| Uk Non-faculty | |
|
800 Rose Street Lexington KY 40536-0001 | |
| (859) 323-5000 | |
| Not Available |
| Full Name | Uk Non-faculty |
|---|---|
| Speciality | Radiology |
| Location | 800 Rose Street, Lexington, Kentucky |
| Authorized Official Name and Position | Craig Collins (SR VP HEALTH AFFAIRS / CFO) |
| Authorized Official Contact | 8592571773 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Uk Non-faculty 2333 Alumni Park Plz Suite 200 Lexington KY 40517-4012 Ph: (859) 218-5678 | Uk Non-faculty 800 Rose Street Lexington KY 40536-0001 Ph: (859) 323-5000 |
| NPI Number | 1770771974 |
|---|---|
| Provider Enumeration Date | 10/12/2007 |
| Last Update Date | 02/14/2024 |
| Medicare PECOS PAC ID | 3072425289 |
|---|---|
| Medicare Enrollment ID | O20031105000072 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770771974 | NPI | - | NPPES |
| Provider Name | Man Ying Catherine Wong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427128206 PECOS PAC ID: 2567375371 Enrollment ID: I20031107000499 |
| Provider Name | Marites C Buenafe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174568711 PECOS PAC ID: 3072419209 Enrollment ID: I20031209000868 |
| Provider Name | Donald Francis Rauh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1548266976 PECOS PAC ID: 3678470853 Enrollment ID: I20031216000515 |
| Provider Name | Marvin Steven Hormann |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1477618999 PECOS PAC ID: 6406756519 Enrollment ID: I20040113000421 |
| Provider Name | Kelly E Mcconathy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962638296 PECOS PAC ID: 5092618876 Enrollment ID: I20040129000401 |
| Provider Name | Allen Ray Bond |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235137704 PECOS PAC ID: 9032012547 Enrollment ID: I20040131000066 |
| Provider Name | John E Lindroth |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1770683955 PECOS PAC ID: 2365335627 Enrollment ID: I20040203000073 |
| Provider Name | Donna S Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801830088 PECOS PAC ID: 4981597184 Enrollment ID: I20040203000360 |
| Provider Name | Marguerite A Sellitti |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1508890534 PECOS PAC ID: 0941193965 Enrollment ID: I20040204000479 |
| Provider Name | Allison P Federspiel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1639266281 PECOS PAC ID: 4688569064 Enrollment ID: I20040216000722 |
| Provider Name | Natalia A Shrestha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952366965 PECOS PAC ID: 7416845235 Enrollment ID: I20040304000936 |
| Provider Name | Eric T Demann |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1427140490 PECOS PAC ID: 7618868373 Enrollment ID: I20040323000011 |
| Provider Name | Erwin G. Turner |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1063430312 PECOS PAC ID: 3375434079 Enrollment ID: I20040323000257 |
| Provider Name | Jamal Hassan Merhy |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1720039332 PECOS PAC ID: 2264427012 Enrollment ID: I20040420000189 |
| Provider Name | Joan Elizabeth Lehmann |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1235151051 PECOS PAC ID: 5799771648 Enrollment ID: I20040424000110 |
| Provider Name | Andrew T Cooley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265482707 PECOS PAC ID: 8729076351 Enrollment ID: I20040503001667 |
| Provider Name | Rachel Meade Harper |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1831124379 PECOS PAC ID: 4880683937 Enrollment ID: I20040512000564 |
| Provider Name | Judi A Daniels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659381952 PECOS PAC ID: 3577554575 Enrollment ID: I20040519000914 |
| Provider Name | Peggy J Hardesty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104836410 PECOS PAC ID: 5799766887 Enrollment ID: I20040525001486 |
| Provider Name | Jay Samuel Grider |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1255422887 PECOS PAC ID: 8921080771 Enrollment ID: I20040604000280 |
| Provider Name | David Shraberg |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1902816010 PECOS PAC ID: 4789662966 Enrollment ID: I20040713000910 |
| Provider Name | Kelly Christopher Mccants |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1689723280 PECOS PAC ID: 4789663840 Enrollment ID: I20040714000576 |
| Provider Name | Khursheed Akram Siddiqui |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1881634368 PECOS PAC ID: 3779554050 Enrollment ID: I20040802000679 |
| Provider Name | Leah Suzanne Mitchell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801886007 PECOS PAC ID: 2466423736 Enrollment ID: I20040802001365 |
| Provider Name | Julia Emberton Moran |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1598864688 PECOS PAC ID: 0143295618 Enrollment ID: I20040827001110 |
| Provider Name | Everett Jasper Horn |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1689657850 PECOS PAC ID: 2769375096 Enrollment ID: I20040914000012 |
| Provider Name | Robert C Campbell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1366539033 PECOS PAC ID: 3577532761 Enrollment ID: I20040924000674 |
| Provider Name | Anna Miller |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1427031095 PECOS PAC ID: 8921084294 Enrollment ID: I20040927000393 |
| Provider Name | William R Hall |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1548357106 PECOS PAC ID: 2567431927 Enrollment ID: I20041001000349 |
| Provider Name | Mohanad Al-sabbagh |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1699875591 PECOS PAC ID: 8022078328 Enrollment ID: I20041012000747 |
| Provider Name | Michael L Albrich |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1598852253 PECOS PAC ID: 4789644667 Enrollment ID: I20041014000942 |
| Provider Name | John Maxey Edwards |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467521211 PECOS PAC ID: 2860453735 Enrollment ID: I20041023000243 |
| Provider Name | Paula Kay Obannon |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1245348259 PECOS PAC ID: 9830150598 Enrollment ID: I20041026000101 |
| Provider Name | Mary A Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023022597 PECOS PAC ID: 5597722090 Enrollment ID: I20041216000326 |
| Provider Name | Susan E Liddle |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1386660140 PECOS PAC ID: 5799734992 Enrollment ID: I20050114000171 |
| Provider Name | Karen Santos Mccloud |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1033102249 PECOS PAC ID: 5395794101 Enrollment ID: I20050119000740 |
| Provider Name | Jane A Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205855194 PECOS PAC ID: 0840240230 Enrollment ID: I20050124000762 |
| Provider Name | Robert J Crafton |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1003868464 PECOS PAC ID: 9335199488 Enrollment ID: I20050126000518 |
| Provider Name | Katherine Christine Jenkins |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528068319 PECOS PAC ID: 8729038401 Enrollment ID: I20050131000452 |
| Provider Name | Gregory A Cobetto |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1205853124 PECOS PAC ID: 1153372123 Enrollment ID: I20050208000012 |
| Provider Name | Bethany F Higgins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386727717 PECOS PAC ID: 2860446010 Enrollment ID: I20050310000147 |
| Provider Name | Lynn A Kelso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245361286 PECOS PAC ID: 2466407507 Enrollment ID: I20050322000304 |
| Provider Name | Barbara J Crutchfield |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1700996683 PECOS PAC ID: 3274580196 Enrollment ID: I20050404000331 |
| Provider Name | Martha J Biddle |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1922300631 PECOS PAC ID: 1850338641 Enrollment ID: I20050413000534 |
| Provider Name | Mohammad A Motalib |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740217157 PECOS PAC ID: 3173566593 Enrollment ID: I20050607000691 |
| Provider Name | Rebecca Robards Cole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487664777 PECOS PAC ID: 3173566379 Enrollment ID: I20050608000886 |
| Provider Name | William Scott Black |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063478675 PECOS PAC ID: 6305880436 Enrollment ID: I20050620000186 |
| Provider Name | Katrina Sandoval Nickels |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1336197078 PECOS PAC ID: 6709812084 Enrollment ID: I20050711000076 |
| Provider Name | William D Camp |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1710917364 PECOS PAC ID: 7012943053 Enrollment ID: I20050712000387 |
| Provider Name | Jennifer Brooke Shinn |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1376597450 PECOS PAC ID: 9133159635 Enrollment ID: I20050815000746 |
| Provider Name | Kathleen Isaac |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1184607871 PECOS PAC ID: 2668402728 Enrollment ID: I20050818000063 |
| Provider Name | Ronald S Slone |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1457343964 PECOS PAC ID: 4789615675 Enrollment ID: I20050831000038 |
| Provider Name | Lisa Carol Reynolds Edge |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548431208 PECOS PAC ID: 0749212645 Enrollment ID: I20050831000261 |
| Provider Name | Mark A Miller |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417987330 PECOS PAC ID: 1153354634 Enrollment ID: I20050915000061 |
| Provider Name | Brian B Ely |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114014750 PECOS PAC ID: 4880628205 Enrollment ID: I20050923000889 |
| Provider Name | Kevin N Delahousay |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1811084445 PECOS PAC ID: 7315972742 Enrollment ID: I20051004000792 |
| Provider Name | Alan D Wilkinson |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1841296639 PECOS PAC ID: 8527093087 Enrollment ID: I20051013000125 |
| Provider Name | Anthony Joseph Casale |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1245225622 PECOS PAC ID: 6406826437 Enrollment ID: I20051025000072 |
| Provider Name | Jennifer L Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669579777 PECOS PAC ID: 2365469608 Enrollment ID: I20051026001006 |
| Provider Name | John I Gray |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1043396963 PECOS PAC ID: 2567361868 Enrollment ID: I20051027000979 |
| Provider Name | Kelly M Van Metre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750316170 PECOS PAC ID: 0648216200 Enrollment ID: I20051117000174 |
| Provider Name | Gitana Beshears Cole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861616070 PECOS PAC ID: 5395766117 Enrollment ID: I20051208000366 |
| Provider Name | Cynthia L Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811907116 PECOS PAC ID: 1456372275 Enrollment ID: I20051208000402 |
| Provider Name | Joanne Elizabeth Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821183500 PECOS PAC ID: 4688696156 Enrollment ID: I20051227000461 |
| Provider Name | Stace Douglas Dollar |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1124197801 PECOS PAC ID: 7911929443 Enrollment ID: I20051228000318 |
| Provider Name | Marshall E Anderson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114036357 PECOS PAC ID: 6002830494 Enrollment ID: I20060125000042 |
| Provider Name | Debra Sue Croley |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1316047004 PECOS PAC ID: 2961417365 Enrollment ID: I20060207000083 |
| Provider Name | Zohn N Centimole |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1477640977 PECOS PAC ID: 1355350588 Enrollment ID: I20060417000003 |
| Provider Name | Anthony J Bottiggi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1881659092 PECOS PAC ID: 7618989542 Enrollment ID: I20060615000061 |
| Provider Name | Gerald Vincent Klim |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1992732002 PECOS PAC ID: 2860405719 Enrollment ID: I20060720000040 |
| Provider Name | Thomas Edward King |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1508811605 PECOS PAC ID: 0345243010 Enrollment ID: I20060818000152 |
| Provider Name | Beth B Coy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487681748 PECOS PAC ID: 6406859883 Enrollment ID: I20060825000106 |
| Provider Name | Michael Andrew Brooks |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437133170 PECOS PAC ID: 3971509597 Enrollment ID: I20061004000509 |
| Provider Name | Karen A Mulholland |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1184657652 PECOS PAC ID: 0143226704 Enrollment ID: I20061005000026 |
| Provider Name | Mark A Etscheidt |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1003839010 PECOS PAC ID: 6800892696 Enrollment ID: I20061019000114 |
| Provider Name | Robert L Morton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306850862 PECOS PAC ID: 3375541105 Enrollment ID: I20061110000024 |
| Provider Name | Paul W Mclaughlin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669455119 PECOS PAC ID: 1153323530 Enrollment ID: I20070214000175 |
| Provider Name | Charlene S Broaddus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780765735 PECOS PAC ID: 9537263728 Enrollment ID: I20070328000096 |
| Provider Name | Michael E Horn |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1730105099 PECOS PAC ID: 3476657446 Enrollment ID: I20070330000381 |
| Provider Name | Aurelia Radulescu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912994419 PECOS PAC ID: 5890757165 Enrollment ID: I20070402000337 |
| Provider Name | Jessica L Tabor |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1174602593 PECOS PAC ID: 7315041217 Enrollment ID: I20070403000146 |
| Provider Name | Isaac G Manis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740363324 PECOS PAC ID: 8921102849 Enrollment ID: I20070403000337 |
| Provider Name | Mary E O'daniel-pierce |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1861491177 PECOS PAC ID: 5294831046 Enrollment ID: I20070510000567 |
| Provider Name | Dawn Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528152311 PECOS PAC ID: 8527167352 Enrollment ID: I20070620000264 |
| Provider Name | Marcus Eddie Randall |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1487641700 PECOS PAC ID: 6709836976 Enrollment ID: I20070623000035 |
| Provider Name | Catherine Permin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265579700 PECOS PAC ID: 3971602087 Enrollment ID: I20070629000348 |
| Provider Name | Daniel Crump |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1750374955 PECOS PAC ID: 1153351366 Enrollment ID: I20070724000000 |
| Provider Name | Thomas A Dale |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851377915 PECOS PAC ID: 9830290386 Enrollment ID: I20070727000166 |
| Provider Name | Leigh P Callahan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1396855037 PECOS PAC ID: 7810921079 Enrollment ID: I20070807000071 |
| Provider Name | Tonya R Moline |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902005796 PECOS PAC ID: 6406947142 Enrollment ID: I20070809000209 |
| Provider Name | Patrick Williams |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1598728727 PECOS PAC ID: 2062503741 Enrollment ID: I20070809000554 |
| Provider Name | Kimberly A Bennett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487630273 PECOS PAC ID: 1254422793 Enrollment ID: I20070813000267 |
| Provider Name | Jon Michael Ragland |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1376743203 PECOS PAC ID: 9335231323 Enrollment ID: I20070822000900 |
| Provider Name | Jon S Hourigan |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1811010531 PECOS PAC ID: 1052405289 Enrollment ID: I20070919000599 |
| Provider Name | Rosemary E Minnick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356419139 PECOS PAC ID: 4385738061 Enrollment ID: I20070926000343 |
| Provider Name | Jodi Cecil Durbin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033286232 PECOS PAC ID: 7315032620 Enrollment ID: I20071002000358 |
| Provider Name | Falguni Amin-zimmerman |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1285626283 PECOS PAC ID: 0143269498 Enrollment ID: I20071004000563 |
| Provider Name | Mary C West |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1346450533 PECOS PAC ID: 5799871414 Enrollment ID: I20071011000045 |
| Provider Name | Sara S Meegan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235337429 PECOS PAC ID: 6800982323 Enrollment ID: I20071015000371 |
| Provider Name | Candice D Falls |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144424771 PECOS PAC ID: 8527154558 Enrollment ID: I20071022000447 |
| Provider Name | Michael Hackett |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1184688749 PECOS PAC ID: 8820980352 Enrollment ID: I20071207000353 |
| Provider Name | Robert P Dillard |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992875561 PECOS PAC ID: 6800986951 Enrollment ID: I20071213000418 |
| Provider Name | Julie B Perry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194949156 PECOS PAC ID: 9537259825 Enrollment ID: I20071227000218 |
| Provider Name | Shasta S Kessler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851587588 PECOS PAC ID: 4486734365 Enrollment ID: I20080104000225 |
| Provider Name | Elizabeth G Tovar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568559268 PECOS PAC ID: 1850349713 Enrollment ID: I20080110000080 |
| Provider Name | Hassan Khalil Reda |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1205854114 PECOS PAC ID: 0345130464 Enrollment ID: I20080114000607 |
| Provider Name | Tonya G Hatfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386839272 PECOS PAC ID: 3375625700 Enrollment ID: I20080124000304 |
| Provider Name | Misty Bourne Ellis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588866305 PECOS PAC ID: 9638253164 Enrollment ID: I20080222000256 |
| Provider Name | Kathy L Wheeler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982788063 PECOS PAC ID: 8123102001 Enrollment ID: I20080303000125 |
| Provider Name | Charles J Fletcher |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1871771444 PECOS PAC ID: 4688750250 Enrollment ID: I20080324000086 |
| Provider Name | Dianne Wilson |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1760448484 PECOS PAC ID: 3072691922 Enrollment ID: I20080418000020 |
| Provider Name | Virginia H Luftman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932282159 PECOS PAC ID: 5193804144 Enrollment ID: I20080502000253 |
| Provider Name | Steven D Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982787271 PECOS PAC ID: 6507945813 Enrollment ID: I20080512000112 |
| Provider Name | Frederick A Schmitt |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1114965316 PECOS PAC ID: 0840379194 Enrollment ID: I20080512000386 |
| Provider Name | Mincha G Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407820020 PECOS PAC ID: 6608945993 Enrollment ID: I20080512000770 |
| Provider Name | Leslie K Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487780185 PECOS PAC ID: 1951470160 Enrollment ID: I20080514000337 |
| Provider Name | Lara C Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275717753 PECOS PAC ID: 3779652912 Enrollment ID: I20080514000549 |
| Provider Name | Julie J Tincher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790868990 PECOS PAC ID: 9133298268 Enrollment ID: I20080515000433 |
| Provider Name | Robert Q Frazer |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1134228273 PECOS PAC ID: 3476622507 Enrollment ID: I20080515000455 |
| Provider Name | Sharon E Lock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215947254 PECOS PAC ID: 6709955859 Enrollment ID: I20080515000647 |
| Provider Name | Robert J Baumann |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093810145 PECOS PAC ID: 0244309235 Enrollment ID: I20080516000258 |
| Provider Name | Phillip Silberberg |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467526897 PECOS PAC ID: 4082783840 Enrollment ID: I20080520000150 |
| Provider Name | John B Burt |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1265539910 PECOS PAC ID: 2668541442 Enrollment ID: I20080520000293 |
| Provider Name | Ted P Raybould |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1932209566 PECOS PAC ID: 3577632975 Enrollment ID: I20080527000031 |
| Provider Name | Lynne A Jensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366452302 PECOS PAC ID: 5092885343 Enrollment ID: I20080529000651 |
| Provider Name | Sharon Garolynne Steele |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629097647 PECOS PAC ID: 4385714245 Enrollment ID: I20080604000071 |
| Provider Name | Nizar Mousa Attallah |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1952333908 PECOS PAC ID: 9537163779 Enrollment ID: I20080624000777 |
| Provider Name | Cindy K Hsieh Melton |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1669659348 PECOS PAC ID: 8921171513 Enrollment ID: I20080715000478 |
| Provider Name | Frederick Vedder Arndt |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629125596 PECOS PAC ID: 4981778743 Enrollment ID: I20080729000212 |
| Provider Name | John R Gambrel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1932385598 PECOS PAC ID: 1850465477 Enrollment ID: I20080730000802 |
| Provider Name | Diane M Pierson |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1821076704 PECOS PAC ID: 8729152921 Enrollment ID: I20080806000542 |
| Provider Name | Molly M Tovar |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1518134915 PECOS PAC ID: 2466527817 Enrollment ID: I20080819000645 |
| Provider Name | Emily Defranco |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164635553 PECOS PAC ID: 0244339125 Enrollment ID: I20080902000450 |
| Provider Name | Shanna M Meyers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013184266 PECOS PAC ID: 2062588684 Enrollment ID: I20080905000335 |
| Provider Name | Katie N Ballert |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1679744817 PECOS PAC ID: 8224105796 Enrollment ID: I20080925000096 |
| Provider Name | Leslie B Caughron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972768422 PECOS PAC ID: 7416025952 Enrollment ID: I20081010000006 |
| Provider Name | William Zachary Hattle |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1356528863 PECOS PAC ID: 0244390805 Enrollment ID: I20081201000087 |
| Provider Name | Latha Chandrashekar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265683478 PECOS PAC ID: 9436210853 Enrollment ID: I20081204000077 |
| Provider Name | Leslie C Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649381112 PECOS PAC ID: 6103987565 Enrollment ID: I20081204000443 |
| Provider Name | Amy L Burnett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003076274 PECOS PAC ID: 6709948375 Enrollment ID: I20081217000015 |
| Provider Name | Erin L Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821243718 PECOS PAC ID: 2769544337 Enrollment ID: I20081217000050 |
| Provider Name | Nana Dadzie Ghansah |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1508972472 PECOS PAC ID: 1456416494 Enrollment ID: I20090209000092 |
| Provider Name | Gregory L Buckler |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1740427301 PECOS PAC ID: 4688730872 Enrollment ID: I20090313000343 |
| Provider Name | Paula A Works |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174761464 PECOS PAC ID: 0749347995 Enrollment ID: I20090316000390 |
| Provider Name | Daniel G Schwartzberg |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669419347 PECOS PAC ID: 8224026976 Enrollment ID: I20090428000376 |
| Provider Name | Hender Rojas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871754275 PECOS PAC ID: 1759439425 Enrollment ID: I20090507000122 |
| Provider Name | Robert J English |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1346240108 PECOS PAC ID: 2365349271 Enrollment ID: I20090611000324 |
| Provider Name | Bradley Keller |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1841264033 PECOS PAC ID: 1153322839 Enrollment ID: I20090623000279 |
| Provider Name | Navin Rajagopalan |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1215148234 PECOS PAC ID: 9638260359 Enrollment ID: I20090729000054 |
| Provider Name | Halemane Ganesh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740446970 PECOS PAC ID: 5991863839 Enrollment ID: I20090731000376 |
| Provider Name | Zoran Risto Danov |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144285255 PECOS PAC ID: 4688727126 Enrollment ID: I20090731000432 |
| Provider Name | Jonathan C Webb |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1295998599 PECOS PAC ID: 1658427794 Enrollment ID: I20090915000512 |
| Provider Name | Nancy K Barrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407007388 PECOS PAC ID: 7618023680 Enrollment ID: I20090916000014 |
| Provider Name | Amanda D Culp Roche |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558592709 PECOS PAC ID: 5496801052 Enrollment ID: I20090923000299 |
| Provider Name | Hannah R Powell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1568694701 PECOS PAC ID: 0547316051 Enrollment ID: I20090925000136 |
| Provider Name | Julie A Marfell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689654642 PECOS PAC ID: 7618877523 Enrollment ID: I20090928000624 |
| Provider Name | Kelli Suzanne Cremeans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114157948 PECOS PAC ID: 9638216021 Enrollment ID: I20091016000047 |
| Provider Name | Melissa K Fitzpatrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528391596 PECOS PAC ID: 8325186828 Enrollment ID: I20091103000396 |
| Provider Name | Jill M Clemmons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598090243 PECOS PAC ID: 0547308371 Enrollment ID: I20091114000066 |
| Provider Name | Debra L Howard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528295292 PECOS PAC ID: 7416095187 Enrollment ID: I20091118000098 |
| Provider Name | Tammy Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023343530 PECOS PAC ID: 7810036464 Enrollment ID: I20091120000378 |
| Provider Name | Clarissa J Sewell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912139437 PECOS PAC ID: 3971642133 Enrollment ID: I20091201000130 |
| Provider Name | Valerie Taylor |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1295742864 PECOS PAC ID: 6305985235 Enrollment ID: I20091205000001 |
| Provider Name | Karen Adams Mcknight |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1568403129 PECOS PAC ID: 6709925514 Enrollment ID: I20091207000576 |
| Provider Name | Kristi Caudill Adams |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1881623270 PECOS PAC ID: 8729128251 Enrollment ID: I20091215000095 |
| Provider Name | Elizangela Bertoli |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1851571400 PECOS PAC ID: 6901946284 Enrollment ID: I20091217000164 |
| Provider Name | Tracy C Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417188558 PECOS PAC ID: 0345380531 Enrollment ID: I20091221000420 |
| Provider Name | Claude H Dotson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1841420007 PECOS PAC ID: 8921148834 Enrollment ID: I20091224000065 |
| Provider Name | John W Mcconnell |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1902831761 PECOS PAC ID: 8527956010 Enrollment ID: I20100116000049 |
| Provider Name | Dean K White |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1982700472 PECOS PAC ID: 5294745352 Enrollment ID: I20100120000142 |
| Provider Name | Ellen L Crawford |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1538217906 PECOS PAC ID: 5092857151 Enrollment ID: I20100127000807 |
| Provider Name | Stephanie L Gibbons |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1740519842 PECOS PAC ID: 2668516451 Enrollment ID: I20100217000396 |
| Provider Name | Eric M Toohey |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1427388917 PECOS PAC ID: 7214072446 Enrollment ID: I20100226000609 |
| Provider Name | Stacie K Maggard |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1013048867 PECOS PAC ID: 5294860938 Enrollment ID: I20100319000056 |
| Provider Name | Kristy Pepper Lawson |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1942400445 PECOS PAC ID: 3375678014 Enrollment ID: I20100319000065 |
| Provider Name | Barbara L Theiss |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1922181908 PECOS PAC ID: 7214062843 Enrollment ID: I20100320000218 |
| Provider Name | Jeffrey Paul Okeson |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1376640169 PECOS PAC ID: 7517093594 Enrollment ID: I20100329001050 |
| Provider Name | Rinskje De Leeuw |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1245323286 PECOS PAC ID: 4587790589 Enrollment ID: I20100330000017 |
| Provider Name | Joseph E Vansickels |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1871693069 PECOS PAC ID: 5799811790 Enrollment ID: I20100330000065 |
| Provider Name | Ershal Harrison |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1861592354 PECOS PAC ID: 2264568294 Enrollment ID: I20100330000393 |
| Provider Name | Craig S Miller |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1801996087 PECOS PAC ID: 9436285343 Enrollment ID: I20100330001206 |
| Provider Name | Jacqueline G Barclay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962656850 PECOS PAC ID: 4587790266 Enrollment ID: I20100405000491 |
| Provider Name | Laura B. Hancock Jones |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1235310608 PECOS PAC ID: 9335275999 Enrollment ID: I20100407000576 |
| Provider Name | Thomas Arthur Mcconnell |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1548360175 PECOS PAC ID: 0749316313 Enrollment ID: I20100407000634 |
| Provider Name | Christian Shannon Fraley |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1245338870 PECOS PAC ID: 2567598071 Enrollment ID: I20100408000491 |
| Provider Name | Barbara A Calvert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629062567 PECOS PAC ID: 7911034467 Enrollment ID: I20100415000128 |
| Provider Name | William Sudduth Foley |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679574875 PECOS PAC ID: 7517057128 Enrollment ID: I20100423000359 |
| Provider Name | Dolphus Ransome Dawson |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1821287467 PECOS PAC ID: 7618004235 Enrollment ID: I20100429000800 |
| Provider Name | Larry L Cunningham |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1508966961 PECOS PAC ID: 0143358770 Enrollment ID: I20100503000259 |
| Provider Name | Jessica Schertz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1376867028 PECOS PAC ID: 4183752371 Enrollment ID: I20100508000129 |
| Provider Name | Eric Joseph Crotty |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437253531 PECOS PAC ID: 8527133727 Enrollment ID: I20100511000415 |
| Provider Name | Alexander Justin Towbin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285830141 PECOS PAC ID: 4284703968 Enrollment ID: I20100511000991 |
| Provider Name | Angela C Mikel |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1649402181 PECOS PAC ID: 0244368124 Enrollment ID: I20100513000827 |
| Provider Name | Hee Kyung Kim |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568668796 PECOS PAC ID: 0446397681 Enrollment ID: I20100514000202 |
| Provider Name | Manish Natvarlal Patel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821183260 PECOS PAC ID: 5799727848 Enrollment ID: I20100517000580 |
| Provider Name | Susan Elizabeth Sharp |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306979935 PECOS PAC ID: 4385742154 Enrollment ID: I20100517000784 |
| Provider Name | Maria A Calvo Garcia |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356436109 PECOS PAC ID: 5799738555 Enrollment ID: I20100519000067 |
| Provider Name | Matthew J Neltner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275796864 PECOS PAC ID: 1557490885 Enrollment ID: I20100525001089 |
| Provider Name | Ramsey Nasri Nassar |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1003810938 PECOS PAC ID: 1759289218 Enrollment ID: I20100526000655 |
| Provider Name | Sara Marie O'hara |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447344874 PECOS PAC ID: 4486729670 Enrollment ID: I20100610000823 |
| Provider Name | Mee Heh Kim Perry |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1497086839 PECOS PAC ID: 3375673676 Enrollment ID: I20100614000177 |
| Provider Name | Margaret M Adkins |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1437382397 PECOS PAC ID: 2264562214 Enrollment ID: I20100617000562 |
| Provider Name | Rebeccah L Brown |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1295787596 PECOS PAC ID: 2567351794 Enrollment ID: I20100621000321 |
| Provider Name | Gregory Ralph Erena |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1053317214 PECOS PAC ID: 6002864139 Enrollment ID: I20100625000576 |
| Provider Name | Jill Ellen Crawford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134127418 PECOS PAC ID: 3375674872 Enrollment ID: I20100628000426 |
| Provider Name | Charlotte Ann Haney |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1356302046 PECOS PAC ID: 4183755549 Enrollment ID: I20100629000067 |
| Provider Name | Abby B Mattingly |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1124348255 PECOS PAC ID: 4183755374 Enrollment ID: I20100702000303 |
| Provider Name | Arnold Carlson Merrow |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952431074 PECOS PAC ID: 2062519234 Enrollment ID: I20100712000482 |
| Provider Name | Adria B Myers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740263805 PECOS PAC ID: 5698718591 Enrollment ID: I20100716000029 |
| Provider Name | Kelly M Weaver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528244878 PECOS PAC ID: 5395878136 Enrollment ID: I20100730000857 |
| Provider Name | Deborah Sue Ray |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1730369588 PECOS PAC ID: 0749314169 Enrollment ID: I20100819001076 |
| Provider Name | Pamela Ann Vanarsdall |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1528386364 PECOS PAC ID: 3476687807 Enrollment ID: I20100819001227 |
| Provider Name | Maria Dawn Pitts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497066039 PECOS PAC ID: 8628192580 Enrollment ID: I20100828000210 |
| Provider Name | James Kennedy Hartsfield |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1427052810 PECOS PAC ID: 9335264035 Enrollment ID: I20100917001142 |
| Provider Name | Lee A Brewer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114239704 PECOS PAC ID: 5193841419 Enrollment ID: I20100923001357 |
| Provider Name | Melissa H Courtney |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1255345278 PECOS PAC ID: 7517050404 Enrollment ID: I20101005000833 |
| Provider Name | Ashley Anne Montgomery-yates |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669626933 PECOS PAC ID: 7517159163 Enrollment ID: I20101014000470 |
| Provider Name | John Russell Gleason |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1215931159 PECOS PAC ID: 0446158992 Enrollment ID: I20101018000769 |
| Provider Name | Joanne M Luciano |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376682419 PECOS PAC ID: 7810180932 Enrollment ID: I20101021000971 |
| Provider Name | William Michael Sadler |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1396823563 PECOS PAC ID: 3870787559 Enrollment ID: I20101027000854 |
| Provider Name | Robert Summe |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1114913290 PECOS PAC ID: 5890725949 Enrollment ID: I20101108000954 |
| Provider Name | Matthew Keith Bacon |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1346494754 PECOS PAC ID: 4688860919 Enrollment ID: I20101129000078 |
| Provider Name | Mary Teresa Kerr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396045258 PECOS PAC ID: 2163610312 Enrollment ID: I20110103000801 |
| Provider Name | Racquel H Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477725687 PECOS PAC ID: 6608065032 Enrollment ID: I20110114000884 |
| Provider Name | Laurie Smith Haas |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1013001841 PECOS PAC ID: 1557269495 Enrollment ID: I20110216000968 |
| Provider Name | Sarah Ann Landes |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1427290691 PECOS PAC ID: 0244411387 Enrollment ID: I20110223000488 |
| Provider Name | Paula Prince Caskey |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1144351511 PECOS PAC ID: 8224219944 Enrollment ID: I20110228000781 |
| Provider Name | Erin E Farkas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649576455 PECOS PAC ID: 2365623014 Enrollment ID: I20110301000160 |
| Provider Name | Dong Y Han |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760791180 PECOS PAC ID: 8224219852 Enrollment ID: I20110302000063 |
| Provider Name | Corinne J Hook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063713485 PECOS PAC ID: 6507048154 Enrollment ID: I20110303000527 |
| Provider Name | Margaret A Hazelett |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1396048443 PECOS PAC ID: 9931381803 Enrollment ID: I20110314000782 |
| Provider Name | Stephanie L Auxier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760787238 PECOS PAC ID: 6709060767 Enrollment ID: I20110415000387 |
| Provider Name | Sibby S Duff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497088058 PECOS PAC ID: 7618153032 Enrollment ID: I20110519000776 |
| Provider Name | Ellen E Ratcliffe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164729026 PECOS PAC ID: 0244417822 Enrollment ID: I20110608000161 |
| Provider Name | Thomas M Seay |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659359990 PECOS PAC ID: 4880741784 Enrollment ID: I20110613000735 |
| Provider Name | David E Hunt |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1881674778 PECOS PAC ID: 8325226970 Enrollment ID: I20110629000633 |
| Provider Name | Regina M Marcinek |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1851680128 PECOS PAC ID: 2163691189 Enrollment ID: I20110809000471 |
| Provider Name | Paul Francis Netzel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821383159 PECOS PAC ID: 6507036449 Enrollment ID: I20110831000650 |
| Provider Name | Lori Ann Fugate |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306097761 PECOS PAC ID: 7113084377 Enrollment ID: I20110901000232 |
| Provider Name | Michelle A Irvin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184912651 PECOS PAC ID: 5799955563 Enrollment ID: I20110906000082 |
| Provider Name | Janell F Hacker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124294053 PECOS PAC ID: 8325218944 Enrollment ID: I20110908001990 |
| Provider Name | Joella Sizemore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841570280 PECOS PAC ID: 7214108349 Enrollment ID: I20110922000151 |
| Provider Name | Mary Martha Reams |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1124011341 PECOS PAC ID: 1355513649 Enrollment ID: I20111010000475 |
| Provider Name | Kimberly M Hardin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386924389 PECOS PAC ID: 2163694274 Enrollment ID: I20111015000039 |
| Provider Name | Kristi G Hammond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508046046 PECOS PAC ID: 5496927378 Enrollment ID: I20111019000404 |
| Provider Name | Lindsey J Jasinski |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1235432758 PECOS PAC ID: 2466625660 Enrollment ID: I20111103000725 |
| Provider Name | Sarandeep Singh Huja |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1518034511 PECOS PAC ID: 8527232073 Enrollment ID: I20111117000551 |
| Provider Name | Pinar Emecen Huja |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1336423078 PECOS PAC ID: 8426222720 Enrollment ID: I20111123000362 |
| Provider Name | Albert N Yongbang |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1962652818 PECOS PAC ID: 0042371551 Enrollment ID: I20111129000378 |
| Provider Name | Karen Sue Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518253368 PECOS PAC ID: 8426223462 Enrollment ID: I20111202000496 |
| Provider Name | Rodrigo Fuentealba Hidalgo |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1992080428 PECOS PAC ID: 9638344609 Enrollment ID: I20111203000044 |
| Provider Name | Laura C Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093091126 PECOS PAC ID: 1254506942 Enrollment ID: I20111207000800 |
| Provider Name | Persis J Ormond |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1346551330 PECOS PAC ID: 2163556580 Enrollment ID: I20120103000668 |
| Provider Name | Ahmad M. Kutkut |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1619250271 PECOS PAC ID: 3375719826 Enrollment ID: I20120104000456 |
| Provider Name | Leesa S Schwarz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255615266 PECOS PAC ID: 3375710775 Enrollment ID: I20120126000331 |
| Provider Name | Michele Devine Walden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689804296 PECOS PAC ID: 2163689811 Enrollment ID: I20120207000815 |
| Provider Name | Susan Sollars Bishop |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1053585307 PECOS PAC ID: 9234396748 Enrollment ID: I20120209000819 |
| Provider Name | Jasmine C Howard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003193129 PECOS PAC ID: 2264690684 Enrollment ID: I20120214000827 |
| Provider Name | Kristyn Lee Gordon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801023718 PECOS PAC ID: 1254477359 Enrollment ID: I20120223000781 |
| Provider Name | Paul T. Wehrman |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1063549392 PECOS PAC ID: 0840459046 Enrollment ID: I20120307000598 |
| Provider Name | Robert Clark Taylor |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1689808909 PECOS PAC ID: 6709045925 Enrollment ID: I20120307000926 |
| Provider Name | David Ryan Thornton |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1487774865 PECOS PAC ID: 6608035829 Enrollment ID: I20120307000932 |
| Provider Name | Frances A Meritt |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1861796377 PECOS PAC ID: 5193905065 Enrollment ID: I20120312000589 |
| Provider Name | Cristina V Perez Pacheco |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1518258789 PECOS PAC ID: 6002076890 Enrollment ID: I20120402000702 |
| Provider Name | Melissa Soper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346538204 PECOS PAC ID: 2264693522 Enrollment ID: I20120412000436 |
| Provider Name | Octavio Alberto Gonzalez |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1578835500 PECOS PAC ID: 4082877584 Enrollment ID: I20120521000313 |
| Provider Name | Louis Beto |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1114981420 PECOS PAC ID: 5597737312 Enrollment ID: I20120524000531 |
| Provider Name | Amy Jane Bogardus |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1558325878 PECOS PAC ID: 5991972127 Enrollment ID: I20120524000553 |
| Provider Name | Carol S Yaden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710264809 PECOS PAC ID: 9739342767 Enrollment ID: I20120531000269 |
| Provider Name | Rana R Lindsay-rahman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982844544 PECOS PAC ID: 4587828389 Enrollment ID: I20120607000054 |
| Provider Name | Tonya Suzanne Justice |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689814675 PECOS PAC ID: 7416111273 Enrollment ID: I20120607000613 |
| Provider Name | Eugenia Lynn Medley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669749503 PECOS PAC ID: 5799949251 Enrollment ID: I20120613000129 |
| Provider Name | Christina E Craddock |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578848768 PECOS PAC ID: 8527222611 Enrollment ID: I20120621000546 |
| Provider Name | Neda D Wafford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194083931 PECOS PAC ID: 3072778901 Enrollment ID: I20120627000539 |
| Provider Name | Allison Wright |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1083757330 PECOS PAC ID: 2163687526 Enrollment ID: I20120710000309 |
| Provider Name | Amber K Ballard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578844197 PECOS PAC ID: 8224294228 Enrollment ID: I20120719000043 |
| Provider Name | Stephanie Anne Blackburn Boulay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093076531 PECOS PAC ID: 4385800648 Enrollment ID: I20120801000072 |
| Provider Name | Mark Richard Hoffman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508189168 PECOS PAC ID: 9133314206 Enrollment ID: I20120831000109 |
| Provider Name | Tracie Lynn Lear |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932458346 PECOS PAC ID: 7810145919 Enrollment ID: I20120914000340 |
| Provider Name | Yaser Al-solaiman |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1922271089 PECOS PAC ID: 7517145501 Enrollment ID: I20121002000067 |
| Provider Name | Teresa W Ellis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619948569 PECOS PAC ID: 6608878756 Enrollment ID: I20121009000130 |
| Provider Name | Walter Neal Shepherd |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1023130275 PECOS PAC ID: 7618127945 Enrollment ID: I20121023000635 |
| Provider Name | Jason Samuel Garrison |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1306076534 PECOS PAC ID: 0941450795 Enrollment ID: I20121101000271 |
| Provider Name | Bassel Alkhalil |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1790967834 PECOS PAC ID: 2163574757 Enrollment ID: I20121101000290 |
| Provider Name | Jennifer N Perry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558646646 PECOS PAC ID: 1557512779 Enrollment ID: I20121117000089 |
| Provider Name | Angela Grubbs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942544689 PECOS PAC ID: 9335391861 Enrollment ID: I20121210000161 |
| Provider Name | Nicole A Brumfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821349325 PECOS PAC ID: 1456504075 Enrollment ID: I20130110000331 |
| Provider Name | April Elaine Wisehart-johnson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1639143001 PECOS PAC ID: 9133119902 Enrollment ID: I20130123000208 |
| Provider Name | Angela K Crutcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376815712 PECOS PAC ID: 5496909871 Enrollment ID: I20130212000448 |
| Provider Name | Justyn Muzic |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1902145527 PECOS PAC ID: 4880849694 Enrollment ID: I20130228000355 |
| Provider Name | Anne E Hickman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902170798 PECOS PAC ID: 9830344324 Enrollment ID: I20130307000346 |
| Provider Name | Trey A Cline |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1134410442 PECOS PAC ID: 1254501612 Enrollment ID: I20130307000516 |
| Provider Name | Corey C Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912245721 PECOS PAC ID: 6103061361 Enrollment ID: I20130319000085 |
| Provider Name | Yvonne P Rice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003167495 PECOS PAC ID: 6901042068 Enrollment ID: I20130415000455 |
| Provider Name | Theresa L Davies |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649433343 PECOS PAC ID: 7214173053 Enrollment ID: I20130423000245 |
| Provider Name | Chad R Adams |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467798488 PECOS PAC ID: 0446496194 Enrollment ID: I20130424000983 |
| Provider Name | Beverly B Woods |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588934517 PECOS PAC ID: 4880830488 Enrollment ID: I20130427000067 |
| Provider Name | Heather J Moody |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023356649 PECOS PAC ID: 7113822396 Enrollment ID: I20130515000667 |
| Provider Name | Michael Henrickson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033187232 PECOS PAC ID: 8729018122 Enrollment ID: I20130524000147 |
| Provider Name | Oksana S Povroznik |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467792853 PECOS PAC ID: 1355589649 Enrollment ID: I20130528000402 |
| Provider Name | Christina K Conley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740350347 PECOS PAC ID: 2062653900 Enrollment ID: I20130718000763 |
| Provider Name | Shelly Crawford Ferrell |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1568477131 PECOS PAC ID: 5092904888 Enrollment ID: I20130801000237 |
| Provider Name | Rebecca J Coots |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538500814 PECOS PAC ID: 1658513650 Enrollment ID: I20130803000091 |
| Provider Name | Lindsay Brooke Hale |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1477999589 PECOS PAC ID: 9032351861 Enrollment ID: I20130807000760 |
| Provider Name | Randy William Legault |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1396973012 PECOS PAC ID: 2163664830 Enrollment ID: I20130808000298 |
| Provider Name | Amit Goldberg |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1265401343 PECOS PAC ID: 3971539297 Enrollment ID: I20130815000937 |
| Provider Name | Crystal L Clark |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043582901 PECOS PAC ID: 7719146588 Enrollment ID: I20130827000064 |
| Provider Name | Hiroko Nagaoka |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1639501893 PECOS PAC ID: 3971746116 Enrollment ID: I20130906000828 |
| Provider Name | Joseph Robert Sweigart |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487897955 PECOS PAC ID: 1456508621 Enrollment ID: I20130910000083 |
| Provider Name | Mitu Karki Maskey |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1023272861 PECOS PAC ID: 0648414623 Enrollment ID: I20130912000411 |
| Provider Name | Susan F Grubbs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710327911 PECOS PAC ID: 3678717014 Enrollment ID: I20130925000102 |
| Provider Name | Sonia V Compton |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1255544342 PECOS PAC ID: 8921286386 Enrollment ID: I20130926000478 |
| Provider Name | Mary M Czarapata |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548695851 PECOS PAC ID: 4385878453 Enrollment ID: I20131002000569 |
| Provider Name | Kelly John Meyers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043643869 PECOS PAC ID: 3476789884 Enrollment ID: I20131113000637 |
| Provider Name | Jennifer Connor Godbey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548542228 PECOS PAC ID: 9133355407 Enrollment ID: I20131114000620 |
| Provider Name | Humberto Cesar Morales Ramos |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1366635203 PECOS PAC ID: 7214111228 Enrollment ID: I20131127001733 |
| Provider Name | Kirtrica N Cornelius |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417386004 PECOS PAC ID: 7618104134 Enrollment ID: I20131209000221 |
| Provider Name | Emily F Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700186038 PECOS PAC ID: 6709013717 Enrollment ID: I20131219001507 |
| Provider Name | Juan Carlos Afable |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1548682479 PECOS PAC ID: 8426287038 Enrollment ID: I20140130001873 |
| Provider Name | Julianne Ossege |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508880709 PECOS PAC ID: 8325047806 Enrollment ID: I20140212001352 |
| Provider Name | Mark Wayne Gordon |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528489184 PECOS PAC ID: 0749410579 Enrollment ID: I20140224000301 |
| Provider Name | Tasha Renee Groves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518389584 PECOS PAC ID: 1153551858 Enrollment ID: I20140225000980 |
| Provider Name | Amanda B Crafton |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1225452568 PECOS PAC ID: 9234369596 Enrollment ID: I20140306000272 |
| Provider Name | Beth A Bennett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942631296 PECOS PAC ID: 9537399852 Enrollment ID: I20140312000698 |
| Provider Name | Tracy L Profitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396188165 PECOS PAC ID: 3577794478 Enrollment ID: I20140318000537 |
| Provider Name | Jessica R Sass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548240088 PECOS PAC ID: 2264413178 Enrollment ID: I20140403000723 |
| Provider Name | Elliot Douglas Neuman |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1184900797 PECOS PAC ID: 6800019605 Enrollment ID: I20140523001439 |
| Provider Name | Janice H Woolum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346492568 PECOS PAC ID: 0749342731 Enrollment ID: I20140628000014 |
| Provider Name | Sarah Elizabeth Shreffler |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1336553932 PECOS PAC ID: 5395960041 Enrollment ID: I20140714000459 |
| Provider Name | Kendra G Kratzwald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902213457 PECOS PAC ID: 5799902763 Enrollment ID: I20140814002398 |
| Provider Name | Christina Delacruz Leyson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1063650604 PECOS PAC ID: 8527286939 Enrollment ID: I20140827000865 |
| Provider Name | Enif Alexandra Dominguez Fernandez |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1538476775 PECOS PAC ID: 8224256235 Enrollment ID: I20140903001876 |
| Provider Name | Horace Fred Howard |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1821155458 PECOS PAC ID: 4183842123 Enrollment ID: I20140904000746 |
| Provider Name | Ana Do |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1891958310 PECOS PAC ID: 1850563040 Enrollment ID: I20141021002304 |
| Provider Name | Crystal Genea Dale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548576937 PECOS PAC ID: 0143441816 Enrollment ID: I20141021002889 |
| Provider Name | Amber E Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902206691 PECOS PAC ID: 4789806548 Enrollment ID: I20141111000472 |
| Provider Name | Christeen B Ivy Broaddus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699183608 PECOS PAC ID: 3274755921 Enrollment ID: I20141112001574 |
| Provider Name | Charles Irvine Shelton |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023111697 PECOS PAC ID: 7315169018 Enrollment ID: I20141113000776 |
| Provider Name | Andrea L Baker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366582207 PECOS PAC ID: 2466774492 Enrollment ID: I20141202002556 |
| Provider Name | Srinivas Chevuru |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912918574 PECOS PAC ID: 9335461144 Enrollment ID: I20141205001872 |
| Provider Name | Donna S Damron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881688414 PECOS PAC ID: 9537246293 Enrollment ID: I20141206000196 |
| Provider Name | Amber Christine Silberman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629485651 PECOS PAC ID: 1951623529 Enrollment ID: I20141210000876 |
| Provider Name | Stefanie M Carmickle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508269846 PECOS PAC ID: 2668794272 Enrollment ID: I20141210002116 |
| Provider Name | Kelly Dawkins Hawthorne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821492182 PECOS PAC ID: 2466775762 Enrollment ID: I20141217001275 |
| Provider Name | Anna Margaret Sketch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730584657 PECOS PAC ID: 7315260155 Enrollment ID: I20141230002325 |
| Provider Name | Tamara M Langley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811392004 PECOS PAC ID: 1759605066 Enrollment ID: I20150114002431 |
| Provider Name | Tena S Burke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447659289 PECOS PAC ID: 3274857164 Enrollment ID: I20150126000293 |
| Provider Name | James Joseph Bilan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104214071 PECOS PAC ID: 2769707298 Enrollment ID: I20150204001341 |
| Provider Name | Carla A Zacher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811397441 PECOS PAC ID: 2466777875 Enrollment ID: I20150205002188 |
| Provider Name | Aryn E. Lee-carter |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1548667496 PECOS PAC ID: 5597080945 Enrollment ID: I20150206001214 |
| Provider Name | Bradley James Hall |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1871857532 PECOS PAC ID: 9830414291 Enrollment ID: I20150206001859 |
| Provider Name | Jennifer Powell Marcinek |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1366832198 PECOS PAC ID: 0749505865 Enrollment ID: I20150212002095 |
| Provider Name | Martha R Rice |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1871616334 PECOS PAC ID: 0446575260 Enrollment ID: I20150218001691 |
| Provider Name | Scott T Wells |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417357286 PECOS PAC ID: 0244556884 Enrollment ID: I20150226000708 |
| Provider Name | Ashley W Guiliani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194122804 PECOS PAC ID: 3779809124 Enrollment ID: I20150303001280 |
| Provider Name | Lindsay Ann Rule |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1033471255 PECOS PAC ID: 1254657554 Enrollment ID: I20150304001120 |
| Provider Name | Dianna D Inman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639287584 PECOS PAC ID: 3072830264 Enrollment ID: I20150327000996 |
| Provider Name | Jessica L Co |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689989683 PECOS PAC ID: 3072781996 Enrollment ID: I20150402002230 |
| Provider Name | Brian K Fields |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396139093 PECOS PAC ID: 8729308390 Enrollment ID: I20150521001337 |
| Provider Name | Maria Carla Rodriguez |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1619070232 PECOS PAC ID: 3870804982 Enrollment ID: I20150616002005 |
| Provider Name | Kelly G Broderson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467702746 PECOS PAC ID: 2466763248 Enrollment ID: I20150619001564 |
| Provider Name | Alexander Joseph Dunn |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1407238728 PECOS PAC ID: 0345552741 Enrollment ID: I20150626000817 |
| Provider Name | Carrie Mills Crum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265873046 PECOS PAC ID: 0749410850 Enrollment ID: I20150630001373 |
| Provider Name | Kenneth R Hawkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215316831 PECOS PAC ID: 3678886728 Enrollment ID: I20150717001374 |
| Provider Name | Jennifer A Yates |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306232483 PECOS PAC ID: 2062725823 Enrollment ID: I20150722005233 |
| Provider Name | Galal M.s. Omami |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1609250372 PECOS PAC ID: 5597079079 Enrollment ID: I20150728004388 |
| Provider Name | Rhonda J Petty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285029926 PECOS PAC ID: 2860706249 Enrollment ID: I20150729008112 |
| Provider Name | Miguel Alexis Pereira Rodriguez |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851529424 PECOS PAC ID: 3173837879 Enrollment ID: I20150807013918 |
| Provider Name | Rachel S Mcneil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235514621 PECOS PAC ID: 5698081305 Enrollment ID: I20150826000495 |
| Provider Name | Katherine Simms Culbertson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740661008 PECOS PAC ID: 9830405588 Enrollment ID: I20150826001867 |
| Provider Name | David S. Spar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104097765 PECOS PAC ID: 1951556620 Enrollment ID: I20150902003172 |
| Provider Name | Stacy M Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174920029 PECOS PAC ID: 4587970546 Enrollment ID: I20150904002125 |
| Provider Name | Jessica J Barker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366826729 PECOS PAC ID: 6204143118 Enrollment ID: I20150909002472 |
| Provider Name | Patrick J Myszak |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1942594387 PECOS PAC ID: 1153583562 Enrollment ID: I20150915001512 |
| Provider Name | Hannah L Puntney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811374887 PECOS PAC ID: 4688981202 Enrollment ID: I20150915001588 |
| Provider Name | Larissa L Spurgeon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023496817 PECOS PAC ID: 8022325489 Enrollment ID: I20150916003672 |
| Provider Name | Kara W Doucet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336523539 PECOS PAC ID: 1456668847 Enrollment ID: I20150917000810 |
| Provider Name | Harold Jenks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609256361 PECOS PAC ID: 3779890058 Enrollment ID: I20150918001474 |
| Provider Name | Isabel Moreno Hay |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1760859672 PECOS PAC ID: 8921316977 Enrollment ID: I20150924002627 |
| Provider Name | Keesha Ovee Watts |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1003299322 PECOS PAC ID: 3971811720 Enrollment ID: I20150929001078 |
| Provider Name | Jessica L Renfro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518334358 PECOS PAC ID: 8527376284 Enrollment ID: I20150929001745 |
| Provider Name | Christopher Gerard Anton |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245324698 PECOS PAC ID: 3072407089 Enrollment ID: I20150929003478 |
| Provider Name | Andrew Timothy Trout |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437293917 PECOS PAC ID: 0345412102 Enrollment ID: I20151002002716 |
| Provider Name | Robert Joseph Fleck |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720094147 PECOS PAC ID: 6608820287 Enrollment ID: I20151007003278 |
| Provider Name | Brian Douglas Coley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083652838 PECOS PAC ID: 4789717620 Enrollment ID: I20151015002593 |
| Provider Name | Cassondra D Degener |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568846988 PECOS PAC ID: 2062721749 Enrollment ID: I20151020001444 |
| Provider Name | Kristen M Piery |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1629486162 PECOS PAC ID: 5395054076 Enrollment ID: I20151020001659 |
| Provider Name | Amy Lynn Meikel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033586508 PECOS PAC ID: 1557670908 Enrollment ID: I20151026000907 |
| Provider Name | Vaughan Jacob Hoefler |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1780804096 PECOS PAC ID: 2264741529 Enrollment ID: I20151027003243 |
| Provider Name | Tonya K Hadden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700258589 PECOS PAC ID: 8426368945 Enrollment ID: I20151112000322 |
| Provider Name | John Willaim Biery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578933883 PECOS PAC ID: 5395045660 Enrollment ID: I20151118003082 |
| Provider Name | Dustin Jordan Hall |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1730340837 PECOS PAC ID: 3274774401 Enrollment ID: I20151118003103 |
| Provider Name | Angela B Hensley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790921443 PECOS PAC ID: 8921163999 Enrollment ID: I20151123000137 |
| Provider Name | Robyn C Morris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750751004 PECOS PAC ID: 6406156538 Enrollment ID: I20151123000199 |
| Provider Name | Andrew M Wheeler |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1457722902 PECOS PAC ID: 9739489717 Enrollment ID: I20151123002177 |
| Provider Name | Brionna V Leahy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134599764 PECOS PAC ID: 8820398811 Enrollment ID: I20151123002652 |
| Provider Name | Mary K Stafford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114302460 PECOS PAC ID: 3678873403 Enrollment ID: I20151201002026 |
| Provider Name | Macy Leigh Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487025003 PECOS PAC ID: 9830499581 Enrollment ID: I20151202000153 |
| Provider Name | Diana Tidal Hayes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609259639 PECOS PAC ID: 5597065151 Enrollment ID: I20151203002104 |
| Provider Name | Jonathan Russell Dillman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063530277 PECOS PAC ID: 8527116466 Enrollment ID: I20151207002913 |
| Provider Name | Katherine E Fletcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932378593 PECOS PAC ID: 8123329315 Enrollment ID: I20151211001912 |
| Provider Name | Kari Blackburn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376961425 PECOS PAC ID: 8820399694 Enrollment ID: I20151221001168 |
| Provider Name | Daniel Corbin Marsh |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1225116403 PECOS PAC ID: 9638470339 Enrollment ID: I20151223000031 |
| Provider Name | Grant A Watt |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1164890893 PECOS PAC ID: 5092017293 Enrollment ID: I20160105001889 |
| Provider Name | Virginia W Sowders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821469073 PECOS PAC ID: 6002118221 Enrollment ID: I20160105002491 |
| Provider Name | Donald L Kelley |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1528193976 PECOS PAC ID: 6002118247 Enrollment ID: I20160106000094 |
| Provider Name | Joshua B. Vandy |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1992160337 PECOS PAC ID: 7810299724 Enrollment ID: I20160111000199 |
| Provider Name | Holly Noelle Gray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861867798 PECOS PAC ID: 4981906575 Enrollment ID: I20160114000191 |
| Provider Name | Kristen L Makowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710352117 PECOS PAC ID: 6002111317 Enrollment ID: I20160224002663 |
| Provider Name | Micah G Gallas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114391406 PECOS PAC ID: 5193021095 Enrollment ID: I20160302001469 |
| Provider Name | Brooke E Englert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932564366 PECOS PAC ID: 1951607092 Enrollment ID: I20160315002750 |
| Provider Name | Nathan A Garrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902278195 PECOS PAC ID: 1052618071 Enrollment ID: I20160318000306 |
| Provider Name | Paula Renee Dostaler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366831000 PECOS PAC ID: 7113224932 Enrollment ID: I20160322002173 |
| Provider Name | Melodye A Taulbee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932560711 PECOS PAC ID: 9931406634 Enrollment ID: I20160323002021 |
| Provider Name | Denise N Feldman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235549213 PECOS PAC ID: 5597983932 Enrollment ID: I20160328001729 |
| Provider Name | Staci N Decker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902261605 PECOS PAC ID: 2062719529 Enrollment ID: I20160328001965 |
| Provider Name | Holly R Chitwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639536972 PECOS PAC ID: 7911204144 Enrollment ID: I20160401000803 |
| Provider Name | Melissa Rae Walters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275904021 PECOS PAC ID: 6709183833 Enrollment ID: I20160404002276 |
| Provider Name | Lina Sharab |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1891116596 PECOS PAC ID: 3971801069 Enrollment ID: I20160405001905 |
| Provider Name | Tammy C Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669830121 PECOS PAC ID: 8123326220 Enrollment ID: I20160405002327 |
| Provider Name | Christopher L Hurley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1326410903 PECOS PAC ID: 0042518193 Enrollment ID: I20160406000945 |
| Provider Name | Emily Bausch Blevins |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1447698188 PECOS PAC ID: 7719285600 Enrollment ID: I20160408001081 |
| Provider Name | Anwer Sheikh |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1982694261 PECOS PAC ID: 9032188396 Enrollment ID: I20160425001732 |
| Provider Name | Andrew Scott Makowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255704979 PECOS PAC ID: 2961701651 Enrollment ID: I20160502001363 |
| Provider Name | Robert J Murray |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1063827525 PECOS PAC ID: 5395053714 Enrollment ID: I20160520001604 |
| Provider Name | Martha G Parks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245519370 PECOS PAC ID: 6709175243 Enrollment ID: I20160523001375 |
| Provider Name | Megan B Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821457144 PECOS PAC ID: 6901195478 Enrollment ID: I20160523002406 |
| Provider Name | Lauren M. Crockett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477907798 PECOS PAC ID: 3274823638 Enrollment ID: I20160526001610 |
| Provider Name | Lauren Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245693704 PECOS PAC ID: 7416247135 Enrollment ID: I20160608000327 |
| Provider Name | Sheila Ann Kendall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962856534 PECOS PAC ID: 8224329321 Enrollment ID: I20160621001401 |
| Provider Name | Emily Michelle Winfrey |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1114364916 PECOS PAC ID: 4981995594 Enrollment ID: I20160628002462 |
| Provider Name | Matthew James Pelais |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1962849141 PECOS PAC ID: 6103129820 Enrollment ID: I20160707002647 |
| Provider Name | Brittany Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134589393 PECOS PAC ID: 8820381494 Enrollment ID: I20160720001942 |
| Provider Name | Kelly R Patterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710340393 PECOS PAC ID: 4385937424 Enrollment ID: I20160726003287 |
| Provider Name | Thamer Muftah Musbah |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1801181219 PECOS PAC ID: 7911291216 Enrollment ID: I20160809003098 |
| Provider Name | Michael David Matthews |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1689020349 PECOS PAC ID: 1951696459 Enrollment ID: I20160823002033 |
| Provider Name | Jennifer Lynn Kinney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447608955 PECOS PAC ID: 5799070215 Enrollment ID: I20160823002694 |
| Provider Name | James Tyler Bolin |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1487092029 PECOS PAC ID: 5799088472 Enrollment ID: I20160825002527 |
| Provider Name | Leah R Yeager |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003266933 PECOS PAC ID: 1355636671 Enrollment ID: I20160825002744 |
| Provider Name | Chadwick Dale Hunt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255784047 PECOS PAC ID: 9830484971 Enrollment ID: I20160829000401 |
| Provider Name | Anna K Hardin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003268467 PECOS PAC ID: 5597050880 Enrollment ID: I20160830001011 |
| Provider Name | Nicole Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487108411 PECOS PAC ID: 2163717141 Enrollment ID: I20160830001973 |
| Provider Name | Joseph Mitchell Kinner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154649697 PECOS PAC ID: 5092026427 Enrollment ID: I20160831001323 |
| Provider Name | Nicholas Brian Weber |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1891834776 PECOS PAC ID: 1153477658 Enrollment ID: I20160831001959 |
| Provider Name | Cori Elizabeth Arena |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154875797 PECOS PAC ID: 1456648393 Enrollment ID: I20160921001167 |
| Provider Name | Margaret Rivers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659724672 PECOS PAC ID: 0941597728 Enrollment ID: I20160921002742 |
| Provider Name | Michael B Boling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861845299 PECOS PAC ID: 9133416795 Enrollment ID: I20160926000385 |
| Provider Name | Lydia N Cheeks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619420544 PECOS PAC ID: 1557658952 Enrollment ID: I20160929000178 |
| Provider Name | Belinda Sue Blair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508218314 PECOS PAC ID: 2365739760 Enrollment ID: I20160929000228 |
| Provider Name | Brianna Shea Fischer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588111678 PECOS PAC ID: 5698063592 Enrollment ID: I20161010000580 |
| Provider Name | Kate M Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932598729 PECOS PAC ID: 3779871058 Enrollment ID: I20161019002856 |
| Provider Name | Jill D Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275088569 PECOS PAC ID: 8123306180 Enrollment ID: I20161025002827 |
| Provider Name | Marcia Vanessa Rojas Ramirez |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1922556356 PECOS PAC ID: 3779861711 Enrollment ID: I20161026002452 |
| Provider Name | Scott Michael Jacobs |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1982157681 PECOS PAC ID: 2567740319 Enrollment ID: I20161028001141 |
| Provider Name | Sara C Reno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831645829 PECOS PAC ID: 3274811914 Enrollment ID: I20161031001370 |
| Provider Name | Peytra C Osetinsky |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1285181784 PECOS PAC ID: 8224316971 Enrollment ID: I20161031001974 |
| Provider Name | Erica Collier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497204820 PECOS PAC ID: 4385922004 Enrollment ID: I20161101001741 |
| Provider Name | Sherrie Lynn Bonarigo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497202659 PECOS PAC ID: 6305124983 Enrollment ID: I20161102001281 |
| Provider Name | Heidi R Beavan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316311624 PECOS PAC ID: 0840578357 Enrollment ID: I20161102002877 |
| Provider Name | Amanda N Little |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861946410 PECOS PAC ID: 5395023717 Enrollment ID: I20161104001517 |
| Provider Name | Meagan Elizabeth Aull |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1043667603 PECOS PAC ID: 1759660129 Enrollment ID: I20161108001803 |
| Provider Name | Sin Min Melvyn Yeoh |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1992964795 PECOS PAC ID: 8123283785 Enrollment ID: I20161109000857 |
| Provider Name | Doris W Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427501295 PECOS PAC ID: 2466731682 Enrollment ID: I20161110002243 |
| Provider Name | Tamara E. Carey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366991424 PECOS PAC ID: 9234418948 Enrollment ID: I20161121002736 |
| Provider Name | Jessica W Comstock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710435474 PECOS PAC ID: 4789964057 Enrollment ID: I20161201001888 |
| Provider Name | Kathleen M. Ebbitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043761505 PECOS PAC ID: 9638459977 Enrollment ID: I20161202002176 |
| Provider Name | Heather Mckenzie Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487196317 PECOS PAC ID: 0749560803 Enrollment ID: I20161206002416 |
| Provider Name | Kristin S Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740737154 PECOS PAC ID: 7113207242 Enrollment ID: I20161207002194 |
| Provider Name | Christie Lynn Conley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912449760 PECOS PAC ID: 4284914912 Enrollment ID: I20161214002123 |
| Provider Name | Jamie Raglin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295288975 PECOS PAC ID: 7012297708 Enrollment ID: I20161215001763 |
| Provider Name | Natalie Brianne Nelsen |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1861840357 PECOS PAC ID: 4284914987 Enrollment ID: I20161215002296 |
| Provider Name | Brittany L Dahl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265987556 PECOS PAC ID: 6800177494 Enrollment ID: I20161219001318 |
| Provider Name | Sarah M Bond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871045856 PECOS PAC ID: 7810278132 Enrollment ID: I20161228002170 |
| Provider Name | Joshua J Tweddell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659827400 PECOS PAC ID: 7214218338 Enrollment ID: I20170104001477 |
| Provider Name | Robert P Leath |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669924296 PECOS PAC ID: 9234410002 Enrollment ID: I20170110002318 |
| Provider Name | Meghan L Marsac |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1184172298 PECOS PAC ID: 5991086639 Enrollment ID: I20170111002192 |
| Provider Name | Lauren A Hicks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770039695 PECOS PAC ID: 4082996707 Enrollment ID: I20170112002242 |
| Provider Name | Jessica M Marshal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447793872 PECOS PAC ID: 9830471317 Enrollment ID: I20170117002576 |
| Provider Name | Sharon J Pelfrey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851765267 PECOS PAC ID: 8921380395 Enrollment ID: I20170119000814 |
| Provider Name | Joanne Burris |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1336681147 PECOS PAC ID: 3678855939 Enrollment ID: I20170120001546 |
| Provider Name | Lindsay N Salce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144770439 PECOS PAC ID: 5496037582 Enrollment ID: I20170125001869 |
| Provider Name | Carrie Ann Conn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255883906 PECOS PAC ID: 8224311972 Enrollment ID: I20170203001412 |
| Provider Name | Weiping Wang |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1164481842 PECOS PAC ID: 2769377225 Enrollment ID: I20170213000977 |
| Provider Name | Morgan B Chojnacki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386194447 PECOS PAC ID: 3577846708 Enrollment ID: I20170213001711 |
| Provider Name | Stacy Brooke Genton |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1801334404 PECOS PAC ID: 6103109038 Enrollment ID: I20170220000537 |
| Provider Name | Julie Marie Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346788023 PECOS PAC ID: 5496039521 Enrollment ID: I20170308002327 |
| Provider Name | Tabbetha J Carver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225571995 PECOS PAC ID: 3971887019 Enrollment ID: I20170308002695 |
| Provider Name | Alisha M Clemons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205375474 PECOS PAC ID: 9032494067 Enrollment ID: I20170314001051 |
| Provider Name | Amy P Hurley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205375409 PECOS PAC ID: 4688959935 Enrollment ID: I20170328002939 |
| Provider Name | Dolores J Polito |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1225585599 PECOS PAC ID: 7214213156 Enrollment ID: I20170407001658 |
| Provider Name | James Quintessenza |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1962476648 PECOS PAC ID: 9830098615 Enrollment ID: I20170417001625 |
| Provider Name | Tiffany Stivers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093175754 PECOS PAC ID: 2365731973 Enrollment ID: I20170418002846 |
| Provider Name | Kendall W Parker |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1972912137 PECOS PAC ID: 4688999873 Enrollment ID: I20170523002272 |
| Provider Name | Kara L Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245762442 PECOS PAC ID: 2961779905 Enrollment ID: I20170523002749 |
| Provider Name | Johnna Leeann Forman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265804900 PECOS PAC ID: 3678840618 Enrollment ID: I20170523002851 |
| Provider Name | Cathryn M Benson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285173401 PECOS PAC ID: 2668749607 Enrollment ID: I20170523002894 |
| Provider Name | Srividya Sriramula |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942601695 PECOS PAC ID: 6507133360 Enrollment ID: I20170525002731 |
| Provider Name | Sarah Hines |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447786702 PECOS PAC ID: 4284901935 Enrollment ID: I20170530002187 |
| Provider Name | Jessica L Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912447616 PECOS PAC ID: 3375810070 Enrollment ID: I20170601000165 |
| Provider Name | Lauren R Beech |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760916712 PECOS PAC ID: 1951678598 Enrollment ID: I20170601001991 |
| Provider Name | Sabita D Pokhrel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245524966 PECOS PAC ID: 4385822618 Enrollment ID: I20170602001563 |
| Provider Name | Augustus Cody Key |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861745770 PECOS PAC ID: 7810208212 Enrollment ID: I20170609001650 |
| Provider Name | Lisa Lynn Yearsley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962940718 PECOS PAC ID: 1355610361 Enrollment ID: I20170707000746 |
| Provider Name | Yong Girdler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982133773 PECOS PAC ID: 2163792078 Enrollment ID: I20170726001623 |
| Provider Name | Ronald Lee Singer |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1164571782 PECOS PAC ID: 2860763422 Enrollment ID: I20170801001685 |
| Provider Name | Brandon Ray Scott |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1134485899 PECOS PAC ID: 5496986424 Enrollment ID: I20170810003139 |
| Provider Name | Hannah Maryah Brugger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578086773 PECOS PAC ID: 0749551570 Enrollment ID: I20170811002105 |
| Provider Name | Andrew Howard Schapiro |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1013212869 PECOS PAC ID: 0648493304 Enrollment ID: I20170817003983 |
| Provider Name | David Michael Devito |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1124409487 PECOS PAC ID: 6103101514 Enrollment ID: I20170818001671 |
| Provider Name | Jennifer Batten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902329881 PECOS PAC ID: 5294007431 Enrollment ID: I20170822003910 |
| Provider Name | Christine S Adams |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1831613918 PECOS PAC ID: 3971875964 Enrollment ID: I20170825002359 |
| Provider Name | Jessica Leigh Murray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518371152 PECOS PAC ID: 3274806195 Enrollment ID: I20170829000347 |
| Provider Name | Mark Bernard |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1932468246 PECOS PAC ID: 2365715299 Enrollment ID: I20170829000783 |
| Provider Name | Ethan Andrew Smith |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1457477358 PECOS PAC ID: 7719155324 Enrollment ID: I20170830000335 |
| Provider Name | Geri Lynn Packwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144743782 PECOS PAC ID: 6507139128 Enrollment ID: I20170901002698 |
| Provider Name | Lyndsey E Ferrell |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1790209823 PECOS PAC ID: 0648544569 Enrollment ID: I20170915001881 |
| Provider Name | Nanditha George |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750674883 PECOS PAC ID: 6103138029 Enrollment ID: I20170918003041 |
| Provider Name | Amanda S Carney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467974204 PECOS PAC ID: 0446524938 Enrollment ID: I20170921003209 |
| Provider Name | Gitanjali Pinto-sinai |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1013077627 PECOS PAC ID: 2860644135 Enrollment ID: I20171004001905 |
| Provider Name | Caitlin Allen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1891989646 PECOS PAC ID: 1658456983 Enrollment ID: I20171005002703 |
| Provider Name | David Seth Cooper |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730123852 PECOS PAC ID: 1850354911 Enrollment ID: I20171009002378 |
| Provider Name | James Frank Cnota |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306821707 PECOS PAC ID: 3173615606 Enrollment ID: I20171009002975 |
| Provider Name | Lindsay Pilgrim Galchick |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1205110848 PECOS PAC ID: 6608043427 Enrollment ID: I20171009003684 |
| Provider Name | Eunice Hahn |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376727768 PECOS PAC ID: 2365664000 Enrollment ID: I20171011002587 |
| Provider Name | Allison Ann Divanovic |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235346339 PECOS PAC ID: 0840340147 Enrollment ID: I20171011003700 |
| Provider Name | James Philip Spaeth |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1942268388 PECOS PAC ID: 4183721392 Enrollment ID: I20171012003295 |
| Provider Name | Russel Hirsch |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285791160 PECOS PAC ID: 4981828597 Enrollment ID: I20171013000321 |
| Provider Name | David P Nelson |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1750461166 PECOS PAC ID: 2062461809 Enrollment ID: I20171013000594 |
| Provider Name | Ashlie Marie Judd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073031977 PECOS PAC ID: 4981970159 Enrollment ID: I20171017001141 |
| Provider Name | Richard James Czosek |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124237920 PECOS PAC ID: 1153496021 Enrollment ID: I20171018003611 |
| Provider Name | Carrie Harwood Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518480466 PECOS PAC ID: 9234405945 Enrollment ID: I20171025001034 |
| Provider Name | Haleh Christine Heydarian |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285841387 PECOS PAC ID: 8325113582 Enrollment ID: I20171026003325 |
| Provider Name | Christopher Joseph Statile |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831306851 PECOS PAC ID: 0547442568 Enrollment ID: I20171026003417 |
| Provider Name | Albert E Alexander |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396768024 PECOS PAC ID: 5890691364 Enrollment ID: I20171030001133 |
| Provider Name | Alicia O Gatterdam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972022150 PECOS PAC ID: 8921364936 Enrollment ID: I20171108000250 |
| Provider Name | Steven G Cornett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619489952 PECOS PAC ID: 0244596039 Enrollment ID: I20171110001781 |
| Provider Name | Juliann Paige Matheny |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679712087 PECOS PAC ID: 4082751797 Enrollment ID: I20171120002904 |
| Provider Name | Dien Ngoc Vu |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1932189362 PECOS PAC ID: 8729119367 Enrollment ID: I20171129002481 |
| Provider Name | Caitlin A Davidson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932611886 PECOS PAC ID: 1951668839 Enrollment ID: I20171130003020 |
| Provider Name | Lynsey Henderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891213468 PECOS PAC ID: 4284992694 Enrollment ID: I20171212002508 |
| Provider Name | Joel Brent Gunter |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1174581698 PECOS PAC ID: 8123216512 Enrollment ID: I20171213002606 |
| Provider Name | Ryan Allen Moore |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104090273 PECOS PAC ID: 6800117300 Enrollment ID: I20171213003213 |
| Provider Name | Jane E Weatherford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689966020 PECOS PAC ID: 0547528838 Enrollment ID: I20171214000315 |
| Provider Name | Timothy Ainger |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1457764680 PECOS PAC ID: 2567720717 Enrollment ID: I20171218002419 |
| Provider Name | Erica P Marnatti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891207270 PECOS PAC ID: 2860750981 Enrollment ID: I20171219002480 |
| Provider Name | Matthew D Mccoy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710492376 PECOS PAC ID: 3779841895 Enrollment ID: I20171219002497 |
| Provider Name | Kelly R Bohl |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1093224594 PECOS PAC ID: 9436415155 Enrollment ID: I20171227000371 |
| Provider Name | Hailey Jordan Waggoner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194237008 PECOS PAC ID: 8820356561 Enrollment ID: I20171229000685 |
| Provider Name | January Rene Hamby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063954121 PECOS PAC ID: 8820357361 Enrollment ID: I20180109001380 |
| Provider Name | Jennifer Michele Barnes Owens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679087746 PECOS PAC ID: 5597024422 Enrollment ID: I20180122001759 |
| Provider Name | Jeremy M. Bach |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1710494695 PECOS PAC ID: 3173883873 Enrollment ID: I20180126001635 |
| Provider Name | Steven R. Tucker |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1144219643 PECOS PAC ID: 0547409492 Enrollment ID: I20180201001913 |
| Provider Name | Katie L Burns |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1912415951 PECOS PAC ID: 0547520348 Enrollment ID: I20180215000988 |
| Provider Name | Stephanie P Tesar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487169058 PECOS PAC ID: 7810257623 Enrollment ID: I20180215001013 |
| Provider Name | Kyla Lee Gilbert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952800195 PECOS PAC ID: 5698036390 Enrollment ID: I20180220002286 |
| Provider Name | Rachelle A Hurley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1619475035 PECOS PAC ID: 9032470794 Enrollment ID: I20180221001692 |
| Provider Name | Fawad Shuaib |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1609162767 PECOS PAC ID: 8527202134 Enrollment ID: I20180222002129 |
| Provider Name | Khadijeh Zarkoob |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1295705630 PECOS PAC ID: 1153343207 Enrollment ID: I20180227002695 |
| Provider Name | Emily J Riley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104348705 PECOS PAC ID: 6608137799 Enrollment ID: I20180307000120 |
| Provider Name | Quinetta Johnson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1376855080 PECOS PAC ID: 8921226846 Enrollment ID: I20180309002368 |
| Provider Name | Mathew J Hummel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1346613643 PECOS PAC ID: 8729383005 Enrollment ID: I20180314002490 |
| Provider Name | Margaret L Roser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457859571 PECOS PAC ID: 1658633003 Enrollment ID: I20180322001447 |
| Provider Name | Candace Ferguson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598267759 PECOS PAC ID: 5193087559 Enrollment ID: I20180322001560 |
| Provider Name | Sunny Eusun Pitt |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851356539 PECOS PAC ID: 7517851108 Enrollment ID: I20180326001706 |
| Provider Name | Amanda C Meyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407358427 PECOS PAC ID: 7618239997 Enrollment ID: I20180326002912 |
| Provider Name | Mary Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265934186 PECOS PAC ID: 2163784356 Enrollment ID: I20180328002021 |
| Provider Name | George Thomas Kluemper |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1730273913 PECOS PAC ID: 7113052853 Enrollment ID: I20180402001120 |
| Provider Name | Kristen Regina Stafford |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1336556380 PECOS PAC ID: 8325364367 Enrollment ID: I20180412002645 |
| Provider Name | Laura Ann Sobylya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205331188 PECOS PAC ID: 0244593721 Enrollment ID: I20180416000883 |
| Provider Name | Hayden P Murrell |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1043710783 PECOS PAC ID: 0648533984 Enrollment ID: I20180418002484 |
| Provider Name | Natasha Lyn Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801396916 PECOS PAC ID: 7517220098 Enrollment ID: I20180424001162 |
| Provider Name | Kyndal R Murach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477050110 PECOS PAC ID: 6002179181 Enrollment ID: I20180425000205 |
| Provider Name | Megan Danielle Hensley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205330222 PECOS PAC ID: 6709140825 Enrollment ID: I20180425002454 |
| Provider Name | Matthew R Morse |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1336673631 PECOS PAC ID: 0345510848 Enrollment ID: I20180501000408 |
| Provider Name | Gregory Scott Bills |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1568856441 PECOS PAC ID: 4789984394 Enrollment ID: I20180502001999 |
| Provider Name | Savannah Raye Walker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407275035 PECOS PAC ID: 9032411806 Enrollment ID: I20180529002404 |
| Provider Name | Joelle Marie Hall Schuster |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780948398 PECOS PAC ID: 2163787433 Enrollment ID: I20180607002745 |
| Provider Name | Andrew J Zegeer |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1083068811 PECOS PAC ID: 7416240874 Enrollment ID: I20180619003386 |
| Provider Name | Lucinda Belcher-owens |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1497262802 PECOS PAC ID: 4284989807 Enrollment ID: I20180621001801 |
| Provider Name | Tarang R Patel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1164911319 PECOS PAC ID: 4385999721 Enrollment ID: I20180626001529 |
| Provider Name | Mohamed Bazina |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1225440332 PECOS PAC ID: 2466708755 Enrollment ID: I20180628001466 |
| Provider Name | Allison Mays Click |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1639513575 PECOS PAC ID: 5496073439 Enrollment ID: I20180703002254 |
| Provider Name | Mhdfiras Al Yafi |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1710408794 PECOS PAC ID: 2163778150 Enrollment ID: I20180705001324 |
| Provider Name | Krystal R Kackley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902394455 PECOS PAC ID: 3173879079 Enrollment ID: I20180709000168 |
| Provider Name | Sravanthi Nandavaram |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1750663431 PECOS PAC ID: 5799032793 Enrollment ID: I20180723001515 |
| Provider Name | Brandi Lenay Botkin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366934853 PECOS PAC ID: 9436406154 Enrollment ID: I20180725003233 |
| Provider Name | Jessica L Bodenhamer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1841784063 PECOS PAC ID: 8426306754 Enrollment ID: I20180802003340 |
| Provider Name | Madeline Wilson Burns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609362961 PECOS PAC ID: 3971851213 Enrollment ID: I20180802003396 |
| Provider Name | William B James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548747884 PECOS PAC ID: 5496003303 Enrollment ID: I20180809004175 |
| Provider Name | Karla B Mullins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639675580 PECOS PAC ID: 8426306234 Enrollment ID: I20180809004509 |
| Provider Name | Maria Taylor Mcnamara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023509304 PECOS PAC ID: 0941558753 Enrollment ID: I20180809004627 |
| Provider Name | Heather F Oaks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538663992 PECOS PAC ID: 2365791035 Enrollment ID: I20180814003508 |
| Provider Name | Darren Alex Watson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1295241495 PECOS PAC ID: 3971852559 Enrollment ID: I20180814004183 |
| Provider Name | Kelli A Curry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922591031 PECOS PAC ID: 0840549903 Enrollment ID: I20180822002592 |
| Provider Name | Mostafa Tabaa |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1649766593 PECOS PAC ID: 7214286335 Enrollment ID: I20180823001160 |
| Provider Name | Bala Prakash |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1033315932 PECOS PAC ID: 7719103829 Enrollment ID: I20180824001229 |
| Provider Name | Meredyth Tate Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801375779 PECOS PAC ID: 0446509350 Enrollment ID: I20180824001821 |
| Provider Name | John C Montague |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578883575 PECOS PAC ID: 3072862986 Enrollment ID: I20180824001860 |
| Provider Name | Ellen Talbott Van Norman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1194248641 PECOS PAC ID: 6709135619 Enrollment ID: I20180824001868 |
| Provider Name | Morgan Elizabeth Stacey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881171981 PECOS PAC ID: 1153670062 Enrollment ID: I20180824001886 |
| Provider Name | Kiersten Marian Hart Schneider |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063999712 PECOS PAC ID: 8325398100 Enrollment ID: I20180829002922 |
| Provider Name | Erica Smith Ballard |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1811492507 PECOS PAC ID: 9739439472 Enrollment ID: I20180830001277 |
| Provider Name | Sheri Setser-legg |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1154621795 PECOS PAC ID: 5294099560 Enrollment ID: I20180831001494 |
| Provider Name | Stephanie M Stout |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265943815 PECOS PAC ID: 7911257563 Enrollment ID: I20180904000244 |
| Provider Name | Tessa London-bounds |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1558654715 PECOS PAC ID: 9335454339 Enrollment ID: I20180904001709 |
| Provider Name | Crystal Starr Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457837916 PECOS PAC ID: 0446500375 Enrollment ID: I20180913001930 |
| Provider Name | David Morales |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1407936818 PECOS PAC ID: 2163493495 Enrollment ID: I20180920002700 |
| Provider Name | Luciana Shaddox |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1548278377 PECOS PAC ID: 2163712373 Enrollment ID: I20180926003205 |
| Provider Name | Adrienne S Johnston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962982926 PECOS PAC ID: 1355692435 Enrollment ID: I20180928002607 |
| Provider Name | Emily Dunn Bentley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760969364 PECOS PAC ID: 4688926694 Enrollment ID: I20181002002442 |
| Provider Name | Sandra T Kelley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699813212 PECOS PAC ID: 9830441849 Enrollment ID: I20181002002564 |
| Provider Name | Tony Poppel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1336623651 PECOS PAC ID: 7911259726 Enrollment ID: I20181005001055 |
| Provider Name | Gavin M Turpin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487139549 PECOS PAC ID: 4284986829 Enrollment ID: I20181010001704 |
| Provider Name | Mark Alan Schachman |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1871664201 PECOS PAC ID: 0244541704 Enrollment ID: I20181011002992 |
| Provider Name | Laurel M Fulgham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013491984 PECOS PAC ID: 8224380605 Enrollment ID: I20181012001386 |
| Provider Name | Ashton Ray Hunley |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1578088928 PECOS PAC ID: 1557613791 Enrollment ID: I20181016002517 |
| Provider Name | Richard A Abney |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093280760 PECOS PAC ID: 1850644873 Enrollment ID: I20181022001233 |
| Provider Name | Megan M Tudor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508341405 PECOS PAC ID: 7113270562 Enrollment ID: I20181101000214 |
| Provider Name | Michelle L Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083180368 PECOS PAC ID: 2961755202 Enrollment ID: I20181102000800 |
| Provider Name | Elizabeth Mueller George |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740767631 PECOS PAC ID: 5799039954 Enrollment ID: I20181107001766 |
| Provider Name | Tamra Deanette Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215419551 PECOS PAC ID: 8426392069 Enrollment ID: I20181207001429 |
| Provider Name | Sandra D Reagan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306356654 PECOS PAC ID: 1254532765 Enrollment ID: I20181211001236 |
| Provider Name | Meredith Owens Sherer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932480993 PECOS PAC ID: 4284807330 Enrollment ID: I20181217002570 |
| Provider Name | Blair Elizabeth Lawless |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942729421 PECOS PAC ID: 6305104522 Enrollment ID: I20181219003458 |
| Provider Name | Waleed Fouad Elsayed Mourad |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1710120548 PECOS PAC ID: 0749409530 Enrollment ID: I20181219003637 |
| Provider Name | Dianna Lynn Holtzhauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831667369 PECOS PAC ID: 5597001172 Enrollment ID: I20190118001500 |
| Provider Name | Amy H Ward |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992278915 PECOS PAC ID: 5496092603 Enrollment ID: I20190125002241 |
| Provider Name | Susan Kelly Harvey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992275655 PECOS PAC ID: 1456698521 Enrollment ID: I20190128001551 |
| Provider Name | Emily Madden Duncan Blackman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1477027118 PECOS PAC ID: 0244577955 Enrollment ID: I20190201002247 |
| Provider Name | Megan Dawn Murrey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326515511 PECOS PAC ID: 5496093429 Enrollment ID: I20190215002374 |
| Provider Name | Cody Michael Grant |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1134693468 PECOS PAC ID: 2567700396 Enrollment ID: I20190220001860 |
| Provider Name | Chelsea E Runkle |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1912479817 PECOS PAC ID: 7214275064 Enrollment ID: I20190220002761 |
| Provider Name | Justin Tyler Neidig |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265905806 PECOS PAC ID: 5496094286 Enrollment ID: I20190221001764 |
| Provider Name | Kimberly Ann Lowry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376033688 PECOS PAC ID: 4183963994 Enrollment ID: I20190221002438 |
| Provider Name | Sarah E. Farmer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1902360043 PECOS PAC ID: 2769721596 Enrollment ID: I20190222000380 |
| Provider Name | Scarlett Bardo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215358866 PECOS PAC ID: 1456575539 Enrollment ID: I20190225001315 |
| Provider Name | Sarosh P Batlivala |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1730278391 PECOS PAC ID: 8123192945 Enrollment ID: I20190306001454 |
| Provider Name | Sean Michael Lang |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1144407958 PECOS PAC ID: 9335367580 Enrollment ID: I20190306002613 |
| Provider Name | Kristin Joy Meerkreebs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033682562 PECOS PAC ID: 3375883887 Enrollment ID: I20190320001439 |
| Provider Name | Maisam Ahmad Abu-el-haija |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1467660423 PECOS PAC ID: 3173773231 Enrollment ID: I20190401000370 |
| Provider Name | William F Balistreri |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1952338378 PECOS PAC ID: 7416903042 Enrollment ID: I20190404001576 |
| Provider Name | Garick David Hill |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1306034749 PECOS PAC ID: 1658524996 Enrollment ID: I20190408001116 |
| Provider Name | Jorge A Bezerra |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1447287941 PECOS PAC ID: 2163596230 Enrollment ID: I20190409001430 |
| Provider Name | Sameer Bhatia |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1477507416 PECOS PAC ID: 7911992037 Enrollment ID: I20190417002146 |
| Provider Name | Meera Kotagal |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1346482155 PECOS PAC ID: 1951532712 Enrollment ID: I20190426001595 |
| Provider Name | Maryam Mosharraf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093272007 PECOS PAC ID: 8123360948 Enrollment ID: I20190426001866 |
| Provider Name | Andrea Jeneen Haggard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427517309 PECOS PAC ID: 8123361235 Enrollment ID: I20190513001564 |
| Provider Name | Michelle Mary Abou-jaoude |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1063895613 PECOS PAC ID: 4284928326 Enrollment ID: I20190521002145 |
| Provider Name | Joy Lolita Coles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194380808 PECOS PAC ID: 4284977737 Enrollment ID: I20190523002627 |
| Provider Name | Wendy Ann Simpkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356835391 PECOS PAC ID: 3870836356 Enrollment ID: I20190524001540 |
| Provider Name | Gwendolyn Hubbell |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1396906079 PECOS PAC ID: 5799929238 Enrollment ID: I20190529001183 |
| Provider Name | James Matthew Huffman |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1609282375 PECOS PAC ID: 7012223266 Enrollment ID: I20190605001868 |
| Provider Name | Natalie Gwyn Evett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508422288 PECOS PAC ID: 8123351061 Enrollment ID: I20190610001055 |
| Provider Name | Joy Kim Engblade |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134262157 PECOS PAC ID: 2163516287 Enrollment ID: I20190618002117 |
| Provider Name | Rashidah Tynetta Wiley |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1578829974 PECOS PAC ID: 3173812724 Enrollment ID: I20190625003248 |
| Provider Name | Alyssa Sutton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114435518 PECOS PAC ID: 9638404924 Enrollment ID: I20190709001424 |
| Provider Name | James Frederick Laber |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1811555196 PECOS PAC ID: 5193050094 Enrollment ID: I20190715003273 |
| Provider Name | Christopher Dale Denny |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1063894889 PECOS PAC ID: 5092040717 Enrollment ID: I20190717001012 |
| Provider Name | Kelly Jo Dingrando |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1104918945 PECOS PAC ID: 5092041624 Enrollment ID: I20190719001401 |
| Provider Name | Dong Hee Lee |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1396064796 PECOS PAC ID: 5991031254 Enrollment ID: I20190724000902 |
| Provider Name | Kathryn Hays Wade |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1043716897 PECOS PAC ID: 9830425784 Enrollment ID: I20190730002454 |
| Provider Name | Charles Jacob Lowrey |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1073995379 PECOS PAC ID: 9335475110 Enrollment ID: I20190731004187 |
| Provider Name | Richard A Falcone |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1144300237 PECOS PAC ID: 1254390735 Enrollment ID: I20190808002901 |
| Provider Name | Dejon Courtney Graves |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1649603341 PECOS PAC ID: 6305173477 Enrollment ID: I20190812004099 |
| Provider Name | Timothy K Knilans |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1629020482 PECOS PAC ID: 8325190606 Enrollment ID: I20190813001484 |
| Provider Name | Kimberly Katherine Bender |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063983641 PECOS PAC ID: 4688902174 Enrollment ID: I20190821004001 |
| Provider Name | Beth Rymeski |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053440792 PECOS PAC ID: 5698077717 Enrollment ID: I20190821004842 |
| Provider Name | Sarah Nicole Sams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356994750 PECOS PAC ID: 8426386830 Enrollment ID: I20190822004289 |
| Provider Name | Christina Dawn Mcglothlin-boggs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093791261 PECOS PAC ID: 8022346444 Enrollment ID: I20190822004531 |
| Provider Name | Ruta Yardi Andress |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1366852311 PECOS PAC ID: 0941538375 Enrollment ID: I20190823000362 |
| Provider Name | Mary Benson Broadbent |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588218986 PECOS PAC ID: 4486982790 Enrollment ID: I20190824000541 |
| Provider Name | Abby Priddle Benke |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1225591431 PECOS PAC ID: 9931437175 Enrollment ID: I20190826001804 |
| Provider Name | Pratishtha Mishra |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1477112043 PECOS PAC ID: 9739417924 Enrollment ID: I20190826003976 |
| Provider Name | Stephanie Hendrickson Roney |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1346636750 PECOS PAC ID: 7113255217 Enrollment ID: I20190828000876 |
| Provider Name | Emily Nicole Kern |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922653989 PECOS PAC ID: 0345579215 Enrollment ID: I20190903002162 |
| Provider Name | Emily Turner Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649824798 PECOS PAC ID: 1951630417 Enrollment ID: I20190909001376 |
| Provider Name | Nehal Almehmadi |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1568024453 PECOS PAC ID: 3870823537 Enrollment ID: I20190923001292 |
| Provider Name | Walied Aly Eldomiaty |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1881256766 PECOS PAC ID: 2365772035 Enrollment ID: I20190923001698 |
| Provider Name | Aaron Paul Garrison |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1659590990 PECOS PAC ID: 7517109838 Enrollment ID: I20190923001899 |
| Provider Name | Anne Marion Bearse |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053772988 PECOS PAC ID: 0345570990 Enrollment ID: I20190924001918 |
| Provider Name | Jerrod Thomas Mccarty |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1922414911 PECOS PAC ID: 6002122819 Enrollment ID: I20190927002120 |
| Provider Name | Daneka Sharron Crump |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427610401 PECOS PAC ID: 2163752312 Enrollment ID: I20191001002264 |
| Provider Name | Francis Darty Abell |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1457427452 PECOS PAC ID: 8820239106 Enrollment ID: I20191001003005 |
| Provider Name | Kari Ann Gerth |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720444870 PECOS PAC ID: 7012271166 Enrollment ID: I20191003001842 |
| Provider Name | James Daniel Garrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972150555 PECOS PAC ID: 4688905797 Enrollment ID: I20191003001985 |
| Provider Name | Alexandra Michele Malone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467009514 PECOS PAC ID: 7012248248 Enrollment ID: I20191018001448 |
| Provider Name | Alicia Molique Mullins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881256295 PECOS PAC ID: 5092047043 Enrollment ID: I20191024002487 |
| Provider Name | Chet Villa |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1588868459 PECOS PAC ID: 2860613486 Enrollment ID: I20191029002618 |
| Provider Name | Jason Seth Frischer |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1760640692 PECOS PAC ID: 1052488517 Enrollment ID: I20191030000250 |
| Provider Name | Renee Spradlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962043612 PECOS PAC ID: 1759613268 Enrollment ID: I20191104000957 |
| Provider Name | Anastasia Katsavochristou |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1134650971 PECOS PAC ID: 1153684246 Enrollment ID: I20191107002593 |
| Provider Name | Patrick Anthony Sarcinella |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902469737 PECOS PAC ID: 2365874435 Enrollment ID: I20191111001447 |
| Provider Name | Melinda D Rath |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407314461 PECOS PAC ID: 5092147165 Enrollment ID: I20191111001465 |
| Provider Name | Pamela Blair Schneider |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659912418 PECOS PAC ID: 4486086568 Enrollment ID: I20191111001761 |
| Provider Name | Joshua Allen Kidd |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093365173 PECOS PAC ID: 9133551005 Enrollment ID: I20191114000936 |
| Provider Name | Aradhana Kaushal |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1629240627 PECOS PAC ID: 6608209960 Enrollment ID: I20191127002275 |
| Provider Name | Martha Ellen Rosenthal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790326981 PECOS PAC ID: 1557794724 Enrollment ID: I20191202000289 |
| Provider Name | Howard Alan Levinson |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1760504229 PECOS PAC ID: 1052744992 Enrollment ID: I20191205003068 |
| Provider Name | Samela Thais De Paula Lima Pereira |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1811440662 PECOS PAC ID: 2062845944 Enrollment ID: I20191206001516 |
| Provider Name | Gayla Marie Sholey |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1124434204 PECOS PAC ID: 4587883715 Enrollment ID: I20191206002158 |
| Provider Name | Amy Lynn Salyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124679667 PECOS PAC ID: 8224461967 Enrollment ID: I20191210002610 |
| Provider Name | Jessica Elizabeth Minnick |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1255827788 PECOS PAC ID: 6709139132 Enrollment ID: I20191211001773 |
| Provider Name | April Renee Dunaway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295379410 PECOS PAC ID: 6507299138 Enrollment ID: I20191211003261 |
| Provider Name | Mary Duncan |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1851886386 PECOS PAC ID: 0042644577 Enrollment ID: I20191216003068 |
| Provider Name | Elleanor Gray Vogt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407402209 PECOS PAC ID: 1153755533 Enrollment ID: I20191217002068 |
| Provider Name | Kevin L Elvidge |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1205974284 PECOS PAC ID: 2062846371 Enrollment ID: I20191219001225 |
| Provider Name | Gregory M Tiao |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1083794036 PECOS PAC ID: 0840464640 Enrollment ID: I20200102000420 |
| Provider Name | Walter Branyan Bounds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912543133 PECOS PAC ID: 2062846645 Enrollment ID: I20200107003397 |
| Provider Name | Shankar Baskar |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1487918751 PECOS PAC ID: 7719216985 Enrollment ID: I20200110001918 |
| Provider Name | David Glenn Lehenbauer |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1720217870 PECOS PAC ID: 4789949389 Enrollment ID: I20200110002545 |
| Provider Name | Ashley Jean Sachs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811547797 PECOS PAC ID: 4082049259 Enrollment ID: I20200115003185 |
| Provider Name | Cheryl A Pearson |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1245399476 PECOS PAC ID: 9032475017 Enrollment ID: I20200121002598 |
| Provider Name | Chelsea Ann Atwater |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639532534 PECOS PAC ID: 9830461144 Enrollment ID: I20200123001949 |
| Provider Name | Wallace E. Bellis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619513405 PECOS PAC ID: 3779919121 Enrollment ID: I20200204001375 |
| Provider Name | Adria Denise Gibbs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679902050 PECOS PAC ID: 5799912671 Enrollment ID: I20200211002409 |
| Provider Name | Cesar L Ong |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053475301 PECOS PAC ID: 5799872396 Enrollment ID: I20200218003214 |
| Provider Name | Elizabeth Prewitt Wynstra |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1881224566 PECOS PAC ID: 6204263650 Enrollment ID: I20200224002125 |
| Provider Name | Stephanie Ann Skinner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225668874 PECOS PAC ID: 8921363730 Enrollment ID: I20200225001563 |
| Provider Name | Whitney Clay Mayer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316491277 PECOS PAC ID: 5597192872 Enrollment ID: I20200226001540 |
| Provider Name | Marcelo Barbosa De Accioly Mattos |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1699256693 PECOS PAC ID: 5597192575 Enrollment ID: I20200304001062 |
| Provider Name | Brittany M Camenisch |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1427498864 PECOS PAC ID: 0648557090 Enrollment ID: I20200305000268 |
| Provider Name | Caroline Robbins Snowden |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720507817 PECOS PAC ID: 0244668846 Enrollment ID: I20200313001069 |
| Provider Name | Geoffrey Patrick Mcgowen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528471802 PECOS PAC ID: 9436472685 Enrollment ID: I20200316002245 |
| Provider Name | Christopher W Enz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992337984 PECOS PAC ID: 7517395742 Enrollment ID: I20200320002275 |
| Provider Name | Andrea Jean Kohlman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639725658 PECOS PAC ID: 8123456357 Enrollment ID: I20200320002415 |
| Provider Name | Rebecca Anne Doll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164054334 PECOS PAC ID: 7416385448 Enrollment ID: I20200325000968 |
| Provider Name | Debra Gleason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699307165 PECOS PAC ID: 6103147855 Enrollment ID: I20200401001211 |
| Provider Name | Jane Mitchell Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538564042 PECOS PAC ID: 2860719275 Enrollment ID: I20200401003477 |
| Provider Name | Matthew Victir Huffman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881251858 PECOS PAC ID: 4284066358 Enrollment ID: I20200403002597 |
| Provider Name | Peyton Madison Blanton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134769904 PECOS PAC ID: 7810326949 Enrollment ID: I20200410000783 |
| Provider Name | Lindsay Paige Poynter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518592237 PECOS PAC ID: 8224467352 Enrollment ID: I20200410001048 |
| Provider Name | Jacob Aaron Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497384424 PECOS PAC ID: 9638509698 Enrollment ID: I20200415003306 |
| Provider Name | Ashley Nicole Clark |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1215225305 PECOS PAC ID: 6204050891 Enrollment ID: I20200424001129 |
| Provider Name | Kirsten Jane Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801421664 PECOS PAC ID: 1355771510 Enrollment ID: I20200501000113 |
| Provider Name | Anthony Christopher Carney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952921629 PECOS PAC ID: 4385075571 Enrollment ID: I20200501001913 |
| Provider Name | Justin Keith Kindler |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1497167431 PECOS PAC ID: 4183945058 Enrollment ID: I20200504002811 |
| Provider Name | Nancy Elizabeth Rigdon |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1457416026 PECOS PAC ID: 7113358847 Enrollment ID: I20200513003239 |
| Provider Name | Jennie Evans Trautwein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962873349 PECOS PAC ID: 0244539294 Enrollment ID: I20200520001854 |
| Provider Name | Kelsey Rhea Jobe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396366399 PECOS PAC ID: 3971924275 Enrollment ID: I20200521002062 |
| Provider Name | Alicia Marie Reams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811526668 PECOS PAC ID: 2961823265 Enrollment ID: I20200521002097 |
| Provider Name | Carl Backer |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1760477608 PECOS PAC ID: 7618989567 Enrollment ID: I20200521003185 |
| Provider Name | Zindell Richardson |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1013973007 PECOS PAC ID: 4284055369 Enrollment ID: I20200527002275 |
| Provider Name | Renae Nally |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1538788658 PECOS PAC ID: 7113348202 Enrollment ID: I20200527002667 |
| Provider Name | Richard Dale Carmickle |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1891186615 PECOS PAC ID: 3173841343 Enrollment ID: I20200528002144 |
| Provider Name | Daniel Scott Stinnett |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1588170260 PECOS PAC ID: 9032466206 Enrollment ID: I20200602002460 |
| Provider Name | Sierra Brooke Nunn |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1659903474 PECOS PAC ID: 1456772979 Enrollment ID: I20200608002992 |
| Provider Name | Janelle Marie Schnake |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1699007096 PECOS PAC ID: 1951436096 Enrollment ID: I20200611003131 |
| Provider Name | Srikanth Nithyanandam |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1962887778 PECOS PAC ID: 3870881931 Enrollment ID: I20200612000813 |
| Provider Name | Jordan Patrick Harp |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1407397128 PECOS PAC ID: 0749602118 Enrollment ID: I20200612002183 |
| Provider Name | Christopher Paul Hoffman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093338329 PECOS PAC ID: 0345662540 Enrollment ID: I20200616003226 |
| Provider Name | Sean Michael Wadley |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1588011142 PECOS PAC ID: 7214218023 Enrollment ID: I20200622002310 |
| Provider Name | Ogochukwu Chizoba Adaku Okpala |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407925324 PECOS PAC ID: 6800977828 Enrollment ID: I20200623002572 |
| Provider Name | Andrew Steven Cude |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1629539580 PECOS PAC ID: 7416379292 Enrollment ID: I20200624001735 |
| Provider Name | Timothy Allen Cude |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1265993125 PECOS PAC ID: 1052733664 Enrollment ID: I20200626000371 |
| Provider Name | Spencer Allen Larkin |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1235514282 PECOS PAC ID: 9739475179 Enrollment ID: I20200708001009 |
| Provider Name | Shelley Lansaw |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1861565962 PECOS PAC ID: 2961565726 Enrollment ID: I20200714003272 |
| Provider Name | Stephanos Kyrkanides |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1356458665 PECOS PAC ID: 7315249299 Enrollment ID: I20200714003646 |
| Provider Name | Brandyn Matthew Herman |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1689060808 PECOS PAC ID: 2769782846 Enrollment ID: I20200720001441 |
| Provider Name | Caitlin S Briggs |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205222650 PECOS PAC ID: 7214245166 Enrollment ID: I20200730001643 |
| Provider Name | Augustine Chapin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215551510 PECOS PAC ID: 7517382823 Enrollment ID: I20200804001629 |
| Provider Name | Denise Fabian |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1992183065 PECOS PAC ID: 9335458868 Enrollment ID: I20200806002492 |
| Provider Name | Gulam Khan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528055001 PECOS PAC ID: 4183519812 Enrollment ID: I20200811001705 |
| Provider Name | Eimear Mcgovern |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467931014 PECOS PAC ID: 8224454053 Enrollment ID: I20200811002996 |
| Provider Name | Lydia J Floyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548879059 PECOS PAC ID: 2567888191 Enrollment ID: I20200813001630 |
| Provider Name | Jacob Nicholas Weigle |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1033499496 PECOS PAC ID: 7517383532 Enrollment ID: I20200820001209 |
| Provider Name | Megan Elizabeth Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912515784 PECOS PAC ID: 6406272459 Enrollment ID: I20200820002549 |
| Provider Name | Whitney Elizabeth Bauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063022465 PECOS PAC ID: 9133545080 Enrollment ID: I20200821002619 |
| Provider Name | Ann Adams Hays |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578543138 PECOS PAC ID: 6103243654 Enrollment ID: I20200828000560 |
| Provider Name | Jennifer L Bivins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508474743 PECOS PAC ID: 8628495850 Enrollment ID: I20200902000383 |
| Provider Name | Haleigh Shelley Robertson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386252286 PECOS PAC ID: 7810314028 Enrollment ID: I20200902003170 |
| Provider Name | Brittany Ann Kellum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164034864 PECOS PAC ID: 3779900816 Enrollment ID: I20200903000933 |
| Provider Name | Ashley Nicole Cornett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487271490 PECOS PAC ID: 2163849217 Enrollment ID: I20200903001225 |
| Provider Name | Tadesse Eshetu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104083781 PECOS PAC ID: 8921254079 Enrollment ID: I20200909001425 |
| Provider Name | Amanda Jeanne Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235747726 PECOS PAC ID: 2668890484 Enrollment ID: I20200910002531 |
| Provider Name | Jennifer Cossuto Green |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144648353 PECOS PAC ID: 9133547896 Enrollment ID: I20200911000840 |
| Provider Name | Christian Joseph Meyer |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1457874356 PECOS PAC ID: 4981022696 Enrollment ID: I20200911002691 |
| Provider Name | Jeffrey Rapier Kinner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184043184 PECOS PAC ID: 8325357403 Enrollment ID: I20200914002283 |
| Provider Name | Andi Alexandria Vance |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629682356 PECOS PAC ID: 1759709181 Enrollment ID: I20200916001219 |
| Provider Name | May Abdelhak Ghanim-moustafa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255816088 PECOS PAC ID: 8123446507 Enrollment ID: I20200916002910 |
| Provider Name | Tiffany L Arps |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083156020 PECOS PAC ID: 3173941325 Enrollment ID: I20200921000648 |
| Provider Name | Ian Andres Boggero |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619599362 PECOS PAC ID: 3870911910 Enrollment ID: I20200922001225 |
| Provider Name | Matthew Monteleone |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1124252945 PECOS PAC ID: 5799902011 Enrollment ID: I20200922002288 |
| Provider Name | Fernanda Andrea Yanez Regonesi |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1730799933 PECOS PAC ID: 5991124018 Enrollment ID: I20200923001040 |
| Provider Name | Charley R Saleeby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811508849 PECOS PAC ID: 3274952890 Enrollment ID: I20201001001162 |
| Provider Name | Katie Lynn Rust |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093322745 PECOS PAC ID: 3476972001 Enrollment ID: I20201001001492 |
| Provider Name | Joshua Aaron Evans |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154600245 PECOS PAC ID: 5799104246 Enrollment ID: I20201001002430 |
| Provider Name | Tonya Erin Jernigan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023386794 PECOS PAC ID: 2163841636 Enrollment ID: I20201001003159 |
| Provider Name | Richard William Cooke |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1659463909 PECOS PAC ID: 0345130498 Enrollment ID: I20201002001431 |
| Provider Name | Michele Lee Bodine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558978221 PECOS PAC ID: 4688093016 Enrollment ID: I20201002002352 |
| Provider Name | Janine C Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447220231 PECOS PAC ID: 2264851526 Enrollment ID: I20201006001725 |
| Provider Name | Shelley Anne Chenault |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1740625227 PECOS PAC ID: 2466687538 Enrollment ID: I20201006002635 |
| Provider Name | Genine Rena Jordan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205093002 PECOS PAC ID: 8325467574 Enrollment ID: I20201007002622 |
| Provider Name | Debora Stromberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043294028 PECOS PAC ID: 3375591506 Enrollment ID: I20201008000553 |
| Provider Name | Janet Susan Griffith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083696421 PECOS PAC ID: 6800216961 Enrollment ID: I20201012002656 |
| Provider Name | Christina Adele Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184230161 PECOS PAC ID: 6103246137 Enrollment ID: I20201013002887 |
| Provider Name | Jennifer Gene Bauman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184231839 PECOS PAC ID: 8527488550 Enrollment ID: I20201013003031 |
| Provider Name | Pearl Elizabeth Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477150365 PECOS PAC ID: 4284054222 Enrollment ID: I20201013003400 |
| Provider Name | Juliette Keller |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1922085034 PECOS PAC ID: 8325468895 Enrollment ID: I20201022000490 |
| Provider Name | Shawn Kiran Patel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1528486974 PECOS PAC ID: 7810298940 Enrollment ID: I20201026000960 |
| Provider Name | Suzanne Lubarsky |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134239338 PECOS PAC ID: 4183705353 Enrollment ID: I20201026001360 |
| Provider Name | Kelly Elizabeth Lyons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932687308 PECOS PAC ID: 8426478769 Enrollment ID: I20201026002216 |
| Provider Name | Kayla Marie Strother |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669034781 PECOS PAC ID: 7315357241 Enrollment ID: I20201104003055 |
| Provider Name | Morgan Rose Grantham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265032825 PECOS PAC ID: 5698186930 Enrollment ID: I20201118000811 |
| Provider Name | Mary Katherine Walker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740682913 PECOS PAC ID: 0042621211 Enrollment ID: I20201118002331 |
| Provider Name | Latoya Leann Lamb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164036281 PECOS PAC ID: 3971914128 Enrollment ID: I20201119002529 |
| Provider Name | Karen Elizabeth Hilt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629675327 PECOS PAC ID: 5799196432 Enrollment ID: I20201201001678 |
| Provider Name | Timothy Jacob Burton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053919779 PECOS PAC ID: 5799196465 Enrollment ID: I20201201003100 |
| Provider Name | Scott Littleton |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013119338 PECOS PAC ID: 2769893346 Enrollment ID: I20201203001010 |
| Provider Name | Mohamed F Alsharedi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1396059705 PECOS PAC ID: 4981828357 Enrollment ID: I20201208000666 |
| Provider Name | Brianna Noel Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982200945 PECOS PAC ID: 8729490917 Enrollment ID: I20201211001162 |
| Provider Name | Kenneth Starling Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558969469 PECOS PAC ID: 1850703059 Enrollment ID: I20201211001962 |
| Provider Name | Lori Susan Molenaar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417939935 PECOS PAC ID: 0840602801 Enrollment ID: I20201215003265 |
| Provider Name | Renee Yvette Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316544778 PECOS PAC ID: 2365854379 Enrollment ID: I20201216001845 |
| Provider Name | Alishia Gayle Euler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841890431 PECOS PAC ID: 6901218791 Enrollment ID: I20201221000932 |
| Provider Name | Trena Renee Seago |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457997215 PECOS PAC ID: 4284045246 Enrollment ID: I20210105000306 |
| Provider Name | Brittany Monroe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255939351 PECOS PAC ID: 3476966425 Enrollment ID: I20210112000682 |
| Provider Name | Weisi Yan |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1649405028 PECOS PAC ID: 1658596721 Enrollment ID: I20210112002067 |
| Provider Name | Sarah Buschmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952904054 PECOS PAC ID: 3779996640 Enrollment ID: I20210114000415 |
| Provider Name | Allison Lauren Wells |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083194955 PECOS PAC ID: 4082027974 Enrollment ID: I20210114001192 |
| Provider Name | Leah Brenda Okoth |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1962042275 PECOS PAC ID: 3072940204 Enrollment ID: I20210120003146 |
| Provider Name | Megan Mcneil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730644824 PECOS PAC ID: 0042551087 Enrollment ID: I20210126003382 |
| Provider Name | Angela Chisholm |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1457581837 PECOS PAC ID: 9032258462 Enrollment ID: I20210127000779 |
| Provider Name | Shabana Shahanavaz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1811229107 PECOS PAC ID: 1254503014 Enrollment ID: I20210127002623 |
| Provider Name | Allison Beth Raymond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235721432 PECOS PAC ID: 0547675084 Enrollment ID: I20210216001912 |
| Provider Name | Megan Lynn Sharp |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1639797350 PECOS PAC ID: 7517372899 Enrollment ID: I20210218001980 |
| Provider Name | Kathryn Ann Karem |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649860248 PECOS PAC ID: 5193130383 Enrollment ID: I20210222001066 |
| Provider Name | Deena Shaher Shewekah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194314120 PECOS PAC ID: 3173938297 Enrollment ID: I20210222002742 |
| Provider Name | Kelli Michelle Martin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699280206 PECOS PAC ID: 4688089766 Enrollment ID: I20210223002185 |
| Provider Name | Colleen Crawford Cornelius |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1447871363 PECOS PAC ID: 5698180594 Enrollment ID: I20210225002700 |
| Provider Name | Hamza Hamdi A Tantoush |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1669737862 PECOS PAC ID: 1052627841 Enrollment ID: I20210301002769 |
| Provider Name | Harrison Stephen Wilkins |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1255897336 PECOS PAC ID: 3678807088 Enrollment ID: I20210302000588 |
| Provider Name | Shannon Katherine Bracey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194363887 PECOS PAC ID: 4981018983 Enrollment ID: I20210308002282 |
| Provider Name | Lisa Elaine Coleman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629677745 PECOS PAC ID: 6204242530 Enrollment ID: I20210310001943 |
| Provider Name | Abo B Mosa |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1871848259 PECOS PAC ID: 8527388263 Enrollment ID: I20210310002349 |
| Provider Name | Jamal Al Taani |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1083819593 PECOS PAC ID: 7012002314 Enrollment ID: I20210319001747 |
| Provider Name | William Allison Barret |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1891012696 PECOS PAC ID: 2668618315 Enrollment ID: I20210322000581 |
| Provider Name | Nicole Gayle Sanders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275125486 PECOS PAC ID: 9335556281 Enrollment ID: I20210322001501 |
| Provider Name | Jillian Leigh Butcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831701572 PECOS PAC ID: 9133536865 Enrollment ID: I20210325000930 |
| Provider Name | Kymberly Little Bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770176992 PECOS PAC ID: 7517374945 Enrollment ID: I20210330002605 |
| Provider Name | Elizabeth M Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124526777 PECOS PAC ID: 9537423579 Enrollment ID: I20210401001644 |
| Provider Name | Raegan Adair St Denis |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1558899203 PECOS PAC ID: 8921377250 Enrollment ID: I20210406001940 |
| Provider Name | Mary Elizabeth Akers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518551464 PECOS PAC ID: 1951719061 Enrollment ID: I20210408002647 |
| Provider Name | Adam Striker |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1649280348 PECOS PAC ID: 6709816911 Enrollment ID: I20210409001244 |
| Provider Name | Karalee Ann Mlack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114531803 PECOS PAC ID: 0143638106 Enrollment ID: I20210413000996 |
| Provider Name | Garrett Ka Keung Lam |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033172713 PECOS PAC ID: 5597959684 Enrollment ID: I20210414002198 |
| Provider Name | David Bernard Levitsky |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356367353 PECOS PAC ID: 1456398460 Enrollment ID: I20210426001259 |
| Provider Name | Diana V Labrada |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649775404 PECOS PAC ID: 9133457211 Enrollment ID: I20210517002495 |
| Provider Name | Kinila Thimmappaiah Mohan |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1790739720 PECOS PAC ID: 3678515616 Enrollment ID: I20210528001779 |
| Provider Name | Sohail Khan |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1689602930 PECOS PAC ID: 7618980921 Enrollment ID: I20210602003259 |
| Provider Name | Ashleigh Michelle Gasparac |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912386418 PECOS PAC ID: 6901206960 Enrollment ID: I20210611001940 |
| Provider Name | Francis Farhadi |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1992968606 PECOS PAC ID: 6608915137 Enrollment ID: I20210622003735 |
| Provider Name | Eric Weldy |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1154854990 PECOS PAC ID: 8022368778 Enrollment ID: I20210624001472 |
| Provider Name | John Andrew Brown |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1437534948 PECOS PAC ID: 8527311448 Enrollment ID: I20210630003030 |
| Provider Name | Roman Deniskin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336503259 PECOS PAC ID: 0143621920 Enrollment ID: I20210630003110 |
| Provider Name | Karl David Hillenbrand |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1609147941 PECOS PAC ID: 6507267309 Enrollment ID: I20210630003598 |
| Provider Name | Sana Ahmed Alhajri |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669854402 PECOS PAC ID: 9335481431 Enrollment ID: I20210701001073 |
| Provider Name | Julie Michelle Chase |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063808376 PECOS PAC ID: 2062813702 Enrollment ID: I20210701001187 |
| Provider Name | Angelo Antonio Cruz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730684713 PECOS PAC ID: 6103155155 Enrollment ID: I20210701001996 |
| Provider Name | Sedeek Elmoursi |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1982049441 PECOS PAC ID: 0648524710 Enrollment ID: I20210701003688 |
| Provider Name | Vishakhadatta Mathur Kumaraswamy |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1811334279 PECOS PAC ID: 9830590447 Enrollment ID: I20210701003808 |
| Provider Name | Jordan Lee Clay |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1730561028 PECOS PAC ID: 3779877394 Enrollment ID: I20210702001848 |
| Provider Name | Rahul Jiju Joseph |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316442148 PECOS PAC ID: 9133457559 Enrollment ID: I20210702002014 |
| Provider Name | Joshua Kim |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1396125332 PECOS PAC ID: 5092116673 Enrollment ID: I20210702002080 |
| Provider Name | Sara Emily Bachert |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1184087033 PECOS PAC ID: 7719244847 Enrollment ID: I20210702002225 |
| Provider Name | Nicholas Dominic Annichiarico |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1588012140 PECOS PAC ID: 0840561676 Enrollment ID: I20210702002573 |
| Provider Name | Austin Bolton |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1598296923 PECOS PAC ID: 8123420601 Enrollment ID: I20210706003110 |
| Provider Name | Blake Matthew Davidson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558820357 PECOS PAC ID: 2860819679 Enrollment ID: I20210706003164 |
| Provider Name | Eloise Fourie |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194229161 PECOS PAC ID: 0840529202 Enrollment ID: I20210706003196 |
| Provider Name | Paramarajan Piranavan |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1295186799 PECOS PAC ID: 7113205410 Enrollment ID: I20210706003301 |
| Provider Name | Mary Helen Manley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942732912 PECOS PAC ID: 1658623111 Enrollment ID: I20210706003342 |
| Provider Name | Trustin Amyn Saam |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1912253188 PECOS PAC ID: 1557684073 Enrollment ID: I20210706003379 |
| Provider Name | John Morris Green |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1326497199 PECOS PAC ID: 7416237862 Enrollment ID: I20210706003400 |
| Provider Name | Sachin Gandhi |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1437682101 PECOS PAC ID: 6608278197 Enrollment ID: I20210706003443 |
| Provider Name | Alden C Currier |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346744224 PECOS PAC ID: 6204164429 Enrollment ID: I20210706003464 |
| Provider Name | Ayman Hisham Yousef Qasrawi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1578940680 PECOS PAC ID: 9234432626 Enrollment ID: I20210707002387 |
| Provider Name | Sarah Louise Schaefer |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1568805869 PECOS PAC ID: 1456591114 Enrollment ID: I20210707002699 |
| Provider Name | Amartya Kundu |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1568878098 PECOS PAC ID: 3476771064 Enrollment ID: I20210708000567 |
| Provider Name | Kelsey Anne Gregory |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225425515 PECOS PAC ID: 9830591114 Enrollment ID: I20210708002774 |
| Provider Name | David Aguilar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1326128695 PECOS PAC ID: 3274563010 Enrollment ID: I20210708003252 |
| Provider Name | Benjamin Marhan Dropkin |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1295122349 PECOS PAC ID: 3971892423 Enrollment ID: I20210708003506 |
| Provider Name | Haris Zia |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356835078 PECOS PAC ID: 1355743667 Enrollment ID: I20210708003599 |
| Provider Name | Mahmoud Ayed Shaker Amr |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891271953 PECOS PAC ID: 0749682920 Enrollment ID: I20210709002320 |
| Provider Name | Ethan John Ritter |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114458130 PECOS PAC ID: 2264834449 Enrollment ID: I20210709002451 |
| Provider Name | Ahmed Hisham Mohamed Moust Abdelfattah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467014993 PECOS PAC ID: 2466854526 Enrollment ID: I20210712002683 |
| Provider Name | Sami Alexander El-dalati |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1336551985 PECOS PAC ID: 7214226703 Enrollment ID: I20210712003100 |
| Provider Name | Aric James Johnson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1861923708 PECOS PAC ID: 5193127272 Enrollment ID: I20210712003673 |
| Provider Name | Mohammad Baseem Shaikh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851879944 PECOS PAC ID: 5193127280 Enrollment ID: I20210712004124 |
| Provider Name | Briana Renae Bell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548810880 PECOS PAC ID: 8729480819 Enrollment ID: I20210712004134 |
| Provider Name | Meredith Rose Toms |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689258097 PECOS PAC ID: 8325440381 Enrollment ID: I20210713002761 |
| Provider Name | Mary Beth Fisher |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1467834341 PECOS PAC ID: 8729349675 Enrollment ID: I20210713003479 |
| Provider Name | Muhammad Waqas Tahir |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124523063 PECOS PAC ID: 3779837083 Enrollment ID: I20210713003933 |
| Provider Name | Binayak Upadhyay |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548756703 PECOS PAC ID: 1456753383 Enrollment ID: I20210714001574 |
| Provider Name | Jason Edwin Huston |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1982067831 PECOS PAC ID: 0244632198 Enrollment ID: I20210714002397 |
| Provider Name | Nicholas Charles Elwert |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1780115568 PECOS PAC ID: 8628326162 Enrollment ID: I20210714003130 |
| Provider Name | Tarek Emran Ali |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1952857682 PECOS PAC ID: 3577839414 Enrollment ID: I20210715003155 |
| Provider Name | Julie Youssefi |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1477917359 PECOS PAC ID: 4486929221 Enrollment ID: I20210715003945 |
| Provider Name | Nicholas Alan Freidberg |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1578910261 PECOS PAC ID: 1355743055 Enrollment ID: I20210716000546 |
| Provider Name | Stephen Jerome Sterlitz |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1992790885 PECOS PAC ID: 2062814767 Enrollment ID: I20210716000629 |
| Provider Name | Mark Elliot Segal |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1477589489 PECOS PAC ID: 0042252066 Enrollment ID: I20210720002674 |
| Provider Name | Emma Louise Scott |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497287460 PECOS PAC ID: 4284986746 Enrollment ID: I20210721000712 |
| Provider Name | Diane Marie Carden Buckley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013448505 PECOS PAC ID: 8325441512 Enrollment ID: I20210726002669 |
| Provider Name | Motaz Issam Mahmoud Awad |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1184037863 PECOS PAC ID: 7113320078 Enrollment ID: I20210729001841 |
| Provider Name | Sravanthi Paluri |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1609283969 PECOS PAC ID: 9830457340 Enrollment ID: I20210729002777 |
| Provider Name | Yan Pokrovskiy |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1740642974 PECOS PAC ID: 8325462567 Enrollment ID: I20210729003662 |
| Provider Name | Campbell Meidinger Grant |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1972922797 PECOS PAC ID: 7416247754 Enrollment ID: I20210802001647 |
| Provider Name | Fadzai Chinyengetere |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639563521 PECOS PAC ID: 3072824572 Enrollment ID: I20210802001771 |
| Provider Name | Bridget Jewel Pennell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083262059 PECOS PAC ID: 2769886548 Enrollment ID: I20210802003466 |
| Provider Name | Lindsey Michelle Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134790520 PECOS PAC ID: 1153725874 Enrollment ID: I20210803001701 |
| Provider Name | Alexis Kay Nickols |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1336534932 PECOS PAC ID: 7315253861 Enrollment ID: I20210803003692 |
| Provider Name | Neelima Jayavant Kale |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487693818 PECOS PAC ID: 8628010105 Enrollment ID: I20210803003792 |
| Provider Name | Krista Leigh Perry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285139683 PECOS PAC ID: 9436481645 Enrollment ID: I20210804004218 |
| Provider Name | Li Hao Richie Xu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700316551 PECOS PAC ID: 7113344029 Enrollment ID: I20210805001072 |
| Provider Name | Kourtney Trudgen Grant |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1326432220 PECOS PAC ID: 9032542980 Enrollment ID: I20210805002252 |
| Provider Name | Denada Sharra Palm |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1053756593 PECOS PAC ID: 6709028327 Enrollment ID: I20210810002247 |
| Provider Name | Marlene Julie Baumann |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1518123231 PECOS PAC ID: 3274785951 Enrollment ID: I20210811001575 |
| Provider Name | Rebecca Faith Mckendrick |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316478316 PECOS PAC ID: 5294077269 Enrollment ID: I20210813003160 |
| Provider Name | Katelyn Garner Zummer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194220475 PECOS PAC ID: 5395073647 Enrollment ID: I20210813003244 |
| Provider Name | Margaret Grace Pratt |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1760066385 PECOS PAC ID: 7911302757 Enrollment ID: I20210817003596 |
| Provider Name | Talal Salem Alnabelsi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1467869180 PECOS PAC ID: 3870998628 Enrollment ID: I20210817003972 |
| Provider Name | Manol Jovani |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1144794496 PECOS PAC ID: 8224433073 Enrollment ID: I20210817004022 |
| Provider Name | Laura Marie De La Torre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821316399 PECOS PAC ID: 6103075601 Enrollment ID: I20210819001148 |
| Provider Name | David Neil Toupin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003278540 PECOS PAC ID: 1153692009 Enrollment ID: I20210819002105 |
| Provider Name | Eric James Rellinger |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1568753622 PECOS PAC ID: 8123423456 Enrollment ID: I20210824002321 |
| Provider Name | Faiza Javed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730667023 PECOS PAC ID: 7810235538 Enrollment ID: I20210824003437 |
| Provider Name | Ethan Tyler Beasley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831766831 PECOS PAC ID: 5193120418 Enrollment ID: I20210825002363 |
| Provider Name | Kyle Clayton Kirk |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1164876280 PECOS PAC ID: 3173928306 Enrollment ID: I20210825002879 |
| Provider Name | Haley Renae Lockwood |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1699239814 PECOS PAC ID: 5193053098 Enrollment ID: I20210825004020 |
| Provider Name | Margaret Mary Griffen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1982679593 PECOS PAC ID: 9032211446 Enrollment ID: I20210831003639 |
| Provider Name | Caroline Rose Neff |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1215342985 PECOS PAC ID: 5991012072 Enrollment ID: I20210831003811 |
| Provider Name | Richard Jason Schertz |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1467983114 PECOS PAC ID: 2961808704 Enrollment ID: I20210902002022 |
| Provider Name | Kyle Bonner Latimer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669044897 PECOS PAC ID: 9436555141 Enrollment ID: I20210903002119 |
| Provider Name | Alexandra Paige Keough |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659942720 PECOS PAC ID: 3870999592 Enrollment ID: I20210903002754 |
| Provider Name | Elizabeth Delphine Phillips |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1134767908 PECOS PAC ID: 4284061920 Enrollment ID: I20210907001266 |
| Provider Name | Stephanie Thea Priest |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821626441 PECOS PAC ID: 1850797440 Enrollment ID: I20210907003133 |
| Provider Name | Michelle Carmen Carlo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972180545 PECOS PAC ID: 1052717527 Enrollment ID: I20210908003090 |
| Provider Name | Irada Ibrahim-zada |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1265842991 PECOS PAC ID: 7719298512 Enrollment ID: I20210909002492 |
| Provider Name | Tana Lynn Repella |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1205179041 PECOS PAC ID: 8123269735 Enrollment ID: I20210909003483 |
| Provider Name | Michael Music Goss |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1083289623 PECOS PAC ID: 6103222435 Enrollment ID: I20210910002220 |
| Provider Name | James Alex Bowlds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760074041 PECOS PAC ID: 0648676973 Enrollment ID: I20210910002240 |
| Provider Name | Oliver James Fackelmayer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1629463666 PECOS PAC ID: 1456664192 Enrollment ID: I20210910002469 |
| Provider Name | Marijeta Pekez |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1669884532 PECOS PAC ID: 9537427687 Enrollment ID: I20210913001679 |
| Provider Name | Melissa Boggio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629527635 PECOS PAC ID: 4789080094 Enrollment ID: I20210913001950 |
| Provider Name | Vanessa Roos |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1740711787 PECOS PAC ID: 5890043202 Enrollment ID: I20210913002981 |
| Provider Name | Candice Evelyn Travers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669049441 PECOS PAC ID: 0143626291 Enrollment ID: I20210915001001 |
| Provider Name | Andrew Forest Micciche |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679926059 PECOS PAC ID: 2567707011 Enrollment ID: I20210915001141 |
| Provider Name | Anum Shafique |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669977500 PECOS PAC ID: 0840544169 Enrollment ID: I20210915002793 |
| Provider Name | Mrudu Herbert |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144725052 PECOS PAC ID: 5597093120 Enrollment ID: I20210915004083 |
| Provider Name | Jennifer Michelle Edwards |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1124573928 PECOS PAC ID: 3577845940 Enrollment ID: I20210916003259 |
| Provider Name | Audrey Mae Dropkin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1841869138 PECOS PAC ID: 0648677211 Enrollment ID: I20210923002976 |
| Provider Name | Ardis Meredith Roederer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720756919 PECOS PAC ID: 1153728589 Enrollment ID: I20210927003041 |
| Provider Name | Sarah Mills |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528621497 PECOS PAC ID: 5395142780 Enrollment ID: I20210928001938 |
| Provider Name | Mikayla Ann Hare |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407521248 PECOS PAC ID: 3779980172 Enrollment ID: I20210928002407 |
| Provider Name | Michael Francis Powers |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1548576804 PECOS PAC ID: 7517197197 Enrollment ID: I20210928003637 |
| Provider Name | Nazeeha Jawahir Micciche |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1760830608 PECOS PAC ID: 7315362506 Enrollment ID: I20210929001405 |
| Provider Name | Ashmita Siwakoti |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881076818 PECOS PAC ID: 4789933565 Enrollment ID: I20211001002623 |
| Provider Name | Evelyn Bertha Villacorta Cari |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1902371404 PECOS PAC ID: 5698010627 Enrollment ID: I20211004000785 |
| Provider Name | Zabu Myint Aung |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306242839 PECOS PAC ID: 4385915230 Enrollment ID: I20211004001022 |
| Provider Name | Nicole Elaine Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629742986 PECOS PAC ID: 9436557535 Enrollment ID: I20211004001948 |
| Provider Name | John Stepan Pototsky |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023526522 PECOS PAC ID: 4183986243 Enrollment ID: I20211004002119 |
| Provider Name | Fevzi Firat Yalniz |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1114452679 PECOS PAC ID: 5092113100 Enrollment ID: I20211004002295 |
| Provider Name | Amy Wendel |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770148595 PECOS PAC ID: 4981002094 Enrollment ID: I20211004002371 |
| Provider Name | Kellie Marie Crowe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265106777 PECOS PAC ID: 0244638351 Enrollment ID: I20211004002388 |
| Provider Name | Matthew Dale Noll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356914832 PECOS PAC ID: 1951709062 Enrollment ID: I20211004002488 |
| Provider Name | Tracy Marie Hegner |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1366987273 PECOS PAC ID: 0042594830 Enrollment ID: I20211004002873 |
| Provider Name | Meagan Desha Komondoreas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912565474 PECOS PAC ID: 7315278033 Enrollment ID: I20211006003241 |
| Provider Name | Meghan Christine Mcdonald |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730584277 PECOS PAC ID: 1850616145 Enrollment ID: I20211008001719 |
| Provider Name | Micki Lyn Gerlach |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1164438834 PECOS PAC ID: 5496764185 Enrollment ID: I20211008002216 |
| Provider Name | Daniel Ross Holden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881266179 PECOS PAC ID: 7214335926 Enrollment ID: I20211011002632 |
| Provider Name | Maya Teresa Ignaszewski |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1518376706 PECOS PAC ID: 3678971157 Enrollment ID: I20211013003689 |
| Provider Name | Brittany Le'cole Daniel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457948986 PECOS PAC ID: 7911305214 Enrollment ID: I20211015002563 |
| Provider Name | Jenna Ashley Mcgovern |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1184162026 PECOS PAC ID: 7911274550 Enrollment ID: I20211015002702 |
| Provider Name | Alyssa Nicole Frye |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1720755713 PECOS PAC ID: 4880092113 Enrollment ID: I20211018000753 |
| Provider Name | Kristen Brooke Hillerman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780353383 PECOS PAC ID: 0244638526 Enrollment ID: I20211018002457 |
| Provider Name | Alexandra Macpherson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528559259 PECOS PAC ID: 5991052128 Enrollment ID: I20211019003170 |
| Provider Name | Sarah Swauger |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447645700 PECOS PAC ID: 1557759735 Enrollment ID: I20211020001142 |
| Provider Name | Elham Ghahari |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1336704410 PECOS PAC ID: 7719375252 Enrollment ID: I20211102001931 |
| Provider Name | Shayla Mae Fulton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003579681 PECOS PAC ID: 7113316332 Enrollment ID: I20211109003218 |
| Provider Name | Janna Marie Dongell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1295103091 PECOS PAC ID: 1658672811 Enrollment ID: I20211111001644 |
| Provider Name | Sarah Ashley Longaker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033793286 PECOS PAC ID: 1052710860 Enrollment ID: I20211112001418 |
| Provider Name | Mitchell Alexander Miguel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003263195 PECOS PAC ID: 2062799398 Enrollment ID: I20211115000878 |
| Provider Name | Mackenzie Mize Usher |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1093331001 PECOS PAC ID: 7113316654 Enrollment ID: I20211122002757 |
| Provider Name | Karen Michelle Herrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063080166 PECOS PAC ID: 0345630893 Enrollment ID: I20211124001220 |
| Provider Name | Christian Tyler Marcum |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275196362 PECOS PAC ID: 9234529678 Enrollment ID: I20211129002705 |
| Provider Name | Bruce S Jordan |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1043436892 PECOS PAC ID: 8921305210 Enrollment ID: I20211130003013 |
| Provider Name | Patrick Kohlitz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962720482 PECOS PAC ID: 5395988620 Enrollment ID: I20211201001147 |
| Provider Name | Simone A Curd |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1558024794 PECOS PAC ID: 9931599818 Enrollment ID: I20211208001692 |
| Provider Name | Stephen W Farley |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1255549200 PECOS PAC ID: 2163715715 Enrollment ID: I20211213001193 |
| Provider Name | Sarah Elizabeth Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952900870 PECOS PAC ID: 5991196149 Enrollment ID: I20211222001078 |
| Provider Name | Jenny Leigh Mattingly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891251146 PECOS PAC ID: 6709277841 Enrollment ID: I20211227000807 |
| Provider Name | Whitney Faith Jamison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861157794 PECOS PAC ID: 0840681912 Enrollment ID: I20211228000864 |
| Provider Name | Maria Diana Oexmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629736863 PECOS PAC ID: 0446641542 Enrollment ID: I20211228001905 |
| Provider Name | Laura Mclean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396946919 PECOS PAC ID: 3476644469 Enrollment ID: I20211230000817 |
| Provider Name | Cassandra Marie Burns Starks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518629294 PECOS PAC ID: 0941691950 Enrollment ID: I20211230001587 |
| Provider Name | Barbara Vassino Parilla |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568499044 PECOS PAC ID: 2668450248 Enrollment ID: I20211230001937 |
| Provider Name | Shelby Paige Oberst |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1316511710 PECOS PAC ID: 7517367097 Enrollment ID: I20220106000909 |
| Provider Name | Kelli Stevens Henderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972260644 PECOS PAC ID: 7315339587 Enrollment ID: I20220120000615 |
| Provider Name | Kevin Scott Baker |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053639484 PECOS PAC ID: 3870814825 Enrollment ID: I20220120002572 |
| Provider Name | Analise Kathryn Blanchard |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1871268417 PECOS PAC ID: 2769874825 Enrollment ID: I20220121001896 |
| Provider Name | Jennie Leigh Ison |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1427309897 PECOS PAC ID: 2860737400 Enrollment ID: I20220124001747 |
| Provider Name | Ashley Rae Mencarelli |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1003255878 PECOS PAC ID: 8729470513 Enrollment ID: I20220128001921 |
| Provider Name | Leslie Anne Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891458162 PECOS PAC ID: 5799178554 Enrollment ID: I20220131002573 |
| Provider Name | Kathryne Patricia Goldey |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1194177063 PECOS PAC ID: 4880087659 Enrollment ID: I20220131002611 |
| Provider Name | Jamie Leigh Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487325742 PECOS PAC ID: 1355734062 Enrollment ID: I20220201002196 |
| Provider Name | Olivia Noelle Prather |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831856699 PECOS PAC ID: 8022401777 Enrollment ID: I20220202000897 |
| Provider Name | Erin Riley Camac |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1154558583 PECOS PAC ID: 4284864315 Enrollment ID: I20220202001176 |
| Provider Name | Brooklyn Rachelle Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639833692 PECOS PAC ID: 8325431091 Enrollment ID: I20220202001620 |
| Provider Name | Crystal Sue Dobson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992461347 PECOS PAC ID: 1355734021 Enrollment ID: I20220202001784 |
| Provider Name | Breanne Paige Belleville |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457016313 PECOS PAC ID: 4981097557 Enrollment ID: I20220202001876 |
| Provider Name | Jayme Brooke Holt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467119693 PECOS PAC ID: 4284027814 Enrollment ID: I20220203001046 |
| Provider Name | Kathryn Kelly Shirley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144355223 PECOS PAC ID: 0941341465 Enrollment ID: I20220210000290 |
| Provider Name | Dorothy Shannon Waters-hwang |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457333650 PECOS PAC ID: 3072576545 Enrollment ID: I20220222002125 |
| Provider Name | John Taylor Ross |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1316555337 PECOS PAC ID: 8325432040 Enrollment ID: I20220223001304 |
| Provider Name | Ingrid Elizabeth Larrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083389167 PECOS PAC ID: 0143614891 Enrollment ID: I20220223002230 |
| Provider Name | Brian Christopher Ancel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1174936058 PECOS PAC ID: 8022234400 Enrollment ID: I20220302000795 |
| Provider Name | Deborah Reed-thurston |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699989764 PECOS PAC ID: 0042481939 Enrollment ID: I20220307001350 |
| Provider Name | Brittany Nicole Roher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982355970 PECOS PAC ID: 6709270879 Enrollment ID: I20220307001532 |
| Provider Name | Lisa Allene Miles Innes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588796668 PECOS PAC ID: 9234525338 Enrollment ID: I20220329001284 |
| Provider Name | Liisa Louise Bergmann |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982915120 PECOS PAC ID: 7315237336 Enrollment ID: I20220405001085 |
| Provider Name | David James Hart |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1750442141 PECOS PAC ID: 2365838919 Enrollment ID: I20220406002811 |
| Provider Name | Alexandria Violet Dulay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013681428 PECOS PAC ID: 1254727704 Enrollment ID: I20220408001338 |
| Provider Name | Tonya Renee Bickel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093332868 PECOS PAC ID: 1850787292 Enrollment ID: I20220411002696 |
| Provider Name | Carla Patrice Perry |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154417699 PECOS PAC ID: 0749266526 Enrollment ID: I20220413000190 |
| Provider Name | Julie Anne Bowers-pryor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760775829 PECOS PAC ID: 8224424593 Enrollment ID: I20220413002315 |
| Provider Name | Courtney Leann Edgar-zarate |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740499961 PECOS PAC ID: 1254465008 Enrollment ID: I20220414001885 |
| Provider Name | Joshua Aaron Evans |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225410509 PECOS PAC ID: 4183010309 Enrollment ID: I20220414001969 |
| Provider Name | Shannon Nicole Kincaid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245981943 PECOS PAC ID: 7517353790 Enrollment ID: I20220416000089 |
| Provider Name | Wade Russell Covington |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1346717360 PECOS PAC ID: 3173866431 Enrollment ID: I20220420000000 |
| Provider Name | Barbara Lindsey Graves |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053639120 PECOS PAC ID: 3577950609 Enrollment ID: I20220420000856 |
| Provider Name | Diandra Nicole Bowling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407502248 PECOS PAC ID: 3779970793 Enrollment ID: I20220421001890 |
| Provider Name | Brandi Ashton Stanback |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710507264 PECOS PAC ID: 9739576620 Enrollment ID: I20220422001938 |
| Provider Name | Victoria Kae Gross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477221968 PECOS PAC ID: 1052798352 Enrollment ID: I20220505002419 |
| Provider Name | Darwin Lewis Conwell |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1669438453 PECOS PAC ID: 7113930363 Enrollment ID: I20220511001180 |
| Provider Name | Taylor Anne Bunnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831830512 PECOS PAC ID: 7517344526 Enrollment ID: I20220512002500 |
| Provider Name | David Anthony Rodeberg |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1124120290 PECOS PAC ID: 9537168653 Enrollment ID: I20220512002805 |
| Provider Name | Anna Kathleen Miles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164172292 PECOS PAC ID: 9032596978 Enrollment ID: I20220516002218 |
| Provider Name | Beth Corinne Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922742733 PECOS PAC ID: 1153708607 Enrollment ID: I20220523000765 |
| Provider Name | Sarah Knight |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578214011 PECOS PAC ID: 3173901055 Enrollment ID: I20220606000786 |
| Provider Name | David Scott Winlaw |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1518573419 PECOS PAC ID: 3072928639 Enrollment ID: I20220614001180 |
| Provider Name | Chase Ray Buck |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1710648704 PECOS PAC ID: 9739568171 Enrollment ID: I20220615002058 |
| Provider Name | Audra Ruth Lee |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1811641939 PECOS PAC ID: 0042699118 Enrollment ID: I20220620002027 |
| Provider Name | Fadi Wadie Sarsak Al Nimri |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437710530 PECOS PAC ID: 1052643798 Enrollment ID: I20220622003449 |
| Provider Name | Karam Ayoub |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1891038469 PECOS PAC ID: 0345566832 Enrollment ID: I20220623001895 |
| Provider Name | Michael Charles Parrott |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1952807638 PECOS PAC ID: 1850628249 Enrollment ID: I20220623002117 |
| Provider Name | Ashley Marie Olszewski |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649658253 PECOS PAC ID: 4688902729 Enrollment ID: I20220623002191 |
| Provider Name | Tyler Colin Sims |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1316479009 PECOS PAC ID: 7012265747 Enrollment ID: I20220625000399 |
| Provider Name | Andrew Hameed Shabila |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1710398474 PECOS PAC ID: 4486954914 Enrollment ID: I20220627001424 |
| Provider Name | Faizal Rajesh Nicholas Ramdial |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326492596 PECOS PAC ID: 9537548292 Enrollment ID: I20220627001604 |
| Provider Name | Nicholas Theodore Severyn |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366897605 PECOS PAC ID: 5991095754 Enrollment ID: I20220627001698 |
| Provider Name | Wesley Thomas Smith |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124482369 PECOS PAC ID: 2062703929 Enrollment ID: I20220627003492 |
| Provider Name | Ahmed Mohammed Abdelaal M Sobieh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710332275 PECOS PAC ID: 0042584740 Enrollment ID: I20220627003544 |
| Provider Name | Benjamin David Hume |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1861923781 PECOS PAC ID: 2961777875 Enrollment ID: I20220627003653 |
| Provider Name | Scott Richard Studeny |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720423411 PECOS PAC ID: 9638312655 Enrollment ID: I20220628001917 |
| Provider Name | Yuri Alexander Zarate |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1649488164 PECOS PAC ID: 1254477045 Enrollment ID: I20220628002058 |
| Provider Name | Madelyn Renee Hall |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1073284378 PECOS PAC ID: 8325427917 Enrollment ID: I20220628003045 |
| Provider Name | Islam Youssef Elgendy |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1598029233 PECOS PAC ID: 4587808274 Enrollment ID: I20220628003135 |
| Provider Name | Nathan David Cass |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1518385566 PECOS PAC ID: 4688990120 Enrollment ID: I20220628003284 |
| Provider Name | Ann Robert Finke |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760986764 PECOS PAC ID: 3577890961 Enrollment ID: I20220628003740 |
| Provider Name | Douglas Michael Dauer |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1568967305 PECOS PAC ID: 0446630040 Enrollment ID: I20220628003786 |
| Provider Name | Lalita Gupta |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1669976288 PECOS PAC ID: 6103162268 Enrollment ID: I20220628003799 |
| Provider Name | Robyn Denton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336812726 PECOS PAC ID: 1254711856 Enrollment ID: I20220628003825 |
| Provider Name | Patrick Joseph Hensley |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1912266255 PECOS PAC ID: 6204122641 Enrollment ID: I20220628003925 |
| Provider Name | Gareth James Voss |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1073074555 PECOS PAC ID: 6002232444 Enrollment ID: I20220629000615 |
| Provider Name | David Benjamin Weinreb |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1861782112 PECOS PAC ID: 6800034406 Enrollment ID: I20220629000835 |
| Provider Name | Pei Zhang |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1437656477 PECOS PAC ID: 1658751292 Enrollment ID: I20220629001550 |
| Provider Name | Bradley Raymond Withers |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1467983908 PECOS PAC ID: 4082094636 Enrollment ID: I20220629002012 |
| Provider Name | Michelle Christine Sykes |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366767808 PECOS PAC ID: 2961756416 Enrollment ID: I20220629002068 |
| Provider Name | Andrew Ryan Weaver |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1851822258 PECOS PAC ID: 9537325006 Enrollment ID: I20220629002667 |
| Provider Name | Steven Russell Verga |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1376075929 PECOS PAC ID: 8123373883 Enrollment ID: I20220629003384 |
| Provider Name | Caroline Campbell Bowman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447995493 PECOS PAC ID: 1557741030 Enrollment ID: I20220629003480 |
| Provider Name | Nathanial John Thomas |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1407358880 PECOS PAC ID: 4486981156 Enrollment ID: I20220629003518 |
| Provider Name | Danielle Catherine Davakis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306507397 PECOS PAC ID: 6800276395 Enrollment ID: I20220629003549 |
| Provider Name | Ranjit Prakash Torgalkar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053970897 PECOS PAC ID: 2264823509 Enrollment ID: I20220629003630 |
| Provider Name | Dana Laura Ionel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760986699 PECOS PAC ID: 4789064270 Enrollment ID: I20220629003657 |
| Provider Name | Kasa Blaine Cooper |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1366805715 PECOS PAC ID: 8527350594 Enrollment ID: I20220629003690 |
| Provider Name | Danielle Saunders Walsh |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1396756821 PECOS PAC ID: 0749253920 Enrollment ID: I20220630000831 |
| Provider Name | Angela Jina Kim |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1437654159 PECOS PAC ID: 2860720125 Enrollment ID: I20220630000970 |
| Provider Name | Luke Lewis |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528563772 PECOS PAC ID: 3779810130 Enrollment ID: I20220630001492 |
| Provider Name | Katherine Bush Taulbee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437817442 PECOS PAC ID: 8325428865 Enrollment ID: I20220630001574 |
| Provider Name | Jordyn Cheyenne Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790455582 PECOS PAC ID: 2961882410 Enrollment ID: I20220630001619 |
| Provider Name | Cherah Jade Pryce |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407382104 PECOS PAC ID: 9537431655 Enrollment ID: I20220630002795 |
| Provider Name | Laura Margot Pinault |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1245470137 PECOS PAC ID: 3274780234 Enrollment ID: I20220630002951 |
| Provider Name | Snigdha Nutalapati |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1912350042 PECOS PAC ID: 9638407315 Enrollment ID: I20220630003055 |
| Provider Name | Nimish Thakral |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669969580 PECOS PAC ID: 7416205638 Enrollment ID: I20220701002193 |
| Provider Name | Travis Eason |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1336672534 PECOS PAC ID: 0648557553 Enrollment ID: I20220701002228 |
| Provider Name | Ajay Jani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972065712 PECOS PAC ID: 2860886405 Enrollment ID: I20220705001989 |
| Provider Name | Megan Elizabeth Ford |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1316468978 PECOS PAC ID: 0244610459 Enrollment ID: I20220706002073 |
| Provider Name | Christopher Jordan Mallard |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1134533102 PECOS PAC ID: 6608181334 Enrollment ID: I20220706002164 |
| Provider Name | Minus Ray Helton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568921310 PECOS PAC ID: 6103241583 Enrollment ID: I20220706002807 |
| Provider Name | Rachael Ann Kelsey |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679070460 PECOS PAC ID: 8921356247 Enrollment ID: I20220706003079 |
| Provider Name | Rachel Crea Lucas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679816813 PECOS PAC ID: 8820317019 Enrollment ID: I20220706003772 |
| Provider Name | Anthony Joseph Mancuso |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1255871687 PECOS PAC ID: 9537438528 Enrollment ID: I20220707001045 |
| Provider Name | Nicholas Joseph Van Sickels |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1962683581 PECOS PAC ID: 0648343244 Enrollment ID: I20220707001775 |
| Provider Name | Pooja Dushyant Utamsingh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720583602 PECOS PAC ID: 3678953601 Enrollment ID: I20220707002389 |
| Provider Name | Anna Rachele Thamann |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548792500 PECOS PAC ID: 5597145581 Enrollment ID: I20220708000260 |
| Provider Name | Jeremy Paul Sites |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982066296 PECOS PAC ID: 4183911936 Enrollment ID: I20220708000952 |
| Provider Name | Evan Robert Stearns |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770042657 PECOS PAC ID: 1456761436 Enrollment ID: I20220708001864 |
| Provider Name | Ashley Dixon |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1710331699 PECOS PAC ID: 1456731306 Enrollment ID: I20220708002529 |
| Provider Name | Courtney Lin Perry |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1073975165 PECOS PAC ID: 4183981244 Enrollment ID: I20220709000103 |
| Provider Name | Reema Anjum |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033672423 PECOS PAC ID: 6002296993 Enrollment ID: I20220709000277 |
| Provider Name | Elhamy Rafat Heba |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407205081 PECOS PAC ID: 6901286897 Enrollment ID: I20220709000314 |
| Provider Name | Farrah Mazen Chilet |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811427933 PECOS PAC ID: 3971928920 Enrollment ID: I20220709000339 |
| Provider Name | Shelley Lynn Revesz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1083175541 PECOS PAC ID: 7416337324 Enrollment ID: I20220709000729 |
| Provider Name | Courtney Diane Federspiel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1972275402 PECOS PAC ID: 8022498930 Enrollment ID: I20220709000834 |
| Provider Name | Jordan Herring |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1558868851 PECOS PAC ID: 2062747884 Enrollment ID: I20220711000807 |
| Provider Name | Amlish B Gondal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508329640 PECOS PAC ID: 2062748114 Enrollment ID: I20220712001308 |
| Provider Name | Haris Bilal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1538720909 PECOS PAC ID: 1951633528 Enrollment ID: I20220712002768 |
| Provider Name | Naira Saleem |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447811815 PECOS PAC ID: 0446682918 Enrollment ID: I20220713002373 |
| Provider Name | Shelby Ryan Bliss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356095749 PECOS PAC ID: 2365823994 Enrollment ID: I20220713004162 |
| Provider Name | Elizabeth Anne Harris |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1417488438 PECOS PAC ID: 0648692913 Enrollment ID: I20220718002164 |
| Provider Name | Vanessa Lynn Tucker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861551400 PECOS PAC ID: 7012398332 Enrollment ID: I20220719000004 |
| Provider Name | Heather Lynn Henderlight |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1447992615 PECOS PAC ID: 0042691289 Enrollment ID: I20220719001218 |
| Provider Name | Yuyao Sun |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629598248 PECOS PAC ID: 1658645676 Enrollment ID: I20220721001214 |
| Provider Name | Erinn Amanda Ogburn |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1386025047 PECOS PAC ID: 0042508871 Enrollment ID: I20220723000060 |
| Provider Name | Daniel Helfer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225598584 PECOS PAC ID: 0345621157 Enrollment ID: I20220725001932 |
| Provider Name | Susan Elizabeth Owens |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952764896 PECOS PAC ID: 9739473380 Enrollment ID: I20220725002369 |
| Provider Name | Julia Marie Nagle |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497250237 PECOS PAC ID: 5799017455 Enrollment ID: I20220725002965 |
| Provider Name | Jeffrey Northington Jones |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528052370 PECOS PAC ID: 9638202807 Enrollment ID: I20220725003157 |
| Provider Name | George Kurian Thomas |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174985931 PECOS PAC ID: 0840587259 Enrollment ID: I20220725003400 |
| Provider Name | Harit Kapoor |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952783672 PECOS PAC ID: 2769772698 Enrollment ID: I20220726002176 |
| Provider Name | James Kyle Damron |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1811422470 PECOS PAC ID: 5193092187 Enrollment ID: I20220726003225 |
| Provider Name | Jodi Bloom Hadaway |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1114665700 PECOS PAC ID: 5799167516 Enrollment ID: I20220726003257 |
| Provider Name | Patricia Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770864746 PECOS PAC ID: 7113198441 Enrollment ID: I20220726003420 |
| Provider Name | Peter James Haigh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1215381421 PECOS PAC ID: 9234422734 Enrollment ID: I20220727000700 |
| Provider Name | Chad Bingham Willis |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1184087959 PECOS PAC ID: 7315230968 Enrollment ID: I20220727002094 |
| Provider Name | Muhammad Fawad Ishfaq |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1558717645 PECOS PAC ID: 1355631896 Enrollment ID: I20220727002793 |
| Provider Name | Ryan William King |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1861920951 PECOS PAC ID: 9830465228 Enrollment ID: I20220728002002 |
| Provider Name | Susan Narva Robbins |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447279930 PECOS PAC ID: 6901839794 Enrollment ID: I20220728002918 |
| Provider Name | Taylor John Kulik |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760045561 PECOS PAC ID: 2769725050 Enrollment ID: I20220728003586 |
| Provider Name | Robert Steven Lavey |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1932209855 PECOS PAC ID: 3870553928 Enrollment ID: I20220803003875 |
| Provider Name | Megan Elizabeth Steely |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811631906 PECOS PAC ID: 1254714199 Enrollment ID: I20220810002015 |
| Provider Name | Attila Ahmad |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245842699 PECOS PAC ID: 8628495322 Enrollment ID: I20220810002875 |
| Provider Name | Alexander C Peterson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447887849 PECOS PAC ID: 7719382647 Enrollment ID: I20220812002912 |
| Provider Name | Jasveen Kaur Chadha |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1477080505 PECOS PAC ID: 5799059655 Enrollment ID: I20220815000948 |
| Provider Name | Megan Makenzie Revlett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649900838 PECOS PAC ID: 9739562950 Enrollment ID: I20220819001741 |
| Provider Name | Carly Marie Metz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811635212 PECOS PAC ID: 1254714488 Enrollment ID: I20220819001892 |
| Provider Name | Melissa Sue Puffenbarger |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023377769 PECOS PAC ID: 2961750104 Enrollment ID: I20220831003073 |
| Provider Name | Sri Kanth Dommeti |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871191684 PECOS PAC ID: 0547644973 Enrollment ID: I20220901003250 |
| Provider Name | Justin Adam Rueckert |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1750743050 PECOS PAC ID: 7214222777 Enrollment ID: I20220902000194 |
| Provider Name | Sreeparna Ghosh |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1366858425 PECOS PAC ID: 5597001784 Enrollment ID: I20220902000382 |
| Provider Name | Tricia I Fredericks |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1295053569 PECOS PAC ID: 6800014606 Enrollment ID: I20220902000462 |
| Provider Name | Sarah Lederhandler Kluck |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225422678 PECOS PAC ID: 9234407586 Enrollment ID: I20220902001916 |
| Provider Name | Dylan Girard Kluck |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1881076784 PECOS PAC ID: 1658641006 Enrollment ID: I20220902002147 |
| Provider Name | Karen Kay Klefot |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1669093282 PECOS PAC ID: 9335523745 Enrollment ID: I20220902002487 |
| Provider Name | Johnnie Wright |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669537601 PECOS PAC ID: 8729275912 Enrollment ID: I20220902002639 |
| Provider Name | Mautin Temitope Barry-hundeyin |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1902161896 PECOS PAC ID: 7315321619 Enrollment ID: I20220906002531 |
| Provider Name | Amanda Baker Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427787571 PECOS PAC ID: 8820472137 Enrollment ID: I20220906003321 |
| Provider Name | Sheila Kaye Melander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952395923 PECOS PAC ID: 0749664860 Enrollment ID: I20220908001419 |
| Provider Name | Ronnie Thomas Collins |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104883339 PECOS PAC ID: 1951327758 Enrollment ID: I20220910000158 |
| Provider Name | Kathryn Ann Hughes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336872308 PECOS PAC ID: 3173908225 Enrollment ID: I20220910000256 |
| Provider Name | Walid Hadid |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1871549816 PECOS PAC ID: 6103838982 Enrollment ID: I20220913002552 |
| Provider Name | Jason Wayne Stouse |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043974314 PECOS PAC ID: 3678958535 Enrollment ID: I20220914001155 |
| Provider Name | Frederick John Suhrstedt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033602651 PECOS PAC ID: 5092065367 Enrollment ID: I20220915001093 |
| Provider Name | Brooke Wilczak |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1174277677 PECOS PAC ID: 8820473564 Enrollment ID: I20220916002079 |
| Provider Name | Nelly Mohamed Samy Elwany |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1861020752 PECOS PAC ID: 1759766975 Enrollment ID: I20220923000931 |
| Provider Name | Daniel Lee Carman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487115051 PECOS PAC ID: 6406232511 Enrollment ID: I20220927002435 |
| Provider Name | Natalie Elizabeth Toffey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366171944 PECOS PAC ID: 4486030558 Enrollment ID: I20220928000621 |
| Provider Name | Carson Grace Swartz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083340749 PECOS PAC ID: 4284010299 Enrollment ID: I20220928002600 |
| Provider Name | Saprina Louise Covington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356800973 PECOS PAC ID: 8022351717 Enrollment ID: I20220928002902 |
| Provider Name | Sukhdev Khadka |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710338876 PECOS PAC ID: 8123357241 Enrollment ID: I20220929001804 |
| Provider Name | Tama Saint The |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780024752 PECOS PAC ID: 2961796354 Enrollment ID: I20220930001510 |
| Provider Name | Varun Jain |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1023561263 PECOS PAC ID: 9638448525 Enrollment ID: I20221006002601 |
| Provider Name | Jin Woo Chung |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1992131312 PECOS PAC ID: 8527393289 Enrollment ID: I20221010000290 |
| Provider Name | Elizabeth Mayfield Arnold |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679557631 PECOS PAC ID: 8426127440 Enrollment ID: I20221010001581 |
| Provider Name | Alyssa Marie Noomen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710598669 PECOS PAC ID: 5799191110 Enrollment ID: I20221010002619 |
| Provider Name | Caitlin Maureen Garrison |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548793995 PECOS PAC ID: 7810267069 Enrollment ID: I20221010002788 |
| Provider Name | Evan Lafe Vincent |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831570431 PECOS PAC ID: 0840594834 Enrollment ID: I20221010003119 |
| Provider Name | Krista Marie Sheehan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336880723 PECOS PAC ID: 9537545884 Enrollment ID: I20221010003211 |
| Provider Name | Melanie Ann Abner |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1649653601 PECOS PAC ID: 4284948746 Enrollment ID: I20221026000990 |
| Provider Name | Kelly Andrew Holland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336860840 PECOS PAC ID: 9638546005 Enrollment ID: I20221028000606 |
| Provider Name | Basema Habash Hitchcock |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1295462588 PECOS PAC ID: 9638546690 Enrollment ID: I20221103000979 |
| Provider Name | Alexis Rogers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952863086 PECOS PAC ID: 8820326663 Enrollment ID: I20221121000810 |
| Provider Name | Dexter Vincent Reneer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669834867 PECOS PAC ID: 6103190822 Enrollment ID: I20221122000880 |
| Provider Name | Moneera Nur Haque |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1003063959 PECOS PAC ID: 2466628128 Enrollment ID: I20221122002373 |
| Provider Name | Jenna Rose Haupert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841912557 PECOS PAC ID: 5193193175 Enrollment ID: I20221122003253 |
| Provider Name | Julia H Lloyd |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1790409449 PECOS PAC ID: 7810365749 Enrollment ID: I20221123002457 |
| Provider Name | Lauren Marie Ochoa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508507880 PECOS PAC ID: 7416325352 Enrollment ID: I20221123002710 |
| Provider Name | Samuel Hugh Byron |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1821384843 PECOS PAC ID: 5597073783 Enrollment ID: I20221128001388 |
| Provider Name | Tristen Granvell Morrow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447972179 PECOS PAC ID: 1456729268 Enrollment ID: I20221129003112 |
| Provider Name | Megan Michelle Stoeckinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003523895 PECOS PAC ID: 8820467848 Enrollment ID: I20221214002834 |
| Provider Name | Paula Ann Farrell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134344138 PECOS PAC ID: 8628447570 Enrollment ID: I20221215000992 |
| Provider Name | Ruta Arays |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1316364441 PECOS PAC ID: 9739401688 Enrollment ID: I20221227002247 |
| Provider Name | Olivia Catherine Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306562574 PECOS PAC ID: 7214307768 Enrollment ID: I20221228001463 |
| Provider Name | Aaron Daniel Shmookler |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1457641680 PECOS PAC ID: 1153643218 Enrollment ID: I20221228001848 |
| Provider Name | Christie Melinda Mcbride |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780392795 PECOS PAC ID: 9537539903 Enrollment ID: I20221228002916 |
| Provider Name | Mariah Brooke Lang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811614837 PECOS PAC ID: 0446620843 Enrollment ID: I20221229001220 |
| Provider Name | Morgan Murrell Larkin |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1194222018 PECOS PAC ID: 5991175192 Enrollment ID: I20230104002741 |
| Provider Name | Mohammed Tashfiqul Islam |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1033643960 PECOS PAC ID: 4688097793 Enrollment ID: I20230106001191 |
| Provider Name | Deana Jewell Andrews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083238091 PECOS PAC ID: 5597135582 Enrollment ID: I20230109002009 |
| Provider Name | Anastasia Elizabeth Klotz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447968185 PECOS PAC ID: 9739550583 Enrollment ID: I20230113002392 |
| Provider Name | Konrad Michael Dziamski |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1043630502 PECOS PAC ID: 0143567750 Enrollment ID: I20230118002286 |
| Provider Name | Brennan James Fraley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1538776406 PECOS PAC ID: 7113398694 Enrollment ID: I20230119002458 |
| Provider Name | Tyler Michael Wellman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1750998696 PECOS PAC ID: 3072984491 Enrollment ID: I20230123002707 |
| Provider Name | Laura Smith Hughes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104536168 PECOS PAC ID: 4385015650 Enrollment ID: I20230124002037 |
| Provider Name | Megan Brooke Calhoun |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1396411013 PECOS PAC ID: 8628449907 Enrollment ID: I20230124002718 |
| Provider Name | Lauren Elizabeth Miller |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1841969102 PECOS PAC ID: 4688045917 Enrollment ID: I20230125001430 |
| Provider Name | Mary Katherine Youngblood |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1376734731 PECOS PAC ID: 5193718773 Enrollment ID: I20230201001337 |
| Provider Name | Ashley Jean Gillstrap |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275256778 PECOS PAC ID: 3274905955 Enrollment ID: I20230206001557 |
| Provider Name | Kristene Gayle Lamb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164133971 PECOS PAC ID: 0941672588 Enrollment ID: I20230208002303 |
| Provider Name | Naghmehossadat Eshghi |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1790137818 PECOS PAC ID: 6305131335 Enrollment ID: I20230208002753 |
| Provider Name | Eddy S Yang |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1912054735 PECOS PAC ID: 4486788973 Enrollment ID: I20230209002844 |
| Provider Name | Perdita Lee Prater |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295496677 PECOS PAC ID: 8527430685 Enrollment ID: I20230218000121 |
| Provider Name | Sheliza Ali |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093429730 PECOS PAC ID: 2769855725 Enrollment ID: I20230222002684 |
| Provider Name | Abigail Ellen Martin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1568664589 PECOS PAC ID: 5294874194 Enrollment ID: I20230228002300 |
| Provider Name | Anthony Jordan Looney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437869286 PECOS PAC ID: 5092188714 Enrollment ID: I20230228002382 |
| Provider Name | Destinee Ellen Austin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174189112 PECOS PAC ID: 4183098106 Enrollment ID: I20230314002685 |
| Provider Name | Rachael Gross Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689391070 PECOS PAC ID: 2466826250 Enrollment ID: I20230317000766 |
| Provider Name | Caroline Suellen Browning |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245945237 PECOS PAC ID: 4981078615 Enrollment ID: I20230321001713 |
| Provider Name | Syed Ammar Raza |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1013478072 PECOS PAC ID: 1153795356 Enrollment ID: I20230329000778 |
| Provider Name | Debora Lopes Salles Scheffel |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1184321119 PECOS PAC ID: 6002280203 Enrollment ID: I20230329001066 |
| Provider Name | Stephanie Leeann Downs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700402054 PECOS PAC ID: 5092180075 Enrollment ID: I20230404002306 |
| Provider Name | Pye Phyo Oo |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1972019289 PECOS PAC ID: 2769813435 Enrollment ID: I20230413002954 |
| Provider Name | Kristina Marie Berry |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1295461192 PECOS PAC ID: 1456721521 Enrollment ID: I20230417002941 |
| Provider Name | Karolyn Marie Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851097646 PECOS PAC ID: 3072978378 Enrollment ID: I20230419002933 |
| Provider Name | Michael Trent Mcbride |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1225284276 PECOS PAC ID: 9436315439 Enrollment ID: I20230421001607 |
| Provider Name | Amber Nicole Brooks |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144857616 PECOS PAC ID: 1850796715 Enrollment ID: I20230422000293 |
| Provider Name | Shelby Lee Hedgespeth |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1215145230 PECOS PAC ID: 1254639867 Enrollment ID: I20230426002142 |
| Provider Name | Celin Eduardo Arce Urena |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1881126910 PECOS PAC ID: 8325403223 Enrollment ID: I20230428000326 |
| Provider Name | Shivani Pradip Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598362857 PECOS PAC ID: 8820400260 Enrollment ID: I20230505001751 |
| Provider Name | Morgan Elizabeth Garrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194434332 PECOS PAC ID: 1153786579 Enrollment ID: I20230508000964 |
| Provider Name | Heidi Schapker Tirb |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306042783 PECOS PAC ID: 7911192091 Enrollment ID: I20230509000573 |
| Provider Name | Michael Brandon Soto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245822303 PECOS PAC ID: 4981060167 Enrollment ID: I20230512001122 |
| Provider Name | Donald Paul Bell |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1962571398 PECOS PAC ID: 3072684604 Enrollment ID: I20230516002657 |
| Provider Name | Tammi Patterson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1740676808 PECOS PAC ID: 5799093514 Enrollment ID: I20230517003353 |
| Provider Name | Fareed Ared Rifai |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1053873745 PECOS PAC ID: 6709242548 Enrollment ID: I20230519001887 |
| Provider Name | Aleksandr Kruglov |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1275039638 PECOS PAC ID: 9133476716 Enrollment ID: I20230523000511 |
| Provider Name | Allison Nicole Adams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669000352 PECOS PAC ID: 4284037706 Enrollment ID: I20230601000613 |
| Provider Name | Nnenia Sanura Francis |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1598261315 PECOS PAC ID: 7113384454 Enrollment ID: I20230601001480 |
| Provider Name | Muhammad Sohail Khan |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1326424706 PECOS PAC ID: 6507156221 Enrollment ID: I20230602001085 |
| Provider Name | Chioma Ruth Nwaka Allen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053871129 PECOS PAC ID: 1557746930 Enrollment ID: I20230602002109 |
| Provider Name | Austin T Harris |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235766650 PECOS PAC ID: 4789087107 Enrollment ID: I20230606001274 |
| Provider Name | Dorothy Mccord Maes |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1003278284 PECOS PAC ID: 0941571012 Enrollment ID: I20230607002812 |
| Provider Name | Benjamin James Mckenzie |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033746201 PECOS PAC ID: 6305249012 Enrollment ID: I20230609000312 |
| Provider Name | Thomas Grant Avritt |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1205331105 PECOS PAC ID: 1658759618 Enrollment ID: I20230609002095 |
| Provider Name | James Yoon-young Min |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811346752 PECOS PAC ID: 0143513838 Enrollment ID: I20230609002284 |
| Provider Name | Alicia Cobane |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1124734702 PECOS PAC ID: 5395102081 Enrollment ID: I20230612002594 |
| Provider Name | Forrest Leigh Sturgill |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1598326308 PECOS PAC ID: 6204161342 Enrollment ID: I20230614002906 |
| Provider Name | Evan Scott Sheets |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1881125201 PECOS PAC ID: 9335410497 Enrollment ID: I20230614003824 |
| Provider Name | Brittany Nicolle Wheelock |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1932638855 PECOS PAC ID: 2264816818 Enrollment ID: I20230614004125 |
| Provider Name | Sarah Margaret Ruth Srour |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1538872759 PECOS PAC ID: 4587022082 Enrollment ID: I20230615000344 |
| Provider Name | Kaitlyn Marie Shrake |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1316470412 PECOS PAC ID: 9335417336 Enrollment ID: I20230615000883 |
| Provider Name | Yuning Qiao |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548958838 PECOS PAC ID: 1951769389 Enrollment ID: I20230616001576 |
| Provider Name | Emily D Hogancamp |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1235634064 PECOS PAC ID: 0345579207 Enrollment ID: I20230617000093 |
| Provider Name | Hossam Hamza Mohamed Ahmed Elbelasi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447781323 PECOS PAC ID: 5496099129 Enrollment ID: I20230619000968 |
| Provider Name | Naureen Narula |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1396198115 PECOS PAC ID: 9032456470 Enrollment ID: I20230620001046 |
| Provider Name | Ahmad Anjum |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669087508 PECOS PAC ID: 2769840933 Enrollment ID: I20230620002616 |
| Provider Name | Elif Pinar Coskun |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1205330271 PECOS PAC ID: 0749648913 Enrollment ID: I20230620002725 |
| Provider Name | Armaghan-e-rehman Mansoor |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1225521719 PECOS PAC ID: 2365786357 Enrollment ID: I20230620003033 |
| Provider Name | Alyssa Jane Smith |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1558892109 PECOS PAC ID: 0547532277 Enrollment ID: I20230621000278 |
| Provider Name | Anass Ghassan Dweik |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053948364 PECOS PAC ID: 5597181172 Enrollment ID: I20230621002253 |
| Provider Name | Divya Khattar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750745550 PECOS PAC ID: 5991163040 Enrollment ID: I20230621002453 |
| Provider Name | Leesah Al-qawasmi |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1235794801 PECOS PAC ID: 5193195600 Enrollment ID: I20230621003064 |
| Provider Name | Hassan Osama Mostafa Aboul Nour |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1376047282 PECOS PAC ID: 7012264641 Enrollment ID: I20230621003231 |
| Provider Name | Matthew Hobart Mardis |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1780244731 PECOS PAC ID: 4587998083 Enrollment ID: I20230622000374 |
| Provider Name | Maria Laura Cosentino Roa |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659812865 PECOS PAC ID: 9436517463 Enrollment ID: I20230622002113 |
| Provider Name | Mangayarkarasi Thandampallayam Ajjeya Gowder |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1710338363 PECOS PAC ID: 1456719400 Enrollment ID: I20230622003046 |
| Provider Name | Amanda Christine Gibson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740712868 PECOS PAC ID: 5890060727 Enrollment ID: I20230622003232 |
| Provider Name | Hilary Lynn Denney Crutcher |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730640665 PECOS PAC ID: 1456778646 Enrollment ID: I20230622003419 |
| Provider Name | Derek Steven Dixon |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1649731555 PECOS PAC ID: 4284050543 Enrollment ID: I20230623001302 |
| Provider Name | Lauren Elizabeth Fulks |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1659803070 PECOS PAC ID: 5991163909 Enrollment ID: I20230623001825 |
| Provider Name | Scott Wayne Yee |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1912438987 PECOS PAC ID: 5890043681 Enrollment ID: I20230627002393 |
| Provider Name | Madeline Klaesner Harris |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184251241 PECOS PAC ID: 9739564980 Enrollment ID: I20230628002086 |
| Provider Name | Lauren Armstrong Harris |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1679268981 PECOS PAC ID: 2961861554 Enrollment ID: I20230629001695 |
| Provider Name | Moayad Akram Jeries Al-sona |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1245755495 PECOS PAC ID: 0345609814 Enrollment ID: I20230630000354 |
| Provider Name | Senna Rae Munnikhuysen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275064776 PECOS PAC ID: 8527318286 Enrollment ID: I20230630001403 |
| Provider Name | Brock Holston Marrs |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1659875532 PECOS PAC ID: 2466789862 Enrollment ID: I20230703000466 |
| Provider Name | Rachel Marie Hudson |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1396446571 PECOS PAC ID: 9032578414 Enrollment ID: I20230703000999 |
| Provider Name | Anthony Donald Jeck |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629606306 PECOS PAC ID: 3173908381 Enrollment ID: I20230703001570 |
| Provider Name | Taylor Quang Le Nguyen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972009876 PECOS PAC ID: 7810390556 Enrollment ID: I20230703001707 |
| Provider Name | Aanal Jigishkumar Vyas |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1881348274 PECOS PAC ID: 4789065665 Enrollment ID: I20230705000493 |
| Provider Name | Lauren Michelle Young |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1750842894 PECOS PAC ID: 1254665318 Enrollment ID: I20230706000381 |
| Provider Name | Kurt Alexander Myers |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255794723 PECOS PAC ID: 5698067643 Enrollment ID: I20230706000401 |
| Provider Name | Lucas Lee Roy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477013936 PECOS PAC ID: 7113342718 Enrollment ID: I20230706001013 |
| Provider Name | Olga Vulakh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891402954 PECOS PAC ID: 7416316609 Enrollment ID: I20230706002006 |
| Provider Name | Miguel Alejandro Rodriguez-homs |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1487150132 PECOS PAC ID: 8022363449 Enrollment ID: I20230706003366 |
| Provider Name | Unknown Tsering Dolkar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326651969 PECOS PAC ID: 0042679193 Enrollment ID: I20230707000235 |
| Provider Name | Waqas Rasheed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992332126 PECOS PAC ID: 8628494200 Enrollment ID: I20230710003750 |
| Provider Name | Wesley Aaron Hatfield |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194256644 PECOS PAC ID: 2567706690 Enrollment ID: I20230711003734 |
| Provider Name | Andrew Zelsman Coskey |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1922590702 PECOS PAC ID: 9133589997 Enrollment ID: I20230712002813 |
| Provider Name | Rogerio Marcio Kajimura Chinelati |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134782428 PECOS PAC ID: 8325408081 Enrollment ID: I20230713002021 |
| Provider Name | Jessica Adkins Murphy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639708712 PECOS PAC ID: 4183029085 Enrollment ID: I20230717003452 |
| Provider Name | Aaron Grant Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679209712 PECOS PAC ID: 8628438926 Enrollment ID: I20230718003809 |
| Provider Name | Christian Sean Adams |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275094492 PECOS PAC ID: 4082028618 Enrollment ID: I20230719003175 |
| Provider Name | Alisha Bonaroti Paranzino |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1558723080 PECOS PAC ID: 2264704642 Enrollment ID: I20230721000593 |
| Provider Name | Marc Adam Paranzino |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1700248242 PECOS PAC ID: 3971876582 Enrollment ID: I20230721001503 |
| Provider Name | Luis F Acosta |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1336670363 PECOS PAC ID: 2466796495 Enrollment ID: I20230724000191 |
| Provider Name | Mustafa Mohammed Alzubaidi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649807348 PECOS PAC ID: 0143680140 Enrollment ID: I20230724000279 |
| Provider Name | Taylor Dewayne Tidwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609564285 PECOS PAC ID: 3173983178 Enrollment ID: I20230724000621 |
| Provider Name | Nicholas Lorenzo Biondi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1255787040 PECOS PAC ID: 1052685260 Enrollment ID: I20230724000783 |
| Provider Name | Saba Mohammed Abdulsada |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750906418 PECOS PAC ID: 9537581954 Enrollment ID: I20230725001640 |
| Provider Name | Mariyam Farrukh Hashmi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255863189 PECOS PAC ID: 4880969740 Enrollment ID: I20230726000709 |
| Provider Name | Danielle Marie Detelich |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1427461920 PECOS PAC ID: 8729377676 Enrollment ID: I20230727001089 |
| Provider Name | Charlotte Madeline Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003509654 PECOS PAC ID: 0547621211 Enrollment ID: I20230727001370 |
| Provider Name | Briana Elizabeth Stirling |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1669966495 PECOS PAC ID: 8224374087 Enrollment ID: I20230728001152 |
| Provider Name | Alysha Firyal Ali |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588356307 PECOS PAC ID: 6305207986 Enrollment ID: I20230728002385 |
| Provider Name | Mais Al-kawaz |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1811378912 PECOS PAC ID: 2466871215 Enrollment ID: I20230802001304 |
| Provider Name | Bethany Ann Giles |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720516958 PECOS PAC ID: 2668809070 Enrollment ID: I20230802002804 |
| Provider Name | Jeffrey Alan Chapek |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1669975629 PECOS PAC ID: 4587917455 Enrollment ID: I20230802003843 |
| Provider Name | Ashley Nicole Pettit |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730615691 PECOS PAC ID: 1153782313 Enrollment ID: I20230803002937 |
| Provider Name | Wael G Ibrahim |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1295393908 PECOS PAC ID: 9234590498 Enrollment ID: I20230803002972 |
| Provider Name | Kaytlyn Brooke Strawser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538600283 PECOS PAC ID: 8729365879 Enrollment ID: I20230804000440 |
| Provider Name | Jamie Lynn Hopkins |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1407547144 PECOS PAC ID: 2567823628 Enrollment ID: I20230804002866 |
| Provider Name | Parker Joseph Prusick |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1417498635 PECOS PAC ID: 7012286453 Enrollment ID: I20230804003626 |
| Provider Name | Nakul Katyal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1114404571 PECOS PAC ID: 8426307976 Enrollment ID: I20230807001101 |
| Provider Name | Tess Elizabeth Thomas |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1922710037 PECOS PAC ID: 7113388125 Enrollment ID: I20230807001424 |
| Provider Name | Mohamed Magdy Khodeiry |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1033704358 PECOS PAC ID: 2163802695 Enrollment ID: I20230809003717 |
| Provider Name | Haleigh Danielle Saari |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295351336 PECOS PAC ID: 0143682716 Enrollment ID: I20230814002351 |
| Provider Name | Norrah Joyce Alachkar |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1124700844 PECOS PAC ID: 1456713080 Enrollment ID: I20230815001019 |
| Provider Name | Alejandro Jesus Cracco Mahecha |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1275928889 PECOS PAC ID: 3870807944 Enrollment ID: I20230815002821 |
| Provider Name | Ana Paula Villalobos Acosta |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720583065 PECOS PAC ID: 5698108934 Enrollment ID: I20230821001820 |
| Provider Name | Ciara Marina Lockstadt |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609495738 PECOS PAC ID: 5799171690 Enrollment ID: I20230821001942 |
| Provider Name | Jared Thomas Wilcox |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1003598277 PECOS PAC ID: 8921461898 Enrollment ID: I20230824002493 |
| Provider Name | Mara Rushe Piechowski Arterburn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538796644 PECOS PAC ID: 4688079361 Enrollment ID: I20230828001366 |
| Provider Name | Lindel Cecilia Krige Dewberry |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1235557364 PECOS PAC ID: 0547481749 Enrollment ID: I20230830000663 |
| Provider Name | Andrea Rachel Waldman |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1134461460 PECOS PAC ID: 8628315397 Enrollment ID: I20230830001693 |
| Provider Name | Ashley Nicole Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356028104 PECOS PAC ID: 0648633107 Enrollment ID: I20230830003708 |
| Provider Name | Melina Joy Windon |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1154717874 PECOS PAC ID: 1759687007 Enrollment ID: I20230831000808 |
| Provider Name | Veronica Morgan Jones |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1063874162 PECOS PAC ID: 9335434257 Enrollment ID: I20230901001338 |
| Provider Name | Frances Michelle Curran |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497117667 PECOS PAC ID: 3870867500 Enrollment ID: I20230906001568 |
| Provider Name | Christine Victoria Schaeffer |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1902250152 PECOS PAC ID: 9739472077 Enrollment ID: I20230907002837 |
| Provider Name | Sara Beth Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972295707 PECOS PAC ID: 4981068962 Enrollment ID: I20230908002022 |
| Provider Name | Reem Moawiah Alkilany |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1730633173 PECOS PAC ID: 7517253487 Enrollment ID: I20230911003599 |
| Provider Name | Fritz Gerald Charles |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1972007763 PECOS PAC ID: 7911255823 Enrollment ID: I20230912003353 |
| Provider Name | Michael P Nasser |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093771628 PECOS PAC ID: 3173533262 Enrollment ID: I20230912003829 |
| Provider Name | Casey Wayne Mingua |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427735570 PECOS PAC ID: 4981068285 Enrollment ID: I20230919002373 |
| Provider Name | Raphael Hernando Parrado |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1356795140 PECOS PAC ID: 0042503765 Enrollment ID: I20230920001383 |
| Provider Name | Treven John Back |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518646967 PECOS PAC ID: 7719331776 Enrollment ID: I20230925001055 |
| Provider Name | Monica Lynn Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023799616 PECOS PAC ID: 3577917541 Enrollment ID: I20230925001860 |
| Provider Name | William Keith Ballentine |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1982051330 PECOS PAC ID: 1052604329 Enrollment ID: I20230926004133 |
| Provider Name | Abbey Janelle Fields |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558069955 PECOS PAC ID: 3274987920 Enrollment ID: I20230928001715 |
| Provider Name | Katherine Nicole Epstein |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922341585 PECOS PAC ID: 2961716899 Enrollment ID: I20231002000693 |
| Provider Name | Scott Anthony Graham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740961929 PECOS PAC ID: 5799139275 Enrollment ID: I20231003000756 |
| Provider Name | Lauren Mackenzie Harrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457031106 PECOS PAC ID: 5991150245 Enrollment ID: I20231006001792 |
| Provider Name | Manda Marie Maley |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1346744869 PECOS PAC ID: 5597002519 Enrollment ID: I20231006002528 |
| Provider Name | Joseph Mccrary |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215314323 PECOS PAC ID: 0648584862 Enrollment ID: I20231009000552 |
| Provider Name | Jillian Marie Kepf |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063102010 PECOS PAC ID: 3971958125 Enrollment ID: I20231009002221 |
| Provider Name | Tarif Bakdash |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1104141712 PECOS PAC ID: 1456483767 Enrollment ID: I20231009002595 |
| Provider Name | Aditya Bansal |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1457137614 PECOS PAC ID: 3971958745 Enrollment ID: I20231013002245 |
| Provider Name | Ashley Danielle Riley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295415073 PECOS PAC ID: 1951756527 Enrollment ID: I20231017002489 |
| Provider Name | Jennifer Marie Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245919596 PECOS PAC ID: 6103271770 Enrollment ID: I20231017002638 |
| Provider Name | Crystal Gail Blackburn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679222475 PECOS PAC ID: 3870949019 Enrollment ID: I20231025000671 |
| Provider Name | Ashley Jackson Corum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609556869 PECOS PAC ID: 3274989355 Enrollment ID: I20231025002803 |
| Provider Name | Lauren Michelle Bridges |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255008736 PECOS PAC ID: 7618324112 Enrollment ID: I20231106000361 |
| Provider Name | Nathan Gwun-ho Yuen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811674674 PECOS PAC ID: 4082061411 Enrollment ID: I20231107002408 |
| Provider Name | Melissa Mccann Arena |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881479640 PECOS PAC ID: 9830546019 Enrollment ID: I20231109000729 |
| Provider Name | Brittany Elyse Sparks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518742907 PECOS PAC ID: 3577910652 Enrollment ID: I20231110001525 |
| Provider Name | Quinn Alexander Dunlap |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1528454881 PECOS PAC ID: 7214243641 Enrollment ID: I20231110001731 |
| Provider Name | Adam Franklin Prasanphanich |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588196182 PECOS PAC ID: 2264701358 Enrollment ID: I20231116003373 |
| Provider Name | Ruben Raphael Plentz |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1215712443 PECOS PAC ID: 9133577836 Enrollment ID: I20231117002599 |
| Provider Name | Jordan Kay Franxman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114613429 PECOS PAC ID: 0648628917 Enrollment ID: I20231127002301 |
| Provider Name | Rama Somayajula Ayyala |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508026881 PECOS PAC ID: 4981828720 Enrollment ID: I20231128003157 |
| Provider Name | Brittany Nicole Bergman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265210355 PECOS PAC ID: 3072961283 Enrollment ID: I20231129001220 |
| Provider Name | Aki Agatha Tanimoto |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1386062446 PECOS PAC ID: 2860619202 Enrollment ID: I20231129001721 |
| Provider Name | Christopher Alexander Croswell |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1831570019 PECOS PAC ID: 9032421144 Enrollment ID: I20231129001786 |
| Provider Name | Cara Elizabeth Morin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295024941 PECOS PAC ID: 6608175203 Enrollment ID: I20231129001859 |
| Provider Name | Jennifer Lynn Nicholas |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467617126 PECOS PAC ID: 5193840619 Enrollment ID: I20231129002237 |
| Provider Name | Robert Paul Guillerman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467442822 PECOS PAC ID: 5991966780 Enrollment ID: I20231129002481 |
| Provider Name | Murat Kocaoglu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033695937 PECOS PAC ID: 2365860814 Enrollment ID: I20231129002900 |
| Provider Name | Amr Abdullah Ahmed Matoq |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053739755 PECOS PAC ID: 4587880893 Enrollment ID: I20231130001701 |
| Provider Name | Emily Suzanne Moseley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881264182 PECOS PAC ID: 2062860083 Enrollment ID: I20231130002016 |
| Provider Name | Stacey Marie Elangovan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871913160 PECOS PAC ID: 1850518358 Enrollment ID: I20231130002987 |
| Provider Name | Caitlyn Olivia Hood |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295470243 PECOS PAC ID: 3476901430 Enrollment ID: I20231130003663 |
| Provider Name | Arthur Benjamin Meyers |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356511596 PECOS PAC ID: 5991970709 Enrollment ID: I20231201000954 |
| Provider Name | Lauren Michelle Hedgespeth |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1720296692 PECOS PAC ID: 3971801598 Enrollment ID: I20231201002875 |
| Provider Name | Heather Nichole Dennis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396176640 PECOS PAC ID: 9234589953 Enrollment ID: I20231221001014 |
| Provider Name | Miranda Rose Ritz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255118576 PECOS PAC ID: 4880044965 Enrollment ID: I20240102003018 |
| Provider Name | Awais Ashfaq |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1801142500 PECOS PAC ID: 2961638028 Enrollment ID: I20240105003568 |
| Provider Name | Felicia Paige Richards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528849585 PECOS PAC ID: 6406207067 Enrollment ID: I20240108004462 |
| Provider Name | Danielle Victoria Lenz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043738263 PECOS PAC ID: 7719245752 Enrollment ID: I20240110002529 |
| Provider Name | Hillary Anne Nolan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619670478 PECOS PAC ID: 0143671545 Enrollment ID: I20240110002617 |
| Provider Name | Robert William Freilich |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1871972067 PECOS PAC ID: 7113267063 Enrollment ID: I20240111001999 |
| Provider Name | Jared Brock Hutchinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558147389 PECOS PAC ID: 6507217734 Enrollment ID: I20240111003031 |
| Provider Name | Vandana Gupta |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376613497 PECOS PAC ID: 8224046891 Enrollment ID: I20240115001116 |
| Provider Name | Samantha Danielle Reckley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043085244 PECOS PAC ID: 5294188207 Enrollment ID: I20240125003934 |
| Provider Name | Anna Kathryn Dauer |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1558625434 PECOS PAC ID: 5092012153 Enrollment ID: I20240129001073 |
| Provider Name | Janet Amelia Ling Green |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932770369 PECOS PAC ID: 9335592914 Enrollment ID: I20240131000338 |
| Provider Name | Frances Marian Martin |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1770720815 PECOS PAC ID: 2668523358 Enrollment ID: I20240208003113 |
| Provider Name | Whitley Ashton Maze |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1396317376 PECOS PAC ID: 9931542420 Enrollment ID: I20240212003895 |
| Provider Name | Heather Ashley Ferrari Sheehan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356115638 PECOS PAC ID: 1456796549 Enrollment ID: I20240228002953 |
| Provider Name | Emily Collins Tiwana |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851822456 PECOS PAC ID: 8820433808 Enrollment ID: I20240229001510 |
| Provider Name | Olivia Marie Ethington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477321859 PECOS PAC ID: 7618312620 Enrollment ID: I20240229002875 |
| Provider Name | Sheaba Lee Varghese |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1871930529 PECOS PAC ID: 0749586477 Enrollment ID: I20240229004361 |
| Provider Name | Matthias Loebe |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1740360148 PECOS PAC ID: 1355520891 Enrollment ID: I20240302000387 |
| Provider Name | Jonathon David Kent Weber |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538541164 PECOS PAC ID: 8325347065 Enrollment ID: I20240312001312 |
Kentucky Motility Services, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 160 N Eagle Creek Dr, Suite 202, Lexington, KY 40509 Phone: 859-263-0022 Fax: 859-263-4666 | |
Thomas P. Von Unrug Md Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1401 Harrodsburg Rd Ste B299, Lexington, KY 40504 Phone: 859-276-0714 Fax: 859-276-0363 | |
Commonwealth Family Clinic, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2387 Professional Heights Dr Ste 60, Lexington, KY 40503 Phone: 859-303-8756 | |
Tadarro L. Richardson M.d. P.s.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 310 S Limestone, Lexington, KY 40508 Phone: 859-226-7000 | |
Gastroenterology Care Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 160 N Eagle Creek Dr, Suite 202, Lexington, KY 40509 Phone: 859-263-0022 Fax: 859-263-4666 | |
Concentra Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1722 Sharkey Way, Lexington, KY 40511 Phone: 859-245-0692 Fax: 859-455-8431 | |
Diabetes Care Center Of Kentucky Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 135 E Maxwell St, Suite 200, Lexington, KY 40508 Phone: 859-422-4343 Fax: 859-422-4361 |