 Enrollment ID: I20231220001172 |
| Provider Name | Latoya Denise Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043903578 PECOS PAC ID: 0941650667 Enrollment ID: I20231221000732 |
| Provider Name | Elisabeth Hope Wynia Hwang |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033745963 PECOS PAC ID: 4183074776 Enrollment ID: I20231221004085 |
| Provider Name | Lara Dowling |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811348261 PECOS PAC ID: 7618327214 Enrollment ID: I20231222000367 |
| Provider Name | Sarah Kelley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316727282 PECOS PAC ID: 7315397916 Enrollment ID: I20231222000462 |
| Provider Name | Danielle N Tupes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598439002 PECOS PAC ID: 4587062880 Enrollment ID: I20231227000928 |
| Provider Name | Janos Geli |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1366710352 PECOS PAC ID: 6507139284 Enrollment ID: I20231228000165 |
| Provider Name | Nomigly Comeau |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1366614737 PECOS PAC ID: 2961589114 Enrollment ID: I20240102002264 |
| Provider Name | Jennifer Alden Mauney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801185236 PECOS PAC ID: 9739539784 Enrollment ID: I20240103001529 |
| Provider Name | Linda Danielle Hansen Buie |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1053807792 PECOS PAC ID: 2163873159 Enrollment ID: I20240103003337 |
| Provider Name | Dimitry Davydow |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619911930 PECOS PAC ID: 8325041445 Enrollment ID: I20240104000027 |
| Provider Name | Savanna L Dehner |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1720761067 PECOS PAC ID: 0143678052 Enrollment ID: I20240104000052 |
| Provider Name | Krishnakanthan Sasankan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649269689 PECOS PAC ID: 6507937000 Enrollment ID: I20240105000148 |
| Provider Name | Yarelis Serrano |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275163420 PECOS PAC ID: 8022469865 Enrollment ID: I20240105003073 |
| Provider Name | Tosha Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639214216 PECOS PAC ID: 5092816827 Enrollment ID: I20240106000414 |
| Provider Name | Evelyn Anthony |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225014491 PECOS PAC ID: 1557313160 Enrollment ID: I20240109002712 |
| Provider Name | Jessica Kate Byrd |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164980256 PECOS PAC ID: 3678906971 Enrollment ID: I20240112003291 |
| Provider Name | Thomas Guyton |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1588640726 PECOS PAC ID: 8628101029 Enrollment ID: I20240114000009 |
| Provider Name | Kelsey Anna Troutman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1558919985 PECOS PAC ID: 1456747104 Enrollment ID: I20240115001230 |
| Provider Name | Kristen Laurel Kirkland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992577654 PECOS PAC ID: 2860844859 Enrollment ID: I20240116000065 |
| Provider Name | Masood Siddiqui |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902034663 PECOS PAC ID: 8022161371 Enrollment ID: I20240117001754 |
| Provider Name | Alejandro Sierra-ocampo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548049562 PECOS PAC ID: 1759733082 Enrollment ID: I20240123000078 |
| Provider Name | Hayden Tyler Wygant |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811398753 PECOS PAC ID: 3476905647 Enrollment ID: I20240123005031 |
| Provider Name | William Patrick Mulvoy |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1427323765 PECOS PAC ID: 4587899315 Enrollment ID: I20240125004702 |
| Provider Name | Destinyee Yorle Sims |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1407586845 PECOS PAC ID: 2668825209 Enrollment ID: I20240130002693 |
| Provider Name | Abagail May Love |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1760108203 PECOS PAC ID: 2163875410 Enrollment ID: I20240202000688 |
| Provider Name | Montanna Marie Jenkins |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336918234 PECOS PAC ID: 0749633014 Enrollment ID: I20240202001246 |
| Provider Name | Bridget L Mossor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982070223 PECOS PAC ID: 7214246842 Enrollment ID: I20240205003160 |
| Provider Name | Kevin Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386243830 PECOS PAC ID: 4880087774 Enrollment ID: I20240206001108 |
| Provider Name | Emanuel Perez |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1396511432 PECOS PAC ID: 4688017734 Enrollment ID: I20240206003058 |
| Provider Name | Brian Mark Colburn |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1265295331 PECOS PAC ID: 6406299320 Enrollment ID: I20240208000027 |
| Provider Name | Alberto Bursian |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1861846479 PECOS PAC ID: 9335437284 Enrollment ID: I20240212000699 |
| Provider Name | Thomas Andrew Ponte |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1174204143 PECOS PAC ID: 7719320241 Enrollment ID: I20240212001855 |
| Provider Name | Matthew Joseph Simone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225806466 PECOS PAC ID: 0648613059 Enrollment ID: I20240213000676 |
| Provider Name | Mohammed Ezuddin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538588207 PECOS PAC ID: 3577985886 Enrollment ID: I20240213002861 |
| Provider Name | Moacir Moreno Junior |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467214536 PECOS PAC ID: 1557705969 Enrollment ID: I20240213004203 |
| Provider Name | Geoffrey Jones |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922041896 PECOS PAC ID: 0941261879 Enrollment ID: I20240213004869 |
| Provider Name | Brittany Amber Dominguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891420717 PECOS PAC ID: 1759725112 Enrollment ID: I20240214001096 |
| Provider Name | Ashley Kalynn Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326815945 PECOS PAC ID: 5799129177 Enrollment ID: I20240214001713 |
| Provider Name | Sumita Sam |
|---|---|
| Provider Type | Practitioner - Oral And Maxillofacial Pathology |
| Provider Identifiers | NPI Number: 1326561200 PECOS PAC ID: 3678917929 Enrollment ID: I20240215000110 |
| Provider Name | Cheyenne Daly Colucci |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679347512 PECOS PAC ID: 6204270572 Enrollment ID: I20240215000876 |
| Provider Name | Evonne Claire Piazza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619730124 PECOS PAC ID: 0840634937 Enrollment ID: I20240216001389 |
| Provider Name | Erica Cohen Karlinsky |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093041410 PECOS PAC ID: 1456795426 Enrollment ID: I20240217000017 |
| Provider Name | Nicholas Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629203815 PECOS PAC ID: 8426273277 Enrollment ID: I20240219001500 |
| Provider Name | Mi Sook Lee |
|---|---|
| Provider Type | Practitioner - Pediatric Dentistry |
| Provider Identifiers | NPI Number: 1821578758 PECOS PAC ID: 5092159632 Enrollment ID: I20240222000248 |
| Provider Name | Michael Nelson Santiago Feliciano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356112106 PECOS PAC ID: 0941645436 Enrollment ID: I20240223001931 |
| Provider Name | Cleo Bianca Vidican |
|---|---|
| Provider Type | Practitioner - Oral And Maxillofacial Radiology |
| Provider Identifiers | NPI Number: 1184065294 PECOS PAC ID: 3173968690 Enrollment ID: I20240223002860 |
| Provider Name | Nhi Yen Luu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205463262 PECOS PAC ID: 2062822406 Enrollment ID: I20240225000122 |
| Provider Name | Charlie Slowey |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1093201428 PECOS PAC ID: 5092064196 Enrollment ID: I20240302000431 |
| Provider Name | Allison Ferenczy |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1518461136 PECOS PAC ID: 6709130750 Enrollment ID: I20240304002958 |
| Provider Name | Jennifer Sue English |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174384127 PECOS PAC ID: 4183060775 Enrollment ID: I20240305004514 |
| Provider Name | Lindsey Alexis Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902675531 PECOS PAC ID: 8022454651 Enrollment ID: I20240306000896 |
| Provider Name | Ryan David Mark |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1225483621 PECOS PAC ID: 6800188228 Enrollment ID: I20240306001497 |
| Provider Name | Amanda Mancino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487416608 PECOS PAC ID: 2860838380 Enrollment ID: I20240307000030 |
| Provider Name | Rachel Rutledge |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1073913935 PECOS PAC ID: 2961848056 Enrollment ID: I20240312001060 |
| Provider Name | Kevin Lie |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659570455 PECOS PAC ID: 5092898510 Enrollment ID: I20240312001151 |
| Provider Name | Mohammad Talha Chaudhry |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326675265 PECOS PAC ID: 6608213616 Enrollment ID: I20240326004069 |
| Provider Name | Joel Becker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790541258 PECOS PAC ID: 9436597176 Enrollment ID: I20240401002402 |
| Provider Name | Bernadine Ann Tippit |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538921853 PECOS PAC ID: 2365880036 Enrollment ID: I20240402000058 |
| Provider Name | Sean Dustin Willis |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1710484910 PECOS PAC ID: 3870931116 Enrollment ID: I20240404003046 |
| Provider Name | James Sawyer Free |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710673587 PECOS PAC ID: 7315385572 Enrollment ID: I20240405003839 |
| Provider Name | Matthew Grove |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1659807428 PECOS PAC ID: 0143590091 Enrollment ID: I20240415003803 |
| Provider Name | Casey Logan Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356109045 PECOS PAC ID: 1052751716 Enrollment ID: I20240429000173 |
| Provider Name | Barlas Benkli |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1750879052 PECOS PAC ID: 0941684930 Enrollment ID: I20240501000074 |
| Provider Name | Yvette Escalante Little |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1902040512 PECOS PAC ID: 6507296456 Enrollment ID: I20240504000185 |
| Provider Name | Nathan a Northern |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568041036 PECOS PAC ID: 0941607998 Enrollment ID: I20240506000470 |
| Provider Name | Emily Weeks Graham |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730716747 PECOS PAC ID: 1254771454 Enrollment ID: I20240506000974 |
| Provider Name | Patricia Gorman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093805962 PECOS PAC ID: 2668666157 Enrollment ID: I20240506004491 |
| Provider Name | Melissa Claire Soderquist |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1508427675 PECOS PAC ID: 0840631834 Enrollment ID: I20240508001191 |
| Provider Name | Cristy Anne Rose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831952639 PECOS PAC ID: 5698116416 Enrollment ID: I20240510002568 |
| Provider Name | Amanda Doyal Currie |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1518428556 PECOS PAC ID: 8426499278 Enrollment ID: I20240511000013 |
| Provider Name | Rachael Burke |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1518420306 PECOS PAC ID: 1355675331 Enrollment ID: I20240514002943 |
| Provider Name | Melissa Anne Pacello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760899009 PECOS PAC ID: 8325268170 Enrollment ID: I20240515004551 |
| Provider Name | Emily Susan Edwards |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659950368 PECOS PAC ID: 8527465384 Enrollment ID: I20240518000382 |
| Provider Name | Joshua Martin Reside |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1497251482 PECOS PAC ID: 4688925829 Enrollment ID: I20240520001571 |
| Provider Name | Andrey F Nikitin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1316797954 PECOS PAC ID: 0143662585 Enrollment ID: I20240530001714 |
| Provider Name | Michael D Jones |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1386273928 PECOS PAC ID: 8224458948 Enrollment ID: I20240531002981 |
| Provider Name | Andres Castro |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1902552193 PECOS PAC ID: 9032651278 Enrollment ID: I20240604000837 |
| Provider Name | Jairo Olivas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962898163 PECOS PAC ID: 4486968716 Enrollment ID: I20240604002816 |
| Provider Name | Christine Leigh Simmons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376226654 PECOS PAC ID: 9830631829 Enrollment ID: I20240605002614 |
| Provider Name | Melanie Elizabeth Bourgeau |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1649732801 PECOS PAC ID: 2365777133 Enrollment ID: I20240605003303 |
| Provider Name | Johnny Faraj Jaber |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1598269425 PECOS PAC ID: 4486907821 Enrollment ID: I20240605003780 |
| Provider Name | Khoa D Nguyen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245674159 PECOS PAC ID: 3779784699 Enrollment ID: I20240605003928 |
| Provider Name | Mohammad Abdelrahman M Aladaileh |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1063261196 PECOS PAC ID: 0345782264 Enrollment ID: I20240606004168 |
| Provider Name | Azmi Ramin Jahan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437683968 PECOS PAC ID: 5496029142 Enrollment ID: I20240606004401 |
| Provider Name | Shawn Sussmane |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1386644151 PECOS PAC ID: 8224023254 Enrollment ID: I20240607002944 |
| Provider Name | Michael Guju |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1780145540 PECOS PAC ID: 6608232483 Enrollment ID: I20240609000074 |
| Provider Name | Abdallah Hamayel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1912579863 PECOS PAC ID: 0244772911 Enrollment ID: I20240610001606 |
| Provider Name | Aaran Varatharajan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1881215606 PECOS PAC ID: 4981035979 Enrollment ID: I20240610001668 |
| Provider Name | Oghenekpaobor J Oyibo |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1851910020 PECOS PAC ID: 7113469735 Enrollment ID: I20240610003961 |
| Provider Name | Erika Daniela Taco Vasquez |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1346802295 PECOS PAC ID: 8022550664 Enrollment ID: I20240611000766 |
| Provider Name | Christa Zino |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1710483011 PECOS PAC ID: 7719346782 Enrollment ID: I20240611001921 |
| Provider Name | Tatsiana Kryvitskaya |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1770111015 PECOS PAC ID: 5991123200 Enrollment ID: I20240611002672 |
| Provider Name | Joshua Heiman |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1740743434 PECOS PAC ID: 9234462185 Enrollment ID: I20240611003085 |
| Provider Name | Chidinma Joy Touray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922862929 PECOS PAC ID: 6002358520 Enrollment ID: I20240611003995 |
| Provider Name | Destiny Martin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1972256881 PECOS PAC ID: 8224570759 Enrollment ID: I20240611004495 |
| Provider Name | Ashley Howell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952849630 PECOS PAC ID: 9335425008 Enrollment ID: I20240615000363 |
| Provider Name | Neelesh Jain |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1699332635 PECOS PAC ID: 1355884545 Enrollment ID: I20240617000368 |
| Provider Name | Alfonso Enrique Martinez Nunez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1922568385 PECOS PAC ID: 6608102496 Enrollment ID: I20240619001106 |
| Provider Name | Denise a Rodda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295576858 PECOS PAC ID: 0941743710 Enrollment ID: I20240621000087 |
| Provider Name | Cassie Lord Robertson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942909247 PECOS PAC ID: 2769925551 Enrollment ID: I20240621000477 |
| Provider Name | Sailaja Maramreddy |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053307132 PECOS PAC ID: 6901875046 Enrollment ID: I20240621001002 |
| Provider Name | Asad Hasan Bashir |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1992282404 PECOS PAC ID: 3577814086 Enrollment ID: I20240621001045 |
| Provider Name | Whitney Winslow |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336725225 PECOS PAC ID: 0446656375 Enrollment ID: I20240621001183 |
| Provider Name | Grant Barry Mcgee |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1144086836 PECOS PAC ID: 3577006261 Enrollment ID: I20240622000422 |
| Provider Name | Charity Hallahan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114776606 PECOS PAC ID: 4688117385 Enrollment ID: I20240623000043 |
| Provider Name | Amy R Whistler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942683016 PECOS PAC ID: 7214240480 Enrollment ID: I20240624004786 |
| Provider Name | Oscar Perez Gutierrez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174059885 PECOS PAC ID: 1850714643 Enrollment ID: I20240625001437 |
| Provider Name | Timothy Rogers Moore |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265767586 PECOS PAC ID: 2668622416 Enrollment ID: I20240626000668 |
| Provider Name | Benjamin Simpson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1073269940 PECOS PAC ID: 0547704959 Enrollment ID: I20240626003155 |
| Provider Name | Vagan Arutiunian |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1316479330 PECOS PAC ID: 3678977642 Enrollment ID: I20240626004117 |
| Provider Name | Sarah Katherine O'connor |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366946329 PECOS PAC ID: 1355691742 Enrollment ID: I20240627000502 |
| Provider Name | Tara Colleen Mays |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205670999 PECOS PAC ID: 3779027149 Enrollment ID: I20240627000745 |
| Provider Name | Jagrutiben Govindbhai Chaudhary |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578303061 PECOS PAC ID: 2163966441 Enrollment ID: I20240627001396 |
| Provider Name | Tithi Biswas |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1922115682 PECOS PAC ID: 1153485628 Enrollment ID: I20240627002662 |
| Provider Name | Elizabeth Peyton Ray |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1528623394 PECOS PAC ID: 3577895911 Enrollment ID: I20240628001036 |
| Provider Name | Steven Gregory Roth |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1649625633 PECOS PAC ID: 4880987338 Enrollment ID: I20240628002205 |
| Provider Name | Olasupo Adedapo-jimoh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487017349 PECOS PAC ID: 8820384175 Enrollment ID: I20240702003033 |
| Provider Name | Rachel N Cohen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1093220899 PECOS PAC ID: 9537420948 Enrollment ID: I20240702004148 |
| Provider Name | Moustafa Younis |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1578095311 PECOS PAC ID: 7214208669 Enrollment ID: I20240702004533 |
| Provider Name | Mohamed Nagy Ahmed |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396749040 PECOS PAC ID: 0143298703 Enrollment ID: I20240703000290 |
| Provider Name | Spencer Davis Moreland |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1013440783 PECOS PAC ID: 9234408535 Enrollment ID: I20240703003098 |
| Provider Name | Meghann Boatright Padgett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437999182 PECOS PAC ID: 3072057785 Enrollment ID: I20240703004125 |
| Provider Name | Heaven Nicole Harper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396596060 PECOS PAC ID: 2466996145 Enrollment ID: I20240705001457 |
| Provider Name | Cameron Kyle-sidell |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1922316744 PECOS PAC ID: 5991949554 Enrollment ID: I20240705001482 |
| Provider Name | Clay Evans |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1932512845 PECOS PAC ID: 2769601806 Enrollment ID: I20240706000315 |
| Provider Name | Yeseong David Kim |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1639673866 PECOS PAC ID: 5395092183 Enrollment ID: I20240708001492 |
| Provider Name | Emmaleen Christine Gibson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396127866 PECOS PAC ID: 1254610074 Enrollment ID: I20240708002104 |
| Provider Name | Noah Elliot Halpern |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275062705 PECOS PAC ID: 1759659808 Enrollment ID: I20240708003198 |
| Provider Name | Andrew Moore Slater |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1497215073 PECOS PAC ID: 1052788999 Enrollment ID: I20240709002124 |
| Provider Name | Jackson Wagoner |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1689137408 PECOS PAC ID: 6305269382 Enrollment ID: I20240709004906 |
| Provider Name | Ahmed Hussein |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1801000476 PECOS PAC ID: 1254694706 Enrollment ID: I20240710001081 |
| Provider Name | Kirk Cameron Naugher |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1114554391 PECOS PAC ID: 4486078086 Enrollment ID: I20240710001178 |
| Provider Name | Konstantin Golubykh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982279444 PECOS PAC ID: 6800299793 Enrollment ID: I20240710002058 |
| Provider Name | Delaney Sagul |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1972344851 PECOS PAC ID: 8325583743 Enrollment ID: I20240710002199 |
| Provider Name | Maribel Mueller |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154092997 PECOS PAC ID: 9133664485 Enrollment ID: I20240711001669 |
| Provider Name | Conrad Cole |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700828464 PECOS PAC ID: 2769466374 Enrollment ID: I20240712001609 |
| Provider Name | Dominic Greyson De Marco |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164084836 PECOS PAC ID: 8921418096 Enrollment ID: I20240712004001 |
| Provider Name | Kenneth John |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1396302147 PECOS PAC ID: 9133544810 Enrollment ID: I20240717000537 |
| Provider Name | Christopher Harb |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1982269429 PECOS PAC ID: 9830544782 Enrollment ID: I20240717000668 |
| Provider Name | Paul Campbell |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1225667215 PECOS PAC ID: 5991124828 Enrollment ID: I20240717000704 |
| Provider Name | Tarek Abdalla El Gammal |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1184485708 PECOS PAC ID: 1557806270 Enrollment ID: I20240717001831 |
| Provider Name | Lisbeth Labrada |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053871202 PECOS PAC ID: 7911230289 Enrollment ID: I20240717002188 |
| Provider Name | Anthony Alfonso Barrios |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1821626169 PECOS PAC ID: 3375953896 Enrollment ID: I20240718001563 |
| Provider Name | David Knox Langford |
|---|---|
| Provider Type | Practitioner - Pediatric Dentistry |
| Provider Identifiers | NPI Number: 1811578529 PECOS PAC ID: 8628514254 Enrollment ID: I20240719000650 |
| Provider Name | Julie Lynn Chan |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1699158147 PECOS PAC ID: 9931645579 Enrollment ID: I20240719000965 |
| Provider Name | Vineet Reddy |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1063256840 PECOS PAC ID: 1355887910 Enrollment ID: I20240719001872 |
| Provider Name | Hadia Maqsood |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1275992745 PECOS PAC ID: 2466857370 Enrollment ID: I20240719002125 |
| Provider Name | Angelina Gallagher |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1366287922 PECOS PAC ID: 5193261683 Enrollment ID: I20240719003047 |
| Provider Name | Tamara Almeyda |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487884425 PECOS PAC ID: 2567605058 Enrollment ID: I20240722000083 |
| Provider Name | Courtney Nicole Belhart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952144768 PECOS PAC ID: 9335685866 Enrollment ID: I20240722000279 |
| Provider Name | Jonathan Wade Chappell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063271930 PECOS PAC ID: 0143766519 Enrollment ID: I20240722001771 |
| Provider Name | Katherine Renee Bare |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1295599777 PECOS PAC ID: 7214473685 Enrollment ID: I20240722001844 |
| Provider Name | Kari Mattox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184296444 PECOS PAC ID: 5294271680 Enrollment ID: I20240722002375 |
| Provider Name | Singaravelu Vat Jagadeesan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053418509 PECOS PAC ID: 4284603101 Enrollment ID: I20240722002953 |
| Provider Name | Urooj Saeed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710272588 PECOS PAC ID: 2163732801 Enrollment ID: I20240723002374 |
| Provider Name | Emily Truscott |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1508601790 PECOS PAC ID: 6901342211 Enrollment ID: I20240723003016 |
| Provider Name | Martha Jean Henderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942043294 PECOS PAC ID: 6507302825 Enrollment ID: I20240723003222 |
| Provider Name | Daniel Patricio Carrillo Gonzalez |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1194560474 PECOS PAC ID: 2769928944 Enrollment ID: I20240724001384 |
| Provider Name | Jordan Asher Mckinney |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1326677469 PECOS PAC ID: 6608290564 Enrollment ID: I20240726000430 |
| Provider Name | Joshua Weinberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750962361 PECOS PAC ID: 3476958349 Enrollment ID: I20240727000493 |
| Provider Name | Bharathram Vasudevan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1760961312 PECOS PAC ID: 2567712276 Enrollment ID: I20240729004578 |
| Provider Name | Julie Ann JT Thompson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1083277727 PECOS PAC ID: 2961731591 Enrollment ID: I20240730004103 |
| Provider Name | Julia Adams |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1003668104 PECOS PAC ID: 0345787008 Enrollment ID: I20240731001950 |
| Provider Name | Ridhi Sachdev |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1083047831 PECOS PAC ID: 5294196127 Enrollment ID: I20240801000407 |
| Provider Name | Andrew Joseph Gleissner |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013776764 PECOS PAC ID: 0042757510 Enrollment ID: I20240801001947 |
| Provider Name | Alexander Nathaniel Fleischhacker |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578138533 PECOS PAC ID: 2769884188 Enrollment ID: I20240801002124 |
| Provider Name | Hanna Daniele Veach |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1275387227 PECOS PAC ID: 6608313184 Enrollment ID: I20240801002256 |
| Provider Name | Emuejevoke Chuba |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1205321270 PECOS PAC ID: 4284982976 Enrollment ID: I20240802000421 |
| Provider Name | Gregor Rodriguez |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1215433966 PECOS PAC ID: 9133524259 Enrollment ID: I20240802000708 |
| Provider Name | Thompson Jeffrey Fillmer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932778875 PECOS PAC ID: 7719388313 Enrollment ID: I20240802001926 |
| Provider Name | Zachary Joseph Wilkie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508444084 PECOS PAC ID: 3971907445 Enrollment ID: I20240802003585 |
| Provider Name | Cathy O'neil |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003955279 PECOS PAC ID: 6608834387 Enrollment ID: I20240805002342 |
| Provider Name | Marianne Wood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790531549 PECOS PAC ID: 9537606868 Enrollment ID: I20240805003322 |
| Provider Name | Irene Gamra |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528564218 PECOS PAC ID: 6305249574 Enrollment ID: I20240805003377 |
| Provider Name | Chimeziri I Ahuruonye |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518544543 PECOS PAC ID: 9234539180 Enrollment ID: I20240806002290 |
| Provider Name | Jennifer Lee Baumann Guadagno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164280152 PECOS PAC ID: 4082151147 Enrollment ID: I20240807000473 |
| Provider Name | John Christian Ehlen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1609618883 PECOS PAC ID: 5294272274 Enrollment ID: I20240808001035 |
| Provider Name | Iain J Thompson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1528645173 PECOS PAC ID: 1951707207 Enrollment ID: I20240808001071 |
| Provider Name | Riley Siuda |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1588412365 PECOS PAC ID: 8123565066 Enrollment ID: I20240808003999 |
| Provider Name | Noopur Basu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962021972 PECOS PAC ID: 2466863071 Enrollment ID: I20240808004182 |
| Provider Name | Katherine Fu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346875473 PECOS PAC ID: 9335545425 Enrollment ID: I20240808004861 |
| Provider Name | Shivani Berry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588243869 PECOS PAC ID: 6204374028 Enrollment ID: I20240812002372 |
| Provider Name | Adam Golembioski |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447815089 PECOS PAC ID: 2365867272 Enrollment ID: I20240812004048 |
| Provider Name | Paige Gravenstein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205680873 PECOS PAC ID: 0840738613 Enrollment ID: I20240813000354 |
| Provider Name | Alia Mohammad Elnaji |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730761420 PECOS PAC ID: 3779021340 Enrollment ID: I20240814000446 |
| Provider Name | Dania Abu-jubara |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447839030 PECOS PAC ID: 2365830247 Enrollment ID: I20240814002057 |
| Provider Name | Ashley Dolores Bedner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952821910 PECOS PAC ID: 0648670455 Enrollment ID: I20240814002983 |
| Provider Name | Kunal Kirit Sutaria |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285211938 PECOS PAC ID: 7214334267 Enrollment ID: I20240814004205 |
| Provider Name | Alejandro Sanoja |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255914214 PECOS PAC ID: 0244778710 Enrollment ID: I20240814004913 |
| Provider Name | Dina Hammad |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1821550401 PECOS PAC ID: 0143768614 Enrollment ID: I20240814004960 |
| Provider Name | Marisa Marie Butillo |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336997196 PECOS PAC ID: 2466990981 Enrollment ID: I20240815001675 |
| Provider Name | Maria Cristina Quidgley-martin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982056594 PECOS PAC ID: 0547599367 Enrollment ID: I20240815002647 |
| Provider Name | Emily Cipponeri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154159937 PECOS PAC ID: 6507304979 Enrollment ID: I20240815004404 |
| Provider Name | Syed Munir |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881268936 PECOS PAC ID: 7113327313 Enrollment ID: I20240816000076 |
| Provider Name | Alejandro Luis Perez Torres |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1467980458 PECOS PAC ID: 8820536212 Enrollment ID: I20240816000309 |
| Provider Name | Austin Lam |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1356882781 PECOS PAC ID: 6305114489 Enrollment ID: I20240816001725 |
| Provider Name | Thomas Michael Tchir |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073199675 PECOS PAC ID: 6305247305 Enrollment ID: I20240816002042 |
| Provider Name | Tina Nigam |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1619437084 PECOS PAC ID: 8325473630 Enrollment ID: I20240816002627 |
| Provider Name | Varvara Probst |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205368917 PECOS PAC ID: 2961940218 Enrollment ID: I20240816003555 |
| Provider Name | John Bahling |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205018546 PECOS PAC ID: 0547336307 Enrollment ID: I20240818000026 |
| Provider Name | Mathew Lopez |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1235814161 PECOS PAC ID: 6709239056 Enrollment ID: I20240819000736 |
| Provider Name | Max Donald Jeanty |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336926559 PECOS PAC ID: 0143768457 Enrollment ID: I20240819000829 |
| Provider Name | Mariah Cruz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043896764 PECOS PAC ID: 5395283600 Enrollment ID: I20240819000922 |
| Provider Name | David Kerekes |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1437648987 PECOS PAC ID: 6800149550 Enrollment ID: I20240820001765 |
| Provider Name | Nahla Mohamed Saad Zaghloul |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255502696 PECOS PAC ID: 5395901755 Enrollment ID: I20240820002741 |
| Provider Name | Kaitlin Nicholson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669907861 PECOS PAC ID: 5395099683 Enrollment ID: I20240820004032 |
| Provider Name | Osvaldo Emmanuel Duran Melendez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114481892 PECOS PAC ID: 6709324809 Enrollment ID: I20240821000039 |
| Provider Name | Andrew Joseph Smith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073196952 PECOS PAC ID: 2860897030 Enrollment ID: I20240821000066 |
| Provider Name | Grace T Mclaughlin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1679352645 PECOS PAC ID: 1254879257 Enrollment ID: I20240821000560 |
| Provider Name | Mariam Y Otero Nazario |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821848862 PECOS PAC ID: 3577001502 Enrollment ID: I20240821001926 |
| Provider Name | Sarah Messer Defore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245073642 PECOS PAC ID: 4789122722 Enrollment ID: I20240821002280 |
| Provider Name | Madeline Mccallum |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1124863287 PECOS PAC ID: 6103364187 Enrollment ID: I20240821003972 |
| Provider Name | Thomas Alterman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376120097 PECOS PAC ID: 4082055769 Enrollment ID: I20240822000407 |
| Provider Name | Mikhail Elfond |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457572588 PECOS PAC ID: 9638277213 Enrollment ID: I20240822003822 |
| Provider Name | Muna Oli |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1326676487 PECOS PAC ID: 6002236791 Enrollment ID: I20240822004271 |
| Provider Name | Cody Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144806779 PECOS PAC ID: 7517361322 Enrollment ID: I20240823000936 |
| Provider Name | Richard Mohammed |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356960298 PECOS PAC ID: 2365869088 Enrollment ID: I20240826000353 |
| Provider Name | Reem Wassef |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336763382 PECOS PAC ID: 0042631574 Enrollment ID: I20240905000033 |
| Provider Name | Katelyn P Joubert |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1780210682 PECOS PAC ID: 0143642843 Enrollment ID: I20240905000378 |
| Provider Name | Jennifer Fernandes Bromwell |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1982232492 PECOS PAC ID: 6800215930 Enrollment ID: I20240905001854 |
| Provider Name | Justin Daejun Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366029035 PECOS PAC ID: 0042616302 Enrollment ID: I20240905004140 |
| Provider Name | Fatima Angelica Ramirez-cueva |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841724333 PECOS PAC ID: 9931524584 Enrollment ID: I20240906003375 |
| Provider Name | Ashley-marie Mable Mendez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134808199 PECOS PAC ID: 4789124488 Enrollment ID: I20240909003662 |
| Provider Name | Alvaro Jose Mejia Vergara |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1003511437 PECOS PAC ID: 2062952708 Enrollment ID: I20240910000271 |
| Provider Name | Timothy Patrick Garvey |
|---|---|
| Provider Type | Practitioner - Pediatric Dentistry |
| Provider Identifiers | NPI Number: 1205892296 PECOS PAC ID: 0143760686 Enrollment ID: I20240910004829 |
| Provider Name | Jade Nicole Walter |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649851692 PECOS PAC ID: 2365982725 Enrollment ID: I20240911004464 |
| Provider Name | Ebony B Milson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184298705 PECOS PAC ID: 3577962943 Enrollment ID: I20240911004575 |
| Provider Name | Emily MF Botzis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841872058 PECOS PAC ID: 5991102618 Enrollment ID: I20240911004876 |
| Provider Name | Betul Bayraktutar |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1659954691 PECOS PAC ID: 7517344302 Enrollment ID: I20240911004884 |
| Provider Name | Paola Enid Brana Rivera |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760946339 PECOS PAC ID: 7012457377 Enrollment ID: I20240912003621 |
| Provider Name | Kailey Michele Catapano-mamone |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235718586 PECOS PAC ID: 1658770417 Enrollment ID: I20240917000708 |
| Provider Name | Matthew Minnette |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114486115 PECOS PAC ID: 4880929637 Enrollment ID: I20240918000133 |
| Provider Name | Tavenner T Dibert |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649627381 PECOS PAC ID: 4587951041 Enrollment ID: I20240919000457 |
| Provider Name | Komal Navin Bhagudas |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1215785936 PECOS PAC ID: 6507307436 Enrollment ID: I20240919000711 |
| Provider Name | Akash Attreya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619239670 PECOS PAC ID: 7810131158 Enrollment ID: I20240919003826 |
| Provider Name | Lauren Murray Beck |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881055986 PECOS PAC ID: 7810280690 Enrollment ID: I20240924000488 |
| Provider Name | Eunice Yim |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1962990010 PECOS PAC ID: 8820326135 Enrollment ID: I20240925003123 |
| Provider Name | John Hollingsworth |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1679699086 PECOS PAC ID: 4587859863 Enrollment ID: I20240926001685 |
| Provider Name | Jessie Michael |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1134962434 PECOS PAC ID: 7719418037 Enrollment ID: I20240926004356 |
| Provider Name | Oswald Spencer Evan Perkins |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730648585 PECOS PAC ID: 5799216073 Enrollment ID: I20240927002240 |
| Provider Name | Theodore A. Bowles |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841419595 PECOS PAC ID: 2264963453 Enrollment ID: I20240927003059 |
| Provider Name | Juhi Devendra Mahadik |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1306409875 PECOS PAC ID: 3274064407 Enrollment ID: I20240930000782 |
| Provider Name | Delilah Marie Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689406290 PECOS PAC ID: 1557611076 Enrollment ID: I20240930003257 |
| Provider Name | Devika Das |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1922237486 PECOS PAC ID: 8527204015 Enrollment ID: I20241001002318 |
| Provider Name | Haneen Mallah |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1023595246 PECOS PAC ID: 6406107895 Enrollment ID: I20241002001147 |
| Provider Name | Nashmil Hashemi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1013764158 PECOS PAC ID: 6901337781 Enrollment ID: I20241003002631 |
| Provider Name | Charles Young |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902647530 PECOS PAC ID: 9537690359 Enrollment ID: I20241004000125 |
| Provider Name | Sarah Rachel Mcknight |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518700731 PECOS PAC ID: 1557892213 Enrollment ID: I20241004001753 |
| Provider Name | Jin Amy Kearns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649018839 PECOS PAC ID: 0941731657 Enrollment ID: I20241006000130 |
| Provider Name | Lacey Chambers |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952898678 PECOS PAC ID: 3971904723 Enrollment ID: I20241008001657 |
| Provider Name | Sukhman Grewal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588242457 PECOS PAC ID: 9335543271 Enrollment ID: I20241010000388 |
| Provider Name | Katisha Nicholas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811776289 PECOS PAC ID: 3577095868 Enrollment ID: I20241010004219 |
| Provider Name | Brandon Kenneth Janssen |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1689170565 PECOS PAC ID: 5496008823 Enrollment ID: I20241014001855 |
| Provider Name | Bruce Hamelin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1578954178 PECOS PAC ID: 6305378225 Enrollment ID: I20241017000176 |
| Provider Name | Alison Marie Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366270308 PECOS PAC ID: 5193257996 Enrollment ID: I20241017003761 |
| Provider Name | Nina Mena |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306280664 PECOS PAC ID: 9133465222 Enrollment ID: I20241018000490 |
| Provider Name | Fahad Saleh F Aldhahri |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1518795798 PECOS PAC ID: 1254863822 Enrollment ID: I20241021002962 |
| Provider Name | Robert W Bruce |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1710449475 PECOS PAC ID: 5294060208 Enrollment ID: I20241023000084 |
| Provider Name | Christina W Sun |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1063037539 PECOS PAC ID: 1254735939 Enrollment ID: I20241023001061 |
| Provider Name | Ronald Michael Gutman |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1295362945 PECOS PAC ID: 0547793010 Enrollment ID: I20241023002267 |
| Provider Name | Courtney Rosalee Rodriguez-cayro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710725643 PECOS PAC ID: 4587197991 Enrollment ID: I20241023004465 |
| Provider Name | Samantha Jane Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508600859 PECOS PAC ID: 5092248385 Enrollment ID: I20241024003081 |
| Provider Name | Christopher Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457753980 PECOS PAC ID: 5991238297 Enrollment ID: I20241024003638 |
| Provider Name | Larae Seemann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578149043 PECOS PAC ID: 7618378464 Enrollment ID: I20241024004071 |
| Provider Name | Tara Jawad Hajarat |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1962908954 PECOS PAC ID: 3173056496 Enrollment ID: I20241024004481 |
| Provider Name | Christina Arraut-hernandez |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1659802874 PECOS PAC ID: 7810420163 Enrollment ID: I20241025001239 |
| Provider Name | Maria S Oliver Ricart |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1972081891 PECOS PAC ID: 2466895115 Enrollment ID: I20241025003336 |
| Provider Name | Cagla Yasa Benkli |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1831754506 PECOS PAC ID: 9436682580 Enrollment ID: I20241028001518 |
| Provider Name | David Tran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588292817 PECOS PAC ID: 4284056441 Enrollment ID: I20241028001521 |
| Provider Name | Victoria Larranaga |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1992483093 PECOS PAC ID: 9133652878 Enrollment ID: I20241101002191 |
| Provider Name | Haider Ali |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1063032761 PECOS PAC ID: 2769806603 Enrollment ID: I20241102000419 |
| Provider Name | Ashley Trivino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881422061 PECOS PAC ID: 5092249359 Enrollment ID: I20241108000971 |
| Provider Name | Ramez Azzam |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1598493074 PECOS PAC ID: 9234515255 Enrollment ID: I20241108003239 |
| Provider Name | Susan Ingraham |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841445921 PECOS PAC ID: 0042483828 Enrollment ID: I20241114002605 |
| Provider Name | Ozge Sarac |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1811734262 PECOS PAC ID: 5799219408 Enrollment ID: I20241116000021 |
| Provider Name | Heba Kamal |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225523319 PECOS PAC ID: 4789080425 Enrollment ID: I20241116000354 |
| Provider Name | Mallory Shaye Mobley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053132522 PECOS PAC ID: 6608300322 Enrollment ID: I20241117000065 |
| Provider Name | Jan Fritz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407056054 PECOS PAC ID: 1557504396 Enrollment ID: I20241117000069 |
| Provider Name | Barbara Durden |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023768173 PECOS PAC ID: 1557747813 Enrollment ID: I20241118001503 |
| Provider Name | Lovia Konopasek |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447009717 PECOS PAC ID: 8224563812 Enrollment ID: I20241119003264 |
| Provider Name | Amanda Kelm |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1548045842 PECOS PAC ID: 7911432588 Enrollment ID: I20241120001702 |
| Provider Name | Eihab Al Khasawneh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346486636 PECOS PAC ID: 5890943294 Enrollment ID: I20241121002571 |
| Provider Name | Tatiana C Elizee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720686082 PECOS PAC ID: 2062820160 Enrollment ID: I20241124000186 |
| Provider Name | Thomas Welch |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275577348 PECOS PAC ID: 1052219342 Enrollment ID: I20241125002391 |
| Provider Name | Erika Michelle Wert |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821627340 PECOS PAC ID: 7517387301 Enrollment ID: I20241126001965 |
| Provider Name | Ursula Patrice Crews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376370163 PECOS PAC ID: 7113452061 Enrollment ID: I20241202000826 |
| Provider Name | Erin Taylor |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235471400 PECOS PAC ID: 5092948661 Enrollment ID: I20241203003453 |
| Provider Name | Oluwadamilola Ejike |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841633823 PECOS PAC ID: 3971831140 Enrollment ID: I20241203003554 |
| Provider Name | Aaron Prosser |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1548851108 PECOS PAC ID: 5597291351 Enrollment ID: I20241204001657 |
| Provider Name | Joshua Sasine |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1396044566 PECOS PAC ID: 7113287905 Enrollment ID: I20241204002207 |
| Provider Name | Geena Barbara Schafer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1205668779 PECOS PAC ID: 4082140868 Enrollment ID: I20241204002792 |
| Provider Name | Abigail B Gabriel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740883859 PECOS PAC ID: 3678974755 Enrollment ID: I20241204004557 |
| Provider Name | Kathyrn a Ryle |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1578923504 PECOS PAC ID: 2062719164 Enrollment ID: I20241204004627 |
| Provider Name | Traci C Boullion |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568096279 PECOS PAC ID: 2466869771 Enrollment ID: I20241205004247 |
| Provider Name | Linina Greene |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801266416 PECOS PAC ID: 1951837582 Enrollment ID: I20241206000150 |
| Provider Name | Brittany Nicole Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376370940 PECOS PAC ID: 4385170935 Enrollment ID: I20241206000789 |
| Provider Name | Alexander Gomelsky |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1730105818 PECOS PAC ID: 5698743888 Enrollment ID: I20241206002110 |
| Provider Name | Lucas Ernani |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1174198683 PECOS PAC ID: 2264968676 Enrollment ID: I20241209003521 |
| Provider Name | Bekah Lynn Schmitz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1043955875 PECOS PAC ID: 5991231912 Enrollment ID: I20241212004321 |
| Provider Name | Danny Liang |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1760518807 PECOS PAC ID: 9537338793 Enrollment ID: I20241212004355 |
| Provider Name | James Benzmiller |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1992748594 PECOS PAC ID: 7113942962 Enrollment ID: I20241213003638 |
| Provider Name | Andrew Giannini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649005976 PECOS PAC ID: 3274060009 Enrollment ID: I20241218001500 |
| Provider Name | Ayman Abdulaziz M Mukhtar |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1548083462 PECOS PAC ID: 8325575012 Enrollment ID: I20241219000047 |
| Provider Name | Sang Hee Min |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1104089812 PECOS PAC ID: 3971729666 Enrollment ID: I20241219001676 |
| Provider Name | Grace Backes |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1518704196 PECOS PAC ID: 3072040724 Enrollment ID: I20241219002878 |
| Provider Name | Maira De Oliveira Sarpi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467286948 PECOS PAC ID: 7012444664 Enrollment ID: I20241220002844 |
| Provider Name | Erica Johnson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518428192 PECOS PAC ID: 4880041342 Enrollment ID: I20241220002859 |
| Provider Name | Felix Liriano |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619598091 PECOS PAC ID: 4688082456 Enrollment ID: I20241220003141 |
| Provider Name | Daya Desai |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1265274195 PECOS PAC ID: 0840727319 Enrollment ID: I20241223000001 |
| Provider Name | Teodora Maria Simion |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1740001528 PECOS PAC ID: 3577090018 Enrollment ID: I20241223002697 |
| Provider Name | Tyler Cristopher Lehman |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1558182782 PECOS PAC ID: 0941737399 Enrollment ID: I20241224000010 |
| Provider Name | Hugh Watkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699899625 PECOS PAC ID: 7416125737 Enrollment ID: I20241224001367 |
| Provider Name | Amira Eltantawy |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1124849047 PECOS PAC ID: 0244767630 Enrollment ID: I20241226000013 |
| Provider Name | Marissa Amber Langford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518784040 PECOS PAC ID: 6103353511 Enrollment ID: I20241226000647 |
| Provider Name | Tram Thi Thu Che |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1407686348 PECOS PAC ID: 4385171610 Enrollment ID: I20241226001904 |
| Provider Name | Justin Sauter |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124601836 PECOS PAC ID: 5890191647 Enrollment ID: I20241229000029 |
| Provider Name | Darron R Lewis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649767658 PECOS PAC ID: 6406181452 Enrollment ID: I20241230001590 |
| Provider Name | Haley Alexis Stewart |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497584098 PECOS PAC ID: 7113454323 Enrollment ID: I20241230003431 |
| Provider Name | Liliana L Acosta |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588446165 PECOS PAC ID: 1951839976 Enrollment ID: I20250103002215 |
| Provider Name | Joseph K Schergen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477316008 PECOS PAC ID: 9739617127 Enrollment ID: I20250113003279 |
| Provider Name | Aimee Kristina Madsen |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1568081784 PECOS PAC ID: 7315344280 Enrollment ID: I20250115002657 |
| Provider Name | Samantha Bryl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679393474 PECOS PAC ID: 1153859210 Enrollment ID: I20250116003564 |
| Provider Name | Gahyun Gim |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1275028367 PECOS PAC ID: 2860827946 Enrollment ID: I20250117000668 |
| Provider Name | Melissa Liptrap |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174339261 PECOS PAC ID: 9032648118 Enrollment ID: I20250121000017 |
| Provider Name | Jorge Mulet Perez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215777446 PECOS PAC ID: 7012446073 Enrollment ID: I20250121003275 |
| Provider Name | Mark Vanevery |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1992525380 PECOS PAC ID: 0244769164 Enrollment ID: I20250122002278 |
| Provider Name | Kubra Melek Tuna |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1447711940 PECOS PAC ID: 7618343674 Enrollment ID: I20250123002809 |
| Provider Name | Jennifer Chalam |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992092431 PECOS PAC ID: 1456663939 Enrollment ID: I20250131000737 |
| Provider Name | Jamie Stinson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1194534982 PECOS PAC ID: 5496284655 Enrollment ID: I20250203000543 |
| Provider Name | Stephen Joel Motew |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1639139504 PECOS PAC ID: 5092861336 Enrollment ID: I20250205004170 |
| Provider Name | Kimberly a Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023827136 PECOS PAC ID: 6709316748 Enrollment ID: I20250206001464 |
| Provider Name | Jennie Lea Nicola Caldwell |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1811502883 PECOS PAC ID: 2264962018 Enrollment ID: I20250207002281 |
| Provider Name | Courtney Denese Haufler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629888557 PECOS PAC ID: 6507396074 Enrollment ID: I20250213000437 |
| Provider Name | Morgan Bailey |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1225717077 PECOS PAC ID: 7911361464 Enrollment ID: I20250217000889 |
| Provider Name | Robert Hughes |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1932918281 PECOS PAC ID: 5496275588 Enrollment ID: I20250219002725 |
| Provider Name | Dana L.C. Ferrara |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558924795 PECOS PAC ID: 7315478948 Enrollment ID: I20250219003958 |
| Provider Name | Sheneice Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699507889 PECOS PAC ID: 1759801665 Enrollment ID: I20250221003541 |
| Provider Name | Gabrielle O'connell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1669297511 PECOS PAC ID: 8123548609 Enrollment ID: I20250227001646 |
| Provider Name | Madison Stanford |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1144030727 PECOS PAC ID: 6901326321 Enrollment ID: I20250227003359 |
| Provider Name | Samiya Grant |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1346053444 PECOS PAC ID: 2163942509 Enrollment ID: I20250228000358 |
| Provider Name | Yolisma Pina Beecher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326775503 PECOS PAC ID: 9234500612 Enrollment ID: I20250303000136 |
| Provider Name | Nikki Grzybowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295187870 PECOS PAC ID: 1153731773 Enrollment ID: I20250304000453 |
| Provider Name | Sally M Bethart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982807194 PECOS PAC ID: 5496276602 Enrollment ID: I20250304003352 |
| Provider Name | Brandon P Lucke-wold |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1104310549 PECOS PAC ID: 9931453727 Enrollment ID: I20250305004009 |
| Provider Name | Arvind Mohan |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1689168650 PECOS PAC ID: 4688928468 Enrollment ID: I20250306003802 |
| Provider Name | Sarah Alawneh |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1568299584 PECOS PAC ID: 3577084433 Enrollment ID: I20250307000830 |
| Provider Name | Amanda NP Marthenze |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134925266 PECOS PAC ID: 5890216717 Enrollment ID: I20250307003339 |
| Provider Name | Jacob Owen Zoltek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891592895 PECOS PAC ID: 4284155110 Enrollment ID: I20250308000290 |
| Provider Name | Brooke Tschorn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992427546 PECOS PAC ID: 8224559919 Enrollment ID: I20250311001140 |
| Provider Name | Dina Khalaf |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1528873023 PECOS PAC ID: 2668993239 Enrollment ID: I20250312000017 |
| Provider Name | Quan Nguyen |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1073326724 PECOS PAC ID: 4082135595 Enrollment ID: I20250312001867 |
| Provider Name | Alexandra Marie English |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194538108 PECOS PAC ID: 5193246643 Enrollment ID: I20250312003801 |
| Provider Name | Savannah Morgan Garrett |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013720168 PECOS PAC ID: 5799207114 Enrollment ID: I20250314001879 |
| Provider Name | Freddy Alonso Escobar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1326674383 PECOS PAC ID: 3678095130 Enrollment ID: I20250320001225 |
| Provider Name | Matthew Lamagna |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1649705815 PECOS PAC ID: 5092198192 Enrollment ID: I20250324003461 |
| Provider Name | Jordan Leigh Irey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649070129 PECOS PAC ID: 9436672003 Enrollment ID: I20250325002405 |
| Provider Name | Yair Rubin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1043969272 PECOS PAC ID: 4880071984 Enrollment ID: I20250326001961 |
| Provider Name | Alexandra Carter |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538714753 PECOS PAC ID: 8123442936 Enrollment ID: I20250326003345 |
| Provider Name | Maanasi Chandarana |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659632172 PECOS PAC ID: 7315189073 Enrollment ID: I20250326003721 |
| Provider Name | Constantina Gelep |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1881493161 PECOS PAC ID: 2567985823 Enrollment ID: I20250327000351 |
| Provider Name | Thais Cabral De Melo Viana |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1699574186 PECOS PAC ID: 7911420203 Enrollment ID: I20250327001137 |
| Provider Name | Diego Avila Lessa Garcia |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306652896 PECOS PAC ID: 6103349337 Enrollment ID: I20250328001732 |
| Provider Name | Gary a Howell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336126069 PECOS PAC ID: 7315845971 Enrollment ID: I20250330000022 |
| Provider Name | Guillermina Gonzalez-lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346058369 PECOS PAC ID: 3274056916 Enrollment ID: I20250402003432 |
| Provider Name | Mary Browning |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1144740283 PECOS PAC ID: 7012246325 Enrollment ID: I20250407003651 |
| Provider Name | Christopher Robert Vanpelt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144007659 PECOS PAC ID: 9830613173 Enrollment ID: I20250408003874 |
| Provider Name | Brian Paul Jardina |
|---|---|
| Provider Type | Practitioner - Oral And Maxillofacial Radiology |
| Provider Identifiers | NPI Number: 1891029955 PECOS PAC ID: 2860916020 Enrollment ID: I20250409000913 |
| Provider Name | Caroline Langley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487472544 PECOS PAC ID: 7517482920 Enrollment ID: I20250418000028 |
| Provider Name | Savannah S Snider |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1225860547 PECOS PAC ID: 8426573668 Enrollment ID: I20250421000578 |
| Provider Name | Daniel Vilarim Araujo |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1063213981 PECOS PAC ID: 2365968187 Enrollment ID: I20250424002319 |
| Provider Name | Adrianaelena Valverde Zuniga |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1497540504 PECOS PAC ID: 5799201521 Enrollment ID: I20250424002629 |
| Provider Name | Gabriel Garcia Barrera |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1104404664 PECOS PAC ID: 0042629263 Enrollment ID: I20250425001886 |
| Provider Name | Khaled Elraie |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1578530457 PECOS PAC ID: 9133150246 Enrollment ID: I20250428002901 |
| Provider Name | Aline Fusco Fares |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1417758327 PECOS PAC ID: 7911423447 Enrollment ID: I20250428004345 |
| Provider Name | Anand R Patel |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1053979997 PECOS PAC ID: 8921524133 Enrollment ID: I20250430003467 |
| Provider Name | Alex Jagoda Horowitz |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1215564208 PECOS PAC ID: 1456756485 Enrollment ID: I20250507000111 |
| Provider Name | Kaylee Whalen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447071865 PECOS PAC ID: 5890212336 Enrollment ID: I20250507003205 |
| Provider Name | James Michael Wesley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255071536 PECOS PAC ID: 2769863984 Enrollment ID: I20250508000763 |
| Provider Name | Volodymyr Toropchyn |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1336768183 PECOS PAC ID: 8325465800 Enrollment ID: I20250508002659 |
| Provider Name | Jordan Sharon |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1942011341 PECOS PAC ID: 4789104233 Enrollment ID: I20250508003580 |
| Provider Name | Anthony Boateng |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1619555729 PECOS PAC ID: 6608279658 Enrollment ID: I20250512002999 |
| Provider Name | Stephanie Lee Buddemeyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669279055 PECOS PAC ID: 5799202867 Enrollment ID: I20250512003174 |
| Provider Name | Robert Mader |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093172306 PECOS PAC ID: 1850680950 Enrollment ID: I20250513000030 |
| Provider Name | Nicole M Batty |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1003020413 PECOS PAC ID: 2163675810 Enrollment ID: I20250514003774 |
| Provider Name | Karli Olson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356071534 PECOS PAC ID: 7416338769 Enrollment ID: I20250515000785 |
| Provider Name | Jenna Nicole Littmann |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1154940369 PECOS PAC ID: 7012435704 Enrollment ID: I20250516000637 |
| Provider Name | Muhammad Junaid Tariq |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1255983896 PECOS PAC ID: 8820320500 Enrollment ID: I20250516001936 |
| Provider Name | Rebecca Mccord |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225828221 PECOS PAC ID: 9436677077 Enrollment ID: I20250516002020 |
| Provider Name | Pooja Gurnani |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1184201816 PECOS PAC ID: 4284002122 Enrollment ID: I20250519000550 |
| Provider Name | Mohamed Maher Hulou |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1952768384 PECOS PAC ID: 1254697261 Enrollment ID: I20250520004276 |
| Provider Name | Eric Michael Nordhues |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386394997 PECOS PAC ID: 5294111704 Enrollment ID: I20250521003216 |
| Provider Name | Ian Landis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699394486 PECOS PAC ID: 3678092707 Enrollment ID: I20250522000124 |
| Provider Name | Ashley Nicole Dawson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396475943 PECOS PAC ID: 9638698525 Enrollment ID: I20250523000196 |
| Provider Name | Joanne Natalie Bethencourt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831849306 PECOS PAC ID: 7416324801 Enrollment ID: I20250523001396 |
| Provider Name | Jessica Elizabeth Tonias |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598415143 PECOS PAC ID: 0840667465 Enrollment ID: I20250523001600 |
| Provider Name | Jessica Leigh Stevenson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1053457739 PECOS PAC ID: 2860911690 Enrollment ID: I20250526000111 |
| Provider Name | Henya Sandhaus |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1629563515 PECOS PAC ID: 1254689185 Enrollment ID: I20250528001209 |
| Provider Name | Elvio Andres Mazzotta |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1336710250 PECOS PAC ID: 5890198550 Enrollment ID: I20250602000837 |
| Provider Name | Philip Kayser |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487233839 PECOS PAC ID: 7012399041 Enrollment ID: I20250603004126 |
| Provider Name | Samuel Keith Mahon |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598658759 PECOS PAC ID: 2062921752 Enrollment ID: I20250604000602 |
| Provider Name | Kalie Marie Combass |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1205693504 PECOS PAC ID: 1153830773 Enrollment ID: I20250604001416 |
| Provider Name | Marilia P F Diniz Ferreira |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669288072 PECOS PAC ID: 1355850991 Enrollment ID: I20250604001601 |
| Provider Name | Kali Rochelle Rhea |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1790486488 PECOS PAC ID: 7012426612 Enrollment ID: I20250604002746 |
| Provider Name | Rachel Hanke |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1881272573 PECOS PAC ID: 2769992049 Enrollment ID: I20250606000217 |
| Provider Name | Alisha K Shah |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1457986895 PECOS PAC ID: 1759786767 Enrollment ID: I20250606003633 |
| Provider Name | Bradley William Gang |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1568049724 PECOS PAC ID: 0143622415 Enrollment ID: I20250607000102 |
| Provider Name | Kevin Alan Clark |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1710564901 PECOS PAC ID: 6709281728 Enrollment ID: I20250610001957 |
| Provider Name | Krishen Prakash Hirek Gosine |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316688229 PECOS PAC ID: 1658881461 Enrollment ID: I20250610004309 |
| Provider Name | Daniel Weigle |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1043898141 PECOS PAC ID: 0143730879 Enrollment ID: I20250611000776 |
| Provider Name | Chanelle Benjamin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1518427889 PECOS PAC ID: 0547670325 Enrollment ID: I20250614000094 |
| Provider Name | Michael Daniel Landis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922637784 PECOS PAC ID: 6406252071 Enrollment ID: I20250614000108 |
| Provider Name | Blaire Cote |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821747783 PECOS PAC ID: 5698151181 Enrollment ID: I20250614000304 |
| Provider Name | Tuyen Tran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659010957 PECOS PAC ID: 1658750427 Enrollment ID: I20250616000124 |
| Provider Name | Prachi Chetankumar Gajjar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578208757 PECOS PAC ID: 0547771727 Enrollment ID: I20250616000508 |
| Provider Name | Jolee Potts |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1225607708 PECOS PAC ID: 7113329756 Enrollment ID: I20250616001107 |
| Provider Name | Sewar Hisham Abuarqob |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1720690688 PECOS PAC ID: 1759892961 Enrollment ID: I20250616001172 |
| Provider Name | Michael Joseph Gonzalez |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750869376 PECOS PAC ID: 6901202555 Enrollment ID: I20250616002086 |
| Provider Name | Navid Farahbakhsh |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1780260208 PECOS PAC ID: 8820464696 Enrollment ID: I20250616002543 |
| Provider Name | Eric Eugene Hopkins |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669001509 PECOS PAC ID: 7416377759 Enrollment ID: I20250616003023 |
| Provider Name | Ramez Maher Sameh Halaseh |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1114587896 PECOS PAC ID: 1456745736 Enrollment ID: I20250617000705 |
| Provider Name | Christian Joseph Reitano |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003376088 PECOS PAC ID: 0345660635 Enrollment ID: I20250617001489 |
| Provider Name | Minu Catherine Abraham |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1861004525 PECOS PAC ID: 7618488495 Enrollment ID: I20250618001448 |
| Provider Name | Anthony Rene Conforti |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316680382 PECOS PAC ID: 9830570977 Enrollment ID: I20250624000530 |
| Provider Name | Mikaela Libunao |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1255187977 PECOS PAC ID: 0244773919 Enrollment ID: I20250624001387 |
| Provider Name | Daryl Pinion Fields |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1164927364 PECOS PAC ID: 9739436957 Enrollment ID: I20250624002564 |
| Provider Name | Elizabeth Camille Kattleman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821881871 PECOS PAC ID: 6002328895 Enrollment ID: I20250626000798 |
| Provider Name | Catalina Restrepo Lopera |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285258566 PECOS PAC ID: 6305358029 Enrollment ID: I20250626001569 |
| Provider Name | Shakthi Jayanthy Venkatachalam |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1235850595 PECOS PAC ID: 7810425139 Enrollment ID: I20250627003788 |
| Provider Name | Cathryn Marie Morris |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1417761305 PECOS PAC ID: 2567975972 Enrollment ID: I20250630001830 |
| Provider Name | Kristy Pangburn |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1043018997 PECOS PAC ID: 3274046248 Enrollment ID: I20250702000975 |
| Provider Name | Tarrah Mitchell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1396354718 PECOS PAC ID: 3577974997 Enrollment ID: I20250702001224 |
| Provider Name | Juan Camilo Castro Carvajal |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730985995 PECOS PAC ID: 6103339064 Enrollment ID: I20250702003269 |
| Provider Name | Meena Kanhai |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1114506482 PECOS PAC ID: 3072910850 Enrollment ID: I20250703000978 |
| Provider Name | Dmitriy P Maslikov |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144010554 PECOS PAC ID: 7911411764 Enrollment ID: I20250704000030 |
| Provider Name | Rubab Islam |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184207714 PECOS PAC ID: 4385049634 Enrollment ID: I20250704000043 |
| Provider Name | Alyssa Sanchez Saxton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700535960 PECOS PAC ID: 8628582475 Enrollment ID: I20250704000076 |
| Provider Name | Caitlin LP Burnett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023715273 PECOS PAC ID: 0941665699 Enrollment ID: I20250707000459 |
| Provider Name | Anna Xuebo Li Abbott |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154062073 PECOS PAC ID: 4880060490 Enrollment ID: I20250707000602 |
| Provider Name | Christen Jones Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295525673 PECOS PAC ID: 3577077270 Enrollment ID: I20250707000741 |
| Provider Name | Joanna Dembek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922747542 PECOS PAC ID: 7113306473 Enrollment ID: I20250707000953 |
| Provider Name | Claudia Regina Loyola Amador |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699353383 PECOS PAC ID: 6002298320 Enrollment ID: I20250707001009 |
| Provider Name | Megan Hanna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033868336 PECOS PAC ID: 7214303189 Enrollment ID: I20250708002077 |
| Provider Name | Steven Bao Nguyen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1073213302 PECOS PAC ID: 4183138589 Enrollment ID: I20250708003522 |
| Provider Name | Sara Gould |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1467629097 PECOS PAC ID: 4688826621 Enrollment ID: I20250708004475 |
| Provider Name | Dario MD Sanabria Nunez |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1164987186 PECOS PAC ID: 2668877929 Enrollment ID: I20250709000868 |
| Provider Name | Aleksandra Radzio |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467192740 PECOS PAC ID: 0547616906 Enrollment ID: I20250709002175 |
| Provider Name | Patricia Graese |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1194354886 PECOS PAC ID: 9133540776 Enrollment ID: I20250709003016 |
| Provider Name | Robert Jordan Hall |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477202687 PECOS PAC ID: 7810401734 Enrollment ID: I20250710002637 |
| Provider Name | Lessly Galilea Hernandez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255073946 PECOS PAC ID: 8224543129 Enrollment ID: I20250710004235 |
| Provider Name | Virender Mahabir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306417035 PECOS PAC ID: 9931577954 Enrollment ID: I20250711000365 |
| Provider Name | Joanne Szewczyk Buitrago |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1518451715 PECOS PAC ID: 0143576785 Enrollment ID: I20250711001268 |
| Provider Name | Kayla Morneault |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588127542 PECOS PAC ID: 1153753447 Enrollment ID: I20250711001622 |
| Provider Name | Catherine a Loftus |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1710509435 PECOS PAC ID: 9931527389 Enrollment ID: I20250711003199 |
| Provider Name | Derika Schlueter |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760131668 PECOS PAC ID: 6800272105 Enrollment ID: I20250715003230 |
| Provider Name | Mitchell Bourne |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932859006 PECOS PAC ID: 7911375662 Enrollment ID: I20250716001285 |
| Provider Name | Tumader Khouja |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1255221966 PECOS PAC ID: 5991210981 Enrollment ID: I20250717002532 |
| Provider Name | Mario Espinosa Hernandez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790416766 PECOS PAC ID: 2062881386 Enrollment ID: I20250717004104 |
| Provider Name | Jeena Kar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588283568 PECOS PAC ID: 7416376967 Enrollment ID: I20250721002009 |
| Provider Name | Walter Johnson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1861020109 PECOS PAC ID: 2860870995 Enrollment ID: I20250721003671 |
| Provider Name | Matthew Macahan Moore |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528647955 PECOS PAC ID: 3971019506 Enrollment ID: I20250721004081 |
| Provider Name | Mollie Lagrew |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1588244891 PECOS PAC ID: 4284031014 Enrollment ID: I20250722000035 |
| Provider Name | Rodger C Brown |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568106276 PECOS PAC ID: 8921474842 Enrollment ID: I20250722000713 |
| Provider Name | Joel Page |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1700347085 PECOS PAC ID: 8729410956 Enrollment ID: I20250722001174 |
| Provider Name | Anthony Dominic Sorrentino |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265069710 PECOS PAC ID: 8729401278 Enrollment ID: I20250722001216 |
| Provider Name | Juan Gonzalez |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1942682141 PECOS PAC ID: 2062714157 Enrollment ID: I20250722002730 |
| Provider Name | Edward Casey |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1649242421 PECOS PAC ID: 6800700824 Enrollment ID: I20250722003527 |
| Provider Name | Konstantinos Sebekos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831694561 PECOS PAC ID: 1456691229 Enrollment ID: I20250722003632 |
| Provider Name | Bennett Kramer |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1356737829 PECOS PAC ID: 4284066242 Enrollment ID: I20250722004119 |
| Provider Name | Suhel Sabunwala |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1821528134 PECOS PAC ID: 5890032163 Enrollment ID: I20250722004169 |
| Provider Name | Rishan Jeyakumar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831833730 PECOS PAC ID: 6103332507 Enrollment ID: I20250722004378 |
| Provider Name | Alessandra Costello Serrano |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1447804562 PECOS PAC ID: 6901312305 Enrollment ID: I20250722004473 |
| Provider Name | Izabela Oluwole |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134578800 PECOS PAC ID: 4284987405 Enrollment ID: I20250723004729 |
| Provider Name | Kelly Tran |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861132268 PECOS PAC ID: 2062880164 Enrollment ID: I20250724000149 |
| Provider Name | Marcel Henry Komer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1861284259 PECOS PAC ID: 4082120159 Enrollment ID: I20250724001004 |
| Provider Name | Sephra Miller |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1932992989 PECOS PAC ID: 1355858440 Enrollment ID: I20250724001608 |
| Provider Name | Anny Cheng |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1396371399 PECOS PAC ID: 7810374535 Enrollment ID: I20250724002716 |
| Provider Name | Anne-marie Fassler |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1972091908 PECOS PAC ID: 7214275999 Enrollment ID: I20250724004487 |
| Provider Name | Camille Jefferson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760170765 PECOS PAC ID: 1153838008 Enrollment ID: I20250725004082 |
| Provider Name | Dijoia Darden |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1164958054 PECOS PAC ID: 6002152303 Enrollment ID: I20250729000291 |
| Provider Name | Andrew Smithey |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1962295931 PECOS PAC ID: 4688181852 Enrollment ID: I20250730004677 |
| Provider Name | Mei-ling Morley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1669186300 PECOS PAC ID: 2264940337 Enrollment ID: I20250801000008 |
| Provider Name | Anthony Tuzzolo |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1972122976 PECOS PAC ID: 0244650679 Enrollment ID: I20250801001052 |
| Provider Name | Alfonso Erasmo Escobar Ayala |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1265051072 PECOS PAC ID: 8224546791 Enrollment ID: I20250805002787 |
| Provider Name | Andrew Hood |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609526375 PECOS PAC ID: 0840676102 Enrollment ID: I20250806001218 |
| Provider Name | Davis a Mills |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528718145 PECOS PAC ID: 7719368299 Enrollment ID: I20250806002722 |
| Provider Name | Alexi Wong |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1720975196 PECOS PAC ID: 9638677933 Enrollment ID: I20250806004347 |
| Provider Name | Waseem Nabi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245951755 PECOS PAC ID: 6305344474 Enrollment ID: I20250807004514 |
| Provider Name | Jonathan Henry Garfinkel |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1275095655 PECOS PAC ID: 2264975010 Enrollment ID: I20250808001831 |
| Provider Name | Christian-immanuel Oliveros |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306307780 PECOS PAC ID: 8325373897 Enrollment ID: I20250808002554 |
| Provider Name | Griffin M Biedron |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1982083812 PECOS PAC ID: 8628484516 Enrollment ID: I20250808002940 |
| Provider Name | Michael Pennington |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558364158 PECOS PAC ID: 8527055789 Enrollment ID: I20250808004065 |
| Provider Name | Rasha Aly |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316566128 PECOS PAC ID: 9739509019 Enrollment ID: I20250811000636 |
| Provider Name | Jonathan Diah |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1093376477 PECOS PAC ID: 2365940269 Enrollment ID: I20250811001133 |
| Provider Name | Sara Reed |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265016950 PECOS PAC ID: 8628510492 Enrollment ID: I20250811004053 |
| Provider Name | William David Whittlesey |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1578445292 PECOS PAC ID: 4789182478 Enrollment ID: I20250812002161 |
| Provider Name | Beau Billings |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1518592427 PECOS PAC ID: 0547666778 Enrollment ID: I20250812004644 |
| Provider Name | Ahmad Hachem |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043865017 PECOS PAC ID: 3476051079 Enrollment ID: I20250813000060 |
| Provider Name | Katelynn Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558105056 PECOS PAC ID: 9739687245 Enrollment ID: I20250813000599 |
| Provider Name | Julia Lynn Gamble |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124070297 PECOS PAC ID: 6901304435 Enrollment ID: I20250813001103 |
| Provider Name | Grace Katherine Kelly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821790262 PECOS PAC ID: 6800329558 Enrollment ID: I20250813004520 |
| Provider Name | Eric Pruitt |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1740635093 PECOS PAC ID: 2365738424 Enrollment ID: I20250814000061 |
| Provider Name | Chloe Abolverdi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114812781 PECOS PAC ID: 4981103314 Enrollment ID: I20250814001135 |
| Provider Name | Deven Seth Modi |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1669178695 PECOS PAC ID: 1759880123 Enrollment ID: I20250814002188 |
| Provider Name | Seth Hendricks |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1841187606 PECOS PAC ID: 3678072931 Enrollment ID: I20250814004592 |
| Provider Name | Grace Yong Shan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1578356523 PECOS PAC ID: 1759880016 Enrollment ID: I20250814004664 |
| Provider Name | Anniesa Kussial |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265132872 PECOS PAC ID: 6507365871 Enrollment ID: I20250815000008 |
| Provider Name | Christina Marie Carr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760274179 PECOS PAC ID: 4385143148 Enrollment ID: I20250819000028 |
| Provider Name | Uvaraj Periasamy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386130656 PECOS PAC ID: 9931608692 Enrollment ID: I20250819002462 |
| Provider Name | Alrick Brooks |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1720186273 PECOS PAC ID: 9032145859 Enrollment ID: I20250820004844 |
| Provider Name | Joseph Stidham |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477908218 PECOS PAC ID: 8921337833 Enrollment ID: I20250820005020 |
| Provider Name | Patrick Underwood |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1639524473 PECOS PAC ID: 9931496924 Enrollment ID: I20250820005118 |
| Provider Name | Gabrielle Register |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497548440 PECOS PAC ID: 6901306240 Enrollment ID: I20250821004011 |
| Provider Name | Madison Marklow Yahaya |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1689568776 PECOS PAC ID: 5991205866 Enrollment ID: I20250825002098 |
| Provider Name | Gabrielle Keovongsa |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1841083896 PECOS PAC ID: 3870093446 Enrollment ID: I20250826005246 |
| Provider Name | Victor Tan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1073210704 PECOS PAC ID: 4486155876 Enrollment ID: I20250828000625 |
| Provider Name | Anamarys Blanco Fernandez |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1457858995 PECOS PAC ID: 3072960723 Enrollment ID: I20250902002922 |
| Provider Name | Tuhina Cornelius |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1538680590 PECOS PAC ID: 0749676070 Enrollment ID: I20250902003293 |
| Provider Name | Mikayla Mae Essenmacher |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1871375568 PECOS PAC ID: 8921509647 Enrollment ID: I20250902004490 |
| Provider Name | Kristin Hedtke |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831768316 PECOS PAC ID: 1153726336 Enrollment ID: I20250903000368 |
| Provider Name | Jonathan West |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1184500233 PECOS PAC ID: 9931600624 Enrollment ID: I20250903001913 |
| Provider Name | Roynny J Sanchez Gil |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1164889168 PECOS PAC ID: 0042719809 Enrollment ID: I20250903001996 |
| Provider Name | Michael Daniel Bieszard |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629655501 PECOS PAC ID: 4486156155 Enrollment ID: I20250903003654 |
| Provider Name | Kaylyn Elise Koons |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1639051808 PECOS PAC ID: 1254833767 Enrollment ID: I20250904003186 |
| Provider Name | Daniel James Howgate |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1366220147 PECOS PAC ID: 5698120954 Enrollment ID: I20250904003788 |
| Provider Name | Neslihan Kayraklioglu |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1417418500 PECOS PAC ID: 6406358944 Enrollment ID: I20250904004326 |
| Provider Name | Jamie Marie Allard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376137315 PECOS PAC ID: 4789186032 Enrollment ID: I20250905002030 |
| Provider Name | Audrey Rachel Currens |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1063944577 PECOS PAC ID: 6103328315 Enrollment ID: I20250907000060 |
| Provider Name | Malissa Sliger Rutherford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154209658 PECOS PAC ID: 8224531850 Enrollment ID: I20250910003912 |
| Provider Name | Adam Bellfield |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1164169165 PECOS PAC ID: 7416324389 Enrollment ID: I20250912002777 |
| Provider Name | Rakel Marie Zarb |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1023513967 PECOS PAC ID: 7113340134 Enrollment ID: I20250913000523 |
| Provider Name | Kelci Ragsdale |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891462925 PECOS PAC ID: 6901294248 Enrollment ID: I20250913000833 |
| Provider Name | Linda Diana Lange |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1669706818 PECOS PAC ID: 2961697388 Enrollment ID: I20250915000562 |
| Provider Name | Fadi Kandah |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1770043259 PECOS PAC ID: 3678801883 Enrollment ID: I20250915001664 |
| Provider Name | Joshua Nadeau |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1730505280 PECOS PAC ID: 3375046212 Enrollment ID: I20250915002466 |
| Provider Name | Monica Janine Lee Demecillo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801356233 PECOS PAC ID: 8527391929 Enrollment ID: I20250915004303 |
| Provider Name | Johanna Guadalupe Campos Catalan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003478082 PECOS PAC ID: 1557865045 Enrollment ID: I20250917004789 |
| Provider Name | Joseph J Salama |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114365517 PECOS PAC ID: 4486016474 Enrollment ID: I20250918002291 |
| Provider Name | Madison Abby Johnstone |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1043195001 PECOS PAC ID: 2466956743 Enrollment ID: I20250918004224 |
| Provider Name | Kendal Tiffany Galura |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972324176 PECOS PAC ID: 5092219147 Enrollment ID: I20250919003926 |
| Provider Name | Snehdeep Hanspal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245895283 PECOS PAC ID: 2567797202 Enrollment ID: I20250920000155 |
| Provider Name | Rabab Abdelmageed Elsadek |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1356087654 PECOS PAC ID: 7012442726 Enrollment ID: I20250920000798 |
| Provider Name | Rylee Elizabeth Pence |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629728209 PECOS PAC ID: 0143674549 Enrollment ID: I20250922000580 |
| Provider Name | Rachel Thomas |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1275160657 PECOS PAC ID: 2062837644 Enrollment ID: I20250922000845 |
| Provider Name | Tabitha Xia-zhu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851032312 PECOS PAC ID: 3678949583 Enrollment ID: I20250923001022 |
| Provider Name | Basheer Elsolh |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1558045369 PECOS PAC ID: 6709244692 Enrollment ID: I20250923001389 |
| Provider Name | Julie Huber |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497569677 PECOS PAC ID: 5799280418 Enrollment ID: I20250924002635 |
| Provider Name | Ana Maria Reyes Bouza Thober |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1346137742 PECOS PAC ID: 3072018548 Enrollment ID: I20250925001410 |
| Provider Name | Hannah Leigh Bryant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346124427 PECOS PAC ID: 0446756563 Enrollment ID: I20250929002134 |
| Provider Name | Nicole Bracciale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144013293 PECOS PAC ID: 9830695964 Enrollment ID: I20250929002374 |
| Provider Name | Hasanain Hasan |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1225683907 PECOS PAC ID: 5991201071 Enrollment ID: I20250929003828 |
| Provider Name | Karthik Chandrasekaran |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1215496328 PECOS PAC ID: 9739685439 Enrollment ID: I20251001003505 |
| Provider Name | Jessica Ulysse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881364735 PECOS PAC ID: 5496253197 Enrollment ID: I20251001005006 |
| Provider Name | Michael Patrick Scully |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275172314 PECOS PAC ID: 4981100542 Enrollment ID: I20251002000447 |
| Provider Name | Jessica M Darusz |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003445180 PECOS PAC ID: 3375969413 Enrollment ID: I20251002000563 |
| Provider Name | William Anthony Hayes |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134707011 PECOS PAC ID: 9032513387 Enrollment ID: I20251002000732 |
| Provider Name | Sarah Liu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932831484 PECOS PAC ID: 4789180282 Enrollment ID: I20251002005154 |
| Provider Name | Sarah Lipkin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366842635 PECOS PAC ID: 9234546698 Enrollment ID: I20251003000883 |
| Provider Name | Michelle Hagen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063710564 PECOS PAC ID: 0749466993 Enrollment ID: I20251003002057 |
| Provider Name | Sara Deatsman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083976682 PECOS PAC ID: 0042446338 Enrollment ID: I20251003002076 |
| Provider Name | Paul Rubin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558449447 PECOS PAC ID: 5395931604 Enrollment ID: I20251003003273 |
| Provider Name | Danielle a Cerbon |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1912534751 PECOS PAC ID: 0749786077 Enrollment ID: I20251003003990 |
| Provider Name | Spencer Haire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750267233 PECOS PAC ID: 4880190156 Enrollment ID: I20251006000084 |
| Provider Name | Wilmona Ball |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801778923 PECOS PAC ID: 6103322300 Enrollment ID: I20251006001088 |
| Provider Name | Jalen Frett |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1003609124 PECOS PAC ID: 5991202137 Enrollment ID: I20251006003951 |
| Provider Name | Jana Kleinerova |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1679446850 PECOS PAC ID: 5991202020 Enrollment ID: I20251007001262 |
| Provider Name | Roger Smith |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1407837974 PECOS PAC ID: 8123093150 Enrollment ID: I20251008001423 |
| Provider Name | Sarah Covey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619537305 PECOS PAC ID: 1658703095 Enrollment ID: I20251014003282 |
| Provider Name | Julian Emerson Dilley |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1134680358 PECOS PAC ID: 8729311733 Enrollment ID: I20251015001118 |
| Provider Name | Nimit Khara |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1639706641 PECOS PAC ID: 1759878184 Enrollment ID: I20251017001580 |
| Provider Name | Justin Cole Rekieta |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1295611630 PECOS PAC ID: 9830686278 Enrollment ID: I20251017001654 |
| Provider Name | Abdalla Eltayeb Abdalla Abdelkader |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1942087457 PECOS PAC ID: 9436503307 Enrollment ID: I20251019000019 |
| Provider Name | Stephanie Gato |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861284093 PECOS PAC ID: 7012405392 Enrollment ID: I20251020000563 |
| Provider Name | Megan Alyse Barnes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992679484 PECOS PAC ID: 5193213411 Enrollment ID: I20251020001119 |
| Provider Name | Carlos Andres Delgado |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1952861056 PECOS PAC ID: 5193052066 Enrollment ID: I20251021000107 |
| Provider Name | Shelley Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942195524 PECOS PAC ID: 6103314331 Enrollment ID: I20251021001616 |
| Provider Name | Joshua Dajac |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740713684 PECOS PAC ID: 7113296104 Enrollment ID: I20251021002772 |
| Provider Name | Andrew Blundell |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1639738917 PECOS PAC ID: 8426435009 Enrollment ID: I20251022000228 |
| Provider Name | Patrick Schaefer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861293664 PECOS PAC ID: 1052801560 Enrollment ID: I20251104001723 |
| Provider Name | Gary Rogers |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1477664480 PECOS PAC ID: 3971550047 Enrollment ID: I20251104002567 |
| Provider Name | Sierra Burkhalter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972475283 PECOS PAC ID: 8022508449 Enrollment ID: I20251105000945 |
| Provider Name | Ethan Ilagan |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1396626420 PECOS PAC ID: 4183114192 Enrollment ID: I20251107002315 |
| Provider Name | Sarah Cates |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437046000 PECOS PAC ID: 1052801974 Enrollment ID: I20251107002768 |
| Provider Name | Anastasia Aleksandrova |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1376428615 PECOS PAC ID: 6305336157 Enrollment ID: I20251110000862 |
| Provider Name | Ansh Mehta |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1366929630 PECOS PAC ID: 0648523639 Enrollment ID: I20251110001161 |
| Provider Name | Ocean Setia |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1710476296 PECOS PAC ID: 6608124128 Enrollment ID: I20251110002005 |
| Provider Name | Amr a Mourad |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588763635 PECOS PAC ID: 7012348147 Enrollment ID: I20251110002796 |
| Provider Name | Chau Nguyen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831836105 PECOS PAC ID: 6305337999 Enrollment ID: I20251111003446 |
| Provider Name | Lauren Michelle Herwitz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1033901160 PECOS PAC ID: 3375034838 Enrollment ID: I20251113000402 |
| Provider Name | Taylor Bellfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033853460 PECOS PAC ID: 8426498221 Enrollment ID: I20251114003752 |
| Provider Name | Tatyana Jacqueline Downer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1760379093 PECOS PAC ID: 3072004936 Enrollment ID: I20251118004220 |
| Provider Name | Sandra Purcell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770066961 PECOS PAC ID: 2769729763 Enrollment ID: I20251119002151 |
| Provider Name | Daniel Mcelroy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801539002 PECOS PAC ID: 2466823141 Enrollment ID: I20251119004488 |
| Provider Name | Amir Fallahian |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164618278 PECOS PAC ID: 6901942093 Enrollment ID: I20251120001700 |
| Provider Name | Andrea Pozez |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1992807598 PECOS PAC ID: 8426185166 Enrollment ID: I20251203001479 |
| Provider Name | Brittany Ann Bailey |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1972124923 PECOS PAC ID: 3971096249 Enrollment ID: I20251204002376 |
| Provider Name | Noor Alsaedi |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1912870486 PECOS PAC ID: 2668965898 Enrollment ID: I20251204004907 |
| Provider Name | Malissa Badal-yang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437037694 PECOS PAC ID: 7315430501 Enrollment ID: I20251205001426 |
| Provider Name | Kennisha Brooke Miranda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083584775 PECOS PAC ID: 0244724102 Enrollment ID: I20251209002713 |
| Provider Name | Ashli Olivia Gordon-thomas |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1932936184 PECOS PAC ID: 4688168107 Enrollment ID: I20251211003204 |
| Provider Name | Michael Oliver |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437893708 PECOS PAC ID: 8224574256 Enrollment ID: I20251215002341 |
| Provider Name | Simon Ho |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225560329 PECOS PAC ID: 9032482286 Enrollment ID: I20251217002271 |
| Provider Name | Sati Singh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558230680 PECOS PAC ID: 0446745988 Enrollment ID: I20251222001539 |
| Provider Name | Meagan Elizabeth Brophy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811859945 PECOS PAC ID: 7315432804 Enrollment ID: I20251222002872 |
| Provider Name | Ashley Posada |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366310229 PECOS PAC ID: 7810483948 Enrollment ID: I20251229001222 |
| Provider Name | Alana Emma Mckay |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790649945 PECOS PAC ID: 9537655543 Enrollment ID: I20251230000157 |
| Provider Name | Jessica Christine Soares |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629949342 PECOS PAC ID: 0840786745 Enrollment ID: I20251230002855 |
| Provider Name | Mina Shenouda |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1710392345 PECOS PAC ID: 4688893233 Enrollment ID: I20251230004140 |
| Provider Name | Elke Sussman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1124907589 PECOS PAC ID: 6002302817 Enrollment ID: I20251231002482 |
| Provider Name | Huiling Wolff-koo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710346366 PECOS PAC ID: 7719279728 Enrollment ID: I20260107004460 |
| Provider Name | Ivan Nunez |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1407656812 PECOS PAC ID: 9537677885 Enrollment ID: I20260108003980 |
| Provider Name | Courtlyn Ashlie Cannon |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1740142611 PECOS PAC ID: 0143706044 Enrollment ID: I20260110000015 |
| Provider Name | Lakshmi Balasubramanian |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1063433381 PECOS PAC ID: 3870593668 Enrollment ID: I20260123003048 |
| Provider Name | Vera Bakurova |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063385821 PECOS PAC ID: 1052899085 Enrollment ID: I20260202000211 |
| Provider Name | Michael J Dallolio |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972531226 PECOS PAC ID: 4385600295 Enrollment ID: I20260204001391 |
| Provider Name | Faizal Zangwio Asumda |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336602184 PECOS PAC ID: 8628468790 Enrollment ID: I20260204004118 |
| Provider Name | Kristyn Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386518769 PECOS PAC ID: 9739668245 Enrollment ID: I20260205000596 |
| Provider Name | William Baker Galegor |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1235331349 PECOS PAC ID: 0446620231 Enrollment ID: I20260205003088 |
| Provider Name | Frederick Hogan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114505195 PECOS PAC ID: 1456847623 Enrollment ID: I20260213004314 |
| Provider Name | Harvey Lionel Livingstone |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1104776640 PECOS PAC ID: 2860973625 Enrollment ID: I20260220000162 |
| Provider Name | Kristen Philip |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306727995 PECOS PAC ID: 1355822016 Enrollment ID: I20260220003962 |
| Provider Name | Sarah Shugan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841152162 PECOS PAC ID: 0143701615 Enrollment ID: I20260223002406 |
| Provider Name | Michael Rosalia |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1801689666 PECOS PAC ID: 8224544804 Enrollment ID: I20260223004040 |
| Provider Name | Derrick Van Haile |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447115076 PECOS PAC ID: 5496236762 Enrollment ID: I20260225000707 |
| Provider Name | Caylan Alaina Harper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306702220 PECOS PAC ID: 8729569033 Enrollment ID: I20260225001752 |
| Provider Name | Gabriella Insabella |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1841083805 PECOS PAC ID: 9335620434 Enrollment ID: I20260226002086 |
| Provider Name | Jose Maldonado Hevia |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528649183 PECOS PAC ID: 8729488879 Enrollment ID: I20260226004626 |
| Provider Name | Ihtisham Qayum |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1861222648 PECOS PAC ID: 2668954983 Enrollment ID: I20260305002808 |
| Provider Name | Pritika Prasad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407240112 PECOS PAC ID: 9739462250 Enrollment ID: I20260306000147 |
| Provider Name | Chloe Berkley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1588522528 PECOS PAC ID: 2769964840 Enrollment ID: I20260306002549 |
| Provider Name | Yuen Yee Lo Yau Leung |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821551698 PECOS PAC ID: 8123497021 Enrollment ID: I20260306002845 |
| Provider Name | Krunal Parekh |
|---|---|
| Provider Type | Practitioner - Oral And Maxillofacial Radiology |
| Provider Identifiers | NPI Number: 1225923766 PECOS PAC ID: 2668955600 Enrollment ID: I20260309001866 |
| Provider Name | Eraysy Machin Martinez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609331420 PECOS PAC ID: 7315420262 Enrollment ID: I20260310002262 |
| Provider Name | Rebecca Ann Marie Rome |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306705314 PECOS PAC ID: 0244713568 Enrollment ID: I20260313002722 |
| Provider Name | Alex Schwartz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710620174 PECOS PAC ID: 8628552718 Enrollment ID: I20260317002605 |
| Provider Name | Sara Elizabeth Brooker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326993536 PECOS PAC ID: 7719462282 Enrollment ID: I20260402000039 |
| Provider Name | Katelyn Kelley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881435964 PECOS PAC ID: 7810462033 Enrollment ID: I20260406002305 |
| Provider Name | Sanem Pinar Uysal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1982233516 PECOS PAC ID: 7012348915 Enrollment ID: I20260407004023 |
| Provider Name | Megan Rae Sherrod |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285589820 PECOS PAC ID: 1557836186 Enrollment ID: I20260410001544 |
| Provider Name | Anne N Wabunyi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275028565 PECOS PAC ID: 3971849258 Enrollment ID: I20260413002096 |
| Provider Name | Mariah C Rappazzo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528918398 PECOS PAC ID: 8325514714 Enrollment ID: I20260414001130 |
| Provider Name | Kaytlyn M Griffin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750185062 PECOS PAC ID: 4789150558 Enrollment ID: I20260420000335 |
| Provider Name | Adeyinka Owoyele |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1629450994 PECOS PAC ID: 1153692215 Enrollment ID: I20260421001273 |
| Provider Name | Nipa Rani Shil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699617662 PECOS PAC ID: 5991271439 Enrollment ID: I20260421003258 |
| Provider Name | Amber Roxann Pounds |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1255014841 PECOS PAC ID: 5890261374 Enrollment ID: I20260421004196 |
| Provider Name | Julianah Cleophat |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396612743 PECOS PAC ID: 0143797332 Enrollment ID: I20260424001756 |
| Provider Name | Elizabeth Baumann |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1013594225 PECOS PAC ID: 2860809274 Enrollment ID: I20260424003646 |
| Provider Name | Sijo Joseph |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659734358 PECOS PAC ID: 5193016855 Enrollment ID: I20260425000237 |
| Provider Name | Juan Fiorda Diaz |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1093459695 PECOS PAC ID: 1759826662 Enrollment ID: I20260426000020 |
| Provider Name | Nicole Deborah Nitschke |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1255954756 PECOS PAC ID: 0840615530 Enrollment ID: I20260427000679 |
| Provider Name | Matthew S Jorgensen |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1063117794 PECOS PAC ID: 1951878925 Enrollment ID: I20260427003487 |
| Provider Name | Dhaval Patel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1831151174 PECOS PAC ID: 3678658333 Enrollment ID: I20260430000695 |
| Provider Name | Ivanna Romankevych |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184246183 PECOS PAC ID: 4688141211 Enrollment ID: I20260430002869 |
| Provider Name | Rebecca Marie List |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639153687 PECOS PAC ID: 2769460492 Enrollment ID: I20260501000108 |
| Provider Name | Cole Weinstein |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1225611197 PECOS PAC ID: 4981007051 Enrollment ID: I20260501000431 |
| Provider Name | Howard Mufuka |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649856352 PECOS PAC ID: 5991273419 Enrollment ID: I20260504005740 |
| Provider Name | Josi Massimillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447119268 PECOS PAC ID: 6709354558 Enrollment ID: I20260511000219 |
| Provider Name | David Fishman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1336133784 PECOS PAC ID: 6608990270 Enrollment ID: I20260514003399 |
| Provider Name | Gautam Edhayan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1629636659 PECOS PAC ID: 9032442686 Enrollment ID: I20260514004193 |
| Provider Name | Mahmoud Abdelsalam Mohamed Abdelsalam |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1912844531 PECOS PAC ID: 7113496464 Enrollment ID: I20260515000977 |
| Provider Name | Latissa Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699621847 PECOS PAC ID: 0345427530 Enrollment ID: I20260515003383 |
| Provider Name | Joann Gold |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1376172999 PECOS PAC ID: 9133550700 Enrollment ID: I20260516000528 |
| Provider Name | Chase Chambers |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851888572 PECOS PAC ID: 6305315516 Enrollment ID: I20260518001342 |
| Provider Name | Robert R Henderson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1346772589 PECOS PAC ID: 4183166937 Enrollment ID: I20260519003882 |
| Provider Name | Mark Barry |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063859882 PECOS PAC ID: 5799919213 Enrollment ID: I20260519004675 |
| Provider Name | Kaitlyn Jean Shumate |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487408092 PECOS PAC ID: 6901376649 Enrollment ID: I20260522003206 |
| Provider Name | Jerry Daniel Fenn |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1568044329 PECOS PAC ID: 8527538966 Enrollment ID: I20260527003270 |
| Provider Name | Ashlie Brooke Hoover |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1649116922 PECOS PAC ID: 4688144876 Enrollment ID: I20260528004200 |
| Provider Name | Yomary Jimenez Lopez |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1154981553 PECOS PAC ID: 9830669993 Enrollment ID: I20260529001207 |
| Provider Name | Chelsea Lynn Marchant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619836392 PECOS PAC ID: 6305316480 Enrollment ID: I20260529001932 |
| Provider Name | Pooja Gupta |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1447839204 PECOS PAC ID: 5890104996 Enrollment ID: I20260529002102 |
| Provider Name | Emel Bihorac |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073223400 PECOS PAC ID: 3971073057 Enrollment ID: I20260529002169 |
| Provider Name | Golena Fernandez Moncaleano |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1639033731 PECOS PAC ID: 7416428875 Enrollment ID: I20260605002748 |
| Provider Name | Jeeva George |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1679402176 PECOS PAC ID: 9638640998 Enrollment ID: I20260608001821 |
| Provider Name | Kellen Creech |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1003556960 PECOS PAC ID: 3072989144 Enrollment ID: I20260608004115 |
| Provider Name | Dristin Shane Hughes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922701663 PECOS PAC ID: 3274004288 Enrollment ID: I20260609004553 |
| Provider Name | Destany Newbern |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922936053 PECOS PAC ID: 7810469632 Enrollment ID: I20260612001200 |
| Provider Name | Anthony MD Loschner |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1124221809 PECOS PAC ID: 4789848391 Enrollment ID: I20260618002397 |
| Provider Name | Laura Rosa Pineda |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023711876 PECOS PAC ID: 9133691298 Enrollment ID: I20260619000050 |
| Provider Name | Jasmine Holmes |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003497645 PECOS PAC ID: 3375946981 Enrollment ID: I20260620000234 |
| Provider Name | Amanda O'shea |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073324588 PECOS PAC ID: 7315410172 Enrollment ID: I20260623003247 |
| Provider Name | Milbrey Parke |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1770223299 PECOS PAC ID: 6901286418 Enrollment ID: I20260627000017 |
University of Florida, Student Health Care Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Fletcher Drive, Gainesville, FL 32611 Phone: 352-392-1161 Fax: 352-846-1029 |
Mental Health Resource Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 825 Nw 23rd Ave Ste 10, Gainesville, FL 32609 Phone: 352-271-8605 Fax: 352-271-8608 |
Oswaldo Javier Rodriguez MD PA Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1121 Sw 104th St, Gainesville, FL 32607 Phone: 352-514-6065 Fax: 352-554-5073 |
Cornerstone Health and Wellness Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7328 W University Ave Ste E, Gainesville, FL 32607 Phone: 352-405-5009 Fax: 815-205-4550 |
Donald E Grabove, MD, PA Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3601 Sw 2nd Ave, Suite Q, Gainesville, FL 32607 Phone: 352-367-0100 Fax: 352-367-1330 |
Pediatrics & Family Medicine of Buena Vista , LLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10552 Nw 13th Ave, Gainesville, FL 32606 Phone: 678-570-5063 |