| Union Hospital Of Cecil County | |
|
106 Bow St Elkton MD 21921-5544 | |
| (410) 398-4510 | |
| (410) 398-5160 |
| Full Name | Union Hospital Of Cecil County |
|---|---|
| Speciality | Internal Medicine |
| Location | 106 Bow St, Elkton, Maryland |
| Authorized Official Name and Position | Judy Riesen (DIRECTOR OF REVENUE CYCLE) |
| Authorized Official Contact | 4103984000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Union Hospital Of Cecil County Po Box 7356 Lancaster PA 17604-7356 Ph: (410) 398-4000 | Union Hospital Of Cecil County 106 Bow St Elkton MD 21921-5544 Ph: (410) 398-4510 |
| NPI Number | 1124067848 |
|---|---|
| Provider Enumeration Date | 06/06/2006 |
| Last Update Date | 01/18/2024 |
| Medicare PECOS PAC ID | 6901719822 |
|---|---|
| Medicare Enrollment ID | O20040121001109 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124067848 | NPI | - | NPPES |
| Provider Name | George I Okang |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1770573859 PECOS PAC ID: 3971496548 Enrollment ID: I20040206000184 |
| Provider Name | Jose M Ma |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518904648 PECOS PAC ID: 4880687045 Enrollment ID: I20040405001325 |
| Provider Name | Thomas Battles |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1801990460 PECOS PAC ID: 4082696984 Enrollment ID: I20040603001365 |
| Provider Name | Richard Offei Addo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639139413 PECOS PAC ID: 9032193065 Enrollment ID: I20040616000845 |
| Provider Name | Joseph Michael Knapp |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154372084 PECOS PAC ID: 9739151259 Enrollment ID: I20040806000225 |
| Provider Name | Samir Khanjar |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801847736 PECOS PAC ID: 7113998766 Enrollment ID: I20040806000236 |
| Provider Name | Marleen A Mckenzie |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1831221621 PECOS PAC ID: 5799758280 Enrollment ID: I20040813000394 |
| Provider Name | Samuel C Bieligk |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1982618112 PECOS PAC ID: 2567423999 Enrollment ID: I20041020000173 |
| Provider Name | Vivek Varma |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1043314362 PECOS PAC ID: 4688632706 Enrollment ID: I20041221000652 |
| Provider Name | Syed Shaukat |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1316069883 PECOS PAC ID: 4981659158 Enrollment ID: I20050321000806 |
| Provider Name | Jaroslaw R Kalka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841384302 PECOS PAC ID: 6709836737 Enrollment ID: I20050517000359 |
| Provider Name | Brenda K Mckenzie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235123837 PECOS PAC ID: 3971539313 Enrollment ID: I20050715001083 |
| Provider Name | John G Carlyle |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558325357 PECOS PAC ID: 3173552072 Enrollment ID: I20050811000132 |
| Provider Name | Horatio Yeung |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083726053 PECOS PAC ID: 8224053632 Enrollment ID: I20051013000806 |
| Provider Name | Kim M Callwood |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275505356 PECOS PAC ID: 8820984339 Enrollment ID: I20051205000366 |
| Provider Name | Henry S Sun |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1609845817 PECOS PAC ID: 3678596301 Enrollment ID: I20060109000984 |
| Provider Name | Harinarayan Balasubramanian |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1124064787 PECOS PAC ID: 7315960804 Enrollment ID: I20060111000185 |
| Provider Name | David F Hutcheon |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1679551865 PECOS PAC ID: 5597789354 Enrollment ID: I20060119000301 |
| Provider Name | Kent G Krejci |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1962447334 PECOS PAC ID: 8123052206 Enrollment ID: I20060413000335 |
| Provider Name | Suleika Jb Michel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1710945928 PECOS PAC ID: 0941210074 Enrollment ID: I20060503000433 |
| Provider Name | John Hebeka |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1366466674 PECOS PAC ID: 8628979564 Enrollment ID: I20061109000661 |
| Provider Name | David Vitberg |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1720025182 PECOS PAC ID: 3476551797 Enrollment ID: I20061121000502 |
| Provider Name | Christopher Gelmann |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1538183827 PECOS PAC ID: 4385646421 Enrollment ID: I20070202000284 |
| Provider Name | Cecilia J Carroll |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1578667143 PECOS PAC ID: 0840254785 Enrollment ID: I20070202000292 |
| Provider Name | Arsalan Sheikh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518971266 PECOS PAC ID: 7315917457 Enrollment ID: I20070207000658 |
| Provider Name | William Hartz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194721803 PECOS PAC ID: 7012810229 Enrollment ID: I20070228000330 |
| Provider Name | Mark A Lottes |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447224654 PECOS PAC ID: 2769582949 Enrollment ID: I20070717000717 |
| Provider Name | Michael Brywka |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1487655353 PECOS PAC ID: 7214991538 Enrollment ID: I20070924000717 |
| Provider Name | Lenore M Tietjens Grillo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1376609248 PECOS PAC ID: 2163502253 Enrollment ID: I20080102000122 |
| Provider Name | Susan K Carlyle |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104973569 PECOS PAC ID: 7315027398 Enrollment ID: I20080103000152 |
| Provider Name | Narayana R Pula |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801003488 PECOS PAC ID: 8729166764 Enrollment ID: I20080416000479 |
| Provider Name | Salina Doris Tsai |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255593968 PECOS PAC ID: 5496828865 Enrollment ID: I20080717000457 |
| Provider Name | Yi Li |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881896132 PECOS PAC ID: 3274608302 Enrollment ID: I20080825000033 |
| Provider Name | Ryan Geracimos |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376688531 PECOS PAC ID: 6002982956 Enrollment ID: I20080829000341 |
| Provider Name | Olalekan Peter Olufemi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851340517 PECOS PAC ID: 5496704413 Enrollment ID: I20081017000059 |
| Provider Name | Christa R Fistler |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1770608887 PECOS PAC ID: 4981766615 Enrollment ID: I20081215000338 |
| Provider Name | Theodora Adadzewa Fynn |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1205093804 PECOS PAC ID: 4880759653 Enrollment ID: I20090210000761 |
| Provider Name | Marla Chiarelli |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1487696746 PECOS PAC ID: 6103928130 Enrollment ID: I20090216000025 |
| Provider Name | Karin J Blakemore |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1326004003 PECOS PAC ID: 6800964594 Enrollment ID: I20090225000248 |
| Provider Name | Ernest M Graham |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1144272907 PECOS PAC ID: 9436229838 Enrollment ID: I20090511000501 |
| Provider Name | Karen L Giles |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720007974 PECOS PAC ID: 5991691206 Enrollment ID: I20090923000514 |
| Provider Name | David M Cromwell |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1063415271 PECOS PAC ID: 2062444300 Enrollment ID: I20100226000787 |
| Provider Name | Dana Sokolowski |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1578500435 PECOS PAC ID: 6406991785 Enrollment ID: I20100311000380 |
| Provider Name | Min Yu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194943332 PECOS PAC ID: 4284790742 Enrollment ID: I20100317000383 |
| Provider Name | John Mulvey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902863509 PECOS PAC ID: 5698724987 Enrollment ID: I20100414000329 |
| Provider Name | Ramesh Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083894604 PECOS PAC ID: 2365574837 Enrollment ID: I20100719000672 |
| Provider Name | Arvinder Uppal |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1073585261 PECOS PAC ID: 7810883303 Enrollment ID: I20100721000345 |
| Provider Name | David A Gordon |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1407819642 PECOS PAC ID: 0345246450 Enrollment ID: I20100810000113 |
| Provider Name | Madhu Sachdev |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528084712 PECOS PAC ID: 7911085956 Enrollment ID: I20100917000984 |
| Provider Name | Rebecca A Kiersznowski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437201019 PECOS PAC ID: 9739205832 Enrollment ID: I20100927000522 |
| Provider Name | Sheelmohan S Sachdev |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699794727 PECOS PAC ID: 5092893032 Enrollment ID: I20100927001348 |
| Provider Name | Lanre T Akinkunmi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255413969 PECOS PAC ID: 1052319100 Enrollment ID: I20101202000713 |
| Provider Name | Vinay Sharma |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1609984517 PECOS PAC ID: 6204920531 Enrollment ID: I20101203000925 |
| Provider Name | Kenneth E Hollingsworth |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1356349294 PECOS PAC ID: 0547355026 Enrollment ID: I20110114000469 |
| Provider Name | Dong Park |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1174794788 PECOS PAC ID: 3678645165 Enrollment ID: I20110318000369 |
| Provider Name | Promila K Suri |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1881786689 PECOS PAC ID: 0941483168 Enrollment ID: I20110325000507 |
| Provider Name | James Howard Mackey |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1598068520 PECOS PAC ID: 7618150483 Enrollment ID: I20110401000038 |
| Provider Name | Anthony Mitchell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013968080 PECOS PAC ID: 3173426913 Enrollment ID: I20110624000476 |
| Provider Name | Gaurav Jindal |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184773186 PECOS PAC ID: 7315061991 Enrollment ID: I20110817000722 |
| Provider Name | Orlando L Debesa |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1730348392 PECOS PAC ID: 1254500705 Enrollment ID: I20110818000019 |
| Provider Name | Jennifier L Speir |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1447545280 PECOS PAC ID: 7618147513 Enrollment ID: I20110901000559 |
| Provider Name | Justin Sausville |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1376679498 PECOS PAC ID: 6103096946 Enrollment ID: I20110902000408 |
| Provider Name | Kenneth D Miller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861480535 PECOS PAC ID: 0749185270 Enrollment ID: I20111109000429 |
| Provider Name | John P Mackrell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447426499 PECOS PAC ID: 5193864445 Enrollment ID: I20111109000517 |
| Provider Name | Heidi A Grieb-ginn |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1053409334 PECOS PAC ID: 3971770025 Enrollment ID: I20120113000122 |
| Provider Name | Eileen M Pack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992078141 PECOS PAC ID: 8729248646 Enrollment ID: I20120329000475 |
| Provider Name | Sravanthy Pataparla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346404589 PECOS PAC ID: 1456512532 Enrollment ID: I20120417000521 |
| Provider Name | Ioannis Hatzaras |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1225252471 PECOS PAC ID: 8527220375 Enrollment ID: I20120424000591 |
| Provider Name | James S Ley |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1376652396 PECOS PAC ID: 2062692411 Enrollment ID: I20120518000242 |
| Provider Name | Brett D Roberts |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1104961788 PECOS PAC ID: 6305014937 Enrollment ID: I20120608000218 |
| Provider Name | Maimoona Inayat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417189010 PECOS PAC ID: 7719133768 Enrollment ID: I20120808000262 |
| Provider Name | Richard M Lewis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548208382 PECOS PAC ID: 2163411539 Enrollment ID: I20121121000017 |
| Provider Name | David A Nussbaum |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144379041 PECOS PAC ID: 9739239955 Enrollment ID: I20130320000103 |
| Provider Name | Gabrielle P Kennard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033457908 PECOS PAC ID: 3173768769 Enrollment ID: I20130403000042 |
| Provider Name | Roger D Wu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1801088596 PECOS PAC ID: 2466691068 Enrollment ID: I20130611000544 |
| Provider Name | Niloofar Hakakian |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821389149 PECOS PAC ID: 4587804034 Enrollment ID: I20130708000099 |
| Provider Name | Sandra L Pruett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750515649 PECOS PAC ID: 3971765801 Enrollment ID: I20140103000395 |
| Provider Name | Scott M Reich |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1285664201 PECOS PAC ID: 7214932672 Enrollment ID: I20140121001482 |
| Provider Name | Mark E Zweben |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1720067077 PECOS PAC ID: 4183512353 Enrollment ID: I20140402000902 |
| Provider Name | Yuanyuan Zhang |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1144546961 PECOS PAC ID: 0941448161 Enrollment ID: I20140402001074 |
| Provider Name | Jessica Lynn Krummel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629338637 PECOS PAC ID: 2567694250 Enrollment ID: I20140411000343 |
| Provider Name | Wasif A Qureshi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1861619975 PECOS PAC ID: 8123117322 Enrollment ID: I20140714000278 |
| Provider Name | Sirin Pandey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194955716 PECOS PAC ID: 6103049598 Enrollment ID: I20140717000883 |
| Provider Name | Erica A Russell |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1235543109 PECOS PAC ID: 3678790300 Enrollment ID: I20140804001684 |
| Provider Name | Eugenia Gray |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1619988367 PECOS PAC ID: 5698969632 Enrollment ID: I20140822001593 |
| Provider Name | Michael H Bass |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1841451580 PECOS PAC ID: 9638397615 Enrollment ID: I20140904002202 |
| Provider Name | Ryan J Kimball |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053721233 PECOS PAC ID: 5890915995 Enrollment ID: I20141010002103 |
| Provider Name | Tewodros B Teferra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700170552 PECOS PAC ID: 2668693060 Enrollment ID: I20141029000516 |
| Provider Name | Russell A White |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164470092 PECOS PAC ID: 0345215018 Enrollment ID: I20141118001959 |
| Provider Name | Dawit M Wubie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396981361 PECOS PAC ID: 3476678277 Enrollment ID: I20150213000417 |
| Provider Name | Natalie Berman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831330778 PECOS PAC ID: 7911161146 Enrollment ID: I20150407001587 |
| Provider Name | Clark T Johnson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497989305 PECOS PAC ID: 5698927275 Enrollment ID: I20150505000597 |
| Provider Name | Fahd Rahman |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1518165943 PECOS PAC ID: 2062568678 Enrollment ID: I20150515000799 |
| Provider Name | Jessica Nunez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780867960 PECOS PAC ID: 4587851886 Enrollment ID: I20150527001975 |
| Provider Name | Naveed Hasan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023274511 PECOS PAC ID: 7012229974 Enrollment ID: I20150707000348 |
| Provider Name | Patrick Oguejiofor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881982114 PECOS PAC ID: 8820301518 Enrollment ID: I20150724009872 |
| Provider Name | Osama Abulseoud |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679654800 PECOS PAC ID: 3678573045 Enrollment ID: I20150827000147 |
| Provider Name | Alexis Chika Nworah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386901411 PECOS PAC ID: 6002122496 Enrollment ID: I20150831001981 |
| Provider Name | Rut Dinkar Dholakia |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1164633913 PECOS PAC ID: 3870789415 Enrollment ID: I20160108002317 |
| Provider Name | Pamela J Llewellyn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619230539 PECOS PAC ID: 4385947654 Enrollment ID: I20160120000889 |
| Provider Name | Rebecca S Larson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215302716 PECOS PAC ID: 5092018325 Enrollment ID: I20160120002812 |
| Provider Name | Danielle M Press |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1063685485 PECOS PAC ID: 0749445088 Enrollment ID: I20160322002323 |
| Provider Name | Marchelle June Bean Giannini |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174588503 PECOS PAC ID: 7214234830 Enrollment ID: I20160328000397 |
| Provider Name | Sowmya Thanneeru |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962842898 PECOS PAC ID: 5597066449 Enrollment ID: I20160520000088 |
| Provider Name | Matthew D Donnelly |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1720286099 PECOS PAC ID: 6800971623 Enrollment ID: I20160602002619 |
| Provider Name | Mingwei Ni |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1306161872 PECOS PAC ID: 8729390083 Enrollment ID: I20161011000774 |
| Provider Name | Kathleen M Henley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376983585 PECOS PAC ID: 3870871999 Enrollment ID: I20161025001039 |
| Provider Name | Betty J Battaglia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215486972 PECOS PAC ID: 6608155767 Enrollment ID: I20161111001160 |
| Provider Name | Raul Sebastian Laines |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1144512682 PECOS PAC ID: 7113208646 Enrollment ID: I20161221001143 |
| Provider Name | Katreena Settle |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245576792 PECOS PAC ID: 2668761719 Enrollment ID: I20170228000287 |
| Provider Name | Rizwana Ahmed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457809865 PECOS PAC ID: 7810273968 Enrollment ID: I20170404002068 |
| Provider Name | Hammad Aziz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1154505253 PECOS PAC ID: 4587736616 Enrollment ID: I20170410000257 |
| Provider Name | Amber R Manning |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538408927 PECOS PAC ID: 2668610932 Enrollment ID: I20170418001256 |
| Provider Name | Folashade O Famodu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679014641 PECOS PAC ID: 5294012910 Enrollment ID: I20170508000648 |
| Provider Name | Rachana Thapa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851710560 PECOS PAC ID: 2668778069 Enrollment ID: I20170616001475 |
| Provider Name | Nitin Aggarwal |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1407145402 PECOS PAC ID: 8527347400 Enrollment ID: I20170726002863 |
| Provider Name | Ujwal Thapa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902036965 PECOS PAC ID: 0749336436 Enrollment ID: I20170731001159 |
| Provider Name | Susan L Chudzik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063415651 PECOS PAC ID: 9638358146 Enrollment ID: I20170925000064 |
| Provider Name | Nikita Shah |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982023487 PECOS PAC ID: 3870716632 Enrollment ID: I20170926000556 |
| Provider Name | Edward Tackey |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1669488110 PECOS PAC ID: 1951359074 Enrollment ID: I20171019002625 |
| Provider Name | Andrew Ryan Deitchman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225320427 PECOS PAC ID: 6204076250 Enrollment ID: I20171113002984 |
| Provider Name | Aysar Al-husseini |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407255482 PECOS PAC ID: 3779841671 Enrollment ID: I20171226000994 |
| Provider Name | Jason Federline |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396087847 PECOS PAC ID: 5193943215 Enrollment ID: I20171227002209 |
| Provider Name | William Steward |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861908634 PECOS PAC ID: 5890054522 Enrollment ID: I20180125001428 |
| Provider Name | Abdel Hamid Abd El Shafy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972917821 PECOS PAC ID: 3971862624 Enrollment ID: I20180305000280 |
| Provider Name | Samuel B Itscoitz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1760587596 PECOS PAC ID: 9032005020 Enrollment ID: I20180406001789 |
| Provider Name | April C Hopkins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174983183 PECOS PAC ID: 4981959475 Enrollment ID: I20180625003070 |
| Provider Name | Hanhan Li |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1780944652 PECOS PAC ID: 6800028291 Enrollment ID: I20180710000762 |
| Provider Name | Tuesday Cook |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1396902227 PECOS PAC ID: 2769547207 Enrollment ID: I20180711000168 |
| Provider Name | Getinet A Kassa |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629331855 PECOS PAC ID: 4587840731 Enrollment ID: I20180726001810 |
| Provider Name | Eva Geracimos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750344784 PECOS PAC ID: 4981606449 Enrollment ID: I20180801000595 |
| Provider Name | Kojo Danquah Arkhurst |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689849697 PECOS PAC ID: 3870763451 Enrollment ID: I20180913000880 |
| Provider Name | Mark Debussy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407333164 PECOS PAC ID: 3577813492 Enrollment ID: I20180913001717 |
| Provider Name | Matthew J Waxman |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1699203323 PECOS PAC ID: 5890045074 Enrollment ID: I20180917001711 |
| Provider Name | Shane O'hare |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194268276 PECOS PAC ID: 0749532554 Enrollment ID: I20181005001020 |
| Provider Name | Haytham Hamwi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548580137 PECOS PAC ID: 5092937706 Enrollment ID: I20181009001475 |
| Provider Name | Roquell Wyche |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1801069679 PECOS PAC ID: 9133292675 Enrollment ID: I20181206000565 |
| Provider Name | Kim Jones-fearing |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871521393 PECOS PAC ID: 4082951215 Enrollment ID: I20190128000012 |
| Provider Name | Owen T Regan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518074889 PECOS PAC ID: 9537178413 Enrollment ID: I20190318000909 |
| Provider Name | Christopher J Kronner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801146824 PECOS PAC ID: 9234471210 Enrollment ID: I20190423000097 |
| Provider Name | Nasrin Ansari |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1497833826 PECOS PAC ID: 5496789554 Enrollment ID: I20190430002433 |
| Provider Name | Leon Novak |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710190343 PECOS PAC ID: 4587757687 Enrollment ID: I20190618002386 |
| Provider Name | Baltej Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962853457 PECOS PAC ID: 9133454341 Enrollment ID: I20190710002985 |
| Provider Name | Mark D Allan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477594463 PECOS PAC ID: 9638221070 Enrollment ID: I20190717000913 |
| Provider Name | Shazia F Bhat |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508066085 PECOS PAC ID: 6901956911 Enrollment ID: I20190730001334 |
| Provider Name | Robin R Maguire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770708950 PECOS PAC ID: 8123267473 Enrollment ID: I20190806000045 |
| Provider Name | Cara May O'reilly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770145120 PECOS PAC ID: 8628305042 Enrollment ID: I20190904000824 |
| Provider Name | Devi S Tammineedi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811372733 PECOS PAC ID: 3870899941 Enrollment ID: I20190912001987 |
| Provider Name | Sami Tannouri |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1942567656 PECOS PAC ID: 2163655614 Enrollment ID: I20190918002692 |
| Provider Name | Miles Lota |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174695225 PECOS PAC ID: 6709874779 Enrollment ID: I20190923000267 |
| Provider Name | Giath Osman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1689764532 PECOS PAC ID: 2860594165 Enrollment ID: I20190923002841 |
| Provider Name | Angelica D White |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063636215 PECOS PAC ID: 6406921402 Enrollment ID: I20191007003405 |
| Provider Name | Anjuli Gupta |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1922441393 PECOS PAC ID: 5698070860 Enrollment ID: I20191119000164 |
| Provider Name | Markian Y Pazuniak |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205218757 PECOS PAC ID: 9638410079 Enrollment ID: I20191216002386 |
| Provider Name | Arddhy B Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003476748 PECOS PAC ID: 9830524164 Enrollment ID: I20200115000970 |
| Provider Name | Jessica J An |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790325546 PECOS PAC ID: 5496182990 Enrollment ID: I20200224000050 |
| Provider Name | Nathan Platt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003450057 PECOS PAC ID: 0244667293 Enrollment ID: I20200304000013 |
| Provider Name | Jada P Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154960052 PECOS PAC ID: 6103253042 Enrollment ID: I20200305000975 |
| Provider Name | Mithil J Gajera |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1962732412 PECOS PAC ID: 0446415962 Enrollment ID: I20200528001813 |
| Provider Name | Michael T Vest |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1336293257 PECOS PAC ID: 9638356413 Enrollment ID: I20200528001911 |
| Provider Name | Matthew L Barrett |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316077266 PECOS PAC ID: 3870758626 Enrollment ID: I20200528001986 |
| Provider Name | Michael G Benninghoff |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1366562605 PECOS PAC ID: 6709771314 Enrollment ID: I20200528002250 |
| Provider Name | Patrick Eckert |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417178104 PECOS PAC ID: 8022181809 Enrollment ID: I20200528002400 |
| Provider Name | Alexander E Swift |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1215901392 PECOS PAC ID: 1456370410 Enrollment ID: I20200528002714 |
| Provider Name | Farid M Moosavy |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1376594150 PECOS PAC ID: 3173575578 Enrollment ID: I20200528002832 |
| Provider Name | Dominic John Valentino |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215088067 PECOS PAC ID: 1557263621 Enrollment ID: I20200528002961 |
| Provider Name | Elizabeth K Clayton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194167734 PECOS PAC ID: 8527286699 Enrollment ID: I20200708000653 |
| Provider Name | Olumide T Omobo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982139119 PECOS PAC ID: 1850715566 Enrollment ID: I20200728000101 |
| Provider Name | Shiv B Patel |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1619262250 PECOS PAC ID: 1254604986 Enrollment ID: I20200807001365 |
| Provider Name | Madeeha Abdul Ghaffar |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1194276063 PECOS PAC ID: 8729323357 Enrollment ID: I20200818002183 |
| Provider Name | Mehdi Gheshlaghi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1831487966 PECOS PAC ID: 0244456283 Enrollment ID: I20200824001121 |
| Provider Name | Jessica B Pamer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699933895 PECOS PAC ID: 3173780749 Enrollment ID: I20201020000588 |
| Provider Name | Felicia H Hawkins |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1144531260 PECOS PAC ID: 6002103371 Enrollment ID: I20201104000186 |
| Provider Name | Donovan Mabe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477815710 PECOS PAC ID: 8022399864 Enrollment ID: I20201118000640 |
| Provider Name | Lois M Dixon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760888655 PECOS PAC ID: 4284944497 Enrollment ID: I20201123001115 |
| Provider Name | Stephanie A Evans Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437547668 PECOS PAC ID: 4385960533 Enrollment ID: I20201202000982 |
| Provider Name | Maura A Tunney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346717790 PECOS PAC ID: 7012329469 Enrollment ID: I20201209001736 |
| Provider Name | George D Giannoukos |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1750313995 PECOS PAC ID: 7517917339 Enrollment ID: I20201209002527 |
| Provider Name | Dominic Mabeya Omwenga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275161408 PECOS PAC ID: 9335552843 Enrollment ID: I20201230000621 |
| Provider Name | Bijay Risal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720218340 PECOS PAC ID: 9335305135 Enrollment ID: I20210106000196 |
| Provider Name | Gail A Mcdonald |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942277330 PECOS PAC ID: 4385637974 Enrollment ID: I20210128001837 |
| Provider Name | Joel H Hillelsohn |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1609210731 PECOS PAC ID: 3375887276 Enrollment ID: I20210315000051 |
| Provider Name | Ricardo D Budjak |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235360934 PECOS PAC ID: 1658506274 Enrollment ID: I20210421000473 |
| Provider Name | Anthony R Tascone |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1972862936 PECOS PAC ID: 5890920797 Enrollment ID: I20210504000450 |
| Provider Name | Jacqueline C Armstrong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619504867 PECOS PAC ID: 8820427065 Enrollment ID: I20210510002120 |
| Provider Name | Vishesh Agarwal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609163971 PECOS PAC ID: 6204127764 Enrollment ID: I20210623000697 |
| Provider Name | Aaron P Owens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417569062 PECOS PAC ID: 0749681047 Enrollment ID: I20210624000147 |
| Provider Name | Raymond B Attolino |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336128917 PECOS PAC ID: 9638129653 Enrollment ID: I20210713003242 |
| Provider Name | Michael C Morton Wiedner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649614546 PECOS PAC ID: 5991938136 Enrollment ID: I20210715002086 |
| Provider Name | Molly C Davis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184086522 PECOS PAC ID: 2860775830 Enrollment ID: I20210727003160 |
| Provider Name | Deanna Brooks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063090850 PECOS PAC ID: 5991108094 Enrollment ID: I20210727003509 |
| Provider Name | Maritza T Harper |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285973123 PECOS PAC ID: 6709155898 Enrollment ID: I20210727004120 |
| Provider Name | Claire Y Zhang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194145672 PECOS PAC ID: 0941500334 Enrollment ID: I20210804000397 |
| Provider Name | Sonul Gulati |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265880652 PECOS PAC ID: 7416245188 Enrollment ID: I20210807000139 |
| Provider Name | Gabriel Rothschild Hoffman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417376468 PECOS PAC ID: 4082914320 Enrollment ID: I20210807000178 |
| Provider Name | Alan Klinkhachorn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902124456 PECOS PAC ID: 4082858444 Enrollment ID: I20210809000608 |
| Provider Name | Mohammad Sadegh Asadi |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1750791000 PECOS PAC ID: 0143597419 Enrollment ID: I20210813000385 |
| Provider Name | Nihar Dhokai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881185254 PECOS PAC ID: 0446507305 Enrollment ID: I20210816002301 |
| Provider Name | Stephanie L Spangler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164841318 PECOS PAC ID: 0042439903 Enrollment ID: I20210816003000 |
| Provider Name | Young Ju Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508229642 PECOS PAC ID: 4082940309 Enrollment ID: I20210823002049 |
| Provider Name | Gina Frances Riccardi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275951915 PECOS PAC ID: 2163722604 Enrollment ID: I20210823002318 |
| Provider Name | Nadira Aryal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356789911 PECOS PAC ID: 9133423163 Enrollment ID: I20210907000131 |
| Provider Name | Hannah Z Mirzakhani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538657028 PECOS PAC ID: 9234476912 Enrollment ID: I20210914001759 |
| Provider Name | Bobbie J Mccready |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922697598 PECOS PAC ID: 3274947700 Enrollment ID: I20210915003435 |
| Provider Name | Nicole F Laslett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154716371 PECOS PAC ID: 9335450956 Enrollment ID: I20210916000364 |
| Provider Name | Stephen Ignatius Proctor |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811903792 PECOS PAC ID: 3870654866 Enrollment ID: I20210924002271 |
| Provider Name | Kevin L Wong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659875524 PECOS PAC ID: 1153676218 Enrollment ID: I20210924002498 |
| Provider Name | Mercy E Isang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518038660 PECOS PAC ID: 5496654659 Enrollment ID: I20211001000759 |
| Provider Name | Lindsey Noel Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033782735 PECOS PAC ID: 0244628253 Enrollment ID: I20211025001783 |
| Provider Name | Ismanie Guillaume |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326571126 PECOS PAC ID: 1153699871 Enrollment ID: I20211102000300 |
| Provider Name | Tochi Umunakwe |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1609119577 PECOS PAC ID: 4688993223 Enrollment ID: I20211112002437 |
| Provider Name | David Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255696225 PECOS PAC ID: 3274848023 Enrollment ID: I20211115000238 |
| Provider Name | James I Tikellis |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1811952153 PECOS PAC ID: 3274635875 Enrollment ID: I20211115001618 |
| Provider Name | Douglas Lienesch |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1124129747 PECOS PAC ID: 5890746499 Enrollment ID: I20211117000288 |
| Provider Name | Paavan Dilip Mehta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922455237 PECOS PAC ID: 8325333842 Enrollment ID: I20211123001251 |
| Provider Name | Nandini Mehta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700270980 PECOS PAC ID: 6608123690 Enrollment ID: I20211123002318 |
| Provider Name | Rizwan Jattala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457883753 PECOS PAC ID: 7719227636 Enrollment ID: I20211123002550 |
| Provider Name | Shannon Wilton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831620707 PECOS PAC ID: 5991073694 Enrollment ID: I20211124000431 |
| Provider Name | Michael Goulet |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730612383 PECOS PAC ID: 8820367196 Enrollment ID: I20211124000919 |
| Provider Name | James Mcninch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013412527 PECOS PAC ID: 0840555132 Enrollment ID: I20211124001130 |
| Provider Name | Lilian Msambichaka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568805844 PECOS PAC ID: 0749408847 Enrollment ID: I20211124001368 |
| Provider Name | Nicole Baum |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205367554 PECOS PAC ID: 9638447337 Enrollment ID: I20211124001390 |
| Provider Name | Danielle Conahan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124388871 PECOS PAC ID: 0547568495 Enrollment ID: I20211124001661 |
| Provider Name | Michael Gibbons |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285838763 PECOS PAC ID: 1254527088 Enrollment ID: I20211124001697 |
| Provider Name | Syed Abul Qasim Sherazi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316320252 PECOS PAC ID: 4880943836 Enrollment ID: I20211129000860 |
| Provider Name | Farhan Munshi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1629410774 PECOS PAC ID: 9436405552 Enrollment ID: I20211130001870 |
| Provider Name | Warren Go |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245462944 PECOS PAC ID: 6305099623 Enrollment ID: I20211130002026 |
| Provider Name | Bryan Haimes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205298437 PECOS PAC ID: 7810280583 Enrollment ID: I20211208001179 |
| Provider Name | Jerome Nchamukong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740786342 PECOS PAC ID: 1759637499 Enrollment ID: I20211214002849 |
| Provider Name | James A Shepard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265844112 PECOS PAC ID: 2264652338 Enrollment ID: I20211215002706 |
| Provider Name | Giovanna Uzelac |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902190390 PECOS PAC ID: 3476772849 Enrollment ID: I20211216000425 |
| Provider Name | Nana Ankomah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194795443 PECOS PAC ID: 7517910961 Enrollment ID: I20211228001490 |
| Provider Name | Ahmed F Abdulameer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295264166 PECOS PAC ID: 9830516137 Enrollment ID: I20211230002139 |
| Provider Name | Ilya Ivyanskiy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851888911 PECOS PAC ID: 2567716624 Enrollment ID: I20220107000456 |
| Provider Name | Willy Widjaya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629451463 PECOS PAC ID: 2769781897 Enrollment ID: I20220110001774 |
| Provider Name | Shivani Shah |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053721597 PECOS PAC ID: 0648497685 Enrollment ID: I20220112000035 |
| Provider Name | Minh Tran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710478987 PECOS PAC ID: 0749686541 Enrollment ID: I20220223000889 |
| Provider Name | Mark R Lohkamp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386136281 PECOS PAC ID: 0840548491 Enrollment ID: I20220317000011 |
| Provider Name | Kingsley Ayoola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720628910 PECOS PAC ID: 8820484629 Enrollment ID: I20220404001814 |
| Provider Name | Cynthia Rohde |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1295482297 PECOS PAC ID: 0941696413 Enrollment ID: I20220409000078 |
| Provider Name | Rashmi Wijeratne |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558820480 PECOS PAC ID: 4284020603 Enrollment ID: I20220411001928 |
| Provider Name | Lauren Mahoney Payne |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760919146 PECOS PAC ID: 1658774484 Enrollment ID: I20220411002241 |
| Provider Name | Allyson Nicole Piazza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750022760 PECOS PAC ID: 0244626471 Enrollment ID: I20220414002486 |
| Provider Name | Jeffrey Shuman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528555232 PECOS PAC ID: 7618222043 Enrollment ID: I20220420002166 |
| Provider Name | Robert Doherty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265969158 PECOS PAC ID: 3577988740 Enrollment ID: I20220426002840 |
| Provider Name | Arushi Goel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992157408 PECOS PAC ID: 0143557371 Enrollment ID: I20220504002721 |
| Provider Name | Caitlin A Massone |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1235429317 PECOS PAC ID: 0840423620 Enrollment ID: I20220506000641 |
| Provider Name | Kimberly P Gannon |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831482165 PECOS PAC ID: 8527359371 Enrollment ID: I20220506000839 |
| Provider Name | Waimei Amy Tai |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1316149206 PECOS PAC ID: 8729241815 Enrollment ID: I20220506001191 |
| Provider Name | Justin Scott Nichols |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568966893 PECOS PAC ID: 0547515728 Enrollment ID: I20220514000034 |
| Provider Name | Subash Pandey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659773901 PECOS PAC ID: 1355619933 Enrollment ID: I20220514000260 |
| Provider Name | Susanna Lawson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053064311 PECOS PAC ID: 7911384813 Enrollment ID: I20220516000662 |
| Provider Name | Maria Montano |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356874325 PECOS PAC ID: 9234489485 Enrollment ID: I20220517000021 |
| Provider Name | Jonathan M Raser-schramm |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003019498 PECOS PAC ID: 7618130956 Enrollment ID: I20220517002474 |
| Provider Name | Tracey Potter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568022770 PECOS PAC ID: 7618354358 Enrollment ID: I20220518000615 |
| Provider Name | Jason Antonio Mause |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912466293 PECOS PAC ID: 5799010229 Enrollment ID: I20220518000869 |
| Provider Name | Naeveena Jeyaraj |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811556277 PECOS PAC ID: 7214266444 Enrollment ID: I20220523000553 |
| Provider Name | James M Jarvis |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1285165092 PECOS PAC ID: 3779851472 Enrollment ID: I20220526001592 |
| Provider Name | Tracy Denise Daniels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215415062 PECOS PAC ID: 4183974678 Enrollment ID: I20220602000024 |
| Provider Name | Amy Bauguess Mcmillan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982349767 PECOS PAC ID: 0648658377 Enrollment ID: I20220608000824 |
| Provider Name | Narsis Aminian |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1710416870 PECOS PAC ID: 3678841640 Enrollment ID: I20220609000208 |
| Provider Name | Kathleen Biblowitz |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1790130813 PECOS PAC ID: 4587955448 Enrollment ID: I20220630000340 |
| Provider Name | Jerbbi C Austin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306582630 PECOS PAC ID: 0840670253 Enrollment ID: I20220701000831 |
| Provider Name | Rachel Margaret Maria Brown |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609437474 PECOS PAC ID: 1557741972 Enrollment ID: I20220701001317 |
| Provider Name | Laura A Reed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326218843 PECOS PAC ID: 7214119098 Enrollment ID: I20220701002017 |
| Provider Name | Xiao Yang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932547742 PECOS PAC ID: 4284930645 Enrollment ID: I20220703000081 |
| Provider Name | Lucinda Li |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013406016 PECOS PAC ID: 3476808908 Enrollment ID: I20220719000685 |
| Provider Name | Maya Khandker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841794088 PECOS PAC ID: 0840672523 Enrollment ID: I20220727002105 |
| Provider Name | Peter Abdelmaseeh Tanagho Abdelmaseeh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487208690 PECOS PAC ID: 3375925068 Enrollment ID: I20220727002749 |
| Provider Name | Arun Raju |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063071405 PECOS PAC ID: 6507248267 Enrollment ID: I20220728000807 |
| Provider Name | Victor Paulose |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699236703 PECOS PAC ID: 2769864305 Enrollment ID: I20220729000712 |
| Provider Name | Pravish K Purmessur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124680483 PECOS PAC ID: 3173902707 Enrollment ID: I20220801000121 |
| Provider Name | Mina Sous |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912554460 PECOS PAC ID: 7719367309 Enrollment ID: I20220802000366 |
| Provider Name | Eileen Bishop |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629205166 PECOS PAC ID: 5294989919 Enrollment ID: I20220804000712 |
| Provider Name | Timothy Truman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952834897 PECOS PAC ID: 9335417096 Enrollment ID: I20220809000962 |
| Provider Name | Aisha Rehman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891354981 PECOS PAC ID: 2264760818 Enrollment ID: I20220818001433 |
| Provider Name | Sai Prada Kunkala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689236184 PECOS PAC ID: 5496180093 Enrollment ID: I20220912000524 |
| Provider Name | Meera Netrakanti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942865779 PECOS PAC ID: 5395120448 Enrollment ID: I20220913001783 |
| Provider Name | Saidivya Nair |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154883403 PECOS PAC ID: 1254668288 Enrollment ID: I20220917000160 |
| Provider Name | Henry M Lee |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1386131183 PECOS PAC ID: 3173870334 Enrollment ID: I20220917000377 |
| Provider Name | Michael Cooper |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700266939 PECOS PAC ID: 5698005221 Enrollment ID: I20220920001795 |
| Provider Name | Bo Tao |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942792072 PECOS PAC ID: 2163807520 Enrollment ID: I20220921001217 |
| Provider Name | Benjamin E Berg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588124929 PECOS PAC ID: 8123353950 Enrollment ID: I20220922000060 |
| Provider Name | Fareena Nawaz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003377060 PECOS PAC ID: 7012391600 Enrollment ID: I20220927000515 |
| Provider Name | Janette Kroenke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205560653 PECOS PAC ID: 0840676110 Enrollment ID: I20221011000443 |
| Provider Name | Kirankumar Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679002083 PECOS PAC ID: 8921426420 Enrollment ID: I20221013003237 |
| Provider Name | Kelsey Doyle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194293399 PECOS PAC ID: 0244579902 Enrollment ID: I20221025003387 |
| Provider Name | Jennifer P Rowland |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891087029 PECOS PAC ID: 9234437963 Enrollment ID: I20221031003077 |
| Provider Name | Hannah Salapeh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801393756 PECOS PAC ID: 7416212857 Enrollment ID: I20221101000835 |
| Provider Name | Muriel P Jurasevich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003416256 PECOS PAC ID: 1355717091 Enrollment ID: I20221103001062 |
| Provider Name | Agape Chen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437642774 PECOS PAC ID: 9335545763 Enrollment ID: I20221110000035 |
| Provider Name | Peter X Luo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366762973 PECOS PAC ID: 6507096013 Enrollment ID: I20221121000599 |
| Provider Name | Meredith Santinelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861781106 PECOS PAC ID: 6507169646 Enrollment ID: I20221121003011 |
| Provider Name | John F Decarli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063404044 PECOS PAC ID: 7214076223 Enrollment ID: I20221202001010 |
| Provider Name | Muhammad Janjua |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356467260 PECOS PAC ID: 8325116668 Enrollment ID: I20221202001475 |
| Provider Name | Anthony E Munson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1659323921 PECOS PAC ID: 9436139755 Enrollment ID: I20221202002244 |
| Provider Name | Misty S Buoniconti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982332367 PECOS PAC ID: 9335523844 Enrollment ID: I20221217000056 |
| Provider Name | Jean Marie Tuete |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417322447 PECOS PAC ID: 3375842024 Enrollment ID: I20221220000371 |
| Provider Name | Jennifer Mcelveen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720254824 PECOS PAC ID: 4789716721 Enrollment ID: I20221227002598 |
| Provider Name | Jonathan A Ariano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295131688 PECOS PAC ID: 0547584815 Enrollment ID: I20221229001331 |
| Provider Name | Bradley Mudge |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1205839321 PECOS PAC ID: 5294794160 Enrollment ID: I20230104000263 |
| Provider Name | Daniela Navarrete |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497276133 PECOS PAC ID: 6800298928 Enrollment ID: I20230112002906 |
| Provider Name | Mustafa A Mufti |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619263787 PECOS PAC ID: 1850679234 Enrollment ID: I20230117000262 |
| Provider Name | Nefertari Owens |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922596527 PECOS PAC ID: 9830423169 Enrollment ID: I20230124000632 |
| Provider Name | Erik S Marshall |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1144223850 PECOS PAC ID: 1153301130 Enrollment ID: I20230209003071 |
| Provider Name | Theresa R Metanchuk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255627204 PECOS PAC ID: 0749409118 Enrollment ID: I20230211000177 |
| Provider Name | Henry L Weiner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821064775 PECOS PAC ID: 8527134899 Enrollment ID: I20230217000125 |
| Provider Name | Pauline S Cousineau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538426424 PECOS PAC ID: 8628231826 Enrollment ID: I20230228000288 |
| Provider Name | Albert A Rizzo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245283316 PECOS PAC ID: 6103737374 Enrollment ID: I20230313001209 |
| Provider Name | Jonathan B Finkel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760708358 PECOS PAC ID: 2365675253 Enrollment ID: I20230314003173 |
| Provider Name | James A Ntambi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669659959 PECOS PAC ID: 0840465191 Enrollment ID: I20230315000026 |
| Provider Name | Elizabeth Mccarthy |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1982068128 PECOS PAC ID: 3274826789 Enrollment ID: I20230315001943 |
| Provider Name | Piamsook Angkeow |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568439461 PECOS PAC ID: 8022005222 Enrollment ID: I20230315002986 |
| Provider Name | Roger Kerzner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255385589 PECOS PAC ID: 3072517804 Enrollment ID: I20230323002177 |
| Provider Name | Parth M Viroja |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639416019 PECOS PAC ID: 1850681990 Enrollment ID: I20230326000066 |
| Provider Name | Amanda Zettle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477949378 PECOS PAC ID: 1850612011 Enrollment ID: I20230405002862 |
| Provider Name | Shera Maria Ramesar-doherty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386039642 PECOS PAC ID: 2860743267 Enrollment ID: I20230427001093 |
| Provider Name | Sarah Matthews |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1306291281 PECOS PAC ID: 0547509788 Enrollment ID: I20230428002772 |
| Provider Name | John O Johnson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174180624 PECOS PAC ID: 7517322969 Enrollment ID: I20230508002320 |
| Provider Name | Ramkaji Baniya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174906374 PECOS PAC ID: 6901195627 Enrollment ID: I20230525001816 |
| Provider Name | Philip John Margiotta |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1427582915 PECOS PAC ID: 3072881796 Enrollment ID: I20230621003323 |
| Provider Name | Heather Brooke Bernstein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811524895 PECOS PAC ID: 0749648400 Enrollment ID: I20230628001081 |
| Provider Name | Cristina E Romaniello |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689201212 PECOS PAC ID: 8729419429 Enrollment ID: I20230629000323 |
| Provider Name | Fazad N Mohamed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770045726 PECOS PAC ID: 8426383902 Enrollment ID: I20230705001642 |
| Provider Name | Kashif Nadeem Malik |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760682025 PECOS PAC ID: 0941486500 Enrollment ID: I20230721000672 |
| Provider Name | Nicole Pantle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144857277 PECOS PAC ID: 3072974716 Enrollment ID: I20230728000135 |
| Provider Name | Cheng Zhou |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295180008 PECOS PAC ID: 9032402599 Enrollment ID: I20230728001531 |
| Provider Name | Ebenezer T Oni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215325238 PECOS PAC ID: 4587922927 Enrollment ID: I20230808000025 |
| Provider Name | Andres Alberto Tirado Navales |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730705260 PECOS PAC ID: 6709249469 Enrollment ID: I20230828003426 |
| Provider Name | Soraya B Bascoy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033679915 PECOS PAC ID: 9032444302 Enrollment ID: I20230831001150 |
| Provider Name | Ezekiel S Kurcab |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225666027 PECOS PAC ID: 9032531884 Enrollment ID: I20230905000765 |
| Provider Name | Danial A Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013536242 PECOS PAC ID: 5799107942 Enrollment ID: I20230906002541 |
| Provider Name | Lillian M Decosimo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336119783 PECOS PAC ID: 0749241255 Enrollment ID: I20230907002071 |
| Provider Name | Jay R Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104351089 PECOS PAC ID: 3476824111 Enrollment ID: I20230909000026 |
| Provider Name | Robin A Horn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609842608 PECOS PAC ID: 7911967674 Enrollment ID: I20230911002026 |
| Provider Name | Hossam Edwin Hanna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508493735 PECOS PAC ID: 8426411489 Enrollment ID: I20230920001611 |
| Provider Name | Elsie Hobeika |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093342123 PECOS PAC ID: 5597119164 Enrollment ID: I20230930000515 |
| Provider Name | Victor M Rendon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720641368 PECOS PAC ID: 8921335084 Enrollment ID: I20231003000841 |
| Provider Name | Jongho Kim |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1760640478 PECOS PAC ID: 0941518492 Enrollment ID: I20231010000382 |
| Provider Name | Michael J Boyle |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1245294552 PECOS PAC ID: 3577466549 Enrollment ID: I20231020000465 |
| Provider Name | Allison E Dillon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144781857 PECOS PAC ID: 8325373780 Enrollment ID: I20231026003411 |
| Provider Name | Matthew S Rubino |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1932301801 PECOS PAC ID: 3072776152 Enrollment ID: I20231026003427 |
| Provider Name | Sherif Moawad |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639674658 PECOS PAC ID: 7315391059 Enrollment ID: I20231102001162 |
| Provider Name | Waseem Ahangar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619386695 PECOS PAC ID: 4981826286 Enrollment ID: I20231106003652 |
| Provider Name | Audrey A Sernyak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922096494 PECOS PAC ID: 6204821119 Enrollment ID: I20231107000070 |
| Provider Name | Kimone Powell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1710258983 PECOS PAC ID: 4284990904 Enrollment ID: I20231114000821 |
| Provider Name | Greg T Mogel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1760418677 PECOS PAC ID: 2466353552 Enrollment ID: I20231114002518 |
| Provider Name | Syeda H Salman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780238980 PECOS PAC ID: 6608258447 Enrollment ID: I20231114002852 |
| Provider Name | Graham P Trent |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508361288 PECOS PAC ID: 0042674947 Enrollment ID: I20231116000082 |
| Provider Name | Ari Goldberg |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952450025 PECOS PAC ID: 0749304806 Enrollment ID: I20231125000161 |
| Provider Name | Karmon Janssen |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1740520543 PECOS PAC ID: 0143543074 Enrollment ID: I20231130003685 |
| Provider Name | Jack L Davitt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932669330 PECOS PAC ID: 1951636455 Enrollment ID: I20231130003907 |
| Provider Name | Lindsay Beth Glorioso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366989915 PECOS PAC ID: 3678845054 Enrollment ID: I20240103000902 |
| Provider Name | Danna Olinick |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356742324 PECOS PAC ID: 9739539719 Enrollment ID: I20240103002766 |
| Provider Name | Esther N Oteng |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225626625 PECOS PAC ID: 6406299007 Enrollment ID: I20240212000712 |
Chesapeake Wellness Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 105 E Main St, Elkton, MD 21921 Phone: 410-275-8156 Fax: 877-433-6830 | |
Jui Chih Hsu Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 223 W Main St, Elkton, MD 21921 Phone: 410-398-7782 Fax: 410-398-6837 | |
Union Hospital Of Cecil County, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 111 W High St Ste 209, Elkton, MD 21921 Phone: 410-392-2677 | |
John R. Mulvey M.d., P.a. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 104 W Main St, Elkton, MD 21921 Phone: 410-996-8990 Fax: 410-996-8912 | |
Gloria Simonson, Md, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 111 W High St, Elkton, MD 21921 Phone: 410-398-4679 | |
Coksaygan Medical Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 223 W Main St, Elkton, MD 21921 Phone: 410-398-7782 |