| Union Associated Physicians Clinic, Llc | |
|
221 S 6th St Terre Haute IN 47807-4214 | |
| (812) 232-0564 | |
| (812) 242-3861 |
| Full Name | Union Associated Physicians Clinic, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 221 S 6th St, Terre Haute, Indiana |
| Authorized Official Name and Position | Steve Holman (CEO) |
| Authorized Official Contact | 8122387606 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Union Associated Physicians Clinic, Llc 221 S 6th St Terre Haute IN 47807-4214 Ph: (812) 232-0564 | Union Associated Physicians Clinic, Llc 221 S 6th St Terre Haute IN 47807-4214 Ph: (812) 232-0564 |
| NPI Number | 1891028379 |
|---|---|
| Provider Enumeration Date | 09/15/2009 |
| Last Update Date | 07/20/2023 |
| Medicare PECOS PAC ID | 3375687437 |
|---|---|
| Medicare Enrollment ID | O20100213000002 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891028379 | NPI | - | NPPES |
| 200975660 | Medicaid | IN | |
| DQ0893 | Other | IN | RAILROAD MEDICARE |
| Provider Name | Isaac N Mitre |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093894057 PECOS PAC ID: 8729984935 Enrollment ID: I20031209000705 |
| Provider Name | Douglas L Foertsch |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1619932357 PECOS PAC ID: 4789578204 Enrollment ID: I20040213000265 |
| Provider Name | Diane L Bingham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891000576 PECOS PAC ID: 3678468642 Enrollment ID: I20040218000673 |
| Provider Name | Michael Summers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891719324 PECOS PAC ID: 3476442302 Enrollment ID: I20040310001445 |
| Provider Name | Ramesh Shatagopam |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1649381690 PECOS PAC ID: 9234021882 Enrollment ID: I20040327000271 |
| Provider Name | Kenneth Spicklemire |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548370570 PECOS PAC ID: 0446152607 Enrollment ID: I20040327000309 |
| Provider Name | Micah Thompson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821108838 PECOS PAC ID: 4880586445 Enrollment ID: I20040327000340 |
| Provider Name | James T Walsh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750491932 PECOS PAC ID: 6800788472 Enrollment ID: I20040327000403 |
| Provider Name | Diane L Jordan-wagner |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1013025097 PECOS PAC ID: 1153213723 Enrollment ID: I20040327000418 |
| Provider Name | James J Welch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972613131 PECOS PAC ID: 5698667269 Enrollment ID: I20040327000423 |
| Provider Name | John C Welch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528178886 PECOS PAC ID: 4688566250 Enrollment ID: I20040327000429 |
| Provider Name | Thomas John Yeagley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558471896 PECOS PAC ID: 5698667277 Enrollment ID: I20040329000044 |
| Provider Name | Rashmi R Abhyankar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437263555 PECOS PAC ID: 6800889239 Enrollment ID: I20040403000049 |
| Provider Name | Hans C Andreasen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811002587 PECOS PAC ID: 0749273191 Enrollment ID: I20040403000169 |
| Provider Name | Monte L Cordray |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1134236557 PECOS PAC ID: 0143213504 Enrollment ID: I20040403000214 |
| Provider Name | Rajendra Shantilal Desai |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1346356920 PECOS PAC ID: 1759374127 Enrollment ID: I20040403000296 |
| Provider Name | Fred D Drake |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1124135967 PECOS PAC ID: 5092708461 Enrollment ID: I20040403000311 |
| Provider Name | Lawrence R Dultz |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1255448916 PECOS PAC ID: 9638162001 Enrollment ID: I20040403000314 |
| Provider Name | Marcia Sinclair Favali |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154437382 PECOS PAC ID: 1052304136 Enrollment ID: I20040405001562 |
| Provider Name | Grant H Hammons |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053429738 PECOS PAC ID: 4587657622 Enrollment ID: I20040406000067 |
| Provider Name | Jacqueline K Holder |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144338781 PECOS PAC ID: 4880687938 Enrollment ID: I20040406000125 |
| Provider Name | Jeffrey Alan Jungers |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1467560979 PECOS PAC ID: 5991798951 Enrollment ID: I20040406000292 |
| Provider Name | Suresh Kunapareddy |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1285742296 PECOS PAC ID: 9537152517 Enrollment ID: I20040406000438 |
| Provider Name | Robert Claude Lalouche |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205944238 PECOS PAC ID: 3476546466 Enrollment ID: I20040406000482 |
| Provider Name | Steven D Maynard |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1871601658 PECOS PAC ID: 3274526215 Enrollment ID: I20040406000914 |
| Provider Name | John Merritt Morse |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1427167360 PECOS PAC ID: 4183617020 Enrollment ID: I20040406001011 |
| Provider Name | Krishna M Namburi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1942319934 PECOS PAC ID: 6608869565 Enrollment ID: I20040406001126 |
| Provider Name | Shantilal Patel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1578672622 PECOS PAC ID: 7719880160 Enrollment ID: I20040406001365 |
| Provider Name | Urmila K Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730298522 PECOS PAC ID: 6507859410 Enrollment ID: I20040406001440 |
| Provider Name | Lance A Pickrell |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1952410797 PECOS PAC ID: 9335132265 Enrollment ID: I20040406001590 |
| Provider Name | Martin H Roseff |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1942311824 PECOS PAC ID: 2860485620 Enrollment ID: I20040407000031 |
| Provider Name | Martin Schmidt |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1194836015 PECOS PAC ID: 3971596743 Enrollment ID: I20040407000096 |
| Provider Name | Stephen L Schwartz |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1104937044 PECOS PAC ID: 8123011996 Enrollment ID: I20040407000122 |
| Provider Name | Curtis M Seitz |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1861503872 PECOS PAC ID: 4183617962 Enrollment ID: I20040407000157 |
| Provider Name | Susan C Sharifi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1790896769 PECOS PAC ID: 9436142213 Enrollment ID: I20040407000182 |
| Provider Name | Shashikumar R H Gowda |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1922116672 PECOS PAC ID: 8527051341 Enrollment ID: I20040407000420 |
| Provider Name | Philip A Reed |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447361308 PECOS PAC ID: 8527051242 Enrollment ID: I20040407000505 |
| Provider Name | Hwan Y Yoo |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1730173436 PECOS PAC ID: 3476542978 Enrollment ID: I20040510001140 |
| Provider Name | Mark J Schuld |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023014479 PECOS PAC ID: 9436148434 Enrollment ID: I20040510001392 |
| Provider Name | Vuppala V Reddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174612931 PECOS PAC ID: 2062497381 Enrollment ID: I20040622000045 |
| Provider Name | Gregory R Doll |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285673764 PECOS PAC ID: 7517939317 Enrollment ID: I20040811001112 |
| Provider Name | Ma'n A Abdullah |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1598766891 PECOS PAC ID: 7315914280 Enrollment ID: I20040911000161 |
| Provider Name | Maurits J Wiersema |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1316989692 PECOS PAC ID: 5597657510 Enrollment ID: I20050215000468 |
| Provider Name | Robert M Meneghini |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1356325187 PECOS PAC ID: 7113989310 Enrollment ID: I20050317000201 |
| Provider Name | Thomas Pendergast |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1407849094 PECOS PAC ID: 4385684976 Enrollment ID: I20050503000900 |
| Provider Name | Karen A Tisinai |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1396749966 PECOS PAC ID: 1254397722 Enrollment ID: I20050504000467 |
| Provider Name | Mary S Hester |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164532149 PECOS PAC ID: 2567403843 Enrollment ID: I20050517000594 |
| Provider Name | Anand Patel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700806668 PECOS PAC ID: 4385688803 Enrollment ID: I20050615000925 |
| Provider Name | Anand Bhuptani |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1144200114 PECOS PAC ID: 1658344080 Enrollment ID: I20050701000858 |
| Provider Name | Erin E Slater |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336108240 PECOS PAC ID: 7113963760 Enrollment ID: I20050705000789 |
| Provider Name | Rafael L Gallardo |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1578670394 PECOS PAC ID: 0547299240 Enrollment ID: I20050811000820 |
| Provider Name | Lori Lynn Fuqua |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215918867 PECOS PAC ID: 9436180361 Enrollment ID: I20050830000664 |
| Provider Name | Kathleen D Coutinho |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528174141 PECOS PAC ID: 3072557719 Enrollment ID: I20050831000833 |
| Provider Name | Janis Ceceil Ingebrigtsen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609867357 PECOS PAC ID: 6800829433 Enrollment ID: I20050914001087 |
| Provider Name | James Andrew Turner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245221522 PECOS PAC ID: 5991738536 Enrollment ID: I20050914001167 |
| Provider Name | Gary Allen Fitzgerald |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467443838 PECOS PAC ID: 4981637428 Enrollment ID: I20050914001186 |
| Provider Name | Carlos J Belmar |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1902913387 PECOS PAC ID: 5597799106 Enrollment ID: I20050922001161 |
| Provider Name | Thomas I Jones |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1629047196 PECOS PAC ID: 1153349386 Enrollment ID: I20051107000533 |
| Provider Name | Hala Fatima |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1275586976 PECOS PAC ID: 5698786051 Enrollment ID: I20060522000180 |
| Provider Name | Thomas A Ferrara |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063466944 PECOS PAC ID: 7012912900 Enrollment ID: I20060927000578 |
| Provider Name | Elizabeth A Mccalister |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710092689 PECOS PAC ID: 9931109907 Enrollment ID: I20061226000030 |
| Provider Name | Andrew Mcdonald |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1972618775 PECOS PAC ID: 6103826177 Enrollment ID: I20061226000035 |
| Provider Name | Samantha A Volstorf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285748814 PECOS PAC ID: 7113020827 Enrollment ID: I20070320000375 |
| Provider Name | Lolit Joseph |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1710096821 PECOS PAC ID: 9739283250 Enrollment ID: I20070322000319 |
| Provider Name | Terry L Havens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659441616 PECOS PAC ID: 0446356778 Enrollment ID: I20070503000355 |
| Provider Name | Rajalakshmi V Shantharam |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982786562 PECOS PAC ID: 4688770928 Enrollment ID: I20070503000395 |
| Provider Name | Steven D Friday |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1548376932 PECOS PAC ID: 7214034420 Enrollment ID: I20070523000448 |
| Provider Name | Kay Taeko Hutchinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821202672 PECOS PAC ID: 2466551015 Enrollment ID: I20070621000513 |
| Provider Name | Denise Pine Pine Mattas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659313989 PECOS PAC ID: 2264531698 Enrollment ID: I20070625000742 |
| Provider Name | Melody Jane Drake |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386635944 PECOS PAC ID: 1153421078 Enrollment ID: I20070706000521 |
| Provider Name | Anand Tandra |
|---|---|
| Provider Type | Practitioner - Hematopoietic Cell Transplantation And Cellular Therapy |
| Provider Identifiers | NPI Number: 1649495854 PECOS PAC ID: 2769574110 Enrollment ID: I20070815000594 |
| Provider Name | Amy C James |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972549426 PECOS PAC ID: 1355325457 Enrollment ID: I20070815000772 |
| Provider Name | Pollyanna Sumansky |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1427168715 PECOS PAC ID: 1850484585 Enrollment ID: I20070911000405 |
| Provider Name | Roderick R Boyd |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1295754075 PECOS PAC ID: 6800881210 Enrollment ID: I20071126000027 |
| Provider Name | Patrick Williams |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1598728727 PECOS PAC ID: 2062503741 Enrollment ID: I20071129000210 |
| Provider Name | Patti Sue Walters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851569131 PECOS PAC ID: 3971673153 Enrollment ID: I20080530000060 |
| Provider Name | Jamie D Dillon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780842393 PECOS PAC ID: 2961574421 Enrollment ID: I20080630000006 |
| Provider Name | Sarah Elizabeth Morgan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902076300 PECOS PAC ID: 6103998307 Enrollment ID: I20080703000210 |
| Provider Name | Juliana T Abara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619134244 PECOS PAC ID: 2365514494 Enrollment ID: I20080708000111 |
| Provider Name | Mary Ann Davidson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114193786 PECOS PAC ID: 3274605050 Enrollment ID: I20080710000769 |
| Provider Name | Sameer B. Bavishi |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1124231204 PECOS PAC ID: 8426121443 Enrollment ID: I20080723000598 |
| Provider Name | Billie J Thurman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285892794 PECOS PAC ID: 6406922319 Enrollment ID: I20080829000018 |
| Provider Name | Douglas J Mcguirk |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1053503466 PECOS PAC ID: 6305913724 Enrollment ID: I20080925000641 |
| Provider Name | Steven C Kim |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1750331195 PECOS PAC ID: 2365485588 Enrollment ID: I20081030000082 |
| Provider Name | Terri L Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053576405 PECOS PAC ID: 8820157415 Enrollment ID: I20081112000106 |
| Provider Name | Cyndi A Speelman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871597542 PECOS PAC ID: 9234299769 Enrollment ID: I20081113000591 |
| Provider Name | Frances S Madden |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1801850292 PECOS PAC ID: 3072525443 Enrollment ID: I20081204000246 |
| Provider Name | Veda J Gregory |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316036932 PECOS PAC ID: 8527129980 Enrollment ID: I20081204000382 |
| Provider Name | Vani Manyam |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1568415859 PECOS PAC ID: 7416920988 Enrollment ID: I20090206000439 |
| Provider Name | Reginald Sandy |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1972504629 PECOS PAC ID: 6103974167 Enrollment ID: I20090430000265 |
| Provider Name | Lloyd L Lewis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1376570390 PECOS PAC ID: 2264583640 Enrollment ID: I20090624000570 |
| Provider Name | Kenneth M Kigorwe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831355270 PECOS PAC ID: 2860545142 Enrollment ID: I20090804000516 |
| Provider Name | Michael D Allen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578517520 PECOS PAC ID: 2961414511 Enrollment ID: I20090805000799 |
| Provider Name | James Griggs |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1144493602 PECOS PAC ID: 9032255856 Enrollment ID: I20091008000520 |
| Provider Name | Donna J Purviance |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013240597 PECOS PAC ID: 4688711559 Enrollment ID: I20091026000387 |
| Provider Name | Lynn Kellett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477705259 PECOS PAC ID: 7012054596 Enrollment ID: I20091103000115 |
| Provider Name | Stacy L Lowdermilk |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1720215361 PECOS PAC ID: 0143369884 Enrollment ID: I20091209000364 |
| Provider Name | Teresa M Brown |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972509115 PECOS PAC ID: 8628962578 Enrollment ID: I20100202000392 |
| Provider Name | Stephen Fern |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1386852077 PECOS PAC ID: 1557415593 Enrollment ID: I20100322000039 |
| Provider Name | Joyce E Boeglin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487877569 PECOS PAC ID: 7416083431 Enrollment ID: I20100330000203 |
| Provider Name | Jitender P Bhandari |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1558366468 PECOS PAC ID: 3870547185 Enrollment ID: I20100424000016 |
| Provider Name | Prodyot Ghosh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1780689257 PECOS PAC ID: 6305890617 Enrollment ID: I20100430000429 |
| Provider Name | Tammy S. Pearson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447230826 PECOS PAC ID: 6608905351 Enrollment ID: I20100519000192 |
| Provider Name | Bret J Spier |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1710935309 PECOS PAC ID: 0345397816 Enrollment ID: I20100623000813 |
| Provider Name | Elliot L Kleinman |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1003831538 PECOS PAC ID: 4981737061 Enrollment ID: I20100727000777 |
| Provider Name | Arthur Reeves Crowley |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1326150079 PECOS PAC ID: 6002957941 Enrollment ID: I20100917000923 |
| Provider Name | Robert Curtis Oehler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891769667 PECOS PAC ID: 4183816788 Enrollment ID: I20101013001170 |
| Provider Name | Leslie D Batty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073675021 PECOS PAC ID: 5395938690 Enrollment ID: I20101019001073 |
| Provider Name | Naveen Rajoli |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306029608 PECOS PAC ID: 7810181625 Enrollment ID: I20101104001324 |
| Provider Name | Carrie Cunningham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194022368 PECOS PAC ID: 2264616002 Enrollment ID: I20110404000049 |
| Provider Name | Mary Pell Abernathy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1073559027 PECOS PAC ID: 3173707726 Enrollment ID: I20110406000723 |
| Provider Name | Orlando A Landrum |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1932159910 PECOS PAC ID: 0042229387 Enrollment ID: I20110606000129 |
| Provider Name | Mohit Jindal |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1063619658 PECOS PAC ID: 5890828826 Enrollment ID: I20110609000004 |
| Provider Name | Elizabeth M Herber |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1528227733 PECOS PAC ID: 4385813641 Enrollment ID: I20110803000554 |
| Provider Name | Robert M Ehresman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639335086 PECOS PAC ID: 1456522689 Enrollment ID: I20110920000803 |
| Provider Name | Heidi A Millspaugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326328329 PECOS PAC ID: 9739350844 Enrollment ID: I20110921000824 |
| Provider Name | Kristal Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699063248 PECOS PAC ID: 3971775628 Enrollment ID: I20111003000101 |
| Provider Name | Stephanie Diane Arnold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508159096 PECOS PAC ID: 3577735943 Enrollment ID: I20111006000420 |
| Provider Name | Avtar Singh Dhindsa |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1790844181 PECOS PAC ID: 7618079492 Enrollment ID: I20111006000457 |
| Provider Name | Melinda Dawn Fuqua |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215223151 PECOS PAC ID: 7113199944 Enrollment ID: I20111020000288 |
| Provider Name | Danielle L Degroote |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245513381 PECOS PAC ID: 6709059389 Enrollment ID: I20111026000474 |
| Provider Name | Karla Loken |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457361487 PECOS PAC ID: 8224095641 Enrollment ID: I20120328000077 |
| Provider Name | Alyssa D Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891060760 PECOS PAC ID: 1355501123 Enrollment ID: I20120402000493 |
| Provider Name | Gerald B Millick |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1477874584 PECOS PAC ID: 4981866720 Enrollment ID: I20120424000497 |
| Provider Name | James C Sloan |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1679573620 PECOS PAC ID: 6406945427 Enrollment ID: I20120720000427 |
| Provider Name | Kristopher H Gunn |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1811187420 PECOS PAC ID: 9830345727 Enrollment ID: I20120808000708 |
| Provider Name | Jorge Arzola |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1205856382 PECOS PAC ID: 1951557750 Enrollment ID: I20120810000080 |
| Provider Name | Elizabeth A Pino |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740254630 PECOS PAC ID: 7618121856 Enrollment ID: I20130215000536 |
| Provider Name | Melissa Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417296039 PECOS PAC ID: 4981840584 Enrollment ID: I20130427000059 |
| Provider Name | Chirag G Patel |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1225290448 PECOS PAC ID: 9931345923 Enrollment ID: I20130809000612 |
| Provider Name | Florence M Hosseini Aslinia |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1972611994 PECOS PAC ID: 8729023783 Enrollment ID: I20130911000779 |
| Provider Name | Kimberly R Mentock |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1619309804 PECOS PAC ID: 2062646680 Enrollment ID: I20131014000788 |
| Provider Name | Shilpa M Guggali |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1952566051 PECOS PAC ID: 3870774854 Enrollment ID: I20131202000723 |
| Provider Name | Margaret S Brumfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407292691 PECOS PAC ID: 4688802036 Enrollment ID: I20140110001605 |
| Provider Name | Robert S H Lai |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1730193459 PECOS PAC ID: 7911906110 Enrollment ID: I20140225001150 |
| Provider Name | Musa Abdalla |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548552375 PECOS PAC ID: 5193957520 Enrollment ID: I20140416002392 |
| Provider Name | Amber D Pitts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255759817 PECOS PAC ID: 8628201571 Enrollment ID: I20140430002170 |
| Provider Name | Jennifer Hutchens |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1508285727 PECOS PAC ID: 5395978043 Enrollment ID: I20140502001082 |
| Provider Name | Mellekate S Vishwas |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1568690253 PECOS PAC ID: 5991929903 Enrollment ID: I20140613000884 |
| Provider Name | Lisa Ferguson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548669831 PECOS PAC ID: 5597987701 Enrollment ID: I20141103002117 |
| Provider Name | Andrea S Baysinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952717191 PECOS PAC ID: 5799907804 Enrollment ID: I20141105000690 |
| Provider Name | Minsun Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205225554 PECOS PAC ID: 2668796137 Enrollment ID: I20150112001154 |
| Provider Name | Nedra Helene Joyner |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1891777678 PECOS PAC ID: 0840201794 Enrollment ID: I20150220000130 |
| Provider Name | Nancy L Breitweiser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235419623 PECOS PAC ID: 4688890718 Enrollment ID: I20150708002043 |
| Provider Name | Manjit Kaur |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1881955664 PECOS PAC ID: 3375856701 Enrollment ID: I20150714002675 |
| Provider Name | Sami R Jaafar |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1578878310 PECOS PAC ID: 6406169150 Enrollment ID: I20150723008763 |
| Provider Name | Aderemi Jaiyeola |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1467426940 PECOS PAC ID: 9032180567 Enrollment ID: I20150810000073 |
| Provider Name | Sarah E Kachman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821467689 PECOS PAC ID: 2365751401 Enrollment ID: I20151012002116 |
| Provider Name | John P Reheis |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1043392723 PECOS PAC ID: 5092714519 Enrollment ID: I20151029000257 |
| Provider Name | Thomas G Baker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518305689 PECOS PAC ID: 4981820917 Enrollment ID: I20151210001491 |
| Provider Name | Lyree N Mikhail |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306872700 PECOS PAC ID: 9830372143 Enrollment ID: I20151215000576 |
| Provider Name | Danielle F Trierweiler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184089740 PECOS PAC ID: 2264737642 Enrollment ID: I20160223001004 |
| Provider Name | Daxton Duncan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851757983 PECOS PAC ID: 7911203823 Enrollment ID: I20160302001472 |
| Provider Name | Scott Ripple |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871688598 PECOS PAC ID: 9638475577 Enrollment ID: I20160302002535 |
| Provider Name | Katherine A Tucker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932568482 PECOS PAC ID: 8224334180 Enrollment ID: I20160303000212 |
| Provider Name | Patrick A Titzer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346657012 PECOS PAC ID: 0345462677 Enrollment ID: I20160316001478 |
| Provider Name | Charles W Scowcroft |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1750336863 PECOS PAC ID: 6709059488 Enrollment ID: I20160429001639 |
| Provider Name | Prashant S Patel |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1932333457 PECOS PAC ID: 0547452963 Enrollment ID: I20160512000998 |
| Provider Name | Bavikatte Shivakumar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1043200835 PECOS PAC ID: 9234113770 Enrollment ID: I20160512001842 |
| Provider Name | Jennifer E Gruber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992150965 PECOS PAC ID: 4880983873 Enrollment ID: I20160513001765 |
| Provider Name | Gary L Watts |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1538394143 PECOS PAC ID: 2567593304 Enrollment ID: I20160621001092 |
| Provider Name | Cayla Brewer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750738837 PECOS PAC ID: 3779874789 Enrollment ID: I20160622001989 |
| Provider Name | Maureen K Crispin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366784753 PECOS PAC ID: 0941591606 Enrollment ID: I20160628000505 |
| Provider Name | Stacy Horn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962851121 PECOS PAC ID: 0244521862 Enrollment ID: I20160628002818 |
| Provider Name | Lori Jean Wiley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013362672 PECOS PAC ID: 7113218777 Enrollment ID: I20160629000823 |
| Provider Name | Adelle Maynard-watts |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1881949576 PECOS PAC ID: 8123266731 Enrollment ID: I20160705000707 |
| Provider Name | Jeremiah Palmer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1396063921 PECOS PAC ID: 6800188194 Enrollment ID: I20160706002528 |
| Provider Name | Sukhpreet S Multani |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942564323 PECOS PAC ID: 6103141452 Enrollment ID: I20160817001568 |
| Provider Name | Charles C Sides |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1013262195 PECOS PAC ID: 0547555203 Enrollment ID: I20160822000042 |
| Provider Name | Usman Ahmad |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1245494392 PECOS PAC ID: 8921289570 Enrollment ID: I20160824001493 |
| Provider Name | Brandi Larson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588014336 PECOS PAC ID: 4385939362 Enrollment ID: I20160830001840 |
| Provider Name | Jaci Pabst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346793262 PECOS PAC ID: 0244526234 Enrollment ID: I20160830002385 |
| Provider Name | Manju Thothala |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295177160 PECOS PAC ID: 2264658376 Enrollment ID: I20160909001293 |
| Provider Name | Christy L Campbell Smalley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255545141 PECOS PAC ID: 5395877880 Enrollment ID: I20160914002640 |
| Provider Name | Jennifer Hardy |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1598064065 PECOS PAC ID: 6800184904 Enrollment ID: I20161005000795 |
| Provider Name | Melissa Hilterman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891156246 PECOS PAC ID: 6406134477 Enrollment ID: I20161026000101 |
| Provider Name | Bryant V Mciver |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1720252661 PECOS PAC ID: 5991089195 Enrollment ID: I20170308000686 |
| Provider Name | Marian K Ramsey Ford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326579574 PECOS PAC ID: 7517243959 Enrollment ID: I20170419000679 |
| Provider Name | Jordan Ryley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184162737 PECOS PAC ID: 8224314661 Enrollment ID: I20170419000747 |
| Provider Name | Aladdin H Hassanein |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1982868766 PECOS PAC ID: 8820366164 Enrollment ID: I20170609001758 |
| Provider Name | Samantha C Lambertus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730617598 PECOS PAC ID: 5890065262 Enrollment ID: I20170717003682 |
| Provider Name | Stephanie K Lowrance |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417495300 PECOS PAC ID: 1557646692 Enrollment ID: I20170727003235 |
| Provider Name | Jessica Hagan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356878623 PECOS PAC ID: 7416228689 Enrollment ID: I20170807000810 |
| Provider Name | Keith Flak |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1710195417 PECOS PAC ID: 9537356969 Enrollment ID: I20170821000913 |
| Provider Name | Christopher M Fitzsimmons |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083020580 PECOS PAC ID: 0941426209 Enrollment ID: I20170828000579 |
| Provider Name | Chantelle Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942737010 PECOS PAC ID: 1951674787 Enrollment ID: I20170830001528 |
| Provider Name | Melissa Barker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891211330 PECOS PAC ID: 4385917715 Enrollment ID: I20170907001240 |
| Provider Name | Eric A Pickrell |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1972941045 PECOS PAC ID: 7113143207 Enrollment ID: I20170925001292 |
| Provider Name | Altin Miraka |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1518133792 PECOS PAC ID: 3173747391 Enrollment ID: I20171023002148 |
| Provider Name | Ann Monken |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043724743 PECOS PAC ID: 3678833993 Enrollment ID: I20180207000226 |
| Provider Name | Kristen N Walters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386158921 PECOS PAC ID: 2961762794 Enrollment ID: I20180215002475 |
| Provider Name | Charlotte Anne Batey |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1265433916 PECOS PAC ID: 5890827976 Enrollment ID: I20180228002844 |
| Provider Name | Michelle L Rupska |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205339157 PECOS PAC ID: 3678836236 Enrollment ID: I20180412000640 |
| Provider Name | Kindra Lee Shepard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326535816 PECOS PAC ID: 9032473772 Enrollment ID: I20180507000183 |
| Provider Name | Kacy Jo Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164913703 PECOS PAC ID: 5698021400 Enrollment ID: I20180710001350 |
| Provider Name | Scott D Cohen |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1871699652 PECOS PAC ID: 3577475904 Enrollment ID: I20180815003379 |
| Provider Name | Ashok Kumar Koul |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1558383877 PECOS PAC ID: 7911952502 Enrollment ID: I20180816001179 |
| Provider Name | Girish Chandra Kunapareddy |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1457646135 PECOS PAC ID: 7113166638 Enrollment ID: I20180816001544 |
| Provider Name | William F Alexander |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1609848738 PECOS PAC ID: 1557432705 Enrollment ID: I20180820002299 |
| Provider Name | Breanna Keith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871070763 PECOS PAC ID: 9739438615 Enrollment ID: I20180827001497 |
| Provider Name | William B Telle |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1942267984 PECOS PAC ID: 2365417912 Enrollment ID: I20180829001835 |
| Provider Name | Elena Christine Tansy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215418355 PECOS PAC ID: 9739431677 Enrollment ID: I20181004000881 |
| Provider Name | Bertha Parthenia Richardson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1184674707 PECOS PAC ID: 0547243487 Enrollment ID: I20181016003157 |
| Provider Name | Eduardo E Chang |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1689683153 PECOS PAC ID: 8820984891 Enrollment ID: I20181031000672 |
| Provider Name | Robert J Danbert |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1477510295 PECOS PAC ID: 5092784017 Enrollment ID: I20181128000125 |
| Provider Name | Christina H Dothager |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508067596 PECOS PAC ID: 9133251614 Enrollment ID: I20181205000354 |
| Provider Name | Erin E. Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700353794 PECOS PAC ID: 6204171804 Enrollment ID: I20190102000666 |
| Provider Name | Elizabeth Mcbride |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194228866 PECOS PAC ID: 8527304567 Enrollment ID: I20190111000122 |
| Provider Name | Tori L Timmons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902374317 PECOS PAC ID: 9133467749 Enrollment ID: I20190206001707 |
| Provider Name | Darla Berry |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1073594255 PECOS PAC ID: 2860790755 Enrollment ID: I20190327002545 |
| Provider Name | Megan Helen Wetzold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437631843 PECOS PAC ID: 0749520799 Enrollment ID: I20190329000085 |
| Provider Name | Andrew R Hughes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801365598 PECOS PAC ID: 7214277292 Enrollment ID: I20190329001259 |
| Provider Name | John Hyatt |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1881626091 PECOS PAC ID: 6002887379 Enrollment ID: I20190410001389 |
| Provider Name | George R Fritch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609223296 PECOS PAC ID: 4486945029 Enrollment ID: I20190715003373 |
| Provider Name | Manuel Ruiz |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1255652152 PECOS PAC ID: 9234373457 Enrollment ID: I20190717001171 |
| Provider Name | Ayman S Alzubi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1306843339 PECOS PAC ID: 1850349499 Enrollment ID: I20190727000236 |
| Provider Name | Lauren Sarah Dulay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972031235 PECOS PAC ID: 3274890553 Enrollment ID: I20190802001932 |
| Provider Name | June C Kunapareddy |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1124414388 PECOS PAC ID: 0941538698 Enrollment ID: I20190820001737 |
| Provider Name | Stephen Peter Holland |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1851470967 PECOS PAC ID: 5890711428 Enrollment ID: I20190829001002 |
| Provider Name | Kodwo Kuntu Orleans Lindsay |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1932216439 PECOS PAC ID: 0345273561 Enrollment ID: I20191118001384 |
| Provider Name | Robin L. Smiddy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659932465 PECOS PAC ID: 2163856022 Enrollment ID: I20191231000489 |
| Provider Name | Magdalena Marcinek |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1235519075 PECOS PAC ID: 2365782976 Enrollment ID: I20200320000454 |
| Provider Name | Mohammed Zaher |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1538572862 PECOS PAC ID: 0648580217 Enrollment ID: I20200325003040 |
| Provider Name | Joshua Childress |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407402258 PECOS PAC ID: 3577996925 Enrollment ID: I20200404000018 |
| Provider Name | Sabyasachi Mohapatra |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1336250596 PECOS PAC ID: 5496721672 Enrollment ID: I20200413000542 |
| Provider Name | Katie Sanders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710522008 PECOS PAC ID: 1658700737 Enrollment ID: I20200413000681 |
| Provider Name | John Matteucci |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1558456749 PECOS PAC ID: 2961463070 Enrollment ID: I20200424002840 |
| Provider Name | Angela Dawn Nicoson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528692043 PECOS PAC ID: 5991136111 Enrollment ID: I20200504000055 |
| Provider Name | Bernice Imogene Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538798210 PECOS PAC ID: 3072944750 Enrollment ID: I20200513001025 |
| Provider Name | Chelsea Kizer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518588706 PECOS PAC ID: 4880025477 Enrollment ID: I20200514003040 |
| Provider Name | Marcy M Aldrich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346861788 PECOS PAC ID: 5698106060 Enrollment ID: I20200519002423 |
| Provider Name | Rachelle Lebrun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518589738 PECOS PAC ID: 5496176778 Enrollment ID: I20200522002618 |
| Provider Name | Sanjeev A Kaul |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1447469242 PECOS PAC ID: 7214105220 Enrollment ID: I20200626001641 |
| Provider Name | Zenith Arvind Jameria |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1508122185 PECOS PAC ID: 6709011356 Enrollment ID: I20200701002768 |
| Provider Name | Mohammad Mahmoud |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1376960302 PECOS PAC ID: 4183915507 Enrollment ID: I20200730000188 |
| Provider Name | Anna Elder |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912430273 PECOS PAC ID: 4981977261 Enrollment ID: I20200731000990 |
| Provider Name | Sarfaraz Nayeem Hyder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831620939 PECOS PAC ID: 1254602931 Enrollment ID: I20200810001077 |
| Provider Name | Brooke Michelle Llewellyn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528691433 PECOS PAC ID: 5698193381 Enrollment ID: I20200911002002 |
| Provider Name | Joseph J Lopez |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1992753016 PECOS PAC ID: 1355441882 Enrollment ID: I20200917002093 |
| Provider Name | Ashley Delaunois |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699397539 PECOS PAC ID: 2264851237 Enrollment ID: I20200925000463 |
| Provider Name | Tabitha N Wood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578124913 PECOS PAC ID: 7719216928 Enrollment ID: I20200928001856 |
| Provider Name | Corinne Rose Haley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073126272 PECOS PAC ID: 4587074075 Enrollment ID: I20201112001557 |
| Provider Name | Danielle Marie Zadai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043825789 PECOS PAC ID: 3870905524 Enrollment ID: I20201222001026 |
| Provider Name | Latasha Nichole Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184255440 PECOS PAC ID: 6204241896 Enrollment ID: I20210211002691 |
| Provider Name | Megan M Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659965366 PECOS PAC ID: 0840606158 Enrollment ID: I20210311001841 |
| Provider Name | Amy Elizabeth Mccalister |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366036451 PECOS PAC ID: 6204242266 Enrollment ID: I20210317001146 |
| Provider Name | Dale J Voges |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629663331 PECOS PAC ID: 2961819750 Enrollment ID: I20210323000921 |
| Provider Name | Ashley Nichole Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679162366 PECOS PAC ID: 0648687236 Enrollment ID: I20210326001009 |
| Provider Name | Maria E Earley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386724417 PECOS PAC ID: 8921415522 Enrollment ID: I20210326001468 |
| Provider Name | Lauren Anne Necesario Smith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477172823 PECOS PAC ID: 8527476308 Enrollment ID: I20210415000982 |
| Provider Name | Hallie Talpas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770176406 PECOS PAC ID: 5496154726 Enrollment ID: I20210519000298 |
| Provider Name | Maria F Schoenfeld |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801380944 PECOS PAC ID: 5799031787 Enrollment ID: I20210624000721 |
| Provider Name | Nishant U Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902399231 PECOS PAC ID: 7810242492 Enrollment ID: I20210713002832 |
| Provider Name | Alisa D Scholl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518539238 PECOS PAC ID: 8921401530 Enrollment ID: I20210720002257 |
| Provider Name | Ana Goico Alburquerque |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1912359621 PECOS PAC ID: 9032404934 Enrollment ID: I20210722001127 |
| Provider Name | Justina Tseng |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1346276540 PECOS PAC ID: 7719935519 Enrollment ID: I20210730002823 |
| Provider Name | Tonya R Wetmore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720753296 PECOS PAC ID: 8224433016 Enrollment ID: I20210817001449 |
| Provider Name | Isamu Tachibana |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1164871158 PECOS PAC ID: 8729370333 Enrollment ID: I20210817001931 |
| Provider Name | Kyle C Wilmes |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1912355330 PECOS PAC ID: 3476886540 Enrollment ID: I20210823001352 |
| Provider Name | Austen Slade |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1467815530 PECOS PAC ID: 0941566459 Enrollment ID: I20210825002260 |
| Provider Name | Amy Renee Holmes Riley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255919338 PECOS PAC ID: 8022414671 Enrollment ID: I20210907001145 |
| Provider Name | Sara Jane Fisher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154097509 PECOS PAC ID: 7012313349 Enrollment ID: I20210910002169 |
| Provider Name | Sara Nichole Conn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225704471 PECOS PAC ID: 3072902287 Enrollment ID: I20211109002967 |
| Provider Name | Naga Malleswari Vutukuri |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1518255942 PECOS PAC ID: 3476775891 Enrollment ID: I20211112002292 |
| Provider Name | Jennifer Ashley Gooch Holmes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114574191 PECOS PAC ID: 0042609836 Enrollment ID: I20211117000441 |
| Provider Name | Courtney R Nickles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972269488 PECOS PAC ID: 4981093564 Enrollment ID: I20211122000162 |
| Provider Name | Jessica Elizabeth Drake |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457016537 PECOS PAC ID: 3678963121 Enrollment ID: I20211124000955 |
| Provider Name | Jessica R Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144987983 PECOS PAC ID: 0840680609 Enrollment ID: I20211209001601 |
| Provider Name | Christina Cullison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831761287 PECOS PAC ID: 5496145260 Enrollment ID: I20211209002150 |
| Provider Name | Dabney Wisecarver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619459732 PECOS PAC ID: 5496099335 Enrollment ID: I20211210002138 |
| Provider Name | Brandi Rhoads |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396320461 PECOS PAC ID: 1658760806 Enrollment ID: I20220224001477 |
| Provider Name | Aleaha Ghant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376299925 PECOS PAC ID: 5294120838 Enrollment ID: I20220318000446 |
| Provider Name | Audra Mcquade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316694961 PECOS PAC ID: 1759776206 Enrollment ID: I20220318001312 |
| Provider Name | Dana R Trotter |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1811030067 PECOS PAC ID: 8123074515 Enrollment ID: I20220412000656 |
| Provider Name | Colin Linke |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1417318304 PECOS PAC ID: 4284927575 Enrollment ID: I20220412001263 |
| Provider Name | Charles S Modlin |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1578527891 PECOS PAC ID: 6901894302 Enrollment ID: I20220425001953 |
| Provider Name | Miranda Lynn Lively |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346995099 PECOS PAC ID: 4385031913 Enrollment ID: I20220428001057 |
| Provider Name | Abigail Hope Balka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972246197 PECOS PAC ID: 1850778838 Enrollment ID: I20220512001212 |
| Provider Name | Joshua Mccarron |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1801289764 PECOS PAC ID: 4981918729 Enrollment ID: I20220606000514 |
| Provider Name | Renee Noel Bauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780356048 PECOS PAC ID: 0941688683 Enrollment ID: I20220608001157 |
| Provider Name | Maria E Smith |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952398539 PECOS PAC ID: 8921092818 Enrollment ID: I20220714002401 |
| Provider Name | Aric Michael King |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871152975 PECOS PAC ID: 9537493135 Enrollment ID: I20220728000620 |
| Provider Name | Anna M Blevins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851028112 PECOS PAC ID: 3274916663 Enrollment ID: I20220817003354 |
| Provider Name | Jeremy Bowman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063170256 PECOS PAC ID: 0345624243 Enrollment ID: I20220825003998 |
| Provider Name | Samatha Tipirneni |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1598883076 PECOS PAC ID: 0143383505 Enrollment ID: I20220906000197 |
| Provider Name | Mustafa Ali Abdul-hussein |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1972759173 PECOS PAC ID: 2466620380 Enrollment ID: I20220929000822 |
| Provider Name | Kelli Anne Michael |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346889508 PECOS PAC ID: 9931575925 Enrollment ID: I20221017000822 |
| Provider Name | Jacqueline Marie Hart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033832407 PECOS PAC ID: 4880060557 Enrollment ID: I20221020002060 |
| Provider Name | Sujata Tidd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265158679 PECOS PAC ID: 7719354877 Enrollment ID: I20221101003355 |
| Provider Name | Jessica Boland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821706029 PECOS PAC ID: 5799153136 Enrollment ID: I20221116001813 |
| Provider Name | David Poor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275589699 PECOS PAC ID: 3779538160 Enrollment ID: I20221128000864 |
| Provider Name | Kevin L Hair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962036558 PECOS PAC ID: 2466882568 Enrollment ID: I20221223000643 |
| Provider Name | Steven J Burns |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1831150465 PECOS PAC ID: 7517078751 Enrollment ID: I20230224001706 |
| Provider Name | Gregory J Barton |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1992168546 PECOS PAC ID: 4486946316 Enrollment ID: I20230307000438 |
| Provider Name | Blake Erin Roseberry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932810751 PECOS PAC ID: 7911371448 Enrollment ID: I20230323000520 |
| Provider Name | Omer Raheem |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1336436252 PECOS PAC ID: 9436427218 Enrollment ID: I20230526001862 |
| Provider Name | Yazan Abu Qwaider |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1356377816 PECOS PAC ID: 4587699707 Enrollment ID: I20230602001969 |
| Provider Name | Jiping Zeng |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1659860260 PECOS PAC ID: 7810248622 Enrollment ID: I20230609000526 |
| Provider Name | Arsalan Bin Mohammad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457975260 PECOS PAC ID: 7810311727 Enrollment ID: I20230615003541 |
| Provider Name | Stephanie Fougerousse |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619593340 PECOS PAC ID: 1254754252 Enrollment ID: I20230622002775 |
| Provider Name | Venkata Vosuri |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1861603201 PECOS PAC ID: 7214089531 Enrollment ID: I20230718000322 |
| Provider Name | Chindo Bala Mallum |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1669968160 PECOS PAC ID: 3173983111 Enrollment ID: I20230721001633 |
| Provider Name | Patrick Bergin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255969630 PECOS PAC ID: 6709202518 Enrollment ID: I20230727000723 |
| Provider Name | Molly Tucker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548718919 PECOS PAC ID: 4688962228 Enrollment ID: I20230728002921 |
| Provider Name | Muhammad Siddique |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1720217714 PECOS PAC ID: 1557673522 Enrollment ID: I20230801002119 |
| Provider Name | Thomas Kyle Stoops |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1023460987 PECOS PAC ID: 0345622635 Enrollment ID: I20230803002858 |
| Provider Name | Melvin D Merritt |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386727584 PECOS PAC ID: 7113931452 Enrollment ID: I20230822001844 |
| Provider Name | Shamail Butt |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1043531981 PECOS PAC ID: 5496871907 Enrollment ID: I20230831000942 |
| Provider Name | Marcelle Ashley Stucky |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1164764577 PECOS PAC ID: 8022333632 Enrollment ID: I20230906003365 |
| Provider Name | Jeremiah Ellingsworth |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992268437 PECOS PAC ID: 5496187882 Enrollment ID: I20230911003840 |
| Provider Name | M Saad Khan Sikanderkhel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1801045174 PECOS PAC ID: 7618125170 Enrollment ID: I20230912002972 |
| Provider Name | Susanne Wheeler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093952418 PECOS PAC ID: 2264578814 Enrollment ID: I20231006000874 |
| Provider Name | Thomas Montgomery Crowley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558148593 PECOS PAC ID: 9638524465 Enrollment ID: I20231013000503 |
| Provider Name | Michael R Grossman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1538158233 PECOS PAC ID: 1355394743 Enrollment ID: I20231017003171 |
| Provider Name | Brittney R Knight |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699554360 PECOS PAC ID: 7810343381 Enrollment ID: I20231020000297 |
| Provider Name | Maurice Barnes |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1730224320 PECOS PAC ID: 2860542867 Enrollment ID: I20231229000553 |
| Provider Name | Rana P Sokhi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1356458566 PECOS PAC ID: 2466495692 Enrollment ID: I20240102000256 |
| Provider Name | Erica Elliott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720853351 PECOS PAC ID: 3274984224 Enrollment ID: I20240104000553 |
| Provider Name | Marisa Potorti Newton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073381224 PECOS PAC ID: 2567813009 Enrollment ID: I20240109001529 |
| Provider Name | Jassie Mcgovern |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1659878734 PECOS PAC ID: 7416358288 Enrollment ID: I20240228001231 |
| Provider Name | Yasser Rehman |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1730372871 PECOS PAC ID: 9032203039 Enrollment ID: I20240304000629 |
Illiana Internal Medicine, L.l.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1332 N 7th St, Terre Haute, IN 47807 Phone: 812-478-8888 Fax: 812-478-1114 | |
Ambucare Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3387 S Us Highway 41, Terre Haute, IN 47802 Phone: 812-232-5532 Fax: 812-232-2574 | |
Union Hospital Family Medicine East Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4001 Wabash Ave, Terre Haute, IN 47803 Phone: 812-238-7711 Fax: 812-238-7700 | |
Associated Physicians & Surgeons Clinic, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4601 S 7th St, Terre Haute, IN 47802 Phone: 812-232-0564 Fax: 812-242-3848 | |
Hpw Center For Diabetes, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3560 S 4th St, Terre Haute, IN 47802 Phone: 812-235-8496 Fax: 812-478-1540 | |
No Dba Wabash Valley Hospitalists Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3901 S 7th St, Room 452, Terre Haute, IN 47802 Phone: 812-237-9217 Fax: 812-237-1395 | |
Union Associated Physicians Clinic, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1725 N 5th St, Terre Haute, IN 47804 Phone: 812-242-3005 Fax: 812-242-3034 |