| United Health Services Hospitals, Inc. | |
|
33-57 Harrison St. Johnson City NY 13790 | |
| (607) 762-3027 | |
| Not Available |
| Full Name | United Health Services Hospitals, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 33-57 Harrison St., Johnson City, New York |
| Authorized Official Name and Position | Kathleen Kearney O'brien (DIRECTOR OF THIRD PARTY REIMBURSEME) |
| Authorized Official Contact | 6077623078 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| United Health Services Hospitals, Inc. Po Box 412685 Boston MA 02241-2685 Ph: (607) 770-0025 | United Health Services Hospitals, Inc. 33-57 Harrison St. Johnson City NY 13790 Ph: (607) 762-3027 |
| NPI Number | 1962463851 |
|---|---|
| Provider Enumeration Date | 03/30/2006 |
| Last Update Date | 03/19/2021 |
| Medicare PECOS PAC ID | 5193610533 |
|---|---|
| Medicare Enrollment ID | O20040216001017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962463851 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (New York) | Primary |
| Provider Name | Joseph Andrew Readling |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1275522831 PECOS PAC ID: 1153234331 Enrollment ID: I20031112000650 |
| Provider Name | Nancy E Shumeyko |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518955673 PECOS PAC ID: 6305744053 Enrollment ID: I20031219000522 |
| Provider Name | Mitchell Chess |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487602058 PECOS PAC ID: 0941101927 Enrollment ID: I20040114000493 |
| Provider Name | Leonard E Marotta |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861476772 PECOS PAC ID: 1850292780 Enrollment ID: I20040115000098 |
| Provider Name | David F. Cann |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093783789 PECOS PAC ID: 1456244466 Enrollment ID: I20040204000437 |
| Provider Name | Anthony Consolazio |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811984479 PECOS PAC ID: 9830080530 Enrollment ID: I20040323000255 |
| Provider Name | Murray David Schwalb |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1851368468 PECOS PAC ID: 5597757054 Enrollment ID: I20040402000515 |
| Provider Name | Frank Kwakye-berko |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518043819 PECOS PAC ID: 3173519410 Enrollment ID: I20040422000869 |
| Provider Name | Jane F.o. Gotthardt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871716282 PECOS PAC ID: 3375531239 Enrollment ID: I20040501000129 |
| Provider Name | Douglas J Taber |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1366436420 PECOS PAC ID: 3971590266 Enrollment ID: I20040503000032 |
| Provider Name | Tina A Maxian |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1467457416 PECOS PAC ID: 2769471911 Enrollment ID: I20040511001562 |
| Provider Name | Merita A Bania |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1790731818 PECOS PAC ID: 2062493190 Enrollment ID: I20040525001794 |
| Provider Name | Jonathan D Kloss |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1134118565 PECOS PAC ID: 0840272928 Enrollment ID: I20040602001467 |
| Provider Name | Owais Ahmed |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1730131426 PECOS PAC ID: 0941283030 Enrollment ID: I20040610000197 |
| Provider Name | Emmanuel M Guizano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942294194 PECOS PAC ID: 9830172949 Enrollment ID: I20040610000323 |
| Provider Name | Francis L Kirk |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1104869106 PECOS PAC ID: 8527043348 Enrollment ID: I20040623001601 |
| Provider Name | Mahmood Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366426215 PECOS PAC ID: 8022095587 Enrollment ID: I20040701001410 |
| Provider Name | Tricia A Chambers |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1225250020 PECOS PAC ID: 2668450636 Enrollment ID: I20040708000186 |
| Provider Name | Francis J Mangiacapra |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1386612216 PECOS PAC ID: 4183695638 Enrollment ID: I20040805001389 |
| Provider Name | Khaula Rehman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568443521 PECOS PAC ID: 8527030527 Enrollment ID: I20040810001158 |
| Provider Name | Scott A Treutlein |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063481422 PECOS PAC ID: 6406820976 Enrollment ID: I20040823000797 |
| Provider Name | Madhuri Yalamanchili |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1528057189 PECOS PAC ID: 4082689641 Enrollment ID: I20040827001004 |
| Provider Name | Jerrold P Schwartz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831185222 PECOS PAC ID: 1153397013 Enrollment ID: I20040903000424 |
| Provider Name | Leah Cunningham |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1407899537 PECOS PAC ID: 8921076423 Enrollment ID: I20040922000781 |
| Provider Name | Lorne R Campbell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578568150 PECOS PAC ID: 1850360488 Enrollment ID: I20040929001106 |
| Provider Name | Manuja P Warnakulasuriya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457443343 PECOS PAC ID: 8820058373 Enrollment ID: I20041019000204 |
| Provider Name | Maciej Nowakowski |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1952396210 PECOS PAC ID: 9032170048 Enrollment ID: I20041022000849 |
| Provider Name | Alexander Y Factourovich |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265483481 PECOS PAC ID: 4082678420 Enrollment ID: I20041116000700 |
| Provider Name | Lawrence Wiesner |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1679574123 PECOS PAC ID: 8820054927 Enrollment ID: I20041209000342 |
| Provider Name | Jeffrey Gray |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730172792 PECOS PAC ID: 5991762585 Enrollment ID: I20041215000552 |
| Provider Name | Mohammad A Quasem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578559399 PECOS PAC ID: 8729038716 Enrollment ID: I20050127000412 |
| Provider Name | Sonia A Tenadu |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1033147814 PECOS PAC ID: 3971556457 Enrollment ID: I20050224000332 |
| Provider Name | Sewng Choi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1497799084 PECOS PAC ID: 5698721975 Enrollment ID: I20050330000178 |
| Provider Name | Michael J Farrell |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1760475784 PECOS PAC ID: 2769422385 Enrollment ID: I20050503001065 |
| Provider Name | Tina L Vannoy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417077728 PECOS PAC ID: 2264473958 Enrollment ID: I20050512000394 |
| Provider Name | Olayinka O Wilhelm |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134117138 PECOS PAC ID: 5799726055 Enrollment ID: I20050517000449 |
| Provider Name | Daniel Franklin Becker |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063533362 PECOS PAC ID: 5092756874 Enrollment ID: I20050523000257 |
| Provider Name | Matthew T Bennett |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1831118199 PECOS PAC ID: 1658342258 Enrollment ID: I20050606000689 |
| Provider Name | Omar F Al Khalidi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1417996398 PECOS PAC ID: 4385687862 Enrollment ID: I20050606000778 |
| Provider Name | James G Marra |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1184642043 PECOS PAC ID: 9638121379 Enrollment ID: I20050608000523 |
| Provider Name | Carlos Santa Ines |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1891778593 PECOS PAC ID: 5294779187 Enrollment ID: I20050613000158 |
| Provider Name | Andrzej Szuminski |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1861431645 PECOS PAC ID: 9133163009 Enrollment ID: I20050613000765 |
| Provider Name | Rabie N Stephan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1417925512 PECOS PAC ID: 9830133347 Enrollment ID: I20050615000838 |
| Provider Name | Marianne Soden |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366416521 PECOS PAC ID: 0244228948 Enrollment ID: I20050616000759 |
| Provider Name | Ronald P Harris |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1447249099 PECOS PAC ID: 4587609599 Enrollment ID: I20050621000614 |
| Provider Name | Roger Scott |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144210576 PECOS PAC ID: 3476599853 Enrollment ID: I20050707000594 |
| Provider Name | Andrea M Barbis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851410732 PECOS PAC ID: 5496783896 Enrollment ID: I20050727000871 |
| Provider Name | Mary C Deguardi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538111554 PECOS PAC ID: 7012945157 Enrollment ID: I20050801000014 |
| Provider Name | Dumisa Adams |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619964376 PECOS PAC ID: 9032147020 Enrollment ID: I20050801000444 |
| Provider Name | Amy E Lord |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275664690 PECOS PAC ID: 6901835529 Enrollment ID: I20050804000350 |
| Provider Name | Edward Balaci |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932177870 PECOS PAC ID: 5496785750 Enrollment ID: I20050816000873 |
| Provider Name | Robert K Silverman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780618280 PECOS PAC ID: 1052345139 Enrollment ID: I20050920000130 |
| Provider Name | Brenda R Schlaen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104807247 PECOS PAC ID: 7911932264 Enrollment ID: I20051005000692 |
| Provider Name | Amr A Shady |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417948928 PECOS PAC ID: 2860419017 Enrollment ID: I20051027000741 |
| Provider Name | Helene C Longacre Price |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972544237 PECOS PAC ID: 1052338092 Enrollment ID: I20051102000924 |
| Provider Name | Daniel W Lopez |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1699841288 PECOS PAC ID: 0840282554 Enrollment ID: I20051103000992 |
| Provider Name | Michael F Hayes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114004371 PECOS PAC ID: 1951321157 Enrollment ID: I20051202000338 |
| Provider Name | Roberto E Granato |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1679501928 PECOS PAC ID: 7315968161 Enrollment ID: I20051208000641 |
| Provider Name | Aamir Rasheed |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1568547933 PECOS PAC ID: 6709807969 Enrollment ID: I20051215000280 |
| Provider Name | Taseer A Minhas |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1508941972 PECOS PAC ID: 3072534239 Enrollment ID: I20051215000286 |
| Provider Name | Mark E Glosenger |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871563908 PECOS PAC ID: 4981627536 Enrollment ID: I20060110000083 |
| Provider Name | Iskandar I Kassis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861450496 PECOS PAC ID: 7416961032 Enrollment ID: I20060202000375 |
| Provider Name | Thomas Gudas |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609843903 PECOS PAC ID: 9032124664 Enrollment ID: I20060217000337 |
| Provider Name | Michael Aronis |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1326013632 PECOS PAC ID: 5294741609 Enrollment ID: I20060222000428 |
| Provider Name | Anwer H Puthawala |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902873219 PECOS PAC ID: 3870572498 Enrollment ID: I20060227000302 |
| Provider Name | George R Petro |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609844547 PECOS PAC ID: 7517973605 Enrollment ID: I20060227000646 |
| Provider Name | Vincent Montone |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023086964 PECOS PAC ID: 1052328143 Enrollment ID: I20060315000118 |
| Provider Name | Frank C Smith |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1336298405 PECOS PAC ID: 1759398795 Enrollment ID: I20060321000511 |
| Provider Name | Craig J Byrum |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215086350 PECOS PAC ID: 7012924053 Enrollment ID: I20060321000523 |
| Provider Name | Edward Santelli |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861460701 PECOS PAC ID: 7113935693 Enrollment ID: I20060328000010 |
| Provider Name | Martin C Masarech |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356341622 PECOS PAC ID: 8820004112 Enrollment ID: I20060418000490 |
| Provider Name | Judy Ann Pendell-mckee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760469290 PECOS PAC ID: 0143115352 Enrollment ID: I20060419000138 |
| Provider Name | Ronald Dinsmore |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093754806 PECOS PAC ID: 8729090477 Enrollment ID: I20060620000104 |
| Provider Name | Seth A Finkelstein |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790754034 PECOS PAC ID: 8820093388 Enrollment ID: I20060916000053 |
| Provider Name | John P Deuel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164461729 PECOS PAC ID: 9830195650 Enrollment ID: I20061018000199 |
| Provider Name | Doris Hughes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982711776 PECOS PAC ID: 8921005752 Enrollment ID: I20061108000448 |
| Provider Name | Julie A Bambara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316938822 PECOS PAC ID: 6305844671 Enrollment ID: I20061121000112 |
| Provider Name | Michael W Chisdak |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1295735561 PECOS PAC ID: 5799784773 Enrollment ID: I20061221000039 |
| Provider Name | Julia A Miller |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1619962883 PECOS PAC ID: 0244239226 Enrollment ID: I20061221000052 |
| Provider Name | Regina Frants |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1891780979 PECOS PAC ID: 6608875687 Enrollment ID: I20061221000063 |
| Provider Name | Venkatesh B Jayaraman |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1457466567 PECOS PAC ID: 5193725935 Enrollment ID: I20070102000103 |
| Provider Name | Joshua D Steinberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831273911 PECOS PAC ID: 3072527886 Enrollment ID: I20070110000424 |
| Provider Name | Yahia M Lodi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184684714 PECOS PAC ID: 1557335205 Enrollment ID: I20070111000248 |
| Provider Name | Liliane S El Kassis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083723043 PECOS PAC ID: 8325040967 Enrollment ID: I20070209000455 |
| Provider Name | John F Penfield |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528078839 PECOS PAC ID: 1658474994 Enrollment ID: I20070307000314 |
| Provider Name | Christopher Schaeffer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265404982 PECOS PAC ID: 2668577974 Enrollment ID: I20070416000286 |
| Provider Name | Amine Hila |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1619055845 PECOS PAC ID: 2365548732 Enrollment ID: I20070501000281 |
| Provider Name | Jamal J Ahmed |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1831112440 PECOS PAC ID: 4385742980 Enrollment ID: I20070605000541 |
| Provider Name | Marta M Anghel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891855730 PECOS PAC ID: 0345348520 Enrollment ID: I20070612000462 |
| Provider Name | Hossein Zarrini |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558418988 PECOS PAC ID: 1557460011 Enrollment ID: I20070625000048 |
| Provider Name | Chariese A Medlar |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285782714 PECOS PAC ID: 4981703451 Enrollment ID: I20070625000173 |
| Provider Name | Eleanor Conroy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447294038 PECOS PAC ID: 0446343677 Enrollment ID: I20070905000155 |
| Provider Name | Keyoor Patel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1598984668 PECOS PAC ID: 5890888630 Enrollment ID: I20070910000624 |
| Provider Name | Collins O Osula |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831169432 PECOS PAC ID: 9931292778 Enrollment ID: I20070910000678 |
| Provider Name | Andrew M Goldschmidt |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1962470898 PECOS PAC ID: 8729171327 Enrollment ID: I20070912000174 |
| Provider Name | Christine H Fenlon |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1780679266 PECOS PAC ID: 9234223405 Enrollment ID: I20070919000143 |
| Provider Name | Carolyn Diane Crispell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306069265 PECOS PAC ID: 0941394894 Enrollment ID: I20070922000006 |
| Provider Name | Genadij Sienkiewicz |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1821036740 PECOS PAC ID: 1850486531 Enrollment ID: I20070927000072 |
| Provider Name | Joseph Mccann |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1447317805 PECOS PAC ID: 7315032281 Enrollment ID: I20071008000139 |
| Provider Name | Zafar J Bajwa |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205848611 PECOS PAC ID: 9537255575 Enrollment ID: I20071022000536 |
| Provider Name | Waseem Sajjad |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1891913232 PECOS PAC ID: 4587751235 Enrollment ID: I20071029000251 |
| Provider Name | Tatyana L Pradun |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386837102 PECOS PAC ID: 5294822581 Enrollment ID: I20071102000459 |
| Provider Name | Jason Joseph |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336331032 PECOS PAC ID: 5698863223 Enrollment ID: I20071115000485 |
| Provider Name | Shahid Mughal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851384630 PECOS PAC ID: 6002899036 Enrollment ID: I20071201000101 |
| Provider Name | Bipinchandra R Patel |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1225045057 PECOS PAC ID: 9739278979 Enrollment ID: I20071211000272 |
| Provider Name | Brett J Thiel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1982885174 PECOS PAC ID: 5890686208 Enrollment ID: I20071228000457 |
| Provider Name | Henda Bouali |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1053495465 PECOS PAC ID: 0648351080 Enrollment ID: I20080111000262 |
| Provider Name | Mark P Speicher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346215845 PECOS PAC ID: 0244312775 Enrollment ID: I20080123000520 |
| Provider Name | Deborah Giannone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376534982 PECOS PAC ID: 0941382659 Enrollment ID: I20080201000411 |
| Provider Name | Ahmad A Alwan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1154462570 PECOS PAC ID: 3072606326 Enrollment ID: I20080219000265 |
| Provider Name | Dharmesh R Patel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1861488041 PECOS PAC ID: 0042307258 Enrollment ID: I20080219000363 |
| Provider Name | Vicki C Monticello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114084928 PECOS PAC ID: 8325122971 Enrollment ID: I20080221000216 |
| Provider Name | Celia Purugganan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609912583 PECOS PAC ID: 5890879878 Enrollment ID: I20080229000085 |
| Provider Name | M Raymond Naassana |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1649351289 PECOS PAC ID: 2163509076 Enrollment ID: I20080402000628 |
| Provider Name | William R Cahill |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689842924 PECOS PAC ID: 3577640135 Enrollment ID: I20080407000275 |
| Provider Name | Alan Miller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851392328 PECOS PAC ID: 9638256167 Enrollment ID: I20080409000115 |
| Provider Name | Sherri Reed |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1992805030 PECOS PAC ID: 9335226562 Enrollment ID: I20080411000265 |
| Provider Name | Sandeep G Sirsi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1336138213 PECOS PAC ID: 3476622390 Enrollment ID: I20080519000570 |
| Provider Name | Ryan Little |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215098025 PECOS PAC ID: 2466525696 Enrollment ID: I20080722000470 |
| Provider Name | Hisham Kashou |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1710988266 PECOS PAC ID: 0446323224 Enrollment ID: I20080728000232 |
| Provider Name | Jennifer Sweet |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1699941948 PECOS PAC ID: 1658446737 Enrollment ID: I20080825000464 |
| Provider Name | Daniel Lincoln Beckles |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1548464837 PECOS PAC ID: 5890881213 Enrollment ID: I20080903000145 |
| Provider Name | Rana Zaheer Ahmad |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1467658153 PECOS PAC ID: 2163590225 Enrollment ID: I20081003000083 |
| Provider Name | Darrel Harvey |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679720049 PECOS PAC ID: 7719045152 Enrollment ID: I20081029000185 |
| Provider Name | Kathryn E Mace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760639173 PECOS PAC ID: 8628138906 Enrollment ID: I20081117000195 |
| Provider Name | Hasmik Stepanyan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831346451 PECOS PAC ID: 9931269537 Enrollment ID: I20081126000304 |
| Provider Name | Becky L Arnold |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730335357 PECOS PAC ID: 2466513742 Enrollment ID: I20081204000675 |
| Provider Name | Jennifer A Branish |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1568618189 PECOS PAC ID: 5698836971 Enrollment ID: I20081204000718 |
| Provider Name | Anishur Rahman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1467577924 PECOS PAC ID: 5092808154 Enrollment ID: I20081205000663 |
| Provider Name | Oleg A Shapiro |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1679742134 PECOS PAC ID: 8224199930 Enrollment ID: I20081212000189 |
| Provider Name | Aryza C Yohe |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1235389495 PECOS PAC ID: 0345302261 Enrollment ID: I20090108000355 |
| Provider Name | Amy B Martin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1316193931 PECOS PAC ID: 9931264504 Enrollment ID: I20090213000405 |
| Provider Name | Olga Verbitskiy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669622296 PECOS PAC ID: 6103983242 Enrollment ID: I20090317000552 |
| Provider Name | Megan Westervelt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972762623 PECOS PAC ID: 6507923810 Enrollment ID: I20090331000294 |
| Provider Name | Gregory P Scagnelli |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1093707481 PECOS PAC ID: 6305996752 Enrollment ID: I20090605000601 |
| Provider Name | Leslie Bank |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1124000310 PECOS PAC ID: 9032269485 Enrollment ID: I20090605000604 |
| Provider Name | Martha E Langhorne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972563005 PECOS PAC ID: 0143370403 Enrollment ID: I20090608000163 |
| Provider Name | Ali Marhaba |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1104827138 PECOS PAC ID: 1456401157 Enrollment ID: I20090617000574 |
| Provider Name | Pamela H Stark |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1821035981 PECOS PAC ID: 8527969484 Enrollment ID: I20090623000049 |
| Provider Name | Afzal U Rehman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1124070925 PECOS PAC ID: 2163437781 Enrollment ID: I20090623000055 |
| Provider Name | James J Vincens |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1033162730 PECOS PAC ID: 8123033743 Enrollment ID: I20090623000099 |
| Provider Name | Paul Traverse |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1194766733 PECOS PAC ID: 4587679105 Enrollment ID: I20090623000120 |
| Provider Name | Mark K Jackson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063405538 PECOS PAC ID: 2668523044 Enrollment ID: I20090624000621 |
| Provider Name | Muhammad Imtiaz |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1639315435 PECOS PAC ID: 5092866046 Enrollment ID: I20090702000167 |
| Provider Name | Thomas J Oburchay |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992932305 PECOS PAC ID: 6901957984 Enrollment ID: I20090702000430 |
| Provider Name | Joan Adler |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1033101837 PECOS PAC ID: 7517018419 Enrollment ID: I20090707000210 |
| Provider Name | Jacqueline Bhandari |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134348196 PECOS PAC ID: 2365594835 Enrollment ID: I20090714000346 |
| Provider Name | Debra L Paxton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619135621 PECOS PAC ID: 4486706801 Enrollment ID: I20090716000189 |
| Provider Name | Salvatore A Argiro |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659535151 PECOS PAC ID: 3678625936 Enrollment ID: I20090716000658 |
| Provider Name | Debra A Schaffer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124268651 PECOS PAC ID: 5294888111 Enrollment ID: I20090724000391 |
| Provider Name | Traian M Anghel |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1194909622 PECOS PAC ID: 1456404862 Enrollment ID: I20090803000523 |
| Provider Name | Alon Yarkoni |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1912103052 PECOS PAC ID: 1153474572 Enrollment ID: I20090803000562 |
| Provider Name | Nazif A Chowdhury |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1033378674 PECOS PAC ID: 3072666023 Enrollment ID: I20090808000093 |
| Provider Name | Aswini Rajaram |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881833358 PECOS PAC ID: 0840343810 Enrollment ID: I20090810000111 |
| Provider Name | Jillene M Brathwaite |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174753743 PECOS PAC ID: 2365596525 Enrollment ID: I20090821000621 |
| Provider Name | Catherine Osgood |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578654315 PECOS PAC ID: 8527104983 Enrollment ID: I20091015000382 |
| Provider Name | Bohdan P Fedczuk |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1992797096 PECOS PAC ID: 0749327054 Enrollment ID: I20091019000504 |
| Provider Name | Stanley A Fox |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801897921 PECOS PAC ID: 3678623154 Enrollment ID: I20091020000269 |
| Provider Name | Henry A Boateng |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1316084866 PECOS PAC ID: 2567539042 Enrollment ID: I20091020000530 |
| Provider Name | Noumana Hameed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770816365 PECOS PAC ID: 4284771304 Enrollment ID: I20091022000289 |
| Provider Name | Melissa E Skiadas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528290061 PECOS PAC ID: 4981741618 Enrollment ID: I20091028000485 |
| Provider Name | Safa Maklad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598924219 PECOS PAC ID: 4486792397 Enrollment ID: I20091113000423 |
| Provider Name | Christopher W Ryan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205824141 PECOS PAC ID: 5496893026 Enrollment ID: I20091118000728 |
| Provider Name | Peter Bratovanov Iliev |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1376876987 PECOS PAC ID: 8527107093 Enrollment ID: I20091125000158 |
| Provider Name | Syed Ahmed |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1679574149 PECOS PAC ID: 7214076249 Enrollment ID: I20091203000458 |
| Provider Name | David Kwiatkowski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770578940 PECOS PAC ID: 2860531761 Enrollment ID: I20091207000384 |
| Provider Name | Stacy Lynn Congdon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265661490 PECOS PAC ID: 3779622501 Enrollment ID: I20091208000093 |
| Provider Name | Roy Gill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831190867 PECOS PAC ID: 9234279142 Enrollment ID: I20091224000027 |
| Provider Name | Maria Victoria Paz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720020449 PECOS PAC ID: 3274673074 Enrollment ID: I20091229000233 |
| Provider Name | Geoffrey Rosevear |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225364854 PECOS PAC ID: 3274674072 Enrollment ID: I20091230000318 |
| Provider Name | Yana Krmic |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1316170269 PECOS PAC ID: 5991846743 Enrollment ID: I20091231000070 |
| Provider Name | Mark Joseph Brennan |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1174523443 PECOS PAC ID: 3779624549 Enrollment ID: I20091231000194 |
| Provider Name | Louis P Mateya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598766065 PECOS PAC ID: 5395886972 Enrollment ID: I20100105000021 |
| Provider Name | Leonard Anderson |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1760482863 PECOS PAC ID: 9537200993 Enrollment ID: I20100107000025 |
| Provider Name | Frank Steven Eder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528069077 PECOS PAC ID: 3375684558 Enrollment ID: I20100111000104 |
| Provider Name | Domingo Jimenez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699761940 PECOS PAC ID: 5991846180 Enrollment ID: I20100111000256 |
| Provider Name | Kevin Gallagher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003817057 PECOS PAC ID: 1355482555 Enrollment ID: I20100111000336 |
| Provider Name | Kent Struck |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396746848 PECOS PAC ID: 5496896615 Enrollment ID: I20100111000461 |
| Provider Name | James C Holler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295755478 PECOS PAC ID: 1850295213 Enrollment ID: I20100112000282 |
| Provider Name | Jonathan A Harris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376563551 PECOS PAC ID: 5496659856 Enrollment ID: I20100112000343 |
| Provider Name | Isaac I Matta |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1730157686 PECOS PAC ID: 1951442888 Enrollment ID: I20100114000007 |
| Provider Name | Michael Y Zhang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033119136 PECOS PAC ID: 1759423122 Enrollment ID: I20100122000565 |
| Provider Name | John Wacendak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932196284 PECOS PAC ID: 8628110814 Enrollment ID: I20100127000096 |
| Provider Name | James Crosby |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861485351 PECOS PAC ID: 5799827994 Enrollment ID: I20100127000123 |
| Provider Name | John Giannone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992791479 PECOS PAC ID: 0244372456 Enrollment ID: I20100127000249 |
| Provider Name | David M Albala |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1386734531 PECOS PAC ID: 6608807185 Enrollment ID: I20100209000120 |
| Provider Name | Harvey M Wiener |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194783761 PECOS PAC ID: 9537066311 Enrollment ID: I20100211000003 |
| Provider Name | Wadih Diab |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1972597284 PECOS PAC ID: 7517001324 Enrollment ID: I20100217000566 |
| Provider Name | Shari Nichols |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1154323194 PECOS PAC ID: 5890830954 Enrollment ID: I20100302000080 |
| Provider Name | Michael Murphy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518953082 PECOS PAC ID: 7416092374 Enrollment ID: I20100303000140 |
| Provider Name | James Martin Skiff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669467858 PECOS PAC ID: 8527193549 Enrollment ID: I20100316000860 |
| Provider Name | Dennis Perenyi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154321529 PECOS PAC ID: 9537295548 Enrollment ID: I20100330000168 |
| Provider Name | Jerome Rosenstein |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669472932 PECOS PAC ID: 5395871313 Enrollment ID: I20100330000234 |
| Provider Name | Richard J Baron |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1659368215 PECOS PAC ID: 5890821730 Enrollment ID: I20100330000510 |
| Provider Name | Daniel Young |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114913506 PECOS PAC ID: 9830225325 Enrollment ID: I20100414000364 |
| Provider Name | Kerri E Lisi |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1437489382 PECOS PAC ID: 8527195908 Enrollment ID: I20100415000573 |
| Provider Name | Lilya Yurkiv |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619209491 PECOS PAC ID: 5991832248 Enrollment ID: I20100420000029 |
| Provider Name | Patrick Fiero |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396711974 PECOS PAC ID: 1456378736 Enrollment ID: I20100511001048 |
| Provider Name | Gregory Mullen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023001245 PECOS PAC ID: 5294864583 Enrollment ID: I20100525000598 |
| Provider Name | Jeffrey Wiseman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1235469974 PECOS PAC ID: 7315078821 Enrollment ID: I20100628000502 |
| Provider Name | Christopher J Yanusas |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1205910775 PECOS PAC ID: 1850448887 Enrollment ID: I20100702000214 |
| Provider Name | Joseph M Bellapianta |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1588823165 PECOS PAC ID: 4385798560 Enrollment ID: I20100714000622 |
| Provider Name | Walid S Hammoud |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1467433078 PECOS PAC ID: 0648302893 Enrollment ID: I20100723000132 |
| Provider Name | Elizabeth A Romeo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245301977 PECOS PAC ID: 7315070141 Enrollment ID: I20100730000705 |
| Provider Name | Barry A Baer |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1366434219 PECOS PAC ID: 1850425448 Enrollment ID: I20100818000540 |
| Provider Name | David S Park |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1811997067 PECOS PAC ID: 0143354738 Enrollment ID: I20100818000641 |
| Provider Name | Kristen M Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467404152 PECOS PAC ID: 3870617517 Enrollment ID: I20100901000400 |
| Provider Name | Jean P Howard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952382566 PECOS PAC ID: 9032235320 Enrollment ID: I20100923001057 |
| Provider Name | Robert Patterson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1710920814 PECOS PAC ID: 0749279255 Enrollment ID: I20101006000784 |
| Provider Name | Jodie M Howell |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1750586400 PECOS PAC ID: 6507058559 Enrollment ID: I20101008000172 |
| Provider Name | Debra A Meness |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538195433 PECOS PAC ID: 1153213574 Enrollment ID: I20101013000203 |
| Provider Name | James Mcnerney |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1144381443 PECOS PAC ID: 3971796566 Enrollment ID: I20101014001062 |
| Provider Name | Peter Ronan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922065093 PECOS PAC ID: 5991999203 Enrollment ID: I20101101000644 |
| Provider Name | Annamalai Periakaruppan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1801851324 PECOS PAC ID: 0749476562 Enrollment ID: I20101118001297 |
| Provider Name | Julie Ann Barnes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558308627 PECOS PAC ID: 5395932339 Enrollment ID: I20101203000125 |
| Provider Name | Marita Powell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215989538 PECOS PAC ID: 7315136017 Enrollment ID: I20110112000017 |
| Provider Name | Rajender Varakantam |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1528063476 PECOS PAC ID: 5991994311 Enrollment ID: I20110114000725 |
| Provider Name | Randi Davis |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1295815892 PECOS PAC ID: 7113011123 Enrollment ID: I20110307000875 |
| Provider Name | Therese F Oliver |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1306141940 PECOS PAC ID: 9436332897 Enrollment ID: I20110322000575 |
| Provider Name | Shanna Treadwell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942502950 PECOS PAC ID: 6204010044 Enrollment ID: I20110404000007 |
| Provider Name | Joseph Roccaforte |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1114912375 PECOS PAC ID: 6901081876 Enrollment ID: I20110420000190 |
| Provider Name | Gail E Kane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205158508 PECOS PAC ID: 3173708963 Enrollment ID: I20110420000483 |
| Provider Name | Gennady Bratslavsky |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1508093121 PECOS PAC ID: 3274718838 Enrollment ID: I20110425000565 |
| Provider Name | Joyce Felice Pines |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1790817971 PECOS PAC ID: 1052596368 Enrollment ID: I20110502000637 |
| Provider Name | Jonathan V Riddell |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1922391077 PECOS PAC ID: 4789861204 Enrollment ID: I20110610000171 |
| Provider Name | Marlene Whitbeck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578898409 PECOS PAC ID: 9436336831 Enrollment ID: I20110613000553 |
| Provider Name | Janet Weinberg |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891789863 PECOS PAC ID: 9638356819 Enrollment ID: I20110616000185 |
| Provider Name | Kevin D Goodman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528224334 PECOS PAC ID: 7810175767 Enrollment ID: I20110624000397 |
| Provider Name | Shawn Ilsha Yunayev |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1710293048 PECOS PAC ID: 7719165158 Enrollment ID: I20110707000086 |
| Provider Name | Kenneth T Wong |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1366479453 PECOS PAC ID: 3072781491 Enrollment ID: I20110729000099 |
| Provider Name | Vivek Vardhan Reddy Kandanati |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1760622971 PECOS PAC ID: 1456529882 Enrollment ID: I20110729000208 |
| Provider Name | Fred Michael Nichols |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982677233 PECOS PAC ID: 9830294156 Enrollment ID: I20110729000425 |
| Provider Name | David Jason Gallagher |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1104090232 PECOS PAC ID: 5597934802 Enrollment ID: I20110803000000 |
| Provider Name | Scott Rosman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568750651 PECOS PAC ID: 4486824919 Enrollment ID: I20110819000001 |
| Provider Name | Kimberly H Merrill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225325921 PECOS PAC ID: 8628248432 Enrollment ID: I20110906000557 |
| Provider Name | Katherine Holmes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205823705 PECOS PAC ID: 3274590476 Enrollment ID: I20110915000581 |
| Provider Name | Lauren Crane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770871196 PECOS PAC ID: 7810168820 Enrollment ID: I20110923000390 |
| Provider Name | Ricardo A Leano |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1689642993 PECOS PAC ID: 1557318482 Enrollment ID: I20111014000020 |
| Provider Name | Matthew Jay Egan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386770261 PECOS PAC ID: 4486826435 Enrollment ID: I20111017000547 |
| Provider Name | Michelle Drilon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922391754 PECOS PAC ID: 1850563602 Enrollment ID: I20111020000427 |
| Provider Name | Rupendra Swarup |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1568596641 PECOS PAC ID: 2264605690 Enrollment ID: I20111101000243 |
| Provider Name | Michael E Wolff |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1538103247 PECOS PAC ID: 6709837628 Enrollment ID: I20111128000468 |
| Provider Name | Hank Kang |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1750325346 PECOS PAC ID: 6608827522 Enrollment ID: I20111128000514 |
| Provider Name | Maureen May |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1043310287 PECOS PAC ID: 5799951406 Enrollment ID: I20111230000318 |
| Provider Name | Simone Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194036475 PECOS PAC ID: 1153597703 Enrollment ID: I20120103000085 |
| Provider Name | Paul A Dicpinigaitis |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1477530111 PECOS PAC ID: 4587663471 Enrollment ID: I20120213000664 |
| Provider Name | Charlene M Greer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679841357 PECOS PAC ID: 8527226935 Enrollment ID: I20120214000704 |
| Provider Name | Mark Rivlin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1063455152 PECOS PAC ID: 1254382179 Enrollment ID: I20120302000416 |
| Provider Name | Kenya K Cain |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356488464 PECOS PAC ID: 0840459236 Enrollment ID: I20120305000050 |
| Provider Name | Crystal L Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699063198 PECOS PAC ID: 2961661376 Enrollment ID: I20120305000227 |
| Provider Name | Maureen Ann Mosher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114295094 PECOS PAC ID: 0042479156 Enrollment ID: I20120309000004 |
| Provider Name | Mylene M Jumalon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871897884 PECOS PAC ID: 0547429185 Enrollment ID: I20120316000608 |
| Provider Name | Balamoorti N Gaonkar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427014760 PECOS PAC ID: 4385537281 Enrollment ID: I20120319000045 |
| Provider Name | Jessica Page |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821368663 PECOS PAC ID: 0244491793 Enrollment ID: I20120411000083 |
| Provider Name | Razvan F Buciuc |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1205872017 PECOS PAC ID: 5395713127 Enrollment ID: I20120503000506 |
| Provider Name | Sheryl Movsas |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1700994142 PECOS PAC ID: 5799784633 Enrollment ID: I20120530000597 |
| Provider Name | John C Welch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750510848 PECOS PAC ID: 6204091408 Enrollment ID: I20120712000564 |
| Provider Name | John Nicholas Bertini |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225267982 PECOS PAC ID: 7113183120 Enrollment ID: I20120719000085 |
| Provider Name | Anita Sargent |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053586966 PECOS PAC ID: 5193981637 Enrollment ID: I20120727000003 |
| Provider Name | Piotr Sadej |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730384512 PECOS PAC ID: 9537325048 Enrollment ID: I20120730000001 |
| Provider Name | Marianne Davis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669504122 PECOS PAC ID: 0042476426 Enrollment ID: I20120730000769 |
| Provider Name | Elwaleed Elnour |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659569390 PECOS PAC ID: 5294822607 Enrollment ID: I20120813000561 |
| Provider Name | Elizabeth Ann Rosato |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043449127 PECOS PAC ID: 3971750118 Enrollment ID: I20120823000535 |
| Provider Name | Jeffery J Sekula |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1518946060 PECOS PAC ID: 4486787488 Enrollment ID: I20120830000020 |
| Provider Name | Michele P Levine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487949426 PECOS PAC ID: 1153578976 Enrollment ID: I20120830000376 |
| Provider Name | Kelly E Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740537398 PECOS PAC ID: 3971751827 Enrollment ID: I20120918000513 |
| Provider Name | Brenda L Carr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588911341 PECOS PAC ID: 7416105317 Enrollment ID: I20120919000044 |
| Provider Name | Rhiannon Bartleson Foster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386991099 PECOS PAC ID: 5799933503 Enrollment ID: I20120920000439 |
| Provider Name | Ronen Bar-el |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932456910 PECOS PAC ID: 7719136829 Enrollment ID: I20121005000085 |
| Provider Name | Vasilios P Tzoumas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083881411 PECOS PAC ID: 8729237748 Enrollment ID: I20121009000096 |
| Provider Name | Julia Parsons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215286299 PECOS PAC ID: 9638328529 Enrollment ID: I20121010000059 |
| Provider Name | Maria Theresa Bertini |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134358203 PECOS PAC ID: 4082864814 Enrollment ID: I20121101000109 |
| Provider Name | Laura A Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326397787 PECOS PAC ID: 5496906158 Enrollment ID: I20121107000043 |
| Provider Name | Cariann Susan Brady |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992054969 PECOS PAC ID: 9638320567 Enrollment ID: I20121127000093 |
| Provider Name | Margaret Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104862515 PECOS PAC ID: 9032361191 Enrollment ID: I20121218000480 |
| Provider Name | Terrissa C Martin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548556442 PECOS PAC ID: 4880847763 Enrollment ID: I20121228000070 |
| Provider Name | Sheila Robbins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619055837 PECOS PAC ID: 5890684518 Enrollment ID: I20130123000062 |
| Provider Name | Alexander Shorshtein |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1215950399 PECOS PAC ID: 2365458213 Enrollment ID: I20130311000211 |
| Provider Name | Alissa Joy Strojny |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962630913 PECOS PAC ID: 5597900407 Enrollment ID: I20130326000042 |
| Provider Name | Jamie Barvinchak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649521915 PECOS PAC ID: 9739324351 Enrollment ID: I20130401000403 |
| Provider Name | Carolyn Harding |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861588899 PECOS PAC ID: 7113163387 Enrollment ID: I20130412000167 |
| Provider Name | Angela Monuszko |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235366022 PECOS PAC ID: 0840454526 Enrollment ID: I20130413000093 |
| Provider Name | Sovannary Tan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1326397431 PECOS PAC ID: 0446497093 Enrollment ID: I20130520000166 |
| Provider Name | Ontario Dorian Lau |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1417120031 PECOS PAC ID: 5496938151 Enrollment ID: I20130531000216 |
| Provider Name | Micah Ephraim Lissy |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1154627370 PECOS PAC ID: 3173761285 Enrollment ID: I20130531000455 |
| Provider Name | Sobia Naz Mirza |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952645434 PECOS PAC ID: 2466691829 Enrollment ID: I20130614000198 |
| Provider Name | Ann Y Teng |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437308145 PECOS PAC ID: 0446490882 Enrollment ID: I20130709000458 |
| Provider Name | Donna G Fletcher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073702296 PECOS PAC ID: 8426291758 Enrollment ID: I20130905000270 |
| Provider Name | Wendi T Zuwiyya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811338973 PECOS PAC ID: 9234373002 Enrollment ID: I20130917000436 |
| Provider Name | Hind I. Elsaid |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1487842126 PECOS PAC ID: 4981791282 Enrollment ID: I20131002000279 |
| Provider Name | Courtney Ellis-jamison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912348020 PECOS PAC ID: 3678707270 Enrollment ID: I20131015001285 |
| Provider Name | Pierre Mechali |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1528357274 PECOS PAC ID: 4688844525 Enrollment ID: I20131018000336 |
| Provider Name | Lindita Coku |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1134394745 PECOS PAC ID: 9830356963 Enrollment ID: I20131018000397 |
| Provider Name | Jeffrey Jee-kin Hum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922430438 PECOS PAC ID: 5395970107 Enrollment ID: I20131104000770 |
| Provider Name | Amanda Finney |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699092353 PECOS PAC ID: 8820223589 Enrollment ID: I20131105000832 |
| Provider Name | Noelle Marie Buffum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699109371 PECOS PAC ID: 2860628310 Enrollment ID: I20131112000394 |
| Provider Name | Enid Nixon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497194930 PECOS PAC ID: 3678709037 Enrollment ID: I20131114000013 |
| Provider Name | Meghan Laing |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356781165 PECOS PAC ID: 7416183629 Enrollment ID: I20131118001413 |
| Provider Name | Laure R Weaver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508206665 PECOS PAC ID: 2365678372 Enrollment ID: I20131122000033 |
| Provider Name | Amy F Collins |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841425618 PECOS PAC ID: 1052548666 Enrollment ID: I20131205000725 |
| Provider Name | Clifford J Ehmke |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831379031 PECOS PAC ID: 3274604723 Enrollment ID: I20131220000309 |
| Provider Name | Eldad U Einav |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1851559041 PECOS PAC ID: 4789851452 Enrollment ID: I20140110000928 |
| Provider Name | Logan N Airth |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1598191686 PECOS PAC ID: 2264662832 Enrollment ID: I20140226001410 |
| Provider Name | Romulo Vicente Vasquez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164867347 PECOS PAC ID: 1254561640 Enrollment ID: I20140304001902 |
| Provider Name | Shannan M Leonard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497194534 PECOS PAC ID: 9335379742 Enrollment ID: I20140305000391 |
| Provider Name | Ashley Gibson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700215464 PECOS PAC ID: 2264662253 Enrollment ID: I20140314000223 |
| Provider Name | Dominick Cosmello |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1881022937 PECOS PAC ID: 0547491441 Enrollment ID: I20140318000234 |
| Provider Name | Raphael J Stuccio |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1760810188 PECOS PAC ID: 7719118538 Enrollment ID: I20140320000599 |
| Provider Name | Patricia Hart |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1497827877 PECOS PAC ID: 0749411502 Enrollment ID: I20140320002009 |
| Provider Name | Farzana Seemab |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053617837 PECOS PAC ID: 2264663731 Enrollment ID: I20140326000835 |
| Provider Name | Marcia Chung |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1285907535 PECOS PAC ID: 1951565035 Enrollment ID: I20140327001129 |
| Provider Name | Daniel Chin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497072979 PECOS PAC ID: 2769613876 Enrollment ID: I20140402001070 |
| Provider Name | Amy Cron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457648594 PECOS PAC ID: 0648402792 Enrollment ID: I20140404000059 |
| Provider Name | Erica L Tokos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083049191 PECOS PAC ID: 8224260245 Enrollment ID: I20140407000243 |
| Provider Name | Maria Theresa Panlilio-ortiz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053752022 PECOS PAC ID: 8921230756 Enrollment ID: I20140410000403 |
| Provider Name | Maegan Lockett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609202696 PECOS PAC ID: 7214160381 Enrollment ID: I20140428000017 |
| Provider Name | Kara Lynn Spalik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306277017 PECOS PAC ID: 5092948943 Enrollment ID: I20140430002160 |
| Provider Name | Marie E Halecki |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740228238 PECOS PAC ID: 8527017920 Enrollment ID: I20140520002030 |
| Provider Name | Peter S Hahn |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1184690703 PECOS PAC ID: 0840214466 Enrollment ID: I20140617000612 |
| Provider Name | Katelyn Axtell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972929479 PECOS PAC ID: 0648494401 Enrollment ID: I20140617001931 |
| Provider Name | Katarzyna Dudyca-sulicz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225272248 PECOS PAC ID: 9133345408 Enrollment ID: I20140722001548 |
| Provider Name | Joyleen Earle |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1629038211 PECOS PAC ID: 6406930635 Enrollment ID: I20140730002011 |
| Provider Name | Diana S Rasmussen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700297918 PECOS PAC ID: 3870710924 Enrollment ID: I20140813001158 |
| Provider Name | Michail Vitellas |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1023252293 PECOS PAC ID: 3072732999 Enrollment ID: I20140908002111 |
| Provider Name | Shilpa Sambidi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1821240011 PECOS PAC ID: 3577782853 Enrollment ID: I20140918001348 |
| Provider Name | Caitlin S Digiulio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952700916 PECOS PAC ID: 7012136286 Enrollment ID: I20140920000044 |
| Provider Name | Emir Hodzic |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164715397 PECOS PAC ID: 1759524945 Enrollment ID: I20140922000894 |
| Provider Name | Sriram Nirgudkar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770576084 PECOS PAC ID: 4385864065 Enrollment ID: I20140930002997 |
| Provider Name | Rosanne M Ryan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285040774 PECOS PAC ID: 5294955860 Enrollment ID: I20141002000401 |
| Provider Name | Edward Ioffe |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1376830976 PECOS PAC ID: 4486874674 Enrollment ID: I20141010001475 |
| Provider Name | Davinia Yarde |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770990731 PECOS PAC ID: 6901028927 Enrollment ID: I20141106001892 |
| Provider Name | Ioulia Chitomfwa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629486444 PECOS PAC ID: 6305068974 Enrollment ID: I20141114001567 |
| Provider Name | Sara Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679981443 PECOS PAC ID: 7315169810 Enrollment ID: I20141118001954 |
| Provider Name | Cara L Fraser |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083893077 PECOS PAC ID: 9133341498 Enrollment ID: I20141121000141 |
| Provider Name | Erin Klinkman |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1982903571 PECOS PAC ID: 1153643804 Enrollment ID: I20141208000915 |
| Provider Name | Travis G Flanagan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1336540350 PECOS PAC ID: 2264755305 Enrollment ID: I20141223000057 |
| Provider Name | Bethany M Denmon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265834071 PECOS PAC ID: 3577880905 Enrollment ID: I20150324002363 |
| Provider Name | Nick W Liu |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1174750129 PECOS PAC ID: 3870733884 Enrollment ID: I20150413002039 |
| Provider Name | Ashlee Fish |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225435902 PECOS PAC ID: 7719207109 Enrollment ID: I20150527000838 |
| Provider Name | Morgan N Henninge |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225421837 PECOS PAC ID: 0648590976 Enrollment ID: I20150527002214 |
| Provider Name | Kevin M Pipher |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376976977 PECOS PAC ID: 7911228036 Enrollment ID: I20150602000209 |
| Provider Name | Varun Reddy |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1710214259 PECOS PAC ID: 8729246533 Enrollment ID: I20150610000722 |
| Provider Name | Spencer Eisenberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417248113 PECOS PAC ID: 3375775802 Enrollment ID: I20150615000399 |
| Provider Name | Inna Mrsic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780062026 PECOS PAC ID: 3779894613 Enrollment ID: I20150619000184 |
| Provider Name | Kelvin Lee |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1568843803 PECOS PAC ID: 6608189410 Enrollment ID: I20150723006901 |
| Provider Name | Heather Rattenbury |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386902039 PECOS PAC ID: 5799915377 Enrollment ID: I20150723008606 |
| Provider Name | Daniel Welchons |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1568786366 PECOS PAC ID: 9830311372 Enrollment ID: I20150727001962 |
| Provider Name | Christopher Mark Allen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1023217148 PECOS PAC ID: 4183853864 Enrollment ID: I20150813011210 |
| Provider Name | Sarah M Slocum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063896728 PECOS PAC ID: 1557676707 Enrollment ID: I20150817002056 |
| Provider Name | Pamela L Askew Walker |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1447225743 PECOS PAC ID: 3678464690 Enrollment ID: I20150908000351 |
| Provider Name | Marianne Valenzuela |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538541925 PECOS PAC ID: 0042526964 Enrollment ID: I20150908002089 |
| Provider Name | Nayoung Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972988079 PECOS PAC ID: 9436466349 Enrollment ID: I20150909002254 |
| Provider Name | Nathan A Major |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1972892602 PECOS PAC ID: 7315174265 Enrollment ID: I20150917001569 |
| Provider Name | Nabia S Ikram |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528201324 PECOS PAC ID: 0446475859 Enrollment ID: I20150917001688 |
| Provider Name | Miriam Mikaya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265815211 PECOS PAC ID: 3678880770 Enrollment ID: I20150923000066 |
| Provider Name | Jessie Lynn Flurschutz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245606490 PECOS PAC ID: 4183933039 Enrollment ID: I20151016000623 |
| Provider Name | Woodley Desir |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1447405576 PECOS PAC ID: 3971812538 Enrollment ID: I20151021001959 |
| Provider Name | Jenny Warchocki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881062495 PECOS PAC ID: 7618286998 Enrollment ID: I20151028000697 |
| Provider Name | Marybeth Zazzera |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1962498808 PECOS PAC ID: 2961588736 Enrollment ID: I20151110000111 |
| Provider Name | Michele Traverse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053787127 PECOS PAC ID: 0840500161 Enrollment ID: I20151117000260 |
| Provider Name | Roshni Parikh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932576949 PECOS PAC ID: 1759686249 Enrollment ID: I20160222000860 |
| Provider Name | John Oliver Mclain |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295050193 PECOS PAC ID: 0547498511 Enrollment ID: I20160223000747 |
| Provider Name | Jared Martin Pado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417323999 PECOS PAC ID: 6103122577 Enrollment ID: I20160310001221 |
| Provider Name | Abha Kadam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881062339 PECOS PAC ID: 1355648338 Enrollment ID: I20160318002149 |
| Provider Name | Maria T. Mallery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154788636 PECOS PAC ID: 3375841703 Enrollment ID: I20160418001927 |
| Provider Name | Jessica Raymond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780990143 PECOS PAC ID: 3274822291 Enrollment ID: I20160516000378 |
| Provider Name | Kristen Bishop |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881048643 PECOS PAC ID: 6002106200 Enrollment ID: I20160531001610 |
| Provider Name | Heather Foley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902263197 PECOS PAC ID: 1153471271 Enrollment ID: I20160615002326 |
| Provider Name | Colleen Okelly Priddy |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1033319439 PECOS PAC ID: 1456678614 Enrollment ID: I20160722000419 |
| Provider Name | Stanley Hunter |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1366731341 PECOS PAC ID: 1658664537 Enrollment ID: I20160729001792 |
| Provider Name | Mansi Kallem |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1396178703 PECOS PAC ID: 2466750179 Enrollment ID: I20160803001529 |
| Provider Name | Rajesh Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174828271 PECOS PAC ID: 2264670629 Enrollment ID: I20160810001058 |
| Provider Name | Sreekanth Reddy Kondareddy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1003120338 PECOS PAC ID: 0042504938 Enrollment ID: I20160816001915 |
| Provider Name | Ishtiaq Hossain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104261379 PECOS PAC ID: 0345472999 Enrollment ID: I20160817000893 |
| Provider Name | Adam Kenneth Cloud |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1548404643 PECOS PAC ID: 2769626795 Enrollment ID: I20160824002560 |
| Provider Name | Stephen A Blakely |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1811123722 PECOS PAC ID: 2961717558 Enrollment ID: I20160830002946 |
| Provider Name | Fnu Shailesh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1609184480 PECOS PAC ID: 2860706850 Enrollment ID: I20160831001782 |
| Provider Name | Philip Dzwonczyk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598739815 PECOS PAC ID: 1658386305 Enrollment ID: I20160831002213 |
| Provider Name | Omotinuwe M Adepoju |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1780834499 PECOS PAC ID: 2961561394 Enrollment ID: I20160909001957 |
| Provider Name | Shamaelah Javed |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1164730206 PECOS PAC ID: 6002102324 Enrollment ID: I20160912002396 |
| Provider Name | Julia Hunter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457640435 PECOS PAC ID: 1355568106 Enrollment ID: I20160915000155 |
| Provider Name | Lakshmi Sanivarapu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831521152 PECOS PAC ID: 9335379965 Enrollment ID: I20160919001808 |
| Provider Name | Ahmed Khan |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1770915670 PECOS PAC ID: 0840424610 Enrollment ID: I20160929000294 |
| Provider Name | Michelle Lynn Rising |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003362682 PECOS PAC ID: 2062700842 Enrollment ID: I20161011001324 |
| Provider Name | Erin E Miller |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811263890 PECOS PAC ID: 5496059719 Enrollment ID: I20161011002722 |
| Provider Name | Melissa Depersis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134673601 PECOS PAC ID: 3779871256 Enrollment ID: I20161017001044 |
| Provider Name | Muhammad I Ali |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1861659351 PECOS PAC ID: 9931342920 Enrollment ID: I20161123000514 |
| Provider Name | Michael G. Castello |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1578728507 PECOS PAC ID: 4183895147 Enrollment ID: I20161130002616 |
| Provider Name | Thomas Owen Genese |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922111632 PECOS PAC ID: 7012070360 Enrollment ID: I20161215000496 |
| Provider Name | Dustin Brown |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1760925705 PECOS PAC ID: 5698056190 Enrollment ID: I20161221000298 |
| Provider Name | Irene Nzasi |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1508308545 PECOS PAC ID: 9133400583 Enrollment ID: I20161227001105 |
| Provider Name | Victoria Elizabeth Marie Engler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376912303 PECOS PAC ID: 2769785633 Enrollment ID: I20170104000042 |
| Provider Name | Kathryn Rushak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538512033 PECOS PAC ID: 4587945548 Enrollment ID: I20170105001216 |
| Provider Name | Leanne Stevens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720137052 PECOS PAC ID: 4789967936 Enrollment ID: I20170213002415 |
| Provider Name | Kathryn Land |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285170761 PECOS PAC ID: 6507149606 Enrollment ID: I20170216000085 |
| Provider Name | Viral V Goradia |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871880989 PECOS PAC ID: 1557648185 Enrollment ID: I20170508001560 |
| Provider Name | Andrew J Lerrick |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1730185513 PECOS PAC ID: 7911914643 Enrollment ID: I20170509002191 |
| Provider Name | Jane Locke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346787363 PECOS PAC ID: 8123305554 Enrollment ID: I20170511002030 |
| Provider Name | Neil William Carlton Gibson |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1467625434 PECOS PAC ID: 1759606833 Enrollment ID: I20170606000741 |
| Provider Name | Nathan J Goldman |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1760742985 PECOS PAC ID: 6204103617 Enrollment ID: I20170606000771 |
| Provider Name | Sumanth Balguri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598077679 PECOS PAC ID: 2769625508 Enrollment ID: I20170607001848 |
| Provider Name | Isuru S Jayaratna |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1578884128 PECOS PAC ID: 7113158312 Enrollment ID: I20170616000204 |
| Provider Name | Jaime L Fernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487103024 PECOS PAC ID: 8820367121 Enrollment ID: I20170629001721 |
| Provider Name | Mahmoud Chehab |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1093005597 PECOS PAC ID: 9032488937 Enrollment ID: I20170710000818 |
| Provider Name | Amanke Chigozie Oranu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1750544425 PECOS PAC ID: 4082899943 Enrollment ID: I20170712003108 |
| Provider Name | Regina Maria Meis |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1851690077 PECOS PAC ID: 2769615624 Enrollment ID: I20170731002105 |
| Provider Name | Trisha Chambers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861830812 PECOS PAC ID: 4789955360 Enrollment ID: I20170731002223 |
| Provider Name | Stephen Scarseth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508071754 PECOS PAC ID: 5890066419 Enrollment ID: I20170801000200 |
| Provider Name | Rachael Stocking |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407390883 PECOS PAC ID: 5496026403 Enrollment ID: I20170810000058 |
| Provider Name | Josephine S Genese |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235193707 PECOS PAC ID: 0749459667 Enrollment ID: I20170822000049 |
| Provider Name | Genevieve Romano-helm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578990461 PECOS PAC ID: 1052683216 Enrollment ID: I20170823000594 |
| Provider Name | Brian Tischler |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265723969 PECOS PAC ID: 5294967881 Enrollment ID: I20170828001175 |
| Provider Name | Jeanne-marie Firpo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811414774 PECOS PAC ID: 1153695838 Enrollment ID: I20170919001844 |
| Provider Name | Mark Ferretti |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1144621657 PECOS PAC ID: 5395019889 Enrollment ID: I20170921003036 |
| Provider Name | Khadija Raza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891114393 PECOS PAC ID: 0941425193 Enrollment ID: I20170926000051 |
| Provider Name | Andrea M Feher |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538528500 PECOS PAC ID: 8729353602 Enrollment ID: I20171003004228 |
| Provider Name | Marilyn Nelson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497776173 PECOS PAC ID: 0446231625 Enrollment ID: I20171005003096 |
| Provider Name | Stephanie Stuke |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700308012 PECOS PAC ID: 4981970589 Enrollment ID: I20171026001971 |
| Provider Name | Sergey Kravchick |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1548789662 PECOS PAC ID: 4688931702 Enrollment ID: I20171128002138 |
| Provider Name | Uzoma Chinyere Oranu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780943589 PECOS PAC ID: 4981913548 Enrollment ID: I20171130002681 |
| Provider Name | Gina Paek |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770876898 PECOS PAC ID: 0345528857 Enrollment ID: I20171218000077 |
| Provider Name | Mohammad A Abidi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1295153690 PECOS PAC ID: 8921224338 Enrollment ID: I20171222000068 |
| Provider Name | Brian A Rogers |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1174865489 PECOS PAC ID: 0547528655 Enrollment ID: I20180122002271 |
| Provider Name | Stacey A Pendell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245386317 PECOS PAC ID: 6901165745 Enrollment ID: I20180124000414 |
| Provider Name | Heidi D Dieck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376066670 PECOS PAC ID: 5597024349 Enrollment ID: I20180124001207 |
| Provider Name | Manish Kumar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669679221 PECOS PAC ID: 0749305738 Enrollment ID: I20180126000825 |
| Provider Name | Kristen A Herbst |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1790930014 PECOS PAC ID: 7719115468 Enrollment ID: I20180131000229 |
| Provider Name | Christine Hill |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164932539 PECOS PAC ID: 4688934730 Enrollment ID: I20180209000601 |
| Provider Name | Jennifer R Cooper |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689913600 PECOS PAC ID: 3375804040 Enrollment ID: I20180221002316 |
| Provider Name | Donald R Sibley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497193445 PECOS PAC ID: 5698036150 Enrollment ID: I20180223001421 |
| Provider Name | Matthew A Rodgers |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1871001115 PECOS PAC ID: 4880955798 Enrollment ID: I20180309000103 |
| Provider Name | John R Driscoll |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1912405994 PECOS PAC ID: 3072875129 Enrollment ID: I20180329001611 |
| Provider Name | Casey Trexler |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1629589031 PECOS PAC ID: 9436412343 Enrollment ID: I20180405002440 |
| Provider Name | Christopher J Prendergast |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760700108 PECOS PAC ID: 2163654716 Enrollment ID: I20180416000181 |
| Provider Name | Georia Libin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255834222 PECOS PAC ID: 5294099081 Enrollment ID: I20180502001550 |
| Provider Name | Keith Garcia Desousa |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1013140136 PECOS PAC ID: 6709165814 Enrollment ID: I20180522002051 |
| Provider Name | Zachary Allyn Jones |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1073956983 PECOS PAC ID: 4385877489 Enrollment ID: I20180607000771 |
| Provider Name | Danielle Therese Minoia |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104313931 PECOS PAC ID: 8729333844 Enrollment ID: I20180613002527 |
| Provider Name | John A Vullo |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1043576705 PECOS PAC ID: 9931454782 Enrollment ID: I20180619001158 |
| Provider Name | Fatima Z Husain |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1255689758 PECOS PAC ID: 4587955760 Enrollment ID: I20180620000497 |
| Provider Name | Jena Mullenax |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295227981 PECOS PAC ID: 7517213820 Enrollment ID: I20180628002162 |
| Provider Name | Denisa Talovic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780113597 PECOS PAC ID: 5698022416 Enrollment ID: I20180724003194 |
| Provider Name | Brian David Tallerico |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1538137724 PECOS PAC ID: 3779583646 Enrollment ID: I20180806002613 |
| Provider Name | Nicholas Andrew Putrino |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1407243207 PECOS PAC ID: 2163734229 Enrollment ID: I20180814003163 |
| Provider Name | Nicci L Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851878532 PECOS PAC ID: 9830449800 Enrollment ID: I20180912002815 |
| Provider Name | Rachel M Skovira |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043796717 PECOS PAC ID: 9234480013 Enrollment ID: I20180918000710 |
| Provider Name | Nicole Osterhout |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174002919 PECOS PAC ID: 8729339254 Enrollment ID: I20180924000765 |
| Provider Name | Sumeet Multani |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053690164 PECOS PAC ID: 7416267794 Enrollment ID: I20180928001400 |
| Provider Name | Vanetta Rosevear |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710482096 PECOS PAC ID: 8224380837 Enrollment ID: I20181010000120 |
| Provider Name | Jane Polhamus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285124446 PECOS PAC ID: 2163775297 Enrollment ID: I20181019000120 |
| Provider Name | John Tarbox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609359652 PECOS PAC ID: 9133472848 Enrollment ID: I20181026000619 |
| Provider Name | Jillian Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649753898 PECOS PAC ID: 3274886841 Enrollment ID: I20181029001325 |
| Provider Name | Sarah Runyon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487137501 PECOS PAC ID: 9537412994 Enrollment ID: I20181101000387 |
| Provider Name | Otashe Golden |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1508891797 PECOS PAC ID: 9436152774 Enrollment ID: I20181106001066 |
| Provider Name | Nicole Falbo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811472384 PECOS PAC ID: 9335493535 Enrollment ID: I20181106002171 |
| Provider Name | Bonnie E Osterwald |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053377119 PECOS PAC ID: 1355352436 Enrollment ID: I20181108002489 |
| Provider Name | Cayla Fendick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366927642 PECOS PAC ID: 7719231786 Enrollment ID: I20181109000249 |
| Provider Name | Sama Bella |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265829022 PECOS PAC ID: 0143540666 Enrollment ID: I20181115000350 |
| Provider Name | Krystal L Thompson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396025391 PECOS PAC ID: 2264776277 Enrollment ID: I20181203001016 |
| Provider Name | Nishant Ranawat |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1366658627 PECOS PAC ID: 9739350059 Enrollment ID: I20181221002106 |
| Provider Name | Brittney M Vona |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1609349919 PECOS PAC ID: 5092053660 Enrollment ID: I20190207000544 |
| Provider Name | Lindsay Pine |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922563907 PECOS PAC ID: 7315286523 Enrollment ID: I20190306001569 |
| Provider Name | Kianoush Sheykholeslami |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1841480274 PECOS PAC ID: 8628123080 Enrollment ID: I20190318000087 |
| Provider Name | Irfan Khan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1891138756 PECOS PAC ID: 1153551213 Enrollment ID: I20190401001163 |
| Provider Name | Todd M Kubesh |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063970580 PECOS PAC ID: 4587905443 Enrollment ID: I20190403001355 |
| Provider Name | Joseph Tristan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366966483 PECOS PAC ID: 6204177017 Enrollment ID: I20190404000614 |
| Provider Name | Karen Avgush |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154701720 PECOS PAC ID: 8628388329 Enrollment ID: I20190506001180 |
| Provider Name | Matthew S Fabian |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922565001 PECOS PAC ID: 4486681988 Enrollment ID: I20190610002153 |
| Provider Name | James M Crane |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1992865257 PECOS PAC ID: 9133133176 Enrollment ID: I20190612002886 |
| Provider Name | Jennifer Eaton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174871438 PECOS PAC ID: 4688907173 Enrollment ID: I20190617000699 |
| Provider Name | Kelly L Buchsbaum |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902081086 PECOS PAC ID: 5597840710 Enrollment ID: I20190627000630 |
| Provider Name | Richard B Knight |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1477722684 PECOS PAC ID: 7618118308 Enrollment ID: I20190627000796 |
| Provider Name | Upasana Tiwari |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215385224 PECOS PAC ID: 2466787429 Enrollment ID: I20190712000804 |
| Provider Name | Thomas Joseph George |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821346511 PECOS PAC ID: 5496905051 Enrollment ID: I20190718002454 |
| Provider Name | Arianne Borda |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679922934 PECOS PAC ID: 2466788088 Enrollment ID: I20190719000807 |
| Provider Name | Jocelyn C Young |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407234271 PECOS PAC ID: 8224381272 Enrollment ID: I20190730000871 |
| Provider Name | Thomas Sanford |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1811212368 PECOS PAC ID: 5991936163 Enrollment ID: I20190807002603 |
| Provider Name | Md Alom |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1760838189 PECOS PAC ID: 0244525632 Enrollment ID: I20190808001532 |
| Provider Name | Smriti Thakur |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235587247 PECOS PAC ID: 4284962283 Enrollment ID: I20190829001779 |
| Provider Name | Danielle Deyo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760945596 PECOS PAC ID: 1759619661 Enrollment ID: I20190829002520 |
| Provider Name | Stacy Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891350617 PECOS PAC ID: 2567790496 Enrollment ID: I20190829003084 |
| Provider Name | James J Lee |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1790773471 PECOS PAC ID: 3274565783 Enrollment ID: I20190830001443 |
| Provider Name | Amanda Bartleson-taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932768900 PECOS PAC ID: 0042549933 Enrollment ID: I20190830001921 |
| Provider Name | Rebekah Dickman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588229579 PECOS PAC ID: 4385973924 Enrollment ID: I20190909000324 |
| Provider Name | Aliye Runyan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932528676 PECOS PAC ID: 2062714108 Enrollment ID: I20190912001359 |
| Provider Name | Corina Arana |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588041479 PECOS PAC ID: 2466706262 Enrollment ID: I20190924000174 |
| Provider Name | Maribeth Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003476888 PECOS PAC ID: 5597835082 Enrollment ID: I20190925000264 |
| Provider Name | Mary Kate Gaetani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720545494 PECOS PAC ID: 7012247422 Enrollment ID: I20190927002011 |
| Provider Name | Maria Cada |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871054460 PECOS PAC ID: 0244561140 Enrollment ID: I20191008000191 |
| Provider Name | Michelle L Lombardo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083008445 PECOS PAC ID: 5395083968 Enrollment ID: I20191021001719 |
| Provider Name | Aasiya Haroon |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1750737086 PECOS PAC ID: 2567794795 Enrollment ID: I20191021002825 |
| Provider Name | Michael Lane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801357447 PECOS PAC ID: 3072845205 Enrollment ID: I20191021002980 |
| Provider Name | Purushothaman Muthukanagaraj |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083902399 PECOS PAC ID: 2567751142 Enrollment ID: I20191022000159 |
| Provider Name | Danielle Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215592878 PECOS PAC ID: 1456683622 Enrollment ID: I20191022001004 |
| Provider Name | Philip Kasmarcik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982165593 PECOS PAC ID: 6901138726 Enrollment ID: I20191029000983 |
| Provider Name | Stephen Czumak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598325292 PECOS PAC ID: 9436481124 Enrollment ID: I20191030000784 |
| Provider Name | Jody Gannon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891339511 PECOS PAC ID: 1658703624 Enrollment ID: I20191112003301 |
| Provider Name | Aisha Z Rush |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932330511 PECOS PAC ID: 7416175716 Enrollment ID: I20191205001809 |
| Provider Name | Neil Meredith Ponder |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629239603 PECOS PAC ID: 1052590403 Enrollment ID: I20200108002004 |
| Provider Name | Joanna Molloy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841589348 PECOS PAC ID: 6800221284 Enrollment ID: I20200113000743 |
| Provider Name | Nirgiz Taha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619511540 PECOS PAC ID: 1254766934 Enrollment ID: I20200128000668 |
| Provider Name | Victoria Rita Nakimbugwe |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841573466 PECOS PAC ID: 1557797438 Enrollment ID: I20200213000403 |
| Provider Name | Tiffany L Bolden Watkins |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982845897 PECOS PAC ID: 0648404012 Enrollment ID: I20200224002305 |
| Provider Name | Kimberly Gabbidon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245582550 PECOS PAC ID: 1052639531 Enrollment ID: I20200225000412 |
| Provider Name | Alexander J Kaminsky |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1093036386 PECOS PAC ID: 8527362714 Enrollment ID: I20200303000903 |
| Provider Name | Mohammad Zaidi |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1386054997 PECOS PAC ID: 6901153709 Enrollment ID: I20200304001176 |
| Provider Name | Katelyn Kirchheimer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811444557 PECOS PAC ID: 9537448501 Enrollment ID: I20200323002595 |
| Provider Name | Ryan T Pickett |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1235769605 PECOS PAC ID: 9335577428 Enrollment ID: I20200324002211 |
| Provider Name | Vincent Skovira |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942656210 PECOS PAC ID: 1557791407 Enrollment ID: I20200417000651 |
| Provider Name | Jason Mark Bennett |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1215575444 PECOS PAC ID: 0042640765 Enrollment ID: I20200421001842 |
| Provider Name | Rachel Lu Do |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1275918773 PECOS PAC ID: 7911338744 Enrollment ID: I20200512001924 |
| Provider Name | Meghan Goyden |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508496316 PECOS PAC ID: 0446671937 Enrollment ID: I20200610000146 |
| Provider Name | Nasir Hussain |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1295014579 PECOS PAC ID: 1052622255 Enrollment ID: I20200610003059 |
| Provider Name | Jennifer Lynn Berger |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750668810 PECOS PAC ID: 7214359967 Enrollment ID: I20200625001087 |
| Provider Name | Therese Federowicz |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1861888711 PECOS PAC ID: 7012211246 Enrollment ID: I20200714000678 |
| Provider Name | Abdelhamid Ben Selma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245757392 PECOS PAC ID: 0042553646 Enrollment ID: I20200715003536 |
| Provider Name | Sandita Seecharan Reddammagari |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154779163 PECOS PAC ID: 1052735099 Enrollment ID: I20200722003822 |
| Provider Name | Steven Kleinman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770877557 PECOS PAC ID: 1052623345 Enrollment ID: I20200810000120 |
| Provider Name | Zachary Fleischner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104204189 PECOS PAC ID: 2860819547 Enrollment ID: I20200826001145 |
| Provider Name | Yasir Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326562299 PECOS PAC ID: 1052679867 Enrollment ID: I20200828001238 |
| Provider Name | Sreya M Singh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851822688 PECOS PAC ID: 8628312618 Enrollment ID: I20200910000147 |
| Provider Name | Rasha Aurshiya |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1790114924 PECOS PAC ID: 0345529889 Enrollment ID: I20200915002148 |
| Provider Name | Kirill Davidov |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730600370 PECOS PAC ID: 3870836992 Enrollment ID: I20200922000551 |
| Provider Name | Aditya S Pawaskar |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1184008492 PECOS PAC ID: 7517215783 Enrollment ID: I20200922002708 |
| Provider Name | Susan Boyko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467070805 PECOS PAC ID: 1759709835 Enrollment ID: I20200922002722 |
| Provider Name | Lindsay Dunlop |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437760311 PECOS PAC ID: 3274952262 Enrollment ID: I20200924000564 |
| Provider Name | Kwamia Sanford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851903215 PECOS PAC ID: 0446679336 Enrollment ID: I20200925001403 |
| Provider Name | Minhaz Ahmad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346775996 PECOS PAC ID: 5092058669 Enrollment ID: I20200928002502 |
| Provider Name | Naa-densua B Darko |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1790182905 PECOS PAC ID: 9133433550 Enrollment ID: I20200929002281 |
| Provider Name | Milton Harding |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174135305 PECOS PAC ID: 6608296041 Enrollment ID: I20201023000637 |
| Provider Name | Kabir Gandhi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1629365275 PECOS PAC ID: 7810289048 Enrollment ID: I20201104002495 |
| Provider Name | Benjamin Max Kammerman |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1013365014 PECOS PAC ID: 0042547499 Enrollment ID: I20201109003024 |
| Provider Name | Nasiha Kulsum |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225564594 PECOS PAC ID: 7810307469 Enrollment ID: I20201110001479 |
| Provider Name | Brittany Naso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922606110 PECOS PAC ID: 7012328206 Enrollment ID: I20201119000087 |
| Provider Name | Brittany Kristen Lee Duran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902434327 PECOS PAC ID: 8820409915 Enrollment ID: I20201120001278 |
| Provider Name | Ayyaz Shah |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1619167673 PECOS PAC ID: 2668552464 Enrollment ID: I20201121000130 |
| Provider Name | Patricia Yocum |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1235321050 PECOS PAC ID: 1658269444 Enrollment ID: I20201216002140 |
| Provider Name | Kimberly Syres |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1114990348 PECOS PAC ID: 0547495632 Enrollment ID: I20210118000292 |
| Provider Name | Jessica Webb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851998280 PECOS PAC ID: 7416360128 Enrollment ID: I20210119000498 |
| Provider Name | Logan A Engle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144818352 PECOS PAC ID: 6406269125 Enrollment ID: I20210119001097 |
| Provider Name | Kate Lynn Mcnamara |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1750642625 PECOS PAC ID: 7012321771 Enrollment ID: I20210121000640 |
| Provider Name | Stacey Coon-walsh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376949941 PECOS PAC ID: 6709100076 Enrollment ID: I20210125000111 |
| Provider Name | Maria Younus |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710240031 PECOS PAC ID: 5294045365 Enrollment ID: I20210203001241 |
| Provider Name | John Fay |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1699364158 PECOS PAC ID: 3476968066 Enrollment ID: I20210211002721 |
| Provider Name | Bilal Ahmed |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1649667494 PECOS PAC ID: 1658691506 Enrollment ID: I20210218001316 |
| Provider Name | Fahad Malik |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1184078404 PECOS PAC ID: 5294072294 Enrollment ID: I20210218002048 |
| Provider Name | Kristofer Erdman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1669066445 PECOS PAC ID: 3072920479 Enrollment ID: I20210401000034 |
| Provider Name | Rupa Bala |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1417983123 PECOS PAC ID: 9234147943 Enrollment ID: I20210401000282 |
| Provider Name | Kristen Tarbox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730553223 PECOS PAC ID: 3173930435 Enrollment ID: I20210402000274 |
| Provider Name | Stacey Hope Rosman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801323365 PECOS PAC ID: 9931508082 Enrollment ID: I20210524000682 |
| Provider Name | Jacqueline Smith |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255643615 PECOS PAC ID: 1052672888 Enrollment ID: I20210609001899 |
| Provider Name | Romi Grover Shah |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083149363 PECOS PAC ID: 9830599026 Enrollment ID: I20210609002042 |
| Provider Name | Myriam Chlela |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669998134 PECOS PAC ID: 7214277250 Enrollment ID: I20210629002692 |
| Provider Name | Nekpen S Ekure |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467984021 PECOS PAC ID: 2769729383 Enrollment ID: I20210707000171 |
| Provider Name | Muhammad Farhan Nadeem |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1639585078 PECOS PAC ID: 6204164494 Enrollment ID: I20210715002207 |
| Provider Name | Robert Stuke |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1366947806 PECOS PAC ID: 1759625353 Enrollment ID: I20210720000127 |
| Provider Name | Mohammad M Jamil |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1679880025 PECOS PAC ID: 9234433855 Enrollment ID: I20210722001061 |
| Provider Name | Jennifer P Reason |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1376706713 PECOS PAC ID: 7618130626 Enrollment ID: I20210725000005 |
| Provider Name | William L Ericksen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1821446402 PECOS PAC ID: 8224460100 Enrollment ID: I20210824000961 |
| Provider Name | Amrinder Singh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1174963078 PECOS PAC ID: 6709029374 Enrollment ID: I20210824003000 |
| Provider Name | Benjamin I Luce |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528557436 PECOS PAC ID: 3375886427 Enrollment ID: I20210826001096 |
| Provider Name | Sally Hartwick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275023020 PECOS PAC ID: 2668877721 Enrollment ID: I20210827000660 |
| Provider Name | Kaitlyn Casiuk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255963179 PECOS PAC ID: 8820494800 Enrollment ID: I20210831002956 |
| Provider Name | Melissa Ann Most |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417577602 PECOS PAC ID: 6406252857 Enrollment ID: I20210909002498 |
| Provider Name | Fatima Syed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629567540 PECOS PAC ID: 3870836984 Enrollment ID: I20210914000203 |
| Provider Name | Manisha Manmohan |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1255866745 PECOS PAC ID: 0143597823 Enrollment ID: I20210917001980 |
| Provider Name | Jordan Isaac Ziegler |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710923412 PECOS PAC ID: 7315975125 Enrollment ID: I20210927001235 |
| Provider Name | Krystal Ford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104492917 PECOS PAC ID: 1557768744 Enrollment ID: I20211001000157 |
| Provider Name | Emily Stashko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356010714 PECOS PAC ID: 0648678789 Enrollment ID: I20211005000212 |
| Provider Name | Danielle Mejias |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811665789 PECOS PAC ID: 0648678474 Enrollment ID: I20211008002285 |
| Provider Name | Tiffany Huynh |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1376174425 PECOS PAC ID: 2264858836 Enrollment ID: I20211013003166 |
| Provider Name | Arif Rashid |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1700231735 PECOS PAC ID: 8921339516 Enrollment ID: I20211025000847 |
| Provider Name | Mahmoud Issam Awad |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1356754626 PECOS PAC ID: 1850789520 Enrollment ID: I20211029000206 |
| Provider Name | Alissa Giammarino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063174043 PECOS PAC ID: 1153719794 Enrollment ID: I20211101000745 |
| Provider Name | Kathleen Howe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235666421 PECOS PAC ID: 2567737505 Enrollment ID: I20211110002577 |
| Provider Name | David James Leu |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1487791521 PECOS PAC ID: 6709922776 Enrollment ID: I20211201001344 |
| Provider Name | Baris Mehmet Kural |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1831454511 PECOS PAC ID: 8123419744 Enrollment ID: I20211215001514 |
| Provider Name | Alyssa Cox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942966718 PECOS PAC ID: 3375934805 Enrollment ID: I20211216002947 |
| Provider Name | Kaylyn Malenda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063170967 PECOS PAC ID: 8123419256 Enrollment ID: I20211229000514 |
| Provider Name | Mikhail Zelkind |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1891714267 PECOS PAC ID: 7810946969 Enrollment ID: I20220126000583 |
| Provider Name | Abdul Muqeet Javed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164908844 PECOS PAC ID: 4880087394 Enrollment ID: I20220204002072 |
| Provider Name | Zachary Secoolish |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1396406641 PECOS PAC ID: 2264825496 Enrollment ID: I20220210000153 |
| Provider Name | Elvis Wayne Danne |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1144733916 PECOS PAC ID: 0042564361 Enrollment ID: I20220309001109 |
| Provider Name | Karena Trimbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750037321 PECOS PAC ID: 1254726094 Enrollment ID: I20220315000945 |
| Provider Name | Heng Hu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972279545 PECOS PAC ID: 7719372069 Enrollment ID: I20220323001012 |
| Provider Name | Hacer Kural |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508113259 PECOS PAC ID: 8224312327 Enrollment ID: I20220418000351 |
| Provider Name | Anna Spencer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144850694 PECOS PAC ID: 2466839741 Enrollment ID: I20220509000740 |
| Provider Name | Kimberly Ann Neiman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023780541 PECOS PAC ID: 4789061979 Enrollment ID: I20220509001406 |
| Provider Name | Zaima Choudhry |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1306399225 PECOS PAC ID: 9537443395 Enrollment ID: I20220514000109 |
| Provider Name | Quamrun N Nabi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629644729 PECOS PAC ID: 5496133456 Enrollment ID: I20220602002093 |
| Provider Name | Philip Schultes |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194006395 PECOS PAC ID: 9537548797 Enrollment ID: I20220621001684 |
| Provider Name | Louise Parks |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1164165148 PECOS PAC ID: 5991184509 Enrollment ID: I20220628000220 |
| Provider Name | Adam Bielecki |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1346813235 PECOS PAC ID: 4981084548 Enrollment ID: I20220629002450 |
| Provider Name | Adam Scotchlas |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1245974468 PECOS PAC ID: 8426438250 Enrollment ID: I20220711000664 |
| Provider Name | Waqar Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225520273 PECOS PAC ID: 6800132945 Enrollment ID: I20220719002022 |
| Provider Name | Ata Ur Rahim Bajwa |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1508123688 PECOS PAC ID: 0143522458 Enrollment ID: I20220721001063 |
| Provider Name | Nancy Cowan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316679301 PECOS PAC ID: 0840672630 Enrollment ID: I20220726001951 |
| Provider Name | Karolina Petro |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730611484 PECOS PAC ID: 3072918333 Enrollment ID: I20220808001845 |
| Provider Name | Donald E Mclawhorn |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457841595 PECOS PAC ID: 0244577856 Enrollment ID: I20220809002122 |
| Provider Name | Gayane Avagyan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851878649 PECOS PAC ID: 9436553435 Enrollment ID: I20220809003269 |
| Provider Name | Sathappan Karuppiah |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1912428509 PECOS PAC ID: 4183006067 Enrollment ID: I20220809003286 |
| Provider Name | Cherry Pareek |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730676867 PECOS PAC ID: 1557608189 Enrollment ID: I20220810000646 |
| Provider Name | Patricia Noble |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316404023 PECOS PAC ID: 2769865674 Enrollment ID: I20220810000810 |
| Provider Name | Suganya Mahinthan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740841139 PECOS PAC ID: 1557744406 Enrollment ID: I20220810002395 |
| Provider Name | Pradeesh Mahendran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780243808 PECOS PAC ID: 2860826237 Enrollment ID: I20220810003358 |
| Provider Name | Deneen Bosch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174290795 PECOS PAC ID: 9537542758 Enrollment ID: I20220819001394 |
| Provider Name | Raheel S Chaudhry |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306401971 PECOS PAC ID: 6507290848 Enrollment ID: I20220830001959 |
| Provider Name | Stephanie Marie Guzelak |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1689135550 PECOS PAC ID: 9739563271 Enrollment ID: I20220831003412 |
| Provider Name | Linnea Congdon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861134868 PECOS PAC ID: 4082098231 Enrollment ID: I20220907001892 |
| Provider Name | Lacey Diemer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346970779 PECOS PAC ID: 2961886064 Enrollment ID: I20220908000353 |
| Provider Name | Shazia R Singh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477111599 PECOS PAC ID: 8022442318 Enrollment ID: I20221004000474 |
| Provider Name | Lorrel Benoit |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1982070777 PECOS PAC ID: 7911215561 Enrollment ID: I20221005002485 |
| Provider Name | Uzma Sana Ullah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144715921 PECOS PAC ID: 1052648441 Enrollment ID: I20221024001081 |
| Provider Name | Amanda Tessitore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528707494 PECOS PAC ID: 1355717844 Enrollment ID: I20221025002702 |
| Provider Name | Aline Stabler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104574003 PECOS PAC ID: 8527434018 Enrollment ID: I20221025002718 |
| Provider Name | Clayton John Read |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396464855 PECOS PAC ID: 9436525839 Enrollment ID: I20221025003133 |
| Provider Name | Hilary Lynn Manning |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245738277 PECOS PAC ID: 9537419593 Enrollment ID: I20221101002737 |
| Provider Name | Derek Mckenna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932859865 PECOS PAC ID: 7810364973 Enrollment ID: I20221102000301 |
| Provider Name | Aleksandra Tiy |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1215652367 PECOS PAC ID: 3173990223 Enrollment ID: I20221103000458 |
| Provider Name | Amy Lynne Lessler-boland |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1851544266 PECOS PAC ID: 2769859735 Enrollment ID: I20221103001732 |
| Provider Name | Staci Delucia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174244974 PECOS PAC ID: 4082081849 Enrollment ID: I20221108000502 |
| Provider Name | Alexandr S Galkin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710607080 PECOS PAC ID: 3971970450 Enrollment ID: I20221114001407 |
| Provider Name | Heather L Waugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457084816 PECOS PAC ID: 5496123648 Enrollment ID: I20221121000760 |
| Provider Name | Fatima Muhovic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881317154 PECOS PAC ID: 1254709124 Enrollment ID: I20221128000165 |
| Provider Name | Jesseca Gregory |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184343394 PECOS PAC ID: 7416326509 Enrollment ID: I20221213000083 |
| Provider Name | Chanequa D'aloisio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841682838 PECOS PAC ID: 6800265901 Enrollment ID: I20221213000497 |
| Provider Name | Kelly Anne Eckert |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1376026591 PECOS PAC ID: 9335519297 Enrollment ID: I20230110002923 |
| Provider Name | Marco Antonio R Frias |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356993281 PECOS PAC ID: 6002240371 Enrollment ID: I20230113000774 |
| Provider Name | Joshua Colvin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093321762 PECOS PAC ID: 2163835943 Enrollment ID: I20230124003239 |
| Provider Name | Stacey Hooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487376323 PECOS PAC ID: 4284006255 Enrollment ID: I20230221002007 |
| Provider Name | Emily West |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871819664 PECOS PAC ID: 4789715772 Enrollment ID: I20230221002634 |
| Provider Name | Brittany Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336853480 PECOS PAC ID: 5597138487 Enrollment ID: I20230223001101 |
| Provider Name | Chukwuebuka Ekwealor |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1427558543 PECOS PAC ID: 7810259934 Enrollment ID: I20230405000103 |
| Provider Name | Kenneth A Truesdale |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1760475776 PECOS PAC ID: 1951409648 Enrollment ID: I20230407000448 |
| Provider Name | Sarah Eaton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073217469 PECOS PAC ID: 8921464751 Enrollment ID: I20230519001607 |
| Provider Name | Calvin William Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609219468 PECOS PAC ID: 7618335167 Enrollment ID: I20230615002230 |
| Provider Name | Faith Nicole Finch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407385487 PECOS PAC ID: 1153780994 Enrollment ID: I20230711002774 |
| Provider Name | Hend Al-saleh |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1811475072 PECOS PAC ID: 3274950217 Enrollment ID: I20230718002754 |
| Provider Name | Toseef Javaid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558630715 PECOS PAC ID: 8820210396 Enrollment ID: I20230728000447 |
| Provider Name | Sindhu Sahito |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1447737721 PECOS PAC ID: 3971966086 Enrollment ID: I20230822003664 |
| Provider Name | Ramy Hassan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417501297 PECOS PAC ID: 5799119046 Enrollment ID: I20230825001880 |
| Provider Name | Olukemi Fajolu |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1023268620 PECOS PAC ID: 1759669534 Enrollment ID: I20230828001915 |
| Provider Name | Catherine M Dickinson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1528405644 PECOS PAC ID: 3476774233 Enrollment ID: I20230828002639 |
| Provider Name | Mary Chesna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720731169 PECOS PAC ID: 3678936200 Enrollment ID: I20230830002558 |
| Provider Name | Pratima Chandrica |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1811673064 PECOS PAC ID: 7113380650 Enrollment ID: I20230830003479 |
| Provider Name | Mark Makar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265059653 PECOS PAC ID: 1658781026 Enrollment ID: I20230831003382 |
| Provider Name | Zaid Shakir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912567660 PECOS PAC ID: 0244693646 Enrollment ID: I20230901001138 |
| Provider Name | Ashwini Bharadwaj Vijayakumar |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1487140042 PECOS PAC ID: 2961865274 Enrollment ID: I20230901002162 |
| Provider Name | James Docherty |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821627043 PECOS PAC ID: 0648680025 Enrollment ID: I20230901002929 |
| Provider Name | Karyssa M Bowron |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1417515537 PECOS PAC ID: 2062846363 Enrollment ID: I20230901003121 |
| Provider Name | Colleen Moran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770275562 PECOS PAC ID: 5991168114 Enrollment ID: I20230905003317 |
| Provider Name | Jordan Kulp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386345692 PECOS PAC ID: 4385007509 Enrollment ID: I20230905003589 |
| Provider Name | Alison Tokos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730753427 PECOS PAC ID: 6709275688 Enrollment ID: I20230906002021 |
| Provider Name | Marissa Mach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881397818 PECOS PAC ID: 3870957020 Enrollment ID: I20230907000454 |
| Provider Name | Katelyn Fabian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093417529 PECOS PAC ID: 2567826639 Enrollment ID: I20230908001284 |
| Provider Name | Hafsa Akbar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1174142954 PECOS PAC ID: 1153719356 Enrollment ID: I20230908003135 |
| Provider Name | Madison Stelmach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811694979 PECOS PAC ID: 3971967985 Enrollment ID: I20230908003480 |
| Provider Name | Jennifer Whelan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366146169 PECOS PAC ID: 9931563467 Enrollment ID: I20230915002290 |
| Provider Name | Abagale Cacialli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801584107 PECOS PAC ID: 5395109706 Enrollment ID: I20230918002344 |
| Provider Name | Iesha Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619657681 PECOS PAC ID: 3870947146 Enrollment ID: I20230921000272 |
| Provider Name | Cody C Garner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922718824 PECOS PAC ID: 4880048743 Enrollment ID: I20230926002156 |
| Provider Name | Emily Carpenter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811680481 PECOS PAC ID: 7012361900 Enrollment ID: I20230926003324 |
| Provider Name | Richard M Sosulski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891478236 PECOS PAC ID: 8527412386 Enrollment ID: I20230927002109 |
| Provider Name | Shayan Makvandi |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1841788452 PECOS PAC ID: 2668719121 Enrollment ID: I20230927002115 |
| Provider Name | Emily Chao |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417566324 PECOS PAC ID: 4284044660 Enrollment ID: I20230929001374 |
| Provider Name | Saymi Gloribel Dominguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689344293 PECOS PAC ID: 8022462662 Enrollment ID: I20230929002457 |
| Provider Name | Andrew Luxenberg |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1447236518 PECOS PAC ID: 6709823990 Enrollment ID: I20231004002054 |
| Provider Name | Karnesha D Goins |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1760845945 PECOS PAC ID: 7911205828 Enrollment ID: I20231010000973 |
| Provider Name | Nayantara Sharma |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063030401 PECOS PAC ID: 3375953748 Enrollment ID: I20231011002828 |
| Provider Name | Dayle M Bower |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801581335 PECOS PAC ID: 8820443385 Enrollment ID: I20231018002930 |
| Provider Name | Christian Joesph Mccarville |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427739168 PECOS PAC ID: 4981050937 Enrollment ID: I20231026002481 |
| Provider Name | Glen W Mcwilliams |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1427150705 PECOS PAC ID: 3678860434 Enrollment ID: I20231110000787 |
| Provider Name | Amanda Krupka |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1194257444 PECOS PAC ID: 7911382833 Enrollment ID: I20231115001599 |
| Provider Name | Joel P Harding |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1457887325 PECOS PAC ID: 2466825740 Enrollment ID: I20231121002434 |
| Provider Name | Khandokar Talib |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1396367447 PECOS PAC ID: 2062822430 Enrollment ID: I20231201002311 |
| Provider Name | Mansi Amin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780882852 PECOS PAC ID: 5395829253 Enrollment ID: I20231207000349 |
| Provider Name | Amanda Fuller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386420644 PECOS PAC ID: 9133578602 Enrollment ID: I20231208001712 |
| Provider Name | Jaclyn Zindell |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1437927001 PECOS PAC ID: 2769832542 Enrollment ID: I20231219003558 |
| Provider Name | Heather Stone |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1386022473 PECOS PAC ID: 9335453612 Enrollment ID: I20231220001309 |
| Provider Name | Asma Hassan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790553253 PECOS PAC ID: 3779935333 Enrollment ID: I20240118003797 |
| Provider Name | Rena L Stewart |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1386696391 PECOS PAC ID: 0143227694 Enrollment ID: I20240121000163 |
| Provider Name | Anuj Chopra |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1396712139 PECOS PAC ID: 8426122011 Enrollment ID: I20240219000978 |
| Provider Name | Maanvi Kumar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548658545 PECOS PAC ID: 4688926496 Enrollment ID: I20240219002263 |
| Provider Name | Keoka J Hunter |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1376902924 PECOS PAC ID: 2466736822 Enrollment ID: I20240302000268 |
| Provider Name | Janelle Oakley |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1659137552 PECOS PAC ID: 1052757473 Enrollment ID: I20240307003598 |
| Provider Name | Tyler Lauffer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639883325 PECOS PAC ID: 6002281458 Enrollment ID: I20240308000530 |
| Provider Name | Kristin Lee |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1154187938 PECOS PAC ID: 0749626067 Enrollment ID: I20240308003008 |
| Provider Name | Brandon Tominna |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801087374 PECOS PAC ID: 5991855678 Enrollment ID: I20240403003137 |
| Provider Name | Matthew Testani |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1104800606 PECOS PAC ID: 4587618095 Enrollment ID: I20240404000111 |
| Provider Name | Rachel Wobig |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1033616024 PECOS PAC ID: 2769847979 Enrollment ID: I20240410001370 |
| Provider Name | Salman Sikandar Mirza |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093722308 PECOS PAC ID: 7810029436 Enrollment ID: I20240412001562 |
| Provider Name | Victoria Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275222697 PECOS PAC ID: 2961842448 Enrollment ID: I20240501001148 |
| Provider Name | James Eng |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1255828778 PECOS PAC ID: 9133588320 Enrollment ID: I20240515004148 |
| Provider Name | Christopher Engler |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1578093563 PECOS PAC ID: 2466822960 Enrollment ID: I20240520002359 |
| Provider Name | Zab'di Sanchez Prada |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1295364404 PECOS PAC ID: 9931569068 Enrollment ID: I20240522001939 |
| Provider Name | Jerome List |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1093776080 PECOS PAC ID: 7517950603 Enrollment ID: I20240607000922 |
| Provider Name | Graham Bigsby |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1396502738 PECOS PAC ID: 0042753006 Enrollment ID: I20240618003087 |
| Provider Name | Bharath Kondapavuluri |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811505464 PECOS PAC ID: 9830513571 Enrollment ID: I20240715001790 |
| Provider Name | Emre Oto |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1881221711 PECOS PAC ID: 4486064128 Enrollment ID: I20240718001722 |
| Provider Name | Salim Habib |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437725926 PECOS PAC ID: 0749726123 Enrollment ID: I20240722002321 |
| Provider Name | Salman Zafar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366930703 PECOS PAC ID: 9436494663 Enrollment ID: I20240726001735 |
| Provider Name | Alexandra Mccormick |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1811733843 PECOS PAC ID: 5698212041 Enrollment ID: I20240802000284 |
| Provider Name | Alexandra Segal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164199923 PECOS PAC ID: 5496152266 Enrollment ID: I20240812003176 |
| Provider Name | Michael Fillers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568206092 PECOS PAC ID: 2062950462 Enrollment ID: I20240816000965 |
| Provider Name | Pawan Kumar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154950426 PECOS PAC ID: 5597203919 Enrollment ID: I20240816001578 |
| Provider Name | Elijah John Emmons |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265299457 PECOS PAC ID: 1658819883 Enrollment ID: I20240819002250 |
| Provider Name | Rabia Gill |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1396359063 PECOS PAC ID: 8921546979 Enrollment ID: I20240821002425 |
| Provider Name | Owais Gul |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134791957 PECOS PAC ID: 1557800521 Enrollment ID: I20240822002738 |
| Provider Name | Elaina Engler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538902929 PECOS PAC ID: 5395284814 Enrollment ID: I20240828004078 |
| Provider Name | Bhreagh Orrell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356911275 PECOS PAC ID: 3971042300 Enrollment ID: I20240828004817 |
| Provider Name | Jillanne Jane Parillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629257886 PECOS PAC ID: 3072052422 Enrollment ID: I20240829000152 |
| Provider Name | Vincent Wong |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831652056 PECOS PAC ID: 1658811518 Enrollment ID: I20240906002316 |
| Provider Name | Richard Chudacoff |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740275064 PECOS PAC ID: 4688631385 Enrollment ID: I20240910002812 |
| Provider Name | Jonathan Gupta |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033407499 PECOS PAC ID: 2860776762 Enrollment ID: I20240911003417 |
| Provider Name | Nicole Mizera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265271100 PECOS PAC ID: 3173064326 Enrollment ID: I20240916002365 |
| Provider Name | Amanda Chase |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558106047 PECOS PAC ID: 8527509587 Enrollment ID: I20240918002641 |
| Provider Name | Julio Williams |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1588761001 PECOS PAC ID: 7517969454 Enrollment ID: I20240924003455 |
| Provider Name | Mathew Marshall |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932463965 PECOS PAC ID: 2264689447 Enrollment ID: I20240926001929 |
| Provider Name | Lucia Collar Yagas |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1770842510 PECOS PAC ID: 8426472085 Enrollment ID: I20240926003321 |
| Provider Name | Curtis Frederick |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1104320498 PECOS PAC ID: 7416319165 Enrollment ID: I20240927002523 |
| Provider Name | Ram Chavali |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558338194 PECOS PAC ID: 8123073285 Enrollment ID: I20240930000153 |
| Provider Name | Eric Nash |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1538124250 PECOS PAC ID: 3971583626 Enrollment ID: I20241004000406 |
| Provider Name | Mark Connolly |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1326010612 PECOS PAC ID: 8224072566 Enrollment ID: I20241004001565 |
| Provider Name | Brian D Batko |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1457810236 PECOS PAC ID: 6608307368 Enrollment ID: I20241004002000 |
| Provider Name | Emily Cisek |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518158740 PECOS PAC ID: 6204988322 Enrollment ID: I20241009000370 |
| Provider Name | Zhanjingting Zhang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407688930 PECOS PAC ID: 4981137262 Enrollment ID: I20241024002622 |
| Provider Name | Emily J Seymour |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275201477 PECOS PAC ID: 6800329293 Enrollment ID: I20241114003637 |
| Provider Name | Amy C Toomey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760262901 PECOS PAC ID: 2466997846 Enrollment ID: I20250106000355 |
| Provider Name | Marleny Margarita Acosta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861020646 PECOS PAC ID: 9830513951 Enrollment ID: I20250221000374 |
| Provider Name | Anila Rani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235751710 PECOS PAC ID: 7719407691 Enrollment ID: I20250221002231 |
| Provider Name | Nicholas Pickersgill |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1821659632 PECOS PAC ID: 2365778578 Enrollment ID: I20250227002695 |
| Provider Name | Brian Reeves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700696580 PECOS PAC ID: 1052832854 Enrollment ID: I20250310002124 |
| Provider Name | Samuel Alexander Gold |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1295294387 PECOS PAC ID: 5991227118 Enrollment ID: I20250324002756 |
| Provider Name | Kristen Scharnikow |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407667736 PECOS PAC ID: 0244753820 Enrollment ID: I20250325002499 |
| Provider Name | Zoee Farr |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093513673 PECOS PAC ID: 6406379601 Enrollment ID: I20250328000998 |
| Provider Name | Amanda K Griggs |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114619483 PECOS PAC ID: 5496278269 Enrollment ID: I20250402001604 |
| Provider Name | Jonathan Cayone |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972301661 PECOS PAC ID: 6608393673 Enrollment ID: I20250505000917 |
| Provider Name | Peter Anthony Hatala |
|---|---|
| Provider Type | Practitioner - Other (non-physician) |
| Provider Identifiers | NPI Number: 1295890788 PECOS PAC ID: 3072030410 Enrollment ID: I20250508001337 |
| Provider Name | Anna Kathryn Coene |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366179004 PECOS PAC ID: 6507383973 Enrollment ID: I20250508002371 |
| Provider Name | Sinan Simsir |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1528142445 PECOS PAC ID: 5698728889 Enrollment ID: I20250509002705 |
| Provider Name | Julie Richards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700360674 PECOS PAC ID: 9032453196 Enrollment ID: I20250514000041 |
| Provider Name | Foster Abrokwah |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1669047130 PECOS PAC ID: 6305206368 Enrollment ID: I20250514001922 |
| Provider Name | Carla Wells |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922849066 PECOS PAC ID: 4183142805 Enrollment ID: I20250516001651 |
| Provider Name | Valerie Mitchell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154590131 PECOS PAC ID: 5092894840 Enrollment ID: I20250529002952 |
| Provider Name | Temitope Falade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194446187 PECOS PAC ID: 8022473958 Enrollment ID: I20250602001687 |
Southern Tier Family Nurse Practitioner Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 520 Columbia Dr Ste 203, Johnson City, NY 13790 Phone: 607-677-0011 | |
United Cerebral Palsy Assoc Of Nys Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 18 Broad St, Johnson City, NY 13790 Phone: 607-217-0066 | |
Carpathian Dental Assoc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 515 Columbia Drive, Johnson City, NY 13790 Phone: 607-770-1122 Fax: 607-770-1176 | |
Endwell Family Physicians Llp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 240 Riverside Dr, Johnson City, NY 13790 Phone: 607-754-3863 Fax: 607-754-5697 |