| United Hospital Center, Inc. | |
|
327 Medical Park Dr Bridgeport WV 26330-9006 | |
| (681) 342-1000 | |
| Not Available |
| Full Name | United Hospital Center, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 327 Medical Park Dr, Bridgeport, West Virginia |
| Authorized Official Name and Position | Michael Tillman (CEO) |
| Authorized Official Contact | 6813421600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| United Hospital Center, Inc. 2673 Davisson Run Rd Ste 303 Clarksburg WV 26301-6838 Ph: (800) 541-4009 | United Hospital Center, Inc. 327 Medical Park Dr Bridgeport WV 26330-9006 Ph: (681) 342-1000 |
| NPI Number | 1760965586 |
|---|---|
| Provider Enumeration Date | 09/07/2018 |
| Last Update Date | 09/07/2018 |
| Medicare PECOS PAC ID | 8123936010 |
|---|---|
| Medicare Enrollment ID | O20031212000802 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760965586 | NPI | - | NPPES |
| Provider Name | Cuddalore P Vasudevan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1619082690 PECOS PAC ID: 8426954355 Enrollment ID: I20031210000843 |
| Provider Name | Joseph M Folio |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1215088091 PECOS PAC ID: 7113825886 Enrollment ID: I20031219000649 |
| Provider Name | Amante A Lopez |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1457379935 PECOS PAC ID: 7416854039 Enrollment ID: I20031219000723 |
| Provider Name | Louise Sedei Litton |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1487707279 PECOS PAC ID: 1850299363 Enrollment ID: I20031222000560 |
| Provider Name | Sharon Lynn Jackson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1366594095 PECOS PAC ID: 2567360084 Enrollment ID: I20031222000581 |
| Provider Name | Todd A Downer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1851443592 PECOS PAC ID: 0042118507 Enrollment ID: I20031222000760 |
| Provider Name | Llew Alan Crowder |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114909033 PECOS PAC ID: 4587563275 Enrollment ID: I20031231000622 |
| Provider Name | David A Ciarolla |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1265545164 PECOS PAC ID: 7214830140 Enrollment ID: I20040204001019 |
| Provider Name | David L Waxman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1174563092 PECOS PAC ID: 3971491523 Enrollment ID: I20040305001131 |
| Provider Name | Bryan William Danhires |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1134232879 PECOS PAC ID: 1153210166 Enrollment ID: I20040317000000 |
| Provider Name | Tammy Jo Jones |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114033073 PECOS PAC ID: 0042100109 Enrollment ID: I20040319001256 |
| Provider Name | Dominic Joseph Cottrell |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1558340174 PECOS PAC ID: 1254325525 Enrollment ID: I20040409000509 |
| Provider Name | Abdulmalek Sabbagh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1427018837 PECOS PAC ID: 5496740466 Enrollment ID: I20040419000785 |
| Provider Name | John Adetunji Adeniyi |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1306920756 PECOS PAC ID: 5193715167 Enrollment ID: I20040513000517 |
| Provider Name | Muhammad Salman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649326075 PECOS PAC ID: 4981695244 Enrollment ID: I20040525000765 |
| Provider Name | Shanis A Padgett |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1700845872 PECOS PAC ID: 6709856966 Enrollment ID: I20040727000890 |
| Provider Name | Thomas N Walker |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1619937935 PECOS PAC ID: 9830169945 Enrollment ID: I20040727001253 |
| Provider Name | John Stewart Haid |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1134115413 PECOS PAC ID: 7012985732 Enrollment ID: I20040921000709 |
| Provider Name | Laurel L Dottellis |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528037520 PECOS PAC ID: 7113973777 Enrollment ID: I20050325000792 |
| Provider Name | Robert James Beto |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1346309267 PECOS PAC ID: 5890735021 Enrollment ID: I20050506000705 |
| Provider Name | Russell Biundo |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1184684508 PECOS PAC ID: 2668448580 Enrollment ID: I20050906000333 |
| Provider Name | Stanley Burnett Schmidt |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1518071034 PECOS PAC ID: 0446282917 Enrollment ID: I20050906000479 |
| Provider Name | Joseph Lee Voelker |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1346340122 PECOS PAC ID: 8729065776 Enrollment ID: I20050908000691 |
| Provider Name | Michael Raymond Panger |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1578563821 PECOS PAC ID: 5799704086 Enrollment ID: I20051116000258 |
| Provider Name | Holly J High |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730118654 PECOS PAC ID: 4688698350 Enrollment ID: I20060120000406 |
| Provider Name | Mary A Clarke |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588604722 PECOS PAC ID: 1254391923 Enrollment ID: I20060405000410 |
| Provider Name | Valerie D Speller |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1568513497 PECOS PAC ID: 3577572239 Enrollment ID: I20060407000640 |
| Provider Name | Bijal Patel Neal |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1801013420 PECOS PAC ID: 3072522101 Enrollment ID: I20060418000212 |
| Provider Name | Daniel James Merenda |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1265519680 PECOS PAC ID: 5092725275 Enrollment ID: I20060502000900 |
| Provider Name | Paul Alappat |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1801970645 PECOS PAC ID: 9931119930 Enrollment ID: I20060504000185 |
| Provider Name | Susan L Garner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073546610 PECOS PAC ID: 2365455623 Enrollment ID: I20060803000317 |
| Provider Name | Suzanne W Courtney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568498277 PECOS PAC ID: 8729081096 Enrollment ID: I20060808000023 |
| Provider Name | Jessica Ann Wood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558453480 PECOS PAC ID: 6002812831 Enrollment ID: I20061018000215 |
| Provider Name | Lisa M Mccloy |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1982613014 PECOS PAC ID: 6305843996 Enrollment ID: I20061024000254 |
| Provider Name | Karl Hursey |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1881636355 PECOS PAC ID: 4789684473 Enrollment ID: I20070103000059 |
| Provider Name | Mary Dasher |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1396812517 PECOS PAC ID: 4183720410 Enrollment ID: I20070503000339 |
| Provider Name | Gerald T Wedemeyer |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1174571038 PECOS PAC ID: 1759488612 Enrollment ID: I20070530000037 |
| Provider Name | Brian Patrick Quigley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063617033 PECOS PAC ID: 6507966207 Enrollment ID: I20070711000009 |
| Provider Name | Eric J Radcliffe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386627743 PECOS PAC ID: 3577653617 Enrollment ID: I20071213000299 |
| Provider Name | Elizabeth H Hess |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851374987 PECOS PAC ID: 6709976848 Enrollment ID: I20071213000338 |
| Provider Name | Kristopher R Jangrow |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1174710925 PECOS PAC ID: 4587744529 Enrollment ID: I20080328000354 |
| Provider Name | Nabeel M Ghabra |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1053374751 PECOS PAC ID: 9739267071 Enrollment ID: I20080428000000 |
| Provider Name | David C Tingler |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1124235478 PECOS PAC ID: 9638248859 Enrollment ID: I20080514000383 |
| Provider Name | Kevin Scott Oxley |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1447457825 PECOS PAC ID: 5991877722 Enrollment ID: I20080710000379 |
| Provider Name | James L Sadler |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1285899047 PECOS PAC ID: 1456427764 Enrollment ID: I20080911000190 |
| Provider Name | Nayan K Zinzuwadia |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1538159066 PECOS PAC ID: 4880610500 Enrollment ID: I20090303000061 |
| Provider Name | Ashley Nutter |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1760623896 PECOS PAC ID: 7517016199 Enrollment ID: I20090601000594 |
| Provider Name | Vinod Parmar |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1841280377 PECOS PAC ID: 3678511060 Enrollment ID: I20090624000551 |
| Provider Name | Grant Franklin |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1407881535 PECOS PAC ID: 8820149651 Enrollment ID: I20090707000601 |
| Provider Name | Christopher Courtney |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1578711552 PECOS PAC ID: 7012064256 Enrollment ID: I20090723000357 |
| Provider Name | Melissa S Flanigan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1114124302 PECOS PAC ID: 8527111293 Enrollment ID: I20090729000008 |
| Provider Name | Kelly R Nelson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760435838 PECOS PAC ID: 6305870791 Enrollment ID: I20091029000269 |
| Provider Name | John Nguyen |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1457556003 PECOS PAC ID: 6406943992 Enrollment ID: I20091117000709 |
| Provider Name | David F Hess |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477540748 PECOS PAC ID: 0244309144 Enrollment ID: I20091214000104 |
| Provider Name | Amber K Cochran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023240082 PECOS PAC ID: 2163565565 Enrollment ID: I20100208000433 |
| Provider Name | Frederick M Alcantara |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942493812 PECOS PAC ID: 3274621149 Enrollment ID: I20100210000683 |
| Provider Name | Paul D Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821197484 PECOS PAC ID: 3779480637 Enrollment ID: I20100322000053 |
| Provider Name | Mazen Nashed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124114574 PECOS PAC ID: 4981739315 Enrollment ID: I20100324000111 |
| Provider Name | Shiv Navada |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1740286327 PECOS PAC ID: 5193634046 Enrollment ID: I20100325000343 |
| Provider Name | Michael Angotti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033219654 PECOS PAC ID: 4688571540 Enrollment ID: I20100415000310 |
| Provider Name | John Angotti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518063130 PECOS PAC ID: 6406753367 Enrollment ID: I20100415000376 |
| Provider Name | Stacy L Commodore |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1639409824 PECOS PAC ID: 6709913122 Enrollment ID: I20100416000135 |
| Provider Name | Brandie Metheny |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255576195 PECOS PAC ID: 2567599780 Enrollment ID: I20100420000836 |
| Provider Name | Eli Andrew Fleece |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154646768 PECOS PAC ID: 2163551862 Enrollment ID: I20100518000458 |
| Provider Name | Kimberly Fairley |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1114199411 PECOS PAC ID: 6204966310 Enrollment ID: I20100616000982 |
| Provider Name | Joseph Fazalare |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1336307941 PECOS PAC ID: 9335272368 Enrollment ID: I20100728000493 |
| Provider Name | Joseph G Feghali |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1902878622 PECOS PAC ID: 3971638412 Enrollment ID: I20100901000233 |
| Provider Name | Peter Alasky |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1164608121 PECOS PAC ID: 8729122486 Enrollment ID: I20100921000703 |
| Provider Name | Paul M Brager |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1265499222 PECOS PAC ID: 9133218464 Enrollment ID: I20101029000296 |
| Provider Name | John Howard Lobban |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1508953522 PECOS PAC ID: 0446348742 Enrollment ID: I20101207000197 |
| Provider Name | Gerardo Cancio Lopez |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1174575484 PECOS PAC ID: 8820285042 Enrollment ID: I20101214000192 |
| Provider Name | Sathyanarayan M Reddy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1609828037 PECOS PAC ID: 7618164849 Enrollment ID: I20101214000244 |
| Provider Name | Jeffrey Wayne Madden |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1255368445 PECOS PAC ID: 2769679158 Enrollment ID: I20110125000348 |
| Provider Name | John A Mcknight |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1972694503 PECOS PAC ID: 1355439654 Enrollment ID: I20110125000502 |
| Provider Name | Christian S Jefferies |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1912208489 PECOS PAC ID: 9537348180 Enrollment ID: I20110127000980 |
| Provider Name | Tamara Maggard |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1891082020 PECOS PAC ID: 5799954871 Enrollment ID: I20110805000405 |
| Provider Name | Victoricio Singzon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134396484 PECOS PAC ID: 5698946598 Enrollment ID: I20111011000661 |
| Provider Name | Richard A Douglas |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1710961669 PECOS PAC ID: 8729251848 Enrollment ID: I20111104000177 |
| Provider Name | Jessica Renee Davis |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093092033 PECOS PAC ID: 4082888797 Enrollment ID: I20111115000430 |
| Provider Name | Rodney Dale Knight |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154308682 PECOS PAC ID: 5092989186 Enrollment ID: I20111130000327 |
| Provider Name | David A Faris |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1811056252 PECOS PAC ID: 2466629969 Enrollment ID: I20120125000061 |
| Provider Name | Dennis J Kojsza |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1922110907 PECOS PAC ID: 8426215112 Enrollment ID: I20120208000469 |
| Provider Name | Bill Underwood |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1790764850 PECOS PAC ID: 6608803762 Enrollment ID: I20120221000824 |
| Provider Name | Oluyemi Akin-olugbade |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1851555460 PECOS PAC ID: 3072776665 Enrollment ID: I20120517000521 |
| Provider Name | Salman S Osman |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1285830091 PECOS PAC ID: 4880858372 Enrollment ID: I20120613000470 |
| Provider Name | Lucas R Wiegand |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1083893101 PECOS PAC ID: 5395913420 Enrollment ID: I20120706000380 |
| Provider Name | Marc Costa |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1184655482 PECOS PAC ID: 0244216679 Enrollment ID: I20120718000040 |
| Provider Name | Sugam B Vasani |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1952507972 PECOS PAC ID: 0345496402 Enrollment ID: I20120807000004 |
| Provider Name | Jonathan Stanley |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1992908537 PECOS PAC ID: 8325295025 Enrollment ID: I20120831000508 |
| Provider Name | Ghassan Richard Ghorayeb |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1962690958 PECOS PAC ID: 1153454467 Enrollment ID: I20120912000189 |
| Provider Name | Adam J Hansen |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1134193840 PECOS PAC ID: 5991600256 Enrollment ID: I20130424000656 |
| Provider Name | Robert A Marsh |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1992986434 PECOS PAC ID: 5092957373 Enrollment ID: I20130815000885 |
| Provider Name | Anthony F. Sibley |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1417039108 PECOS PAC ID: 1759545114 Enrollment ID: I20130919000325 |
| Provider Name | Nicholas B Painter |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1376985960 PECOS PAC ID: 6901030543 Enrollment ID: I20131014001360 |
| Provider Name | Benjamin M Blick |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1790117356 PECOS PAC ID: 2264668300 Enrollment ID: I20131120001824 |
| Provider Name | Traci L Tannehill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881021459 PECOS PAC ID: 1456588029 Enrollment ID: I20131206000496 |
| Provider Name | Cara L Sedney |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1922205525 PECOS PAC ID: 3870721392 Enrollment ID: I20140108000975 |
| Provider Name | Samuel A Farrah |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1083041057 PECOS PAC ID: 9335370048 Enrollment ID: I20140322000003 |
| Provider Name | Ashley N Lucas |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1770911737 PECOS PAC ID: 8224251202 Enrollment ID: I20140520001036 |
| Provider Name | Matthew Smith |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1457550691 PECOS PAC ID: 5092953562 Enrollment ID: I20140712000061 |
| Provider Name | Ronald W Luethke |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1376518704 PECOS PAC ID: 2365521325 Enrollment ID: I20140717000506 |
| Provider Name | Scott Michael Ross |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1548581911 PECOS PAC ID: 6406074939 Enrollment ID: I20140826000558 |
| Provider Name | Taniya Pradhan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275709859 PECOS PAC ID: 3274751706 Enrollment ID: I20140826000716 |
| Provider Name | William Dahl |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1154532646 PECOS PAC ID: 6709034416 Enrollment ID: I20140906000052 |
| Provider Name | Mark Anthony Coomes |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1629208145 PECOS PAC ID: 1355563461 Enrollment ID: I20141105000625 |
| Provider Name | Christopher D Mackinnon |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1134286339 PECOS PAC ID: 1850289547 Enrollment ID: I20150313001163 |
| Provider Name | Sean J Griffith |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558783282 PECOS PAC ID: 3375774664 Enrollment ID: I20150423000474 |
| Provider Name | Matthew Scott Camerlin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1972901346 PECOS PAC ID: 2163743345 Enrollment ID: I20150601001445 |
| Provider Name | Lixin Zhang |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1558520064 PECOS PAC ID: 1850557935 Enrollment ID: I20150615000241 |
| Provider Name | Matthew S Szarko |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1710276647 PECOS PAC ID: 0840504544 Enrollment ID: I20150807014093 |
| Provider Name | Joshua Bengtson Sykes |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1063655470 PECOS PAC ID: 0941446942 Enrollment ID: I20150810002460 |
| Provider Name | Mollie Cecil |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003179326 PECOS PAC ID: 4486960283 Enrollment ID: I20150824002160 |
| Provider Name | Zachary Henry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396006946 PECOS PAC ID: 7416188222 Enrollment ID: I20150831001774 |
| Provider Name | Emerson T Que |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1104862838 PECOS PAC ID: 0941219398 Enrollment ID: I20151015002431 |
| Provider Name | Mary Varner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891164000 PECOS PAC ID: 1052620630 Enrollment ID: I20151021002921 |
| Provider Name | Raymond Gomez |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1760889828 PECOS PAC ID: 0244557981 Enrollment ID: I20151109000188 |
| Provider Name | David N Hefferan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588076194 PECOS PAC ID: 3375760390 Enrollment ID: I20151123002698 |
| Provider Name | Melisa Dawn Audia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821456781 PECOS PAC ID: 7315243664 Enrollment ID: I20160311001530 |
| Provider Name | Marisa Ann Richardson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467810119 PECOS PAC ID: 8921305913 Enrollment ID: I20160317001824 |
| Provider Name | Anna-marie Houtrouw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326408824 PECOS PAC ID: 1658679410 Enrollment ID: I20160411001826 |
| Provider Name | David M Jewell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1811347503 PECOS PAC ID: 4880987916 Enrollment ID: I20160726002790 |
| Provider Name | Ali I Amjad |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1568690287 PECOS PAC ID: 6608188560 Enrollment ID: I20160728002329 |
| Provider Name | Parvez Memet Shaikh |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1780840140 PECOS PAC ID: 3779756176 Enrollment ID: I20160809002108 |
| Provider Name | Mitchell T. Finch |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1316390271 PECOS PAC ID: 4183919673 Enrollment ID: I20160823001584 |
| Provider Name | Joel Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952772642 PECOS PAC ID: 9739475583 Enrollment ID: I20160906000722 |
| Provider Name | Brian Kristoffer Slater |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1861710980 PECOS PAC ID: 1658689443 Enrollment ID: I20160909002341 |
| Provider Name | King Soon Goh |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1336429141 PECOS PAC ID: 0345538989 Enrollment ID: I20161013001323 |
| Provider Name | Abbas Syed Ali |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1801899158 PECOS PAC ID: 0345143483 Enrollment ID: I20161216000985 |
| Provider Name | George Sokos |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1922277235 PECOS PAC ID: 4183797871 Enrollment ID: I20170322001536 |
| Provider Name | Jenna Winkler |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1538609698 PECOS PAC ID: 0941586473 Enrollment ID: I20170417000905 |
| Provider Name | Melissa A Roy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174056253 PECOS PAC ID: 7214214675 Enrollment ID: I20170512000127 |
| Provider Name | Jeffrey Todd Barnette |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1134660574 PECOS PAC ID: 2466722087 Enrollment ID: I20170714000206 |
| Provider Name | Gregory R Renck |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275645400 PECOS PAC ID: 2668557455 Enrollment ID: I20170725003535 |
| Provider Name | Shamsher Ali |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1730410499 PECOS PAC ID: 8325278336 Enrollment ID: I20170804000841 |
| Provider Name | Jordan Tyler Blevins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487175436 PECOS PAC ID: 0941571103 Enrollment ID: I20170807000491 |
| Provider Name | Lauren Statler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487175154 PECOS PAC ID: 6608148457 Enrollment ID: I20170815000950 |
| Provider Name | Aaradhana Kaul |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1245585207 PECOS PAC ID: 0042523037 Enrollment ID: I20170815001207 |
| Provider Name | Benjamin Arnold Raymond |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1194089946 PECOS PAC ID: 5698074813 Enrollment ID: I20170817000578 |
| Provider Name | Ashley Lauren Yelinek |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1518305614 PECOS PAC ID: 2567693203 Enrollment ID: I20170817002278 |
| Provider Name | Kristen Cutright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881124428 PECOS PAC ID: 0244502573 Enrollment ID: I20170822002572 |
| Provider Name | Luann Bookheimer Hendershot |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1356512404 PECOS PAC ID: 2668747890 Enrollment ID: I20171013001494 |
| Provider Name | Jeremiah Hayanga |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1285757781 PECOS PAC ID: 6709015480 Enrollment ID: I20171016002337 |
| Provider Name | James Litwin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1629078381 PECOS PAC ID: 5496712358 Enrollment ID: I20171020002570 |
| Provider Name | Rachel Ann Pickrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972025732 PECOS PAC ID: 0840566675 Enrollment ID: I20171024000844 |
| Provider Name | Stephanie Ice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609391903 PECOS PAC ID: 0547526741 Enrollment ID: I20171103000714 |
| Provider Name | Christopher Bianco |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1285877688 PECOS PAC ID: 4183877814 Enrollment ID: I20171108002323 |
| Provider Name | Dean Eric Wolz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1972567279 PECOS PAC ID: 6608779129 Enrollment ID: I20171115003711 |
| Provider Name | Nathan C Berry |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1578893301 PECOS PAC ID: 6103808787 Enrollment ID: I20171218000628 |
| Provider Name | Christopher Scott Hagedorn |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1295108611 PECOS PAC ID: 5294039095 Enrollment ID: I20171219000002 |
| Provider Name | Andrew G Smith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295171734 PECOS PAC ID: 9537420245 Enrollment ID: I20180220002640 |
| Provider Name | Michelle L Hasley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023516770 PECOS PAC ID: 5496017428 Enrollment ID: I20180402002151 |
| Provider Name | Miranda Alyssa Mccroskey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497261556 PECOS PAC ID: 2769745322 Enrollment ID: I20180412000637 |
| Provider Name | Meranda Danielle Chipps |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487168795 PECOS PAC ID: 0244594091 Enrollment ID: I20180503001116 |
| Provider Name | Carol A Mclennan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871969717 PECOS PAC ID: 4284999319 Enrollment ID: I20180521000918 |
| Provider Name | Mark Daniel Miller |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1265876106 PECOS PAC ID: 6305134123 Enrollment ID: I20180716002027 |
| Provider Name | Viacheslav Iremashvili |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1407115876 PECOS PAC ID: 2062781362 Enrollment ID: I20180717001419 |
| Provider Name | Robert L Goodson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1780178111 PECOS PAC ID: 0042567950 Enrollment ID: I20180724002341 |
| Provider Name | Justin Andrew Teubert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477931251 PECOS PAC ID: 0547575664 Enrollment ID: I20180725003141 |
| Provider Name | Brett Tomlin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1083032940 PECOS PAC ID: 5092096016 Enrollment ID: I20180824000042 |
| Provider Name | Lesia D Gibson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275997686 PECOS PAC ID: 8325339047 Enrollment ID: I20180829000327 |
| Provider Name | Samantha Kirk Hyre |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154822278 PECOS PAC ID: 8729338454 Enrollment ID: I20180830000871 |
| Provider Name | Jimmy H Doumit |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1427346410 PECOS PAC ID: 4284884289 Enrollment ID: I20180904000475 |
| Provider Name | Kayla Michelle Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295221695 PECOS PAC ID: 3072864305 Enrollment ID: I20180925002345 |
| Provider Name | Brittanie West |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366820144 PECOS PAC ID: 3779896493 Enrollment ID: I20181003003889 |
| Provider Name | Brandon S Shiflett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043607062 PECOS PAC ID: 5991011421 Enrollment ID: I20181015002957 |
| Provider Name | Kathleen Mcdaniel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538643093 PECOS PAC ID: 8921351404 Enrollment ID: I20181030003347 |
| Provider Name | Thomas F Mauger |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1295762623 PECOS PAC ID: 8921904137 Enrollment ID: I20181105003462 |
| Provider Name | Rachel Gregis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174008007 PECOS PAC ID: 1355695289 Enrollment ID: I20181113001786 |
| Provider Name | Angel Uy Lee |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467945311 PECOS PAC ID: 6204187768 Enrollment ID: I20181119002336 |
| Provider Name | James C Lamousin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043227606 PECOS PAC ID: 8022000215 Enrollment ID: I20181218001571 |
| Provider Name | Devan Makati |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063877249 PECOS PAC ID: 5193063048 Enrollment ID: I20190219001193 |
| Provider Name | Chance Patrick Mccoy |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1912478389 PECOS PAC ID: 9234478124 Enrollment ID: I20190312001481 |
| Provider Name | Presley Lauren Cunningham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669939971 PECOS PAC ID: 7810237450 Enrollment ID: I20190319001657 |
| Provider Name | Leah Carol Laxson |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1326083866 PECOS PAC ID: 8729035159 Enrollment ID: I20190320002245 |
| Provider Name | Megan Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194382655 PECOS PAC ID: 4789918871 Enrollment ID: I20190624001828 |
| Provider Name | Caleb David Martin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1235793134 PECOS PAC ID: 6507190030 Enrollment ID: I20190702003412 |
| Provider Name | Olivia M Campbell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1689231441 PECOS PAC ID: 0345576732 Enrollment ID: I20190723001997 |
| Provider Name | Amber Nicole Riley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1518422328 PECOS PAC ID: 9234465360 Enrollment ID: I20190729000354 |
| Provider Name | Timothy Bryan Mcginnis |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1538726369 PECOS PAC ID: 1951639632 Enrollment ID: I20190819002999 |
| Provider Name | Rebecca Sands |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144888280 PECOS PAC ID: 5890023170 Enrollment ID: I20190823002710 |
| Provider Name | Sumeet Gupta |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1871971895 PECOS PAC ID: 8123323235 Enrollment ID: I20190829001409 |
| Provider Name | Gbemisola Olayemi |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1689082109 PECOS PAC ID: 3375839327 Enrollment ID: I20190906000329 |
| Provider Name | Jennifer M Reams |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1780002204 PECOS PAC ID: 0749585297 Enrollment ID: I20190911003023 |
| Provider Name | Tariq Abdelrahim Faris Hammad |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1245674753 PECOS PAC ID: 6507162419 Enrollment ID: I20190920002805 |
| Provider Name | Courtney Lynn Watkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386298727 PECOS PAC ID: 8921338518 Enrollment ID: I20190924003729 |
| Provider Name | Ann M Bryson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1992004543 PECOS PAC ID: 0345424735 Enrollment ID: I20190930002971 |
| Provider Name | Nicole Marie Pumariega |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1053793182 PECOS PAC ID: 7012249816 Enrollment ID: I20191028003280 |
| Provider Name | Avtar Singh Dhindsa |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1790844181 PECOS PAC ID: 7618079492 Enrollment ID: I20200114000424 |
| Provider Name | Gwendolyn M Zavarella |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1760589154 PECOS PAC ID: 8820096639 Enrollment ID: I20200114000491 |
| Provider Name | Shaunna Yokum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104462894 PECOS PAC ID: 6103251285 Enrollment ID: I20200117001485 |
| Provider Name | Todd Alan Gaunt |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1679845440 PECOS PAC ID: 7517120322 Enrollment ID: I20200125000455 |
| Provider Name | Stephen E Paquelet |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1669696167 PECOS PAC ID: 7517068836 Enrollment ID: I20200303002409 |
| Provider Name | Hollie Gray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073153912 PECOS PAC ID: 2466880695 Enrollment ID: I20200320002562 |
| Provider Name | David Sanford Schwartzman |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1063487932 PECOS PAC ID: 7113050360 Enrollment ID: I20200330003412 |
| Provider Name | Hannah Nicole Province |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1215451810 PECOS PAC ID: 4688946254 Enrollment ID: I20200420002758 |
| Provider Name | Daniel Anderson |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1003202565 PECOS PAC ID: 7517288467 Enrollment ID: I20200608000666 |
| Provider Name | Asad Pervez |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1992122063 PECOS PAC ID: 3779888961 Enrollment ID: I20200608002832 |
| Provider Name | Julia Ann Cramer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1235379850 PECOS PAC ID: 9830246941 Enrollment ID: I20200615000024 |
| Provider Name | Megan R Muncy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346634201 PECOS PAC ID: 6002119989 Enrollment ID: I20200616002302 |
| Provider Name | Annas Sabbagh |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1134516107 PECOS PAC ID: 2264748797 Enrollment ID: I20200702002252 |
| Provider Name | Swati Vishwanathan |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1851706725 PECOS PAC ID: 2466731492 Enrollment ID: I20200717001646 |
| Provider Name | Gobind Pratap Singh |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1730599044 PECOS PAC ID: 1557785482 Enrollment ID: I20200723003241 |
| Provider Name | Prashanth Thalanayar Muthukrishnan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1841549227 PECOS PAC ID: 4486961596 Enrollment ID: I20200805003357 |
| Provider Name | Ebrahim Sabbagh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1811332737 PECOS PAC ID: 1456582592 Enrollment ID: I20200810001332 |
| Provider Name | Zeeshan Ahmad |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1881844058 PECOS PAC ID: 6901958677 Enrollment ID: I20200902000236 |
| Provider Name | Mandy N Hatfield |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1407276496 PECOS PAC ID: 9638471386 Enrollment ID: I20200917001022 |
| Provider Name | Sarah Elizabeth Gayda |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1487250387 PECOS PAC ID: 5799198602 Enrollment ID: I20210114001777 |
| Provider Name | Gage Mackenzie Chichester |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1992303036 PECOS PAC ID: 2163835976 Enrollment ID: I20210114002218 |
| Provider Name | Justin Daniel Debusca |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1497355218 PECOS PAC ID: 1557775764 Enrollment ID: I20210129001807 |
| Provider Name | Jeffrey F Liubicich |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730576257 PECOS PAC ID: 4486957867 Enrollment ID: I20210204000436 |
| Provider Name | Jason Allen Caywood |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1790982379 PECOS PAC ID: 6002088986 Enrollment ID: I20210423000579 |
| Provider Name | Kathleen M Schilling |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1801864129 PECOS PAC ID: 3072597814 Enrollment ID: I20210526002531 |
| Provider Name | Ernest Spiotto |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902331747 PECOS PAC ID: 2961772314 Enrollment ID: I20210607000924 |
| Provider Name | Kevin Douglas Felpel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1417377615 PECOS PAC ID: 5597085456 Enrollment ID: I20210608000106 |
| Provider Name | Allan Harold Fergus |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1770563561 PECOS PAC ID: 8426122722 Enrollment ID: I20210614001118 |
| Provider Name | John Losee |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1932138906 PECOS PAC ID: 2365495231 Enrollment ID: I20210707002871 |
| Provider Name | Kevin Michael Halenda |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1053768374 PECOS PAC ID: 4183999634 Enrollment ID: I20210805000827 |
| Provider Name | Stephen Hurwitz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134145592 PECOS PAC ID: 0749213221 Enrollment ID: I20210923000486 |
| Provider Name | Benjamin Klos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649932716 PECOS PAC ID: 3577953819 Enrollment ID: I20211201000782 |
| Provider Name | Jonathan David Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629743430 PECOS PAC ID: 1254721871 Enrollment ID: I20211214000270 |
| Provider Name | Lawrence Williams |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1902341878 PECOS PAC ID: 8325322530 Enrollment ID: I20220120001291 |
| Provider Name | Jasminka Shaikh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881358679 PECOS PAC ID: 7618361536 Enrollment ID: I20220218000622 |
| Provider Name | Haely N Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528719861 PECOS PAC ID: 6002202165 Enrollment ID: I20220330000757 |
| Provider Name | Mark A Giles |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1457302663 PECOS PAC ID: 8527067222 Enrollment ID: I20220426002510 |
| Provider Name | Beth Irwin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588768121 PECOS PAC ID: 2961456702 Enrollment ID: I20220520001482 |
| Provider Name | Roy L Graley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750023172 PECOS PAC ID: 5698153393 Enrollment ID: I20220608003288 |
| Provider Name | Sabreen R Rahman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689833824 PECOS PAC ID: 4688857543 Enrollment ID: I20220610001254 |
| Provider Name | Susan Andrea Waterman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376749333 PECOS PAC ID: 9537588819 Enrollment ID: I20220616002451 |
| Provider Name | Yousef Abdel-aziz |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1215319322 PECOS PAC ID: 0244546695 Enrollment ID: I20220708001786 |
| Provider Name | James Lewis Akers |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1649711847 PECOS PAC ID: 7416227293 Enrollment ID: I20220721000333 |
| Provider Name | Mary Grose |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1912943283 PECOS PAC ID: 6204002413 Enrollment ID: I20220727002359 |
| Provider Name | Siva Prasad Maruboyina |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1265816409 PECOS PAC ID: 9133501604 Enrollment ID: I20220729002518 |
| Provider Name | Ali Merhe |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1356961593 PECOS PAC ID: 5294117669 Enrollment ID: I20220802000144 |
| Provider Name | Destiny D Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609522994 PECOS PAC ID: 4880076058 Enrollment ID: I20220804000943 |
| Provider Name | Sahil Kumar Virdi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1528415130 PECOS PAC ID: 4385981117 Enrollment ID: I20220809000142 |
| Provider Name | Hali Hitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760131007 PECOS PAC ID: 6608250089 Enrollment ID: I20220902001562 |
| Provider Name | Darrin A Taormina |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1508832122 PECOS PAC ID: 6709829294 Enrollment ID: I20220906001019 |
| Provider Name | Skylar Brooke Bartlett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841927092 PECOS PAC ID: 9133504756 Enrollment ID: I20220919001639 |
| Provider Name | Taylor Morgan Barnett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336867936 PECOS PAC ID: 4486020492 Enrollment ID: I20221017001252 |
| Provider Name | Mohammad Hout |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1508483496 PECOS PAC ID: 8224453998 Enrollment ID: I20221024000345 |
| Provider Name | Jana Ott |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1174674063 PECOS PAC ID: 2567650385 Enrollment ID: I20221027003286 |
| Provider Name | Clara Renee Larew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376263483 PECOS PAC ID: 1254708233 Enrollment ID: I20221103002035 |
| Provider Name | Dwayne A Narayan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083619951 PECOS PAC ID: 5597909192 Enrollment ID: I20221215000694 |
| Provider Name | Michelle W Schofield |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104874056 PECOS PAC ID: 2062437106 Enrollment ID: I20221223000316 |
| Provider Name | Aisha Ahmed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942737069 PECOS PAC ID: 9234408881 Enrollment ID: I20221227002254 |
| Provider Name | David Clump |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1881868628 PECOS PAC ID: 9931346780 Enrollment ID: I20230118000123 |
| Provider Name | Bridget Ford Riley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558082081 PECOS PAC ID: 1052783875 Enrollment ID: I20230203002083 |
| Provider Name | Shahnaz Morris |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730729815 PECOS PAC ID: 9638541337 Enrollment ID: I20230206002397 |
| Provider Name | Kaila D Mcgahan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1346958436 PECOS PAC ID: 0648642199 Enrollment ID: I20230209000126 |
| Provider Name | Keith Alan Niggemyer |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1962592659 PECOS PAC ID: 6406897412 Enrollment ID: I20230405001110 |
| Provider Name | Jeffrey A Planchard |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1306102991 PECOS PAC ID: 2264715705 Enrollment ID: I20230424001655 |
| Provider Name | Dustin James Plowman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801390257 PECOS PAC ID: 4880926120 Enrollment ID: I20230725002749 |
| Provider Name | Qaisar Syed |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1982108270 PECOS PAC ID: 4385997683 Enrollment ID: I20230726001411 |
| Provider Name | Farman Ali |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1164927471 PECOS PAC ID: 8426410994 Enrollment ID: I20230815003201 |
| Provider Name | Vanessa Hope Lipscomb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326743469 PECOS PAC ID: 0244692655 Enrollment ID: I20230817000576 |
| Provider Name | Ijeoma Hassan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306104518 PECOS PAC ID: 8527365741 Enrollment ID: I20230817001239 |
| Provider Name | Mariam R Qureshi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801113204 PECOS PAC ID: 5294053831 Enrollment ID: I20230908001141 |
| Provider Name | Young Mee Choi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1346660206 PECOS PAC ID: 5395010441 Enrollment ID: I20230914000526 |
| Provider Name | Lauri J Adler |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1780656025 PECOS PAC ID: 3870788003 Enrollment ID: I20230921000038 |
| Provider Name | Davisson J Wriston |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1700381274 PECOS PAC ID: 5294189379 Enrollment ID: I20230922001862 |
| Provider Name | Muhammad Asif |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558709360 PECOS PAC ID: 1759641491 Enrollment ID: I20230924000000 |
| Provider Name | Justin Perkins |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1255820296 PECOS PAC ID: 9335593987 Enrollment ID: I20230929002790 |
| Provider Name | Annette J Deutscher |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356836019 PECOS PAC ID: 4082021100 Enrollment ID: I20231003001485 |
| Provider Name | Codie Vassar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538690995 PECOS PAC ID: 5496009565 Enrollment ID: I20231003001607 |
| Provider Name | Carl Hasselman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1558339291 PECOS PAC ID: 0143359331 Enrollment ID: I20231004002260 |
| Provider Name | Kubra Bugdayli |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1023512225 PECOS PAC ID: 2163779117 Enrollment ID: I20231004004011 |
| Provider Name | Emily Nicole Shreve |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1760260251 PECOS PAC ID: 3476909110 Enrollment ID: I20231031003880 |
| Provider Name | Jeramie Lynn Rosales Rodriguez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205290319 PECOS PAC ID: 0547515124 Enrollment ID: I20231102004062 |
| Provider Name | Steven R Shelton |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215934310 PECOS PAC ID: 6406754910 Enrollment ID: I20231107002213 |
| Provider Name | Ebony Allison |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780180786 PECOS PAC ID: 3375806714 Enrollment ID: I20231115002919 |
| Provider Name | M.lee Haselkorn |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1417119009 PECOS PAC ID: 9335383504 Enrollment ID: I20231129002069 |
| Provider Name | Daniel D Sutphin |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1821254517 PECOS PAC ID: 8022294040 Enrollment ID: I20231130002281 |
| Provider Name | Sabih Hamad Iqbal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205330024 PECOS PAC ID: 5395141097 Enrollment ID: I20231204003720 |
| Provider Name | Mohammad Ali |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932640125 PECOS PAC ID: 8426439449 Enrollment ID: I20240122001848 |
| Provider Name | Whitney Janee Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619606720 PECOS PAC ID: 2163875907 Enrollment ID: I20240129002856 |
| Provider Name | Yaoxian Ding |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1427033943 PECOS PAC ID: 5698706489 Enrollment ID: I20240131001820 |
| Provider Name | Matthew Lyons |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1003317074 PECOS PAC ID: 4981950938 Enrollment ID: I20240321003202 |
| Provider Name | Jazzriel Clark-casto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497500730 PECOS PAC ID: 9032550322 Enrollment ID: I20240517001236 |
| Provider Name | Charles Matthew Hollis |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1780903021 PECOS PAC ID: 9931375136 Enrollment ID: I20240528003530 |
| Provider Name | Glen Horne |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1013088194 PECOS PAC ID: 0648203638 Enrollment ID: I20240610001145 |
| Provider Name | Nathaniel J Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649048869 PECOS PAC ID: 4183166622 Enrollment ID: I20240611004762 |
| Provider Name | Mia Manzo |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588305684 PECOS PAC ID: 9931643418 Enrollment ID: I20240626002056 |
| Provider Name | Daniel Mandel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1376101162 PECOS PAC ID: 7315271673 Enrollment ID: I20240712001318 |
| Provider Name | Clinton Jordan |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1750918249 PECOS PAC ID: 7810433760 Enrollment ID: I20240726002754 |
| Provider Name | William Mizikar |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1417914623 PECOS PAC ID: 9931113313 Enrollment ID: I20240802000361 |
| Provider Name | Matthew Higgins |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1407586571 PECOS PAC ID: 7719326925 Enrollment ID: I20240816002298 |
| Provider Name | Nicholas Baker |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1568624393 PECOS PAC ID: 2668790460 Enrollment ID: I20240816003739 |
| Provider Name | Anthony Oliva |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1093775330 PECOS PAC ID: 1153214812 Enrollment ID: I20240819003391 |
| Provider Name | Hailea Elizabeth Harper |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1205685898 PECOS PAC ID: 0345789913 Enrollment ID: I20240827002490 |
| Provider Name | Gabriella Casinelli |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972139970 PECOS PAC ID: 3971044090 Enrollment ID: I20240917001728 |
| Provider Name | Lucas Bolyard |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1164059929 PECOS PAC ID: 0244655389 Enrollment ID: I20240930001354 |
| Provider Name | Shannon Satira |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1235769423 PECOS PAC ID: 5092137968 Enrollment ID: I20241018002800 |
| Provider Name | Sonja Gonzalez |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588258446 PECOS PAC ID: 2668874587 Enrollment ID: I20241105003685 |
| Provider Name | Robert Edward Oravets |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1235752155 PECOS PAC ID: 4284168527 Enrollment ID: I20241111000014 |
| Provider Name | Rose Leclair |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1205417805 PECOS PAC ID: 8426457136 Enrollment ID: I20241112000028 |
| Provider Name | Amber Marie Skaggs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922837004 PECOS PAC ID: 0143756064 Enrollment ID: I20241216000383 |
| Provider Name | Numbereye Pre Fubara Numbere |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1992229140 PECOS PAC ID: 0244618809 Enrollment ID: I20250109000843 |
| Provider Name | Mabel Okungbowa |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1649305350 PECOS PAC ID: 8729187927 Enrollment ID: I20250206003455 |
| Provider Name | John Lee |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1730175019 PECOS PAC ID: 9537065859 Enrollment ID: I20250311000499 |
Community Care Of West Virginia, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 100 Market Pl, Bridgeport, WV 26330 Phone: 304-848-5770 Fax: 304-848-0890 | |
Mountainstate Infectious Disease, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 215 W Main St Ste B, Bridgeport, WV 26330 Phone: 301-641-1822 Fax: 304-250-9933 | |
United Hospital Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 527 Medical Park Dr, Suite 500, Bridgeport, WV 26330 Phone: 681-342-3600 Fax: 681-342-3625 | |
United Hospital Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 527 Medical Park Dr Ste 402, Bridgeport, WV 26330 Phone: 681-342-3690 | |
Par Wellness Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1221 Johnson Ave, Suite 1100, Bridgeport, WV 26330 Phone: 304-848-0338 | |
Community Care Of West Virginia, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 515 Johnston Avenue, Bridgeport, WV 26330 Phone: 304-326-7137 Fax: 304-587-2594 | |
Michael T Angotti Md Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 527 Medical Park Dr, Suite 307, Bridgeport, WV 26330 Phone: 304-933-3332 Fax: 304-933-3319 |