| Unitypoint Clinic | |
|
1776 W Lakes Pkwy Ste 400 West Des Moines IA 50266-8378 | |
| (515) 471-9300 | |
| (515) 471-9319 |
| Full Name | Unitypoint Clinic |
|---|---|
| Speciality | General Practice |
| Location | 1776 W Lakes Pkwy Ste 400, West Des Moines, Iowa |
| Authorized Official Name and Position | Patricia K. Newland (PRESIDENT, IPCMF) |
| Authorized Official Contact | 5152853200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Unitypoint Clinic Po Box 843151 Kansas City MO 64184-3151 Ph: (888) 434-4165 | Unitypoint Clinic 1776 W Lakes Pkwy Ste 400 West Des Moines IA 50266-8378 Ph: (515) 471-9300 |
| NPI Number | 1366425274 |
|---|---|
| Provider Enumeration Date | 11/23/2005 |
| Last Update Date | 04/25/2025 |
| Certification Date | 04/25/2025 |
| Medicare PECOS PAC ID | 8729992318 |
|---|---|
| Medicare Enrollment ID | O20031118000363 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366425274 | NPI | - | NPPES |
| CC6519 | Other | IA | RR MEDICARE |
| CJ3564 | Other | IL | RR MEDICARE |
| CC6757 | Other | IA | RR MEDICARE |
| CC7716 | Other | IA | RR MEDICARE |
| CI6362 | Other | IA | RR MEDICARE |
| 0141010 | Medicaid | IA |
| Provider Name | Todd M Wenck |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750353595 PECOS PAC ID: 0840103800 Enrollment ID: I20031106000646 |
| Provider Name | Brian Nelson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912966532 PECOS PAC ID: 8527964675 Enrollment ID: I20031209001000 |
| Provider Name | Daniel G Glascock |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972580892 PECOS PAC ID: 9335045434 Enrollment ID: I20031210000098 |
| Provider Name | Reagan M Barry |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1356358592 PECOS PAC ID: 2365348232 Enrollment ID: I20031210001041 |
| Provider Name | Publio Ortiz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801873088 PECOS PAC ID: 2961308770 Enrollment ID: I20031229000197 |
| Provider Name | Joseph a Miller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861471872 PECOS PAC ID: 6305745159 Enrollment ID: I20031231000356 |
| Provider Name | Deborah J Vandyke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306873948 PECOS PAC ID: 0143122150 Enrollment ID: I20040121000815 |
| Provider Name | Sherri E Stebniski |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902852254 PECOS PAC ID: 0042105470 Enrollment ID: I20040216000979 |
| Provider Name | Pratibha Dua |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235116369 PECOS PAC ID: 3678468717 Enrollment ID: I20040218000426 |
| Provider Name | Jessica a White |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689665622 PECOS PAC ID: 3476449950 Enrollment ID: I20040223000734 |
| Provider Name | Melinda C Hansen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831193374 PECOS PAC ID: 9830086057 Enrollment ID: I20040302001286 |
| Provider Name | Patricia J Bischoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467440792 PECOS PAC ID: 4486541281 Enrollment ID: I20040304000234 |
| Provider Name | Mark G Odden |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528022993 PECOS PAC ID: 4880582600 Enrollment ID: I20040304000924 |
| Provider Name | Michael S Mccleary |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194703439 PECOS PAC ID: 7517856990 Enrollment ID: I20040312001264 |
| Provider Name | Jean M Osgood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144213737 PECOS PAC ID: 0547151102 Enrollment ID: I20040323000698 |
| Provider Name | Alecia P Allen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710963889 PECOS PAC ID: 8820989015 Enrollment ID: I20040324001682 |
| Provider Name | Sarah a Von Harz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447206289 PECOS PAC ID: 4587556741 Enrollment ID: I20040325000299 |
| Provider Name | Thomas D Scholz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1588650246 PECOS PAC ID: 3274425947 Enrollment ID: I20040326001148 |
| Provider Name | Michael D Bobier |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1528047834 PECOS PAC ID: 1759374150 Enrollment ID: I20040402001474 |
| Provider Name | Hans E Steine |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1043290133 PECOS PAC ID: 1658365515 Enrollment ID: I20040413000907 |
| Provider Name | Jitendrakumar S Gupta |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1285710764 PECOS PAC ID: 0749275790 Enrollment ID: I20040419000633 |
| Provider Name | Mitchell H Fonley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992758163 PECOS PAC ID: 2264427020 Enrollment ID: I20040420000270 |
| Provider Name | Lynn M Rankin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710972823 PECOS PAC ID: 9335135615 Enrollment ID: I20040422000397 |
| Provider Name | Diana M Jeffrey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700887866 PECOS PAC ID: 6800882937 Enrollment ID: I20040422001592 |
| Provider Name | Gregory a Selenke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912074667 PECOS PAC ID: 0941296099 Enrollment ID: I20040426000085 |
| Provider Name | James Andrew Selenke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922175660 PECOS PAC ID: 9032105184 Enrollment ID: I20040426000128 |
| Provider Name | Kevin W Blechle |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396725768 PECOS PAC ID: 5991698003 Enrollment ID: I20040428001002 |
| Provider Name | Sharmini Rasakulasuriar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629040951 PECOS PAC ID: 1557358538 Enrollment ID: I20040430000003 |
| Provider Name | James G Henderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750353223 PECOS PAC ID: 8224026919 Enrollment ID: I20040503000689 |
| Provider Name | Melinda M Hass |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1861469496 PECOS PAC ID: 9032107107 Enrollment ID: I20040507000409 |
| Provider Name | Ryan C Werling |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518914662 PECOS PAC ID: 7911997705 Enrollment ID: I20040513001408 |
| Provider Name | Rebecca S Frisch |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1588641484 PECOS PAC ID: 6002807567 Enrollment ID: I20040521001315 |
| Provider Name | Steven Johnson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598724767 PECOS PAC ID: 1951382613 Enrollment ID: I20040527001025 |
| Provider Name | David M Ringold |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1912967118 PECOS PAC ID: 8729061510 Enrollment ID: I20040611000761 |
| Provider Name | Clayton T Schuett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629056163 PECOS PAC ID: 0749264141 Enrollment ID: I20040615000048 |
| Provider Name | Daniel J Arnold |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033198908 PECOS PAC ID: 9931183092 Enrollment ID: I20040616000294 |
| Provider Name | Dennis P Dornbier |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306944525 PECOS PAC ID: 2264425586 Enrollment ID: I20040701000147 |
| Provider Name | Matthew C Brown |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699873836 PECOS PAC ID: 0244217966 Enrollment ID: I20040701000296 |
| Provider Name | Sue Ann Gingerich |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1699779546 PECOS PAC ID: 4284611872 Enrollment ID: I20040715000356 |
| Provider Name | William W Chase |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841259504 PECOS PAC ID: 8325028442 Enrollment ID: I20040721000205 |
| Provider Name | David M Gabel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083677512 PECOS PAC ID: 1658342720 Enrollment ID: I20040803000567 |
| Provider Name | Heather Ann Weber |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376520338 PECOS PAC ID: 5294706883 Enrollment ID: I20040805000861 |
| Provider Name | Kristen Nanke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245248004 PECOS PAC ID: 0244204857 Enrollment ID: I20040820000269 |
| Provider Name | Lynn M Galloway |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1821026287 PECOS PAC ID: 8628043221 Enrollment ID: I20040827000516 |
| Provider Name | Rhonda LD Syata |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598750861 PECOS PAC ID: 9436127172 Enrollment ID: I20040921000686 |
| Provider Name | Timothy L Mulholland |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1477549442 PECOS PAC ID: 7911975362 Enrollment ID: I20040922001169 |
| Provider Name | Barbara L Neitzel Schneider |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447238613 PECOS PAC ID: 1355310475 Enrollment ID: I20040927000413 |
| Provider Name | Michael P Oconner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396724167 PECOS PAC ID: 2769451830 Enrollment ID: I20040927000722 |
| Provider Name | Syed M Haque |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720072960 PECOS PAC ID: 7911966239 Enrollment ID: I20041005001237 |
| Provider Name | Deborah a Haines |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679527428 PECOS PAC ID: 7719947050 Enrollment ID: I20041012001020 |
| Provider Name | Marc a Molis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366499964 PECOS PAC ID: 8921076688 Enrollment ID: I20041015000317 |
| Provider Name | Ravindra Mallavarapu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1982657961 PECOS PAC ID: 8123088994 Enrollment ID: I20041015000413 |
| Provider Name | Amy J Ewen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063471076 PECOS PAC ID: 4880674837 Enrollment ID: I20041020000390 |
| Provider Name | Trina G Blair |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598738635 PECOS PAC ID: 5193786440 Enrollment ID: I20041020001197 |
| Provider Name | Lisa Rene Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265584312 PECOS PAC ID: 2466414487 Enrollment ID: I20041102000562 |
| Provider Name | Dustin L Arnold |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689617144 PECOS PAC ID: 9234193038 Enrollment ID: I20041111001041 |
| Provider Name | Patrick W Kelly |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1134189160 PECOS PAC ID: 9234116815 Enrollment ID: I20041115000594 |
| Provider Name | Laura L Francisco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356301824 PECOS PAC ID: 5597729491 Enrollment ID: I20041118001037 |
| Provider Name | Benjamin E Reinking |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1972579233 PECOS PAC ID: 5496718736 Enrollment ID: I20041124000395 |
| Provider Name | Felix E Gonzales |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1326006131 PECOS PAC ID: 3971560731 Enrollment ID: I20041213000956 |
| Provider Name | Scott P Fackrell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669459533 PECOS PAC ID: 6002864790 Enrollment ID: I20050110000584 |
| Provider Name | Jennifer R Aanestad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386649341 PECOS PAC ID: 1254380306 Enrollment ID: I20050117000092 |
| Provider Name | Dawn M Higgins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487632287 PECOS PAC ID: 2769431816 Enrollment ID: I20050117000118 |
| Provider Name | Brian D. Moran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194794578 PECOS PAC ID: 0345158242 Enrollment ID: I20050118000894 |
| Provider Name | Douglas M Timboe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487613931 PECOS PAC ID: 0446200604 Enrollment ID: I20050125000905 |
| Provider Name | David M Lawrence |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1083698088 PECOS PAC ID: 1254381189 Enrollment ID: I20050127000722 |
| Provider Name | Betsy a Sigler |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811975899 PECOS PAC ID: 6002867561 Enrollment ID: I20050202000621 |
| Provider Name | Sommer J Grant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235116153 PECOS PAC ID: 6800847625 Enrollment ID: I20050209000068 |
| Provider Name | Russell Adams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023094265 PECOS PAC ID: 3375515810 Enrollment ID: I20050209000078 |
| Provider Name | Jason J Deutmeyer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1104899095 PECOS PAC ID: 2365495165 Enrollment ID: I20050221000638 |
| Provider Name | Raygena a Curry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699749762 PECOS PAC ID: 6305899154 Enrollment ID: I20050222000343 |
| Provider Name | Kayleen B Hornbrook |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396706362 PECOS PAC ID: 7517910664 Enrollment ID: I20050301000342 |
| Provider Name | Mary Jo Henry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780663005 PECOS PAC ID: 5092769661 Enrollment ID: I20050307000278 |
| Provider Name | Russell I Buchanan |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1518908896 PECOS PAC ID: 9032164629 Enrollment ID: I20050316000805 |
| Provider Name | Shanon D Bennett |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013979079 PECOS PAC ID: 4789630872 Enrollment ID: I20050322000735 |
| Provider Name | Gregory R Hill |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1457322745 PECOS PAC ID: 1759336183 Enrollment ID: I20050324000684 |
| Provider Name | Mark E Hermann |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1639148810 PECOS PAC ID: 5799693602 Enrollment ID: I20050324000773 |
| Provider Name | Tristan M Boaldin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275503757 PECOS PAC ID: 7810934031 Enrollment ID: I20050409000069 |
| Provider Name | Anne P Hooyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295797173 PECOS PAC ID: 6800833849 Enrollment ID: I20050412000631 |
| Provider Name | John E. Whalen |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1285694802 PECOS PAC ID: 3678481587 Enrollment ID: I20050415000286 |
| Provider Name | Shanli T Swain |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992891832 PECOS PAC ID: 9739127143 Enrollment ID: I20050418000437 |
| Provider Name | Angela M Greif |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568441905 PECOS PAC ID: 7719928720 Enrollment ID: I20050519001088 |
| Provider Name | Thomas J Richmann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184603250 PECOS PAC ID: 2961443874 Enrollment ID: I20050519001126 |
| Provider Name | Kimberly S Wiseman |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1972570083 PECOS PAC ID: 3072554997 Enrollment ID: I20050520000033 |
| Provider Name | Lisa a Tyler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518910678 PECOS PAC ID: 0446204994 Enrollment ID: I20050524001340 |
| Provider Name | William E Durbin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396732566 PECOS PAC ID: 2961444047 Enrollment ID: I20050531000247 |
| Provider Name | Sara N Upmeyer |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1841232154 PECOS PAC ID: 7517909567 Enrollment ID: I20050531000827 |
| Provider Name | Hamid R Amjadi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700861333 PECOS PAC ID: 8628042272 Enrollment ID: I20050615000583 |
| Provider Name | Christopher M Johnson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497735690 PECOS PAC ID: 0941245971 Enrollment ID: I20050621000716 |
| Provider Name | Jim P Duong |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1811980394 PECOS PAC ID: 7012953219 Enrollment ID: I20050628000924 |
| Provider Name | Timothy M Dettmer |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1275527111 PECOS PAC ID: 6002842036 Enrollment ID: I20050712000295 |
| Provider Name | Angela M Schwendinger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023096567 PECOS PAC ID: 6901832948 Enrollment ID: I20050712000404 |
| Provider Name | Angela Diane Kelley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881654473 PECOS PAC ID: 7012943590 Enrollment ID: I20050715000555 |
| Provider Name | Timothy J Maiers |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1386612901 PECOS PAC ID: 4688601784 Enrollment ID: I20050720000679 |
| Provider Name | Vinko M Bogdanic |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932184249 PECOS PAC ID: 5890723373 Enrollment ID: I20050727000597 |
| Provider Name | Tyler L Casey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750368817 PECOS PAC ID: 5597793489 Enrollment ID: I20050802000046 |
| Provider Name | John G Sweetman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1952332249 PECOS PAC ID: 9537198817 Enrollment ID: I20050808000094 |
| Provider Name | Regina a Torson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245217421 PECOS PAC ID: 1254371024 Enrollment ID: I20050811000432 |
| Provider Name | Jon J Clinton |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1942272505 PECOS PAC ID: 1658301312 Enrollment ID: I20050812000959 |
| Provider Name | Laura L Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386620284 PECOS PAC ID: 9830120187 Enrollment ID: I20050825000970 |
| Provider Name | Daniel Allen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376548784 PECOS PAC ID: 5597754697 Enrollment ID: I20050825000986 |
| Provider Name | Mark a Feldkamp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437198991 PECOS PAC ID: 5193757474 Enrollment ID: I20050907001046 |
| Provider Name | Stephanie Wadle Wignall |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356329130 PECOS PAC ID: 6002840311 Enrollment ID: I20050926000270 |
| Provider Name | Mary Ann Amend |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659312254 PECOS PAC ID: 6800821448 Enrollment ID: I20051003000071 |
| Provider Name | Dawn M Sposato |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043280639 PECOS PAC ID: 0941235584 Enrollment ID: I20051003000110 |
| Provider Name | Linsey S High |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1659359461 PECOS PAC ID: 1951326867 Enrollment ID: I20051011000031 |
| Provider Name | Allison E Testroet |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568421873 PECOS PAC ID: 9830114693 Enrollment ID: I20051011000363 |
| Provider Name | Michele L Friedman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508844465 PECOS PAC ID: 3678598489 Enrollment ID: I20051011000676 |
| Provider Name | James Russell Bell |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1528044310 PECOS PAC ID: 5193740785 Enrollment ID: I20051012001047 |
| Provider Name | Ladonna Woerdeman |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1366522948 PECOS PAC ID: 3274559497 Enrollment ID: I20051018000234 |
| Provider Name | Anthony D Carter |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386610947 PECOS PAC ID: 2860470044 Enrollment ID: I20051025000574 |
| Provider Name | Susan J Handke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366442337 PECOS PAC ID: 1153348248 Enrollment ID: I20051027001120 |
| Provider Name | Edmund Joseph Piasecki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477534279 PECOS PAC ID: 2567444334 Enrollment ID: I20051114000371 |
| Provider Name | Jana L Marlett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336127877 PECOS PAC ID: 6709805146 Enrollment ID: I20051115001030 |
| Provider Name | Amy J Lamberti |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1568441228 PECOS PAC ID: 7113948969 Enrollment ID: I20051208000650 |
| Provider Name | Vaun W Dejong |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093792129 PECOS PAC ID: 9931120532 Enrollment ID: I20051212000057 |
| Provider Name | Eric J Holm |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972531408 PECOS PAC ID: 6608897780 Enrollment ID: I20051216000351 |
| Provider Name | Stacey K Neu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326008822 PECOS PAC ID: 2668410267 Enrollment ID: I20060113000582 |
| Provider Name | Jennifer M Edeker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790718302 PECOS PAC ID: 7911921507 Enrollment ID: I20060123000416 |
| Provider Name | Kyle P Christiason |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396722468 PECOS PAC ID: 8527082056 Enrollment ID: I20060123000817 |
| Provider Name | Chitravathi Yerrapareddy |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1407833577 PECOS PAC ID: 9537173869 Enrollment ID: I20060126000019 |
| Provider Name | Stanton L Danielson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629038195 PECOS PAC ID: 5092729962 Enrollment ID: I20060130000892 |
| Provider Name | George R Hopkins |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1518939073 PECOS PAC ID: 7719942267 Enrollment ID: I20060221000908 |
| Provider Name | Janae D Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508837667 PECOS PAC ID: 5193731404 Enrollment ID: I20060223000538 |
| Provider Name | Jennifer a Meyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730150665 PECOS PAC ID: 3678589926 Enrollment ID: I20060224000058 |
| Provider Name | Debra a Sixta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265492458 PECOS PAC ID: 3274540588 Enrollment ID: I20060310000678 |
| Provider Name | Jennifer L Beck |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053375022 PECOS PAC ID: 0840207817 Enrollment ID: I20060315000745 |
| Provider Name | Melissa Diane Pearson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164481362 PECOS PAC ID: 3577570241 Enrollment ID: I20060321000653 |
| Provider Name | Mikka M Appel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275505505 PECOS PAC ID: 2769490317 Enrollment ID: I20060323000665 |
| Provider Name | Cynthia S Lewin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962467456 PECOS PAC ID: 5395753461 Enrollment ID: I20060330000699 |
| Provider Name | Nancy J Carlisle |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1467413807 PECOS PAC ID: 7012926504 Enrollment ID: I20060411000509 |
| Provider Name | Megan M Beebe |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841270915 PECOS PAC ID: 0042220170 Enrollment ID: I20060503000425 |
| Provider Name | Thomas P. Luft |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659329845 PECOS PAC ID: 7012910789 Enrollment ID: I20060818000102 |
| Provider Name | Tyler M Schwiesow |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366493397 PECOS PAC ID: 3678576147 Enrollment ID: I20060823000234 |
| Provider Name | Barbara a Bellaire |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639124191 PECOS PAC ID: 0446253850 Enrollment ID: I20060824000015 |
| Provider Name | Hussein K Osman Mohamed |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1245266329 PECOS PAC ID: 1759386089 Enrollment ID: I20060920000309 |
| Provider Name | Tracy L Rockey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942206834 PECOS PAC ID: 8022014620 Enrollment ID: I20061004000349 |
| Provider Name | Brian D Ray |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528029501 PECOS PAC ID: 1355347378 Enrollment ID: I20061016000385 |
| Provider Name | Elizabeth a James |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063417558 PECOS PAC ID: 2567469109 Enrollment ID: I20061025000015 |
| Provider Name | Sara L Uthe |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407836588 PECOS PAC ID: 0840297495 Enrollment ID: I20061025000128 |
| Provider Name | Chad P Enich |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1174510879 PECOS PAC ID: 2769480151 Enrollment ID: I20061120000083 |
| Provider Name | Ruth H Mcgowan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1205924156 PECOS PAC ID: 5193724391 Enrollment ID: I20061218000189 |
| Provider Name | Joseph a Morris |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1841254349 PECOS PAC ID: 4284634023 Enrollment ID: I20070102000102 |
| Provider Name | Hollie a Wicker |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1164510798 PECOS PAC ID: 3779583299 Enrollment ID: I20070108000262 |
| Provider Name | Sonya J Mack |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386720217 PECOS PAC ID: 2163422692 Enrollment ID: I20070108000326 |
| Provider Name | Raja M Akbar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073547105 PECOS PAC ID: 6002802675 Enrollment ID: I20070124000418 |
| Provider Name | David M Agey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417059130 PECOS PAC ID: 9931186608 Enrollment ID: I20070201000650 |
| Provider Name | Ara Robinson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619054335 PECOS PAC ID: 2365544681 Enrollment ID: I20070216000317 |
| Provider Name | Meredith a Christ |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568423531 PECOS PAC ID: 0840392197 Enrollment ID: I20070216000564 |
| Provider Name | Steven E Nus |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316087877 PECOS PAC ID: 2062515497 Enrollment ID: I20070305000766 |
| Provider Name | Daniel J Sullivan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548280696 PECOS PAC ID: 5395848543 Enrollment ID: I20070308000687 |
| Provider Name | Terry Stock |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1891735205 PECOS PAC ID: 2860424991 Enrollment ID: I20070320000617 |
| Provider Name | Stephanie M Walker |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1275668162 PECOS PAC ID: 5294839312 Enrollment ID: I20070329000608 |
| Provider Name | Shehzad Kamran |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942247739 PECOS PAC ID: 7719081751 Enrollment ID: I20070330000117 |
| Provider Name | Garry D Weide |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1760559496 PECOS PAC ID: 3476658782 Enrollment ID: I20070416000287 |
| Provider Name | Jan M Syata |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1437157930 PECOS PAC ID: 4880799535 Enrollment ID: I20070425000233 |
| Provider Name | Andria L Barr |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720102320 PECOS PAC ID: 3274630595 Enrollment ID: I20070522000373 |
| Provider Name | Philly M Wall |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497894117 PECOS PAC ID: 9436258381 Enrollment ID: I20070619000300 |
| Provider Name | Anish P Keshwani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093764615 PECOS PAC ID: 8426158585 Enrollment ID: I20070703000409 |
| Provider Name | Zhengjin Cao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861616039 PECOS PAC ID: 9537269154 Enrollment ID: I20070713000276 |
| Provider Name | Rachana Krishna |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386768299 PECOS PAC ID: 1850492059 Enrollment ID: I20070718000241 |
| Provider Name | Carla Louise Aldrich |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1659589828 PECOS PAC ID: 5092816926 Enrollment ID: I20070723000525 |
| Provider Name | Daniel J Harkness |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518931708 PECOS PAC ID: 5294826152 Enrollment ID: I20070807000210 |
| Provider Name | Andrea J Silvers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134189640 PECOS PAC ID: 6305937293 Enrollment ID: I20070807000474 |
| Provider Name | Chris Robert Jensen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942298088 PECOS PAC ID: 4486644671 Enrollment ID: I20070808000324 |
| Provider Name | Paul J Gisi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063408383 PECOS PAC ID: 8921046897 Enrollment ID: I20070808000529 |
| Provider Name | Nathan R Schneider |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1124114327 PECOS PAC ID: 5193817153 Enrollment ID: I20070822000653 |
| Provider Name | Pradeep M Ramesh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053349167 PECOS PAC ID: 3173616687 Enrollment ID: I20070829000447 |
| Provider Name | Brett J Reimer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821297185 PECOS PAC ID: 8729171822 Enrollment ID: I20070906000081 |
| Provider Name | Kelly K Hassman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073719738 PECOS PAC ID: 5193818987 Enrollment ID: I20070910001045 |
| Provider Name | Rachelle L Gammon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891990271 PECOS PAC ID: 7911090709 Enrollment ID: I20070910001048 |
| Provider Name | Jeremy D Glawatz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1275733735 PECOS PAC ID: 4082707716 Enrollment ID: I20070911000350 |
| Provider Name | Teresa L Lamasters |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1225074222 PECOS PAC ID: 2860498557 Enrollment ID: I20070912000023 |
| Provider Name | Connie L Kramer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982804910 PECOS PAC ID: 3577657196 Enrollment ID: I20070913000328 |
| Provider Name | Meredith D Crenshaw |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1033169966 PECOS PAC ID: 6608960117 Enrollment ID: I20070914000187 |
| Provider Name | Melissa J Kahler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346258951 PECOS PAC ID: 1850485384 Enrollment ID: I20070914000338 |
| Provider Name | Joshua J Rehmann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356352611 PECOS PAC ID: 3173617487 Enrollment ID: I20070918000218 |
| Provider Name | Jason D Brehmer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629089974 PECOS PAC ID: 8325133903 Enrollment ID: I20070927000145 |
| Provider Name | Christina M Spofford |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1639380314 PECOS PAC ID: 5193810539 Enrollment ID: I20071001000548 |
| Provider Name | Angela Wiest Hubanks |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1356538300 PECOS PAC ID: 9830285535 Enrollment ID: I20071010000774 |
| Provider Name | Cortney M Kueter |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1366637571 PECOS PAC ID: 5294822615 Enrollment ID: I20071101000529 |
| Provider Name | Melissa M Peyton |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1851589683 PECOS PAC ID: 7618066812 Enrollment ID: I20071210000622 |
| Provider Name | Benjamin H Daniels |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992901268 PECOS PAC ID: 1759464084 Enrollment ID: I20080211000267 |
| Provider Name | Roy Hart |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457357642 PECOS PAC ID: 4587665658 Enrollment ID: I20080317000082 |
| Provider Name | David H Daniels |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972558229 PECOS PAC ID: 0244318566 Enrollment ID: I20080425000585 |
| Provider Name | Aamir Pasha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437108594 PECOS PAC ID: 2062402209 Enrollment ID: I20080509000682 |
| Provider Name | Lisa I Nelson Nguyen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1619964210 PECOS PAC ID: 5193894160 Enrollment ID: I20080516000108 |
| Provider Name | Joseph Harcourt Acton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861452765 PECOS PAC ID: 8123924867 Enrollment ID: I20080521000337 |
| Provider Name | Marc L Miller |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1023061413 PECOS PAC ID: 7416055108 Enrollment ID: I20080522000390 |
| Provider Name | William Welch |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1245415157 PECOS PAC ID: 5294807368 Enrollment ID: I20080707000296 |
| Provider Name | Abha Saxena |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1942427430 PECOS PAC ID: 1052484565 Enrollment ID: I20080716000731 |
| Provider Name | Sandra L Ball |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811981673 PECOS PAC ID: 4981777265 Enrollment ID: I20080718000712 |
| Provider Name | Jasmin R Cabrera |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003086364 PECOS PAC ID: 2365515608 Enrollment ID: I20080721000452 |
| Provider Name | Tami R Fahnlander |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275743395 PECOS PAC ID: 4688749906 Enrollment ID: I20080821000387 |
| Provider Name | Susan K Latcham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437306818 PECOS PAC ID: 8921017518 Enrollment ID: I20080910000238 |
| Provider Name | Jeffrey C Miller |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1235395088 PECOS PAC ID: 7315013422 Enrollment ID: I20080912000535 |
| Provider Name | Jenna K Kemp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760680235 PECOS PAC ID: 9830266964 Enrollment ID: I20080916000108 |
| Provider Name | Holly Melahoures |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295848604 PECOS PAC ID: 7315014263 Enrollment ID: I20080918000668 |
| Provider Name | Dominic a Formaro |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1740444058 PECOS PAC ID: 0446327621 Enrollment ID: I20080930000668 |
| Provider Name | Mark D Olson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1033369608 PECOS PAC ID: 3870660061 Enrollment ID: I20080930000698 |
| Provider Name | Parag Suresh Sampat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508823998 PECOS PAC ID: 1254351166 Enrollment ID: I20081013000040 |
| Provider Name | Jennifer Lynn Gabel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1962603985 PECOS PAC ID: 4587722665 Enrollment ID: I20081017000434 |
| Provider Name | Renee B Baumhover |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588813430 PECOS PAC ID: 5890853899 Enrollment ID: I20081020000613 |
| Provider Name | Tony N Heiar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538316534 PECOS PAC ID: 8628137890 Enrollment ID: I20081103000104 |
| Provider Name | Julie a Lehmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881885796 PECOS PAC ID: 5698834265 Enrollment ID: I20081111000839 |
| Provider Name | Nasredin a Dalil |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083650071 PECOS PAC ID: 7719046242 Enrollment ID: I20081112000503 |
| Provider Name | Falguni N Mehta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831311851 PECOS PAC ID: 9638239098 Enrollment ID: I20081117000013 |
| Provider Name | Melissa K Casey |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1255583050 PECOS PAC ID: 3779643085 Enrollment ID: I20081117000497 |
| Provider Name | Carla J Springer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356382923 PECOS PAC ID: 6608937776 Enrollment ID: I20081208000320 |
| Provider Name | Rhonda J Enserro |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386621415 PECOS PAC ID: 7719040344 Enrollment ID: I20090108000385 |
| Provider Name | Mary Beth Risvold |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1346322559 PECOS PAC ID: 0244271146 Enrollment ID: I20090114000299 |
| Provider Name | Timothy L Cooper |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1366427767 PECOS PAC ID: 6901960707 Enrollment ID: I20090122000471 |
| Provider Name | Joshua D Petersen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457505695 PECOS PAC ID: 2163586710 Enrollment ID: I20090127000543 |
| Provider Name | Sandra E Lewis |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1588641658 PECOS PAC ID: 0446314090 Enrollment ID: I20090127000610 |
| Provider Name | Felipe Correa Orozco |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659533370 PECOS PAC ID: 0547324683 Enrollment ID: I20090204000171 |
| Provider Name | Steven T Scurr |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053398800 PECOS PAC ID: 6204990922 Enrollment ID: I20090209000250 |
| Provider Name | Kirk K Peterson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255391983 PECOS PAC ID: 2668538778 Enrollment ID: I20090225000405 |
| Provider Name | Dennis L Bussey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063471399 PECOS PAC ID: 9537225669 Enrollment ID: I20090225000541 |
| Provider Name | Angie M Kutsch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912158114 PECOS PAC ID: 6103982129 Enrollment ID: I20090226000632 |
| Provider Name | Bick T Carfrae |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1285629444 PECOS PAC ID: 2860427150 Enrollment ID: I20090304000047 |
| Provider Name | Jay a Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497715262 PECOS PAC ID: 1254497936 Enrollment ID: I20090304000516 |
| Provider Name | Ethel F Condon |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558321067 PECOS PAC ID: 1658435169 Enrollment ID: I20090304000755 |
| Provider Name | Brandon E Madson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760441273 PECOS PAC ID: 1456417179 Enrollment ID: I20090304000828 |
| Provider Name | Alissa C Lilla |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1568553584 PECOS PAC ID: 7416999057 Enrollment ID: I20090305000120 |
| Provider Name | Sue a Olmstead |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760442768 PECOS PAC ID: 1355407990 Enrollment ID: I20090305000197 |
| Provider Name | Lori J Denton |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1770542201 PECOS PAC ID: 8527124767 Enrollment ID: I20090312000659 |
| Provider Name | Patricia K Newland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063471720 PECOS PAC ID: 9931266152 Enrollment ID: I20090316000154 |
| Provider Name | Lori L Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982664082 PECOS PAC ID: 9638236862 Enrollment ID: I20090316000194 |
| Provider Name | April D Cook |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730325176 PECOS PAC ID: 8022171958 Enrollment ID: I20090320000596 |
| Provider Name | Srikrishna Chundru |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932162815 PECOS PAC ID: 8527064120 Enrollment ID: I20090414000318 |
| Provider Name | Anne R Forcey |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1164688206 PECOS PAC ID: 4587730874 Enrollment ID: I20090423000045 |
| Provider Name | Jeffrey S Carstens |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1730265976 PECOS PAC ID: 0042285140 Enrollment ID: I20090515000090 |
| Provider Name | Matthew J Grady |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1982813739 PECOS PAC ID: 3870643737 Enrollment ID: I20090615000606 |
| Provider Name | Robert D Shontz |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1730390410 PECOS PAC ID: 2264583905 Enrollment ID: I20090619000368 |
| Provider Name | Karen a Brenot |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972709046 PECOS PAC ID: 3779633573 Enrollment ID: I20090624000321 |
| Provider Name | Randy D Cornelius |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1831353051 PECOS PAC ID: 3173674140 Enrollment ID: I20090702000340 |
| Provider Name | Tarek M Daoud |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780638171 PECOS PAC ID: 1052462868 Enrollment ID: I20090708000043 |
| Provider Name | Vinay Kumar Kantamneni |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1508811258 PECOS PAC ID: 8628988185 Enrollment ID: I20090708000077 |
| Provider Name | Amanda M Motto |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578705653 PECOS PAC ID: 8820140510 Enrollment ID: I20090709000730 |
| Provider Name | Michael C Mintzer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225149735 PECOS PAC ID: 7618029158 Enrollment ID: I20090715000210 |
| Provider Name | Cynthia J Juhler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649279522 PECOS PAC ID: 3072409127 Enrollment ID: I20090715000220 |
| Provider Name | Kamela J Kleppe Yeager |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1982831277 PECOS PAC ID: 7113079336 Enrollment ID: I20090720000450 |
| Provider Name | Rebecca L Chittenden |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1841434313 PECOS PAC ID: 8628121506 Enrollment ID: I20090727000193 |
| Provider Name | Adam L Shires |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1558441386 PECOS PAC ID: 4486707213 Enrollment ID: I20090727000662 |
| Provider Name | James J Turek |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669566493 PECOS PAC ID: 9436197969 Enrollment ID: I20090729000366 |
| Provider Name | Lynn B Geick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326010299 PECOS PAC ID: 0244310589 Enrollment ID: I20090729000656 |
| Provider Name | Santhi Keeran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851515688 PECOS PAC ID: 5496808875 Enrollment ID: I20090803000278 |
| Provider Name | Jill M Powers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912010471 PECOS PAC ID: 2668526302 Enrollment ID: I20090814000613 |
| Provider Name | Lindsey M Stock |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1942436407 PECOS PAC ID: 1052465697 Enrollment ID: I20090818000073 |
| Provider Name | Adam J Froyum Roise |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457511529 PECOS PAC ID: 9335293679 Enrollment ID: I20090820000399 |
| Provider Name | Joshua J Gustafson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1548491368 PECOS PAC ID: 3173677465 Enrollment ID: I20090820000867 |
| Provider Name | Julie M Lemke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760595318 PECOS PAC ID: 8527112663 Enrollment ID: I20090824000651 |
| Provider Name | Ailey M Brehmer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104939545 PECOS PAC ID: 9133273279 Enrollment ID: I20090824000671 |
| Provider Name | Shelby L Walsten |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023246782 PECOS PAC ID: 0345394433 Enrollment ID: I20090825000321 |
| Provider Name | Teresa R Stewart |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1356352835 PECOS PAC ID: 6204734981 Enrollment ID: I20090827000335 |
| Provider Name | Rebecca a Craig |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720023906 PECOS PAC ID: 6608921317 Enrollment ID: I20090902000166 |
| Provider Name | Andrea L Hansen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1578791570 PECOS PAC ID: 0244385953 Enrollment ID: I20090902000167 |
| Provider Name | Maria L Miegge Viera |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1619108719 PECOS PAC ID: 1658426168 Enrollment ID: I20090908000111 |
| Provider Name | Alisa a Paisley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891801916 PECOS PAC ID: 6406901651 Enrollment ID: I20090911000396 |
| Provider Name | Kimberly L Vetter |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477666576 PECOS PAC ID: 3779639760 Enrollment ID: I20090916000257 |
| Provider Name | Abbie M Port |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1174752927 PECOS PAC ID: 0244386894 Enrollment ID: I20090923000180 |
| Provider Name | Tiernie J Kluver |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902034861 PECOS PAC ID: 7012063530 Enrollment ID: I20090924000017 |
| Provider Name | Caleb D Glawe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902940323 PECOS PAC ID: 0941356331 Enrollment ID: I20090928000194 |
| Provider Name | Dennis S Lonzarich |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023096435 PECOS PAC ID: 2365588035 Enrollment ID: I20091009000433 |
| Provider Name | Craig a Stark |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1245212075 PECOS PAC ID: 9335286715 Enrollment ID: I20091019000143 |
| Provider Name | Thomas S Hopkins |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922144088 PECOS PAC ID: 9436297983 Enrollment ID: I20091104000060 |
| Provider Name | Gregory W Halbur |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780624205 PECOS PAC ID: 7911045034 Enrollment ID: I20091111000039 |
| Provider Name | Bryan Dean Hested |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1942536057 PECOS PAC ID: 7810035581 Enrollment ID: I20091118000054 |
| Provider Name | Jeffrey F Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750386439 PECOS PAC ID: 1951394568 Enrollment ID: I20091120000246 |
| Provider Name | Sayed a Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255327425 PECOS PAC ID: 6204800725 Enrollment ID: I20091125000011 |
| Provider Name | Hillard a Salas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215996418 PECOS PAC ID: 3870583735 Enrollment ID: I20091203000597 |
| Provider Name | Darcy Putz |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1821058033 PECOS PAC ID: 7810956455 Enrollment ID: I20091203000647 |
| Provider Name | Brett G Josie |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1912234220 PECOS PAC ID: 8123167012 Enrollment ID: I20091207000279 |
| Provider Name | Irfan M Ankolkar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265558555 PECOS PAC ID: 6901992494 Enrollment ID: I20091208000015 |
| Provider Name | Whitney B Brink |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588641765 PECOS PAC ID: 3375684947 Enrollment ID: I20100104000665 |
| Provider Name | Kelly J Schmidt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194704718 PECOS PAC ID: 7012058571 Enrollment ID: I20100105000789 |
| Provider Name | David J Rathe |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316926082 PECOS PAC ID: 9133261936 Enrollment ID: I20100115000879 |
| Provider Name | Jaime R Smolik |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1295722791 PECOS PAC ID: 6901948744 Enrollment ID: I20100116000397 |
| Provider Name | Alexandra G Vander Meide |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811904295 PECOS PAC ID: 8527100296 Enrollment ID: I20100118000284 |
| Provider Name | Joel P Vandermeide |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790754695 PECOS PAC ID: 5799827465 Enrollment ID: I20100118000289 |
| Provider Name | Kristen H Little |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316925720 PECOS PAC ID: 8820130594 Enrollment ID: I20100119000058 |
| Provider Name | Holley Ann Bermel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083804793 PECOS PAC ID: 9032204276 Enrollment ID: I20100120000755 |
| Provider Name | Matthew J. Kirkendall |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821067794 PECOS PAC ID: 3173431079 Enrollment ID: I20100121000262 |
| Provider Name | Gina M. Moran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619946084 PECOS PAC ID: 2163330069 Enrollment ID: I20100121000306 |
| Provider Name | Ian H Law |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093700783 PECOS PAC ID: 2163492448 Enrollment ID: I20100123000112 |
| Provider Name | Ronald A. Iverson |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1265407589 PECOS PAC ID: 9436067337 Enrollment ID: I20100126000468 |
| Provider Name | Valerie Kay Torgerson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306836119 PECOS PAC ID: 1557403748 Enrollment ID: I20100127000083 |
| Provider Name | Amr S Kamhawy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578541108 PECOS PAC ID: 8123160116 Enrollment ID: I20100129000182 |
| Provider Name | Jennifer L Fejfar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093792962 PECOS PAC ID: 1759424740 Enrollment ID: I20100129000285 |
| Provider Name | Deanna L Questad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841279734 PECOS PAC ID: 3173666104 Enrollment ID: I20100129000621 |
| Provider Name | Cynthia J. Konz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013986918 PECOS PAC ID: 5597673400 Enrollment ID: I20100202000942 |
| Provider Name | Jeffrey L Bebensee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174509228 PECOS PAC ID: 6305989039 Enrollment ID: I20100203000702 |
| Provider Name | Enrique R Bedia |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336125483 PECOS PAC ID: 0840333571 Enrollment ID: I20100203000718 |
| Provider Name | Timothy R Winters |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922085992 PECOS PAC ID: 4284777913 Enrollment ID: I20100203000728 |
| Provider Name | Marnie M Loftus |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215915624 PECOS PAC ID: 2062555667 Enrollment ID: I20100204000518 |
| Provider Name | Amy L Wallin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104804087 PECOS PAC ID: 3779626387 Enrollment ID: I20100204000529 |
| Provider Name | Rachel S Creamer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356670772 PECOS PAC ID: 0941343388 Enrollment ID: I20100206000199 |
| Provider Name | Daniel a Trautman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912985680 PECOS PAC ID: 1759424971 Enrollment ID: I20100210000044 |
| Provider Name | Marilyn J Lies |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336127737 PECOS PAC ID: 4284777418 Enrollment ID: I20100210000069 |
| Provider Name | William F Maher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265410450 PECOS PAC ID: 9032252184 Enrollment ID: I20100211000386 |
| Provider Name | Earl K Allen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1619953270 PECOS PAC ID: 2961546015 Enrollment ID: I20100212000696 |
| Provider Name | Alissa a Schepanski |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1962481622 PECOS PAC ID: 8325182488 Enrollment ID: I20100212000700 |
| Provider Name | Nilesh R Mehta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982826905 PECOS PAC ID: 3678617537 Enrollment ID: I20100216000989 |
| Provider Name | Rosalee Mares Fernandez |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1144208471 PECOS PAC ID: 2163566993 Enrollment ID: I20100217000823 |
| Provider Name | Karl E Terwilliger |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1669426060 PECOS PAC ID: 0840334561 Enrollment ID: I20100218000842 |
| Provider Name | Paula R Mcfadden |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1942254099 PECOS PAC ID: 1951314137 Enrollment ID: I20100218000861 |
| Provider Name | Leonard Scott Richards |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548249311 PECOS PAC ID: 9436293164 Enrollment ID: I20100219000092 |
| Provider Name | Keeran Ghandivel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1013960186 PECOS PAC ID: 7810031481 Enrollment ID: I20100219000562 |
| Provider Name | Scott B Johnson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1124006762 PECOS PAC ID: 2264576867 Enrollment ID: I20100220000138 |
| Provider Name | Robyn L Nebergall |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1720066996 PECOS PAC ID: 2163566761 Enrollment ID: I20100220000142 |
| Provider Name | Michael J Willerth |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1316919202 PECOS PAC ID: 7618029422 Enrollment ID: I20100224000956 |
| Provider Name | Robert T Oconnor |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164494597 PECOS PAC ID: 2466596630 Enrollment ID: I20100225000835 |
| Provider Name | Ilene R Olson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588636914 PECOS PAC ID: 8426193079 Enrollment ID: I20100306000255 |
| Provider Name | Tracy L Niemeyer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275512113 PECOS PAC ID: 1153466727 Enrollment ID: I20100308000101 |
| Provider Name | James C Meyer |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1063484228 PECOS PAC ID: 1557279858 Enrollment ID: I20100308000152 |
| Provider Name | Richard M Hodge |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801874615 PECOS PAC ID: 6800931221 Enrollment ID: I20100309000628 |
| Provider Name | Emily M Appleton |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1124004536 PECOS PAC ID: 7416092838 Enrollment ID: I20100309000663 |
| Provider Name | Jeffrey S Walczyk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508843384 PECOS PAC ID: 1850283300 Enrollment ID: I20100310000741 |
| Provider Name | Matthew J Herrmann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093974172 PECOS PAC ID: 1658406913 Enrollment ID: I20100312000140 |
| Provider Name | Thomas James Schreiber |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659325694 PECOS PAC ID: 6709911316 Enrollment ID: I20100322000631 |
| Provider Name | Todd M Butler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710964994 PECOS PAC ID: 8921134321 Enrollment ID: I20100324000956 |
| Provider Name | Shannon C Throndson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982682621 PECOS PAC ID: 3274669684 Enrollment ID: I20100324000972 |
| Provider Name | Daniel J Darnold |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851378970 PECOS PAC ID: 6103952528 Enrollment ID: I20100324001060 |
| Provider Name | Diana K Kaufman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174743389 PECOS PAC ID: 3476605502 Enrollment ID: I20100326000776 |
| Provider Name | Emily S Gavin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629055546 PECOS PAC ID: 0042346199 Enrollment ID: I20100329000730 |
| Provider Name | Brett R Richman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598763286 PECOS PAC ID: 3577532514 Enrollment ID: I20100330000702 |
| Provider Name | Suzanne R Baxter |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1518943422 PECOS PAC ID: 3577690825 Enrollment ID: I20100419000835 |
| Provider Name | Collette M Kono |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1992783542 PECOS PAC ID: 2769519966 Enrollment ID: I20100420000661 |
| Provider Name | Deanne K Bolhuis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184622425 PECOS PAC ID: 9638206717 Enrollment ID: I20100421000515 |
| Provider Name | James a Rusch |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396783403 PECOS PAC ID: 8426185034 Enrollment ID: I20100429000665 |
| Provider Name | Brian a Lindo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871571273 PECOS PAC ID: 3870620495 Enrollment ID: I20100429000836 |
| Provider Name | Matthew N Gray |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053398982 PECOS PAC ID: 7012044639 Enrollment ID: I20100429000888 |
| Provider Name | Lynn K Struck |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1750369344 PECOS PAC ID: 3870620404 Enrollment ID: I20100429000964 |
| Provider Name | Steven a Cahalan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1376658237 PECOS PAC ID: 5193853612 Enrollment ID: I20100504000514 |
| Provider Name | Christopher G Walsh |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1891775995 PECOS PAC ID: 0547206344 Enrollment ID: I20100513000562 |
| Provider Name | Brent a Feller |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1912987066 PECOS PAC ID: 6406892298 Enrollment ID: I20100519000924 |
| Provider Name | Angela K Bahr |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346579216 PECOS PAC ID: 6709915242 Enrollment ID: I20100521000637 |
| Provider Name | Michelle Mcgovern |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1922336270 PECOS PAC ID: 9032248596 Enrollment ID: I20100521000833 |
| Provider Name | Cindy P Inman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790738714 PECOS PAC ID: 6204965544 Enrollment ID: I20100526000083 |
| Provider Name | Ann F Kandis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275566317 PECOS PAC ID: 6800926254 Enrollment ID: I20100610000592 |
| Provider Name | Nathaniel D Curl |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437328630 PECOS PAC ID: 6305976630 Enrollment ID: I20100614000503 |
| Provider Name | Steven F Gordon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700847365 PECOS PAC ID: 1153451380 Enrollment ID: I20100614000607 |
| Provider Name | Eileen M Barto |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992777890 PECOS PAC ID: 8123090891 Enrollment ID: I20100617000641 |
| Provider Name | Cornelius J Gucfa |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942274626 PECOS PAC ID: 9032240015 Enrollment ID: I20100708000814 |
| Provider Name | Jamie H Johnson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1447460555 PECOS PAC ID: 0345372090 Enrollment ID: I20100716000126 |
| Provider Name | Morris J Gist |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1902879851 PECOS PAC ID: 5294812384 Enrollment ID: I20100722000551 |
| Provider Name | Julia M Harvey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093038325 PECOS PAC ID: 1355473570 Enrollment ID: I20100722000810 |
| Provider Name | Jason Robert Keonin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1790711885 PECOS PAC ID: 2365574506 Enrollment ID: I20100723000013 |
| Provider Name | Brian P Engebrecht |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1629040191 PECOS PAC ID: 9638065527 Enrollment ID: I20100723000388 |
| Provider Name | Kenton J Hall |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1811989395 PECOS PAC ID: 2769520360 Enrollment ID: I20100728000402 |
| Provider Name | Michael D Wall |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932427101 PECOS PAC ID: 9638202237 Enrollment ID: I20100803000925 |
| Provider Name | Sherif H Tewfik |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1588640460 PECOS PAC ID: 7315070927 Enrollment ID: I20100803001000 |
| Provider Name | Christopher S Champion |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316908437 PECOS PAC ID: 2163555616 Enrollment ID: I20100804000256 |
| Provider Name | David E Lind |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1932109386 PECOS PAC ID: 6103964705 Enrollment ID: I20100804000739 |
| Provider Name | Kantima Phisitkul |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1063604726 PECOS PAC ID: 8820121312 Enrollment ID: I20100804000779 |
| Provider Name | Luke M Spellman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215917331 PECOS PAC ID: 6608909064 Enrollment ID: I20100805000391 |
| Provider Name | Brent Evan Buhr |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194952200 PECOS PAC ID: 3173657814 Enrollment ID: I20100817000110 |
| Provider Name | Steven J Meyer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1780687020 PECOS PAC ID: 7113824079 Enrollment ID: I20100817001630 |
| Provider Name | Steven J Stokesbary |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1447253778 PECOS PAC ID: 0840352548 Enrollment ID: I20100818000747 |
| Provider Name | Dustin O Wiemers |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1114144821 PECOS PAC ID: 7911031232 Enrollment ID: I20100820001130 |
| Provider Name | Katherine S Burns |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164627204 PECOS PAC ID: 1951435221 Enrollment ID: I20100823000609 |
| Provider Name | Sarah a Garner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700089539 PECOS PAC ID: 0840324117 Enrollment ID: I20100823000626 |
| Provider Name | Erin E Lehman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003018243 PECOS PAC ID: 9133243215 Enrollment ID: I20100825001182 |
| Provider Name | Lianne M Farley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700049780 PECOS PAC ID: 1355465386 Enrollment ID: I20100827000749 |
| Provider Name | Paramesh B Ramadugu |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1871563858 PECOS PAC ID: 6507888252 Enrollment ID: I20100831000020 |
| Provider Name | Alisa Marie Olson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164743357 PECOS PAC ID: 6709900152 Enrollment ID: I20100908000103 |
| Provider Name | Todd L Letney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295709657 PECOS PAC ID: 1951490119 Enrollment ID: I20100910000431 |
| Provider Name | Ann J Swisher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487639712 PECOS PAC ID: 5698890267 Enrollment ID: I20100920000716 |
| Provider Name | Jose E Torres |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1437368404 PECOS PAC ID: 7113043621 Enrollment ID: I20100921001508 |
| Provider Name | Tera N Diewold |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1801047170 PECOS PAC ID: 2365500899 Enrollment ID: I20100922000721 |
| Provider Name | Natalie L Hempy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316099450 PECOS PAC ID: 6709902638 Enrollment ID: I20100928001120 |
| Provider Name | Christine R Carstensen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1083606222 PECOS PAC ID: 9032257639 Enrollment ID: I20101004001441 |
| Provider Name | Sommer L Livengood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225344153 PECOS PAC ID: 3678765757 Enrollment ID: I20101007000670 |
| Provider Name | Carin a Bejarno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487968822 PECOS PAC ID: 6901098599 Enrollment ID: I20101014001011 |
| Provider Name | Clete B Younger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063647071 PECOS PAC ID: 2961695317 Enrollment ID: I20101019000324 |
| Provider Name | Kelli a Roenfanz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033340567 PECOS PAC ID: 2062605421 Enrollment ID: I20101019000437 |
| Provider Name | Melinda a Silver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548579824 PECOS PAC ID: 9537353693 Enrollment ID: I20101102001179 |
| Provider Name | Quentin E Stenger |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1245547983 PECOS PAC ID: 1052505872 Enrollment ID: I20101104001518 |
| Provider Name | Richard Scott Robus |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043205321 PECOS PAC ID: 5698969426 Enrollment ID: I20101104001642 |
| Provider Name | John E Sevening |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467430967 PECOS PAC ID: 0749475184 Enrollment ID: I20101111000782 |
| Provider Name | Emily Catherine Haines |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215198932 PECOS PAC ID: 7214123983 Enrollment ID: I20101119000609 |
| Provider Name | Thomas R Staley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174750855 PECOS PAC ID: 3971790775 Enrollment ID: I20101206000930 |
| Provider Name | Jeanna Panosh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134439870 PECOS PAC ID: 2264629864 Enrollment ID: I20101208000967 |
| Provider Name | Seth R Quam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467683565 PECOS PAC ID: 1153518287 Enrollment ID: I20101215000173 |
| Provider Name | Megan K Varcho |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053613000 PECOS PAC ID: 9133317308 Enrollment ID: I20110103000969 |
| Provider Name | Debra D Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750439238 PECOS PAC ID: 6305025198 Enrollment ID: I20110126000117 |
| Provider Name | Scott J Chastek |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1487701652 PECOS PAC ID: 2062512171 Enrollment ID: I20110215000922 |
| Provider Name | Terra M Blint |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1215923776 PECOS PAC ID: 8527155787 Enrollment ID: I20110216000511 |
| Provider Name | Jennifer M Chastek |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730483645 PECOS PAC ID: 4587846308 Enrollment ID: I20110315000462 |
| Provider Name | Aaron M Heffernan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740585447 PECOS PAC ID: 1355524216 Enrollment ID: I20110330000653 |
| Provider Name | Tara L Kaiser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164721981 PECOS PAC ID: 4688859234 Enrollment ID: I20110426000644 |
| Provider Name | Timothy D Doyle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689979460 PECOS PAC ID: 7113102278 Enrollment ID: I20110505000056 |
| Provider Name | Patrick James Slattery |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1740269224 PECOS PAC ID: 6507049368 Enrollment ID: I20110524000337 |
| Provider Name | Robert B Bartelt |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1851411532 PECOS PAC ID: 5193817435 Enrollment ID: I20110627000087 |
| Provider Name | Nicholas C Thompson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1417130915 PECOS PAC ID: 9335327121 Enrollment ID: I20110627000290 |
| Provider Name | Christine-marie L Fong |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235235359 PECOS PAC ID: 4183618028 Enrollment ID: I20110628000025 |
| Provider Name | Brian C Bowshier |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1376741900 PECOS PAC ID: 9234317884 Enrollment ID: I20110629000634 |
| Provider Name | Ahmed M Abualfoul |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1154504504 PECOS PAC ID: 9739367343 Enrollment ID: I20110630000471 |
| Provider Name | Qadnana a Anwar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649438383 PECOS PAC ID: 2264610682 Enrollment ID: I20110706000384 |
| Provider Name | Jared a Terronez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497990667 PECOS PAC ID: 3072791458 Enrollment ID: I20110707000595 |
| Provider Name | Tricia L Cooperrider |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528220563 PECOS PAC ID: 0345418661 Enrollment ID: I20110712000474 |
| Provider Name | Heidi L Prose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831484898 PECOS PAC ID: 3678741741 Enrollment ID: I20110714000786 |
| Provider Name | Bryan M Purdy |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1659582310 PECOS PAC ID: 9830367952 Enrollment ID: I20110715000407 |
| Provider Name | Samuel Michael Maurice |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1033328109 PECOS PAC ID: 6608044227 Enrollment ID: I20110725000761 |
| Provider Name | Chad a Stadsvold |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1932304060 PECOS PAC ID: 4688843063 Enrollment ID: I20110802000368 |
| Provider Name | Johanna C Engel Brower |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023321585 PECOS PAC ID: 1052580784 Enrollment ID: I20110812000590 |
| Provider Name | Kathy a Bell-mahler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700173028 PECOS PAC ID: 4981873577 Enrollment ID: I20110817000175 |
| Provider Name | Stephen R Pallone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619186475 PECOS PAC ID: 9335319839 Enrollment ID: I20110818000639 |
| Provider Name | Lisa M Schwiebert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710206255 PECOS PAC ID: 0840460317 Enrollment ID: I20110819000540 |
| Provider Name | Anne M Sayre |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912121773 PECOS PAC ID: 9931379914 Enrollment ID: I20110830000576 |
| Provider Name | Audrey K Gries |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1245412204 PECOS PAC ID: 2264514991 Enrollment ID: I20110928000801 |
| Provider Name | Alfred D Fleming |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790893550 PECOS PAC ID: 7012005572 Enrollment ID: I20111004000108 |
| Provider Name | Tricia M Tentinger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003107137 PECOS PAC ID: 1153593694 Enrollment ID: I20111006000019 |
| Provider Name | Amandeep Kaur |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1619195534 PECOS PAC ID: 6800068875 Enrollment ID: I20111017000711 |
| Provider Name | Abbey G Matzen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134403637 PECOS PAC ID: 4789857509 Enrollment ID: I20111024000062 |
| Provider Name | Kassidy K Chen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1154600948 PECOS PAC ID: 9537332366 Enrollment ID: I20111024000152 |
| Provider Name | Abdur Rahim |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518909894 PECOS PAC ID: 5395919906 Enrollment ID: I20111116000846 |
| Provider Name | Tonja L Winekauf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710275912 PECOS PAC ID: 2769656834 Enrollment ID: I20111130000026 |
| Provider Name | Jessica E Pifkin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861778508 PECOS PAC ID: 3779758172 Enrollment ID: I20111214000165 |
| Provider Name | Brian D Lindsay |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1508008566 PECOS PAC ID: 5294902821 Enrollment ID: I20120121000124 |
| Provider Name | Michelle L Vetsch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215212865 PECOS PAC ID: 7719144450 Enrollment ID: I20120207000668 |
| Provider Name | Sue a Bruch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093095291 PECOS PAC ID: 8426215955 Enrollment ID: I20120210000170 |
| Provider Name | Dena R Neiman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336418425 PECOS PAC ID: 8325206295 Enrollment ID: I20120223000222 |
| Provider Name | John Carstensen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851378012 PECOS PAC ID: 2860535044 Enrollment ID: I20120223000782 |
| Provider Name | Elizabeth M Giedt |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023380755 PECOS PAC ID: 2860650553 Enrollment ID: I20120227000677 |
| Provider Name | Patrick W Oconner |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1326147208 PECOS PAC ID: 4284892837 Enrollment ID: I20120228000585 |
| Provider Name | Mary K Keenan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1356613012 PECOS PAC ID: 8426210121 Enrollment ID: I20120425000400 |
| Provider Name | Kerri L Patton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457303653 PECOS PAC ID: 2567526023 Enrollment ID: I20120502000648 |
| Provider Name | Jamie C Butterworth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104191113 PECOS PAC ID: 2062675945 Enrollment ID: I20120514000453 |
| Provider Name | Emily R Ball |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235403015 PECOS PAC ID: 8628233574 Enrollment ID: I20120627000793 |
| Provider Name | Lindsey R Irlmeier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992069629 PECOS PAC ID: 6901052448 Enrollment ID: I20120815000713 |
| Provider Name | Michael E Knutsen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063774321 PECOS PAC ID: 2860648292 Enrollment ID: I20120817000147 |
| Provider Name | Callie a Waller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346537560 PECOS PAC ID: 3274789623 Enrollment ID: I20120820000013 |
| Provider Name | Janice a Landy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275507022 PECOS PAC ID: 7618007238 Enrollment ID: I20120820000622 |
| Provider Name | Leah R Gabriel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902108236 PECOS PAC ID: 7911154257 Enrollment ID: I20120822000052 |
| Provider Name | Nathanael K Fuller |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1144583451 PECOS PAC ID: 9234386376 Enrollment ID: I20120824000664 |
| Provider Name | Benjamin J Howe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134359110 PECOS PAC ID: 2264689710 Enrollment ID: I20120906000065 |
| Provider Name | Dorothy J Todt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154559920 PECOS PAC ID: 7517115033 Enrollment ID: I20120907000043 |
| Provider Name | Olatokunbo Shobande |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972711513 PECOS PAC ID: 6901077973 Enrollment ID: I20120907000439 |
| Provider Name | Heather E Holbrook |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447505631 PECOS PAC ID: 9234387408 Enrollment ID: I20120912000681 |
| Provider Name | Julia M Jones |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780819391 PECOS PAC ID: 5193973386 Enrollment ID: I20120912000859 |
| Provider Name | Phanivardhan R Babireddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598067522 PECOS PAC ID: 6002064219 Enrollment ID: I20120913000153 |
| Provider Name | Nicole C Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063776573 PECOS PAC ID: 1759539752 Enrollment ID: I20120917000715 |
| Provider Name | Lacey a Nicol |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1215228010 PECOS PAC ID: 2466637640 Enrollment ID: I20120918000164 |
| Provider Name | Megan Romine |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922236181 PECOS PAC ID: 5294983011 Enrollment ID: I20120919000439 |
| Provider Name | Allison a Vanotterloo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912254228 PECOS PAC ID: 2466601968 Enrollment ID: I20120926000742 |
| Provider Name | Deepti S Kurra |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255561023 PECOS PAC ID: 7618126574 Enrollment ID: I20121009000578 |
| Provider Name | Sandro S Younadam |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902078439 PECOS PAC ID: 4284805375 Enrollment ID: I20121012000194 |
| Provider Name | Vara Venkata Padma Kamala Kumari Ponnada |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093076671 PECOS PAC ID: 8628228293 Enrollment ID: I20121017000807 |
| Provider Name | Prashanth Garshakurthi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417283714 PECOS PAC ID: 0648420943 Enrollment ID: I20121023000206 |
| Provider Name | James a Lindley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528064052 PECOS PAC ID: 5193720712 Enrollment ID: I20121024000308 |
| Provider Name | Jimmie R Horton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710114434 PECOS PAC ID: 2860642071 Enrollment ID: I20121024000750 |
| Provider Name | Muhammad U Anwer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194991992 PECOS PAC ID: 9931359940 Enrollment ID: I20121029000782 |
| Provider Name | Jason D Thornburg |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1770838534 PECOS PAC ID: 2860642675 Enrollment ID: I20121031000612 |
| Provider Name | Evan C Nelson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396092359 PECOS PAC ID: 3476703281 Enrollment ID: I20121031000644 |
| Provider Name | Catherine L Yim |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457608622 PECOS PAC ID: 2567612328 Enrollment ID: I20121101000435 |
| Provider Name | Katie C Wilcox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235411505 PECOS PAC ID: 7911170543 Enrollment ID: I20121102000359 |
| Provider Name | Jodi K Walther |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932456035 PECOS PAC ID: 1557512373 Enrollment ID: I20121102000517 |
| Provider Name | Kristina N Yoder |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1649430620 PECOS PAC ID: 2668638016 Enrollment ID: I20121103000044 |
| Provider Name | Meagan S Menken |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043567514 PECOS PAC ID: 6305097080 Enrollment ID: I20121105000587 |
| Provider Name | Maria S Ogden |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1043286446 PECOS PAC ID: 1850542515 Enrollment ID: I20121107000037 |
| Provider Name | Julianne Yost |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780932681 PECOS PAC ID: 5991956419 Enrollment ID: I20121109000568 |
| Provider Name | Erica Ann Parrish Valdez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073867958 PECOS PAC ID: 9032361522 Enrollment ID: I20121207000408 |
| Provider Name | Lance a Goodall |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578792321 PECOS PAC ID: 4688826704 Enrollment ID: I20121218000110 |
| Provider Name | Prasuna Madhavaram |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1952525115 PECOS PAC ID: 5193978914 Enrollment ID: I20130103000303 |
| Provider Name | Brett L Stewart |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1639434046 PECOS PAC ID: 2163675901 Enrollment ID: I20130104000061 |
| Provider Name | Jason M Cogdill |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1265458681 PECOS PAC ID: 7517110760 Enrollment ID: I20130121000225 |
| Provider Name | Taffy a Zoelle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265718639 PECOS PAC ID: 1951554138 Enrollment ID: I20130122000270 |
| Provider Name | Elizabeth R Eichhorn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265784201 PECOS PAC ID: 1850544032 Enrollment ID: I20130122000280 |
| Provider Name | Erin L Tracy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992041305 PECOS PAC ID: 0840445938 Enrollment ID: I20130220000493 |
| Provider Name | Yong H Pratt |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477789873 PECOS PAC ID: 8022273564 Enrollment ID: I20130221000005 |
| Provider Name | Suren Ravuri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104063536 PECOS PAC ID: 2860647682 Enrollment ID: I20130228000382 |
| Provider Name | Kristin M Devore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619213584 PECOS PAC ID: 7911142914 Enrollment ID: I20130322000019 |
| Provider Name | Wendy S Street |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659618130 PECOS PAC ID: 3678718053 Enrollment ID: I20130408000340 |
| Provider Name | Lindsey M Fredericksen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255678520 PECOS PAC ID: 7719122191 Enrollment ID: I20130408000389 |
| Provider Name | Rachel KS Cogdill |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1861673212 PECOS PAC ID: 8921174764 Enrollment ID: I20130426000507 |
| Provider Name | Amanda M Gould |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982867628 PECOS PAC ID: 0648416131 Enrollment ID: I20130430000153 |
| Provider Name | Jessica D Lorenz |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1376733113 PECOS PAC ID: 1951478148 Enrollment ID: I20130508000142 |
| Provider Name | Matthew J Kidwell |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1508092552 PECOS PAC ID: 2860639846 Enrollment ID: I20130510000419 |
| Provider Name | Tiffany N Matheny |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467791558 PECOS PAC ID: 8527205293 Enrollment ID: I20130516000659 |
| Provider Name | Ezra a Hallam |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1467688259 PECOS PAC ID: 0244479657 Enrollment ID: I20130615000083 |
| Provider Name | Whitney L Vogt |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1437498300 PECOS PAC ID: 4486894771 Enrollment ID: I20130710000250 |
| Provider Name | Joseph J Kwofie |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891953543 PECOS PAC ID: 4880834803 Enrollment ID: I20130715000545 |
| Provider Name | Hamad Azam |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1861602542 PECOS PAC ID: 7214178821 Enrollment ID: I20130724000551 |
| Provider Name | Matthew R Okland |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1093026635 PECOS PAC ID: 7214179944 Enrollment ID: I20130809000051 |
| Provider Name | William E Wortman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912293598 PECOS PAC ID: 5193967644 Enrollment ID: I20130813000067 |
| Provider Name | Jennifer J Schubert |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457671869 PECOS PAC ID: 0042452336 Enrollment ID: I20130815000939 |
| Provider Name | Vijaya K Gogineni |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1821280207 PECOS PAC ID: 7315180171 Enrollment ID: I20130826000797 |
| Provider Name | Kostadinos Antonopoulos |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1043521644 PECOS PAC ID: 1456594266 Enrollment ID: I20130827000260 |
| Provider Name | Peter Read |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083939110 PECOS PAC ID: 0749423572 Enrollment ID: I20130827000472 |
| Provider Name | Chad Laurich |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1750590998 PECOS PAC ID: 3577618685 Enrollment ID: I20130828000567 |
| Provider Name | Valerie Tallerico-antonopoulos |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1952612558 PECOS PAC ID: 1658514195 Enrollment ID: I20130830000468 |
| Provider Name | Alaidden Taher |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982918009 PECOS PAC ID: 8224271788 Enrollment ID: I20130830000697 |
| Provider Name | Jennifer L Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912258344 PECOS PAC ID: 5193968576 Enrollment ID: I20130904000536 |
| Provider Name | Jamie K Grant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093154213 PECOS PAC ID: 3072756451 Enrollment ID: I20130904000572 |
| Provider Name | Latha Balamuniswamy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336113992 PECOS PAC ID: 2466631023 Enrollment ID: I20130909000274 |
| Provider Name | Steven E Broomhead |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1689838823 PECOS PAC ID: 4385886753 Enrollment ID: I20130913000779 |
| Provider Name | Mark Andrew Erickson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1518193242 PECOS PAC ID: 9830333491 Enrollment ID: I20130920000382 |
| Provider Name | Justin Rosenow |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1346408952 PECOS PAC ID: 9537303193 Enrollment ID: I20130920000419 |
| Provider Name | Shawn P Spooner |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1134285836 PECOS PAC ID: 2668616244 Enrollment ID: I20130920000664 |
| Provider Name | Rhonda S Coffman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710327812 PECOS PAC ID: 2466696539 Enrollment ID: I20130925000330 |
| Provider Name | Samantha B Banzhaf |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1922449479 PECOS PAC ID: 9739323015 Enrollment ID: I20130926000839 |
| Provider Name | Then E Tong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447578992 PECOS PAC ID: 7214161520 Enrollment ID: I20130927000441 |
| Provider Name | Anshul Jain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841578994 PECOS PAC ID: 4385878560 Enrollment ID: I20131001000066 |
| Provider Name | Cindy S Pontious |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770925935 PECOS PAC ID: 0648404848 Enrollment ID: I20131001000201 |
| Provider Name | Leslie M Greenlee |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700105780 PECOS PAC ID: 5496989691 Enrollment ID: I20131001000285 |
| Provider Name | Kelan D Krohe |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942641022 PECOS PAC ID: 7810121936 Enrollment ID: I20131003000318 |
| Provider Name | Erin S Rowan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528329398 PECOS PAC ID: 6002040961 Enrollment ID: I20131008000826 |
| Provider Name | Benjamin J Kolner |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1871934851 PECOS PAC ID: 7416181383 Enrollment ID: I20131008000937 |
| Provider Name | Nicole M Ness |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1427480433 PECOS PAC ID: 4486888328 Enrollment ID: I20131009001059 |
| Provider Name | Eduardo Sebastian Antezano |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1447363486 PECOS PAC ID: 3375783335 Enrollment ID: I20131015002073 |
| Provider Name | Jennifer L Condon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386084747 PECOS PAC ID: 3072748987 Enrollment ID: I20131031001078 |
| Provider Name | Richard E Hill |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1962445049 PECOS PAC ID: 7911984596 Enrollment ID: I20131104000060 |
| Provider Name | Suzanne G Gettman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902248511 PECOS PAC ID: 9537395637 Enrollment ID: I20131120000404 |
| Provider Name | Ojash J Raval |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093079345 PECOS PAC ID: 6204081508 Enrollment ID: I20131202001460 |
| Provider Name | Erin E Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407297351 PECOS PAC ID: 4587890165 Enrollment ID: I20131204001657 |
| Provider Name | Sachin S Nunnewar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114161908 PECOS PAC ID: 1850445578 Enrollment ID: I20131206000822 |
| Provider Name | Kate a Tripp |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1073949236 PECOS PAC ID: 7719114214 Enrollment ID: I20131206001635 |
| Provider Name | Carrie a Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831525799 PECOS PAC ID: 6204063274 Enrollment ID: I20131218001766 |
| Provider Name | Brooke E Stewart |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750710307 PECOS PAC ID: 5698903961 Enrollment ID: I20140113000594 |
| Provider Name | Lindsay M Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164859815 PECOS PAC ID: 8527296847 Enrollment ID: I20140114000339 |
| Provider Name | Jennifer a Mayer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740618735 PECOS PAC ID: 6002044179 Enrollment ID: I20140117000200 |
| Provider Name | Sarah R Cole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871927681 PECOS PAC ID: 7214165109 Enrollment ID: I20140123000800 |
| Provider Name | Lisa J Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871929471 PECOS PAC ID: 4486882297 Enrollment ID: I20140123001929 |
| Provider Name | Sarah M Cisco |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063840320 PECOS PAC ID: 7517195381 Enrollment ID: I20140124001766 |
| Provider Name | Samuel J Hartman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1952537789 PECOS PAC ID: 3779712112 Enrollment ID: I20140206000899 |
| Provider Name | Sasidhar Somuri |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285954206 PECOS PAC ID: 4981898400 Enrollment ID: I20140220000742 |
| Provider Name | Sarah Pearman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841629490 PECOS PAC ID: 0143450015 Enrollment ID: I20140221000191 |
| Provider Name | Brianna D Jewell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891059606 PECOS PAC ID: 8022247311 Enrollment ID: I20140221001139 |
| Provider Name | Tonya K Flaugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699109595 PECOS PAC ID: 1153557145 Enrollment ID: I20140308000042 |
| Provider Name | Katherine E Andersen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770912768 PECOS PAC ID: 5193955144 Enrollment ID: I20140313000746 |
| Provider Name | Ashley M Weller |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1275963332 PECOS PAC ID: 4486885423 Enrollment ID: I20140315000205 |
| Provider Name | Emad F Beshai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528069598 PECOS PAC ID: 3072614833 Enrollment ID: I20140328001211 |
| Provider Name | Allison S Schoolman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932521325 PECOS PAC ID: 1355573494 Enrollment ID: I20140403002278 |
| Provider Name | Jessica L Frana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801211693 PECOS PAC ID: 1759513708 Enrollment ID: I20140407000988 |
| Provider Name | Mushtaq M Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457655979 PECOS PAC ID: 7315180940 Enrollment ID: I20140407001054 |
| Provider Name | Evan Q Ouyang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477848190 PECOS PAC ID: 6608016027 Enrollment ID: I20140410000211 |
| Provider Name | Jody L Zolondek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063837102 PECOS PAC ID: 3779715016 Enrollment ID: I20140421000360 |
| Provider Name | Catherine G Wallace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033200431 PECOS PAC ID: 8820220106 Enrollment ID: I20140421001416 |
| Provider Name | Debra K Lodge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619392438 PECOS PAC ID: 4284867383 Enrollment ID: I20140424002105 |
| Provider Name | Kathi Bower |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487070504 PECOS PAC ID: 7315170362 Enrollment ID: I20140429000827 |
| Provider Name | Michelle M Ewest |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215223847 PECOS PAC ID: 3173766953 Enrollment ID: I20140430001068 |
| Provider Name | Faheemuddin a Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366619595 PECOS PAC ID: 3274756135 Enrollment ID: I20140521001364 |
| Provider Name | Gabrielle Boysen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649692682 PECOS PAC ID: 9032332523 Enrollment ID: I20140602002131 |
| Provider Name | Julie a Leary |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922447275 PECOS PAC ID: 2567686892 Enrollment ID: I20140606001119 |
| Provider Name | Evan J Diehl |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255626925 PECOS PAC ID: 1557585411 Enrollment ID: I20140616000496 |
| Provider Name | Dianna L Edwards |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770877466 PECOS PAC ID: 8022232677 Enrollment ID: I20140620002030 |
| Provider Name | Steve J Arvanitis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205800679 PECOS PAC ID: 2062491921 Enrollment ID: I20140630001552 |
| Provider Name | Julio Chirinos Lazarte |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285940338 PECOS PAC ID: 8224253430 Enrollment ID: I20140702000492 |
| Provider Name | Rachel a Overton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710271044 PECOS PAC ID: 3870746779 Enrollment ID: I20140711000286 |
| Provider Name | Vijayalakshmi Mukkamalla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073883674 PECOS PAC ID: 8123241478 Enrollment ID: I20140711000984 |
| Provider Name | Grant Peterson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881905370 PECOS PAC ID: 4587808142 Enrollment ID: I20140711002018 |
| Provider Name | Laura E Hirl |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588950117 PECOS PAC ID: 6901047935 Enrollment ID: I20140714000091 |
| Provider Name | Scott H Oelberg |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356637763 PECOS PAC ID: 4082857933 Enrollment ID: I20140714000162 |
| Provider Name | Jenny L Zalaznik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073945499 PECOS PAC ID: 3375774243 Enrollment ID: I20140729002218 |
| Provider Name | Kimberly a Stromert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558777045 PECOS PAC ID: 6901023605 Enrollment ID: I20140804000428 |
| Provider Name | Erica S Schafer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063827723 PECOS PAC ID: 7315164993 Enrollment ID: I20140805001060 |
| Provider Name | Alexandra K Hubbell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366883357 PECOS PAC ID: 5092958330 Enrollment ID: I20140808001024 |
| Provider Name | Kathleen R Patterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912314600 PECOS PAC ID: 8224255393 Enrollment ID: I20140813001851 |
| Provider Name | Jeffrey a Guse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063827798 PECOS PAC ID: 0941427066 Enrollment ID: I20140814000381 |
| Provider Name | Hannah R Vander Wal |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1982012878 PECOS PAC ID: 6406073378 Enrollment ID: I20140818000285 |
| Provider Name | Charity D Carstensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881008704 PECOS PAC ID: 2062639891 Enrollment ID: I20140819000112 |
| Provider Name | Andrew J Stefani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093027120 PECOS PAC ID: 0446478002 Enrollment ID: I20140825001030 |
| Provider Name | Halie a Anderson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497050611 PECOS PAC ID: 7517185960 Enrollment ID: I20140826001665 |
| Provider Name | Caleb P Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902218324 PECOS PAC ID: 7719105998 Enrollment ID: I20140829001669 |
| Provider Name | Kimberly N Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316356496 PECOS PAC ID: 8729206883 Enrollment ID: I20140902002072 |
| Provider Name | Marie De Alwis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629361506 PECOS PAC ID: 3476771411 Enrollment ID: I20140904000661 |
| Provider Name | Syeda a Quadri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790070746 PECOS PAC ID: 0244459584 Enrollment ID: I20140918000130 |
| Provider Name | Ashlea a Lem |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225446313 PECOS PAC ID: 5294954483 Enrollment ID: I20140922000486 |
| Provider Name | Jodi L Netley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245649003 PECOS PAC ID: 4587883665 Enrollment ID: I20140923000795 |
| Provider Name | Samantha P Farris |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1346673100 PECOS PAC ID: 2961636477 Enrollment ID: I20140923001934 |
| Provider Name | Whitney L Blakeman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1770998288 PECOS PAC ID: 5597985523 Enrollment ID: I20140925001432 |
| Provider Name | Emily R Johnson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1316351976 PECOS PAC ID: 5395965347 Enrollment ID: I20140925001837 |
| Provider Name | Shawna L Tobin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710387246 PECOS PAC ID: 9335369925 Enrollment ID: I20141002000932 |
| Provider Name | Bo a Lodge |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912316621 PECOS PAC ID: 4486875549 Enrollment ID: I20141015001053 |
| Provider Name | Danielle N Brodersen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407250830 PECOS PAC ID: 1355563768 Enrollment ID: I20141118002562 |
| Provider Name | Teresa a Isaacson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003225285 PECOS PAC ID: 3971825100 Enrollment ID: I20141125001532 |
| Provider Name | Courtney B Heater |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891190401 PECOS PAC ID: 7416279260 Enrollment ID: I20141204002053 |
| Provider Name | Samir V Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699090860 PECOS PAC ID: 2163657818 Enrollment ID: I20141209000260 |
| Provider Name | Julianna M Castro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760487839 PECOS PAC ID: 5991700676 Enrollment ID: I20141212000048 |
| Provider Name | Spencer Kay Kleitsch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568870566 PECOS PAC ID: 7315269727 Enrollment ID: I20141212001747 |
| Provider Name | Lacy N Halsrud |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538578125 PECOS PAC ID: 5991028300 Enrollment ID: I20141216000248 |
| Provider Name | Tassie a Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023399011 PECOS PAC ID: 3072836485 Enrollment ID: I20141216000281 |
| Provider Name | Mohammad Sajed |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1396785127 PECOS PAC ID: 3577567528 Enrollment ID: I20141216001517 |
| Provider Name | Kristin M Kuhles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952717142 PECOS PAC ID: 7416270137 Enrollment ID: I20150102000844 |
| Provider Name | Toyosi T Olutade |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417111311 PECOS PAC ID: 2466622113 Enrollment ID: I20150108001263 |
| Provider Name | Burim Neziroski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518272723 PECOS PAC ID: 6305088089 Enrollment ID: I20150108001863 |
| Provider Name | Adam T Vandermolen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134567654 PECOS PAC ID: 4284958307 Enrollment ID: I20150121000587 |
| Provider Name | Sherry Khurana |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669763181 PECOS PAC ID: 8224276514 Enrollment ID: I20150123000783 |
| Provider Name | Muddasir Ashraf |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487819520 PECOS PAC ID: 2163555210 Enrollment ID: I20150128001380 |
| Provider Name | Tarra E Richard |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346575453 PECOS PAC ID: 5698090900 Enrollment ID: I20150209001149 |
| Provider Name | Jeffery M Little |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659610277 PECOS PAC ID: 3375781156 Enrollment ID: I20150223001529 |
| Provider Name | Jennifer M Westfall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609274760 PECOS PAC ID: 6204150220 Enrollment ID: I20150303001430 |
| Provider Name | Lindsay Nees |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1992196430 PECOS PAC ID: 1456677616 Enrollment ID: I20150305000783 |
| Provider Name | Marjorie a Easter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265597652 PECOS PAC ID: 0749282747 Enrollment ID: I20150311001263 |
| Provider Name | Rebecca Lynn Fox |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265785083 PECOS PAC ID: 4082931100 Enrollment ID: I20150327002201 |
| Provider Name | Patrick J Kasper |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1407248370 PECOS PAC ID: 0446577423 Enrollment ID: I20150401000983 |
| Provider Name | Sarah L Mays |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528469491 PECOS PAC ID: 1759604143 Enrollment ID: I20150413000624 |
| Provider Name | Amanda Hogan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427480425 PECOS PAC ID: 7012235583 Enrollment ID: I20150413001746 |
| Provider Name | Bethany L Decoster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407247497 PECOS PAC ID: 8820316938 Enrollment ID: I20150421000570 |
| Provider Name | Cole H Asay |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1194117440 PECOS PAC ID: 6406175611 Enrollment ID: I20150508001404 |
| Provider Name | Matthew Skeens |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629416144 PECOS PAC ID: 4688818537 Enrollment ID: I20150515001945 |
| Provider Name | Polly a Haskins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194035782 PECOS PAC ID: 8123214434 Enrollment ID: I20150520001424 |
| Provider Name | Eric J Askeland |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1326272923 PECOS PAC ID: 1355587007 Enrollment ID: I20150601002541 |
| Provider Name | George Makhoul |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104180652 PECOS PAC ID: 7911228069 Enrollment ID: I20150602001191 |
| Provider Name | Ratna P Gangi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1164653945 PECOS PAC ID: 7618298548 Enrollment ID: I20150604000650 |
| Provider Name | Ahmar Mannan Butt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275871485 PECOS PAC ID: 7911135348 Enrollment ID: I20150604002388 |
| Provider Name | Jennifer a Donovan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053630640 PECOS PAC ID: 7214177229 Enrollment ID: I20150605001656 |
| Provider Name | Kiley D Ottervanger |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942564745 PECOS PAC ID: 8921241795 Enrollment ID: I20150609001061 |
| Provider Name | Jay R Diaz-parlet |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1417011875 PECOS PAC ID: 9032246046 Enrollment ID: I20150610000685 |
| Provider Name | Jennifer June Milby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013396639 PECOS PAC ID: 8921329269 Enrollment ID: I20150611001514 |
| Provider Name | Brian T Cheney |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1841583150 PECOS PAC ID: 3375784150 Enrollment ID: I20150611002592 |
| Provider Name | Ahmed Jamal Chaudhary |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801141957 PECOS PAC ID: 7517278740 Enrollment ID: I20150615002076 |
| Provider Name | Benjamin Bruce Kumor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043445141 PECOS PAC ID: 9537388004 Enrollment ID: I20150629000687 |
| Provider Name | Armeet Singh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902056096 PECOS PAC ID: 3779895602 Enrollment ID: I20150707002323 |
| Provider Name | Emily L Eady |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770847576 PECOS PAC ID: 4486897345 Enrollment ID: I20150708001494 |
| Provider Name | Matthew Humpal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609135375 PECOS PAC ID: 6103056171 Enrollment ID: I20150709000476 |
| Provider Name | Vikram Agrawal |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821227414 PECOS PAC ID: 3678619053 Enrollment ID: I20150714001709 |
| Provider Name | Carly Y Roskop |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083096663 PECOS PAC ID: 3779896857 Enrollment ID: I20150717002374 |
| Provider Name | Mark R Newton |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1790929354 PECOS PAC ID: 7416194063 Enrollment ID: I20150724012570 |
| Provider Name | Eketerina Roman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538276894 PECOS PAC ID: 3971570284 Enrollment ID: I20150727000127 |
| Provider Name | Karla N Solheim |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831484906 PECOS PAC ID: 9739328816 Enrollment ID: I20150727001127 |
| Provider Name | Katherine Irene Meyers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518223361 PECOS PAC ID: 1052538477 Enrollment ID: I20150727001263 |
| Provider Name | Catherine J Sandberg |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851647614 PECOS PAC ID: 7618191800 Enrollment ID: I20150727002601 |
| Provider Name | Jennifer Ann Daza |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1841674769 PECOS PAC ID: 0143534628 Enrollment ID: I20150728004349 |
| Provider Name | Tamara J Meier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720467376 PECOS PAC ID: 8426362591 Enrollment ID: I20150803001466 |
| Provider Name | Jessica E Konarske |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598031734 PECOS PAC ID: 7517184245 Enrollment ID: I20150804005413 |
| Provider Name | Christine XS Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356756266 PECOS PAC ID: 6709004195 Enrollment ID: I20150806009897 |
| Provider Name | Kimberlee K Borneman |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1588047021 PECOS PAC ID: 1052625969 Enrollment ID: I20150806009960 |
| Provider Name | Lydia E Vannatta |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1801277850 PECOS PAC ID: 1557675253 Enrollment ID: I20150807014169 |
| Provider Name | Amy M Thurm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063896629 PECOS PAC ID: 1850606484 Enrollment ID: I20150811006031 |
| Provider Name | Darcie M Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184006272 PECOS PAC ID: 9638483332 Enrollment ID: I20150812007428 |
| Provider Name | Ciarra a Lang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366828121 PECOS PAC ID: 8224343595 Enrollment ID: I20150814014197 |
| Provider Name | Laura L Cunningham |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1326424904 PECOS PAC ID: 0547576308 Enrollment ID: I20150825004412 |
| Provider Name | Bradley W Zeithamel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1568768752 PECOS PAC ID: 4486960119 Enrollment ID: I20150826001044 |
| Provider Name | Sandeep S Gupta |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1194990945 PECOS PAC ID: 3678742723 Enrollment ID: I20150903000074 |
| Provider Name | Eric D Meyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457584740 PECOS PAC ID: 1951533835 Enrollment ID: I20150903001996 |
| Provider Name | Katie M Maybanks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396120036 PECOS PAC ID: 3274849146 Enrollment ID: I20150909000564 |
| Provider Name | Ola M Khraiwesh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760829048 PECOS PAC ID: 8325281421 Enrollment ID: I20150909000672 |
| Provider Name | Kylie R Maurer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1275916272 PECOS PAC ID: 3678880408 Enrollment ID: I20150911000052 |
| Provider Name | Elizabeth Tjarks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487039061 PECOS PAC ID: 5991012650 Enrollment ID: I20150914002544 |
| Provider Name | Cory Lynn Straub |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1154634996 PECOS PAC ID: 8628399045 Enrollment ID: I20150916002504 |
| Provider Name | Austin T Baeth |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750647400 PECOS PAC ID: 2264749514 Enrollment ID: I20150918000072 |
| Provider Name | Brittney a Balik |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891179826 PECOS PAC ID: 7517274871 Enrollment ID: I20150918000516 |
| Provider Name | Christina Schnedler |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1295103588 PECOS PAC ID: 0840507943 Enrollment ID: I20150923000099 |
| Provider Name | Chelsey L Halverson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1255715272 PECOS PAC ID: 0042528945 Enrollment ID: I20150925001506 |
| Provider Name | Grant James Lee Wilson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1558738963 PECOS PAC ID: 4880902451 Enrollment ID: I20150930002772 |
| Provider Name | Joseph C Wickard |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1124349162 PECOS PAC ID: 5395053672 Enrollment ID: I20151006002885 |
| Provider Name | Jared G Nyabuti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255695797 PECOS PAC ID: 9133368822 Enrollment ID: I20151008001662 |
| Provider Name | Brian a Silvia |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1124173034 PECOS PAC ID: 0547419277 Enrollment ID: I20151009001175 |
| Provider Name | Brady W Hunt |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1508242983 PECOS PAC ID: 9335458439 Enrollment ID: I20151012000463 |
| Provider Name | Mindy B Southammavong |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1528434859 PECOS PAC ID: 3476862723 Enrollment ID: I20151027002678 |
| Provider Name | Kathleen F Rousseau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053783175 PECOS PAC ID: 7911207162 Enrollment ID: I20151120000084 |
| Provider Name | Chelsey E Zitelman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366815391 PECOS PAC ID: 0143521195 Enrollment ID: I20151216000031 |
| Provider Name | Lacey Jo Myers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821461344 PECOS PAC ID: 2365743820 Enrollment ID: I20151229001215 |
| Provider Name | Adrian Letz |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1033221916 PECOS PAC ID: 1153331715 Enrollment ID: I20160202001317 |
| Provider Name | Alex a Cathey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407294317 PECOS PAC ID: 2365685997 Enrollment ID: I20160203000946 |
| Provider Name | Kate E Bolick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841657236 PECOS PAC ID: 2860796059 Enrollment ID: I20160209001249 |
| Provider Name | Dinah M Conti |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184679474 PECOS PAC ID: 9234163338 Enrollment ID: I20160223000449 |
| Provider Name | Heather M Rush |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417369562 PECOS PAC ID: 3375763261 Enrollment ID: I20160316002032 |
| Provider Name | Kristen M Grapp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144604257 PECOS PAC ID: 0941507297 Enrollment ID: I20160331000853 |
| Provider Name | Arvind Kakani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548608029 PECOS PAC ID: 7214171081 Enrollment ID: I20160411000864 |
| Provider Name | Nicole D Slater |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134580657 PECOS PAC ID: 9537467337 Enrollment ID: I20160412000615 |
| Provider Name | Ginger R Massey |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1326058074 PECOS PAC ID: 4789687187 Enrollment ID: I20160425001581 |
| Provider Name | Lisa R Carlson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598755522 PECOS PAC ID: 8325347776 Enrollment ID: I20160506000040 |
| Provider Name | Jared E Kray |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1932338837 PECOS PAC ID: 6901059153 Enrollment ID: I20160509001208 |
| Provider Name | Karlea J Norby |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1083077465 PECOS PAC ID: 4183913403 Enrollment ID: I20160510000742 |
| Provider Name | Dustin A. Mccann |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1831410802 PECOS PAC ID: 8022240712 Enrollment ID: I20160510001037 |
| Provider Name | Brandy M Leclere |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932563061 PECOS PAC ID: 6800185042 Enrollment ID: I20160511002299 |
| Provider Name | Brian E Oshaughnessy |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1023021151 PECOS PAC ID: 6901826684 Enrollment ID: I20160513000250 |
| Provider Name | Diana Delia Cano Mujica De Chirinos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942660758 PECOS PAC ID: 1850697202 Enrollment ID: I20160517000710 |
| Provider Name | Angela a Knoblauch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063826766 PECOS PAC ID: 2365482429 Enrollment ID: I20160608002263 |
| Provider Name | Brant a Rustwick |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1992063960 PECOS PAC ID: 5092956961 Enrollment ID: I20160615001442 |
| Provider Name | Kenneth W Martin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699118356 PECOS PAC ID: 7719120658 Enrollment ID: I20160622001323 |
| Provider Name | Padmanabhan Priyesh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1598078552 PECOS PAC ID: 9133355860 Enrollment ID: I20160623002127 |
| Provider Name | Charles F Youngblood |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1346202447 PECOS PAC ID: 9234293549 Enrollment ID: I20160629000967 |
| Provider Name | Whitney L Cowman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841557352 PECOS PAC ID: 9133369150 Enrollment ID: I20160711001112 |
| Provider Name | Mitchel M Mckenzie |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1770865164 PECOS PAC ID: 9638394232 Enrollment ID: I20160711002104 |
| Provider Name | Jingtao Huang |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1174887020 PECOS PAC ID: 1355640251 Enrollment ID: I20160714001494 |
| Provider Name | Jordan M Reeder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306295175 PECOS PAC ID: 3678866845 Enrollment ID: I20160726000982 |
| Provider Name | Christopher J Goetzinger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912343609 PECOS PAC ID: 0648414540 Enrollment ID: I20160727002574 |
| Provider Name | Robin M Pattison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235589656 PECOS PAC ID: 2466745401 Enrollment ID: I20160727002841 |
| Provider Name | Eric M Neverman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043573025 PECOS PAC ID: 0143455469 Enrollment ID: I20160727002873 |
| Provider Name | Kimberly C Joliet |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265797310 PECOS PAC ID: 0446483150 Enrollment ID: I20160728001445 |
| Provider Name | Erik V Mortens |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891176228 PECOS PAC ID: 7315250768 Enrollment ID: I20160808002247 |
| Provider Name | Shanna R Elliott |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629458302 PECOS PAC ID: 0042526360 Enrollment ID: I20160811000350 |
| Provider Name | Katherine J Alatorre |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295967677 PECOS PAC ID: 8123312196 Enrollment ID: I20160815000650 |
| Provider Name | Jessica L Manders |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1134581184 PECOS PAC ID: 9830484435 Enrollment ID: I20160822001414 |
| Provider Name | Marsan Klein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962855148 PECOS PAC ID: 1052606514 Enrollment ID: I20160823000719 |
| Provider Name | Andrea Wulf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609228469 PECOS PAC ID: 6305131632 Enrollment ID: I20160825000088 |
| Provider Name | Erica a Craw |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1730532466 PECOS PAC ID: 1052606290 Enrollment ID: I20160826000451 |
| Provider Name | Emily J Fye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588118731 PECOS PAC ID: 8123313319 Enrollment ID: I20160826001879 |
| Provider Name | Corinne L Fevold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861661522 PECOS PAC ID: 4183754542 Enrollment ID: I20160831000540 |
| Provider Name | Janet Abendroth |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235229295 PECOS PAC ID: 0446546337 Enrollment ID: I20160831002561 |
| Provider Name | Jennifer M Lucas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275776841 PECOS PAC ID: 6608926647 Enrollment ID: I20160901000072 |
| Provider Name | Quang Tung Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003259524 PECOS PAC ID: 1456645241 Enrollment ID: I20160906000078 |
| Provider Name | Tonya M Kerker |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1245681378 PECOS PAC ID: 1254627813 Enrollment ID: I20160907002119 |
| Provider Name | Marc Luckett |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881667608 PECOS PAC ID: 4587602966 Enrollment ID: I20160909001578 |
| Provider Name | Bethany J Stafford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750837969 PECOS PAC ID: 1355637737 Enrollment ID: I20160912000655 |
| Provider Name | Becky L Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891146999 PECOS PAC ID: 1850687187 Enrollment ID: I20160912002671 |
| Provider Name | Mashooque a Dahar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457793820 PECOS PAC ID: 9830482843 Enrollment ID: I20160913000070 |
| Provider Name | Carissa M Kelley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952858110 PECOS PAC ID: 3779870894 Enrollment ID: I20160916002048 |
| Provider Name | Katie L Kreamer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588112999 PECOS PAC ID: 9739476193 Enrollment ID: I20160928001895 |
| Provider Name | Carrie J Kenkel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1124574553 PECOS PAC ID: 3577850981 Enrollment ID: I20160929000532 |
| Provider Name | Carl J Alm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477006351 PECOS PAC ID: 2365730306 Enrollment ID: I20161007000294 |
| Provider Name | Katelyn E Price |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760939292 PECOS PAC ID: 0244518223 Enrollment ID: I20161026000276 |
| Provider Name | Miranda Christensen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1982154886 PECOS PAC ID: 4880974047 Enrollment ID: I20161205000606 |
| Provider Name | Andrea L Larson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861948010 PECOS PAC ID: 2668752809 Enrollment ID: I20161206001107 |
| Provider Name | Ravi C Ashwath |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1164636502 PECOS PAC ID: 8123126687 Enrollment ID: I20161212002122 |
| Provider Name | Stephanie C Lee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063677037 PECOS PAC ID: 4789965971 Enrollment ID: I20161230000637 |
| Provider Name | Bradley J Halverson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205177763 PECOS PAC ID: 4789979816 Enrollment ID: I20170127000970 |
| Provider Name | Karmen R Woelber |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093701344 PECOS PAC ID: 8729361001 Enrollment ID: I20170210001932 |
| Provider Name | Lee W Cody |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952847147 PECOS PAC ID: 9436432531 Enrollment ID: I20170216000285 |
| Provider Name | Rajeev Ruben Fernando |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1952651382 PECOS PAC ID: 6305159849 Enrollment ID: I20170217000173 |
| Provider Name | Christy M Weber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447282942 PECOS PAC ID: 0648554485 Enrollment ID: I20170223000478 |
| Provider Name | Jamie L Barnett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770020125 PECOS PAC ID: 9436283348 Enrollment ID: I20170223000485 |
| Provider Name | Samantha a Shaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366980138 PECOS PAC ID: 2365726106 Enrollment ID: I20170223000523 |
| Provider Name | Krystal L Chambers |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457696866 PECOS PAC ID: 8123302783 Enrollment ID: I20170227000415 |
| Provider Name | Robin D Westrum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265971329 PECOS PAC ID: 8325322548 Enrollment ID: I20170307000055 |
| Provider Name | Emily C Fitzpatrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194272930 PECOS PAC ID: 7214224195 Enrollment ID: I20170307001138 |
| Provider Name | Stacy N Hennigar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487194791 PECOS PAC ID: 7618252677 Enrollment ID: I20170315000187 |
| Provider Name | Regina R Grover |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295150928 PECOS PAC ID: 7517199318 Enrollment ID: I20170501002110 |
| Provider Name | Donna M Matt |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1528446416 PECOS PAC ID: 7618274002 Enrollment ID: I20170502001035 |
| Provider Name | Meghan E Newton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396285011 PECOS PAC ID: 5496032096 Enrollment ID: I20170509001565 |
| Provider Name | Mario Christianto |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1457611337 PECOS PAC ID: 5294968160 Enrollment ID: I20170510000991 |
| Provider Name | Robert E Wood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922489020 PECOS PAC ID: 9032408182 Enrollment ID: I20170518002256 |
| Provider Name | Kyle Thomas Tevebaugh |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1356880660 PECOS PAC ID: 3971870965 Enrollment ID: I20170523000731 |
| Provider Name | Elysia a Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811422108 PECOS PAC ID: 4486921285 Enrollment ID: I20170526001657 |
| Provider Name | Mercy Rajesh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679820823 PECOS PAC ID: 8224255781 Enrollment ID: I20170530000050 |
| Provider Name | Joshua D Priebe |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1275970352 PECOS PAC ID: 9739323502 Enrollment ID: I20170608001021 |
| Provider Name | Marcus Hemesath |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861831430 PECOS PAC ID: 9638397409 Enrollment ID: I20170614000117 |
| Provider Name | Kimberly N Norris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114470028 PECOS PAC ID: 8022305572 Enrollment ID: I20170615001146 |
| Provider Name | Desire T Gijima |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063824639 PECOS PAC ID: 5991922940 Enrollment ID: I20170615001240 |
| Provider Name | Bethany a Kirton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548794951 PECOS PAC ID: 6901174515 Enrollment ID: I20170622000630 |
| Provider Name | Stephanie R Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972031359 PECOS PAC ID: 4880962471 Enrollment ID: I20170623000319 |
| Provider Name | Kimberly E Glasgow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952640369 PECOS PAC ID: 5890932057 Enrollment ID: I20170706001434 |
| Provider Name | Shawn T Plunkett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821481045 PECOS PAC ID: 6901175777 Enrollment ID: I20170711000724 |
| Provider Name | Leann M Ruch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477083103 PECOS PAC ID: 3375813983 Enrollment ID: I20170713003477 |
| Provider Name | Hafiz R Hashmi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1558674176 PECOS PAC ID: 5496025058 Enrollment ID: I20170714001631 |
| Provider Name | Megan R Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376063107 PECOS PAC ID: 2769615715 Enrollment ID: I20170714002336 |
| Provider Name | Jason T Losee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053652883 PECOS PAC ID: 5092947044 Enrollment ID: I20170718002195 |
| Provider Name | Jacob M Nelson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831517960 PECOS PAC ID: 5799901567 Enrollment ID: I20170719000766 |
| Provider Name | Megan Panos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407386774 PECOS PAC ID: 3870863764 Enrollment ID: I20170726000781 |
| Provider Name | Kathryn L Kaufman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083027759 PECOS PAC ID: 3577789478 Enrollment ID: I20170726000887 |
| Provider Name | Rosalyn M Zach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386176758 PECOS PAC ID: 9931470242 Enrollment ID: I20170804001640 |
| Provider Name | Emily a Roalson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1972026557 PECOS PAC ID: 6901177872 Enrollment ID: I20170810003078 |
| Provider Name | Amanda M Grove |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578091237 PECOS PAC ID: 9234400136 Enrollment ID: I20170811000470 |
| Provider Name | Rachel Mack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700308426 PECOS PAC ID: 5092086868 Enrollment ID: I20170814000476 |
| Provider Name | Eric D Andresen |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1710279351 PECOS PAC ID: 2860638517 Enrollment ID: I20170814002708 |
| Provider Name | Kaitlin L Dammann |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1265955421 PECOS PAC ID: 9931471703 Enrollment ID: I20170815001612 |
| Provider Name | Taylor M Brandenburg |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194263509 PECOS PAC ID: 6507138229 Enrollment ID: I20170815004399 |
| Provider Name | Nicole R Woolley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316471154 PECOS PAC ID: 9234401985 Enrollment ID: I20170816000712 |
| Provider Name | Anastasia L Peterson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1144743360 PECOS PAC ID: 9234401803 Enrollment ID: I20170816002142 |
| Provider Name | Jeremy G Cordes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871942417 PECOS PAC ID: 0547552937 Enrollment ID: I20170817001612 |
| Provider Name | Jana Marie Van Rybroek |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265877591 PECOS PAC ID: 6507186723 Enrollment ID: I20170817003812 |
| Provider Name | Caitlin Studley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1114440609 PECOS PAC ID: 3577835891 Enrollment ID: I20170822002204 |
| Provider Name | Janelle M Ullrich |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306371158 PECOS PAC ID: 5294007514 Enrollment ID: I20170822002268 |
| Provider Name | Ashley L Pollema |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639691322 PECOS PAC ID: 5698047512 Enrollment ID: I20170828000234 |
| Provider Name | Brooke R Fiddelke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275056608 PECOS PAC ID: 1052684818 Enrollment ID: I20170830002421 |
| Provider Name | Nicholas J Mancuso |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073927984 PECOS PAC ID: 0446477269 Enrollment ID: I20170905000657 |
| Provider Name | Mindy J Sullivan-lo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255852257 PECOS PAC ID: 3375816614 Enrollment ID: I20170907002200 |
| Provider Name | Ruth E Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770007155 PECOS PAC ID: 2466726492 Enrollment ID: I20170914002095 |
| Provider Name | Sussan Mbi Ndakor |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376837955 PECOS PAC ID: 5698049625 Enrollment ID: I20170914002356 |
| Provider Name | Evan D Peterson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1003330036 PECOS PAC ID: 4789958737 Enrollment ID: I20170914003216 |
| Provider Name | Megan M Drew |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1003338922 PECOS PAC ID: 7113291972 Enrollment ID: I20170919000486 |
| Provider Name | Monica D Wescott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841716651 PECOS PAC ID: 2961776539 Enrollment ID: I20170920001640 |
| Provider Name | Teresa M Dolphin-shaw |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073870226 PECOS PAC ID: 4789807850 Enrollment ID: I20170921000763 |
| Provider Name | Jennifer Hutchinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538699806 PECOS PAC ID: 6305110651 Enrollment ID: I20170925003478 |
| Provider Name | Abdulrahman Mohammed Abdulbaki |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1972701050 PECOS PAC ID: 3476725730 Enrollment ID: I20170927004321 |
| Provider Name | Tinu Bastian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790226629 PECOS PAC ID: 3779857867 Enrollment ID: I20170928002012 |
| Provider Name | Ramya K Maturu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841695483 PECOS PAC ID: 0143442889 Enrollment ID: I20171004003051 |
| Provider Name | Stephanie a Wadle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528587847 PECOS PAC ID: 2163797556 Enrollment ID: I20171011002055 |
| Provider Name | Paulette L Reighard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366967945 PECOS PAC ID: 5991070294 Enrollment ID: I20171012003373 |
| Provider Name | Heather N Dommer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417475971 PECOS PAC ID: 9436425543 Enrollment ID: I20171017002954 |
| Provider Name | Theresa Conlon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760901300 PECOS PAC ID: 2163798208 Enrollment ID: I20171018000495 |
| Provider Name | Katlin R Klein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871012831 PECOS PAC ID: 5597031906 Enrollment ID: I20171030000802 |
| Provider Name | Kayla J Berryman |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1518324219 PECOS PAC ID: 1557627882 Enrollment ID: I20171102000702 |
| Provider Name | Eleanor a Lingo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720597800 PECOS PAC ID: 1557628773 Enrollment ID: I20171127000903 |
| Provider Name | Tiffany R Post |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1104336023 PECOS PAC ID: 3971860693 Enrollment ID: I20171204003052 |
| Provider Name | Karrie M Lisboa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952814980 PECOS PAC ID: 6305104993 Enrollment ID: I20180104000169 |
| Provider Name | Courtney C Lowy |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1295282325 PECOS PAC ID: 0941569578 Enrollment ID: I20180105000446 |
| Provider Name | Kristy Huyhn Perrin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1356601801 PECOS PAC ID: 2769774934 Enrollment ID: I20180125002680 |
| Provider Name | Sarah Ann Jones Ketter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013369107 PECOS PAC ID: 1658665856 Enrollment ID: I20180131000865 |
| Provider Name | Sandra K Granger |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023277597 PECOS PAC ID: 2860706991 Enrollment ID: I20180216000184 |
| Provider Name | Jeremy J Granger |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033317870 PECOS PAC ID: 8729213657 Enrollment ID: I20180216000226 |
| Provider Name | Daniel K Stevenson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1831609668 PECOS PAC ID: 0143581793 Enrollment ID: I20180223000228 |
| Provider Name | Kelly Maxwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730687328 PECOS PAC ID: 4880955368 Enrollment ID: I20180223002440 |
| Provider Name | Kurtis a Lucas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003267147 PECOS PAC ID: 2769776400 Enrollment ID: I20180228000700 |
| Provider Name | Holly Olson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841705639 PECOS PAC ID: 2961763271 Enrollment ID: I20180301001651 |
| Provider Name | Ashley Priaulx |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780066746 PECOS PAC ID: 4284941865 Enrollment ID: I20180305000277 |
| Provider Name | Hannah Jean Prange |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396246815 PECOS PAC ID: 0446512073 Enrollment ID: I20180320001486 |
| Provider Name | Benigno Cartagena Hernandez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538315114 PECOS PAC ID: 0648443770 Enrollment ID: I20180321002160 |
| Provider Name | Laura M Medanic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508305541 PECOS PAC ID: 3072875418 Enrollment ID: I20180322000837 |
| Provider Name | Ashlesha MD Kaushik |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841452075 PECOS PAC ID: 1456613694 Enrollment ID: I20180327002738 |
| Provider Name | Umang Gupta |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1336346782 PECOS PAC ID: 1153592746 Enrollment ID: I20180328000098 |
| Provider Name | Ashley F Peters |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932496353 PECOS PAC ID: 8921315516 Enrollment ID: I20180404000875 |
| Provider Name | Allison a Mann |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386146728 PECOS PAC ID: 6103189824 Enrollment ID: I20180411001368 |
| Provider Name | Richard Y Jacobson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023042686 PECOS PAC ID: 7810097045 Enrollment ID: I20180417001153 |
| Provider Name | Nicole a Russler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265948210 PECOS PAC ID: 6103189279 Enrollment ID: I20180424002628 |
| Provider Name | Taylor Odneal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053810374 PECOS PAC ID: 1658635693 Enrollment ID: I20180427002375 |
| Provider Name | Autum J Larsen |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1679017446 PECOS PAC ID: 2163786773 Enrollment ID: I20180508001087 |
| Provider Name | Melissa T Garrett |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1881910271 PECOS PAC ID: 9739322066 Enrollment ID: I20180509000994 |
| Provider Name | Kathryn Hoover |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134635188 PECOS PAC ID: 9830453257 Enrollment ID: I20180510000671 |
| Provider Name | Kerri a Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386150001 PECOS PAC ID: 3779847082 Enrollment ID: I20180511002329 |
| Provider Name | Mark T Gorsche |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1356789390 PECOS PAC ID: 7214166040 Enrollment ID: I20180515000271 |
| Provider Name | Merve Akova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962999672 PECOS PAC ID: 1557625795 Enrollment ID: I20180516000084 |
| Provider Name | Jenna Rae Parr |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1619484466 PECOS PAC ID: 9638433881 Enrollment ID: I20180516000568 |
| Provider Name | Adrian K Rains |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447608674 PECOS PAC ID: 5597051318 Enrollment ID: I20180521001949 |
| Provider Name | Vanessa Peach Solomon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174022354 PECOS PAC ID: 6800151515 Enrollment ID: I20180530002415 |
| Provider Name | Jessica a Dedecker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194107201 PECOS PAC ID: 5092028563 Enrollment ID: I20180530002526 |
| Provider Name | Divya Reddy Pati |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1780029090 PECOS PAC ID: 4981998721 Enrollment ID: I20180531002743 |
| Provider Name | Seenaiah Byreddy |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831538065 PECOS PAC ID: 0749545325 Enrollment ID: I20180531002769 |
| Provider Name | Sean M Sturm |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1588025662 PECOS PAC ID: 4981978798 Enrollment ID: I20180618001535 |
| Provider Name | Nelson a Telles Garcia |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1922360726 PECOS PAC ID: 3870736499 Enrollment ID: I20180620001260 |
| Provider Name | Jessica L Rooker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003307406 PECOS PAC ID: 2062767767 Enrollment ID: I20180621000598 |
| Provider Name | Deepika Abbadi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1205191210 PECOS PAC ID: 2769779347 Enrollment ID: I20180627002647 |
| Provider Name | Jonathan G Senkler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801281464 PECOS PAC ID: 3971800350 Enrollment ID: I20180628000192 |
| Provider Name | Katherine a Kuehl |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679969893 PECOS PAC ID: 5991018475 Enrollment ID: I20180628002138 |
| Provider Name | Jacob Wolf |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790166742 PECOS PAC ID: 8224344205 Enrollment ID: I20180702002472 |
| Provider Name | Chukwuemeka Nzewi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215303847 PECOS PAC ID: 0446506554 Enrollment ID: I20180703001452 |
| Provider Name | Jordan D Peterson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306228366 PECOS PAC ID: 4284947094 Enrollment ID: I20180712001233 |
| Provider Name | Kristen N Moriarty |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518346311 PECOS PAC ID: 8123332251 Enrollment ID: I20180712001261 |
| Provider Name | Darren L Croo |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1164764999 PECOS PAC ID: 0446473292 Enrollment ID: I20180713002474 |
| Provider Name | Mackenzie J Van Rees |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336640366 PECOS PAC ID: 7416204557 Enrollment ID: I20180720001804 |
| Provider Name | Brianna a Bulgarelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346734175 PECOS PAC ID: 2668729203 Enrollment ID: I20180727000712 |
| Provider Name | Ashton M Pruett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851889117 PECOS PAC ID: 0840548343 Enrollment ID: I20180731001713 |
| Provider Name | Steffanie a Mortens |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801277231 PECOS PAC ID: 9537472980 Enrollment ID: I20180731003946 |
| Provider Name | Rachel G Landgrebe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770986671 PECOS PAC ID: 7315261971 Enrollment ID: I20180808001549 |
| Provider Name | Christopher Healey |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1922444637 PECOS PAC ID: 9537307913 Enrollment ID: I20180815003737 |
| Provider Name | Shannon L Lindeland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073000444 PECOS PAC ID: 8022367549 Enrollment ID: I20180816001963 |
| Provider Name | Allyson M Croo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376038067 PECOS PAC ID: 9739438029 Enrollment ID: I20180820002684 |
| Provider Name | Alyssa Nicole Happe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922584127 PECOS PAC ID: 5991054108 Enrollment ID: I20180822000402 |
| Provider Name | Bryon Costella Mason |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124479472 PECOS PAC ID: 8527351709 Enrollment ID: I20180822002752 |
| Provider Name | Jacquelyn N Kamp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467990317 PECOS PAC ID: 1557638228 Enrollment ID: I20180822003820 |
| Provider Name | Violet K Hunter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811348956 PECOS PAC ID: 8729372669 Enrollment ID: I20180828003240 |
| Provider Name | Disa L G Awah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174838650 PECOS PAC ID: 3678710464 Enrollment ID: I20180905003793 |
| Provider Name | Nicholas C Rains |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1124418363 PECOS PAC ID: 9032469127 Enrollment ID: I20180911003068 |
| Provider Name | Kathleen M Larson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710366349 PECOS PAC ID: 2264746502 Enrollment ID: I20180912000818 |
| Provider Name | Alice Xu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073993523 PECOS PAC ID: 6608189097 Enrollment ID: I20180912001503 |
| Provider Name | Gregory a Isaacson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1992283600 PECOS PAC ID: 4486905379 Enrollment ID: I20180914001503 |
| Provider Name | Stephen L Pedron |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003867425 PECOS PAC ID: 6709170525 Enrollment ID: I20180914001737 |
| Provider Name | Alyssa Brooke Heathman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1699251157 PECOS PAC ID: 9436400041 Enrollment ID: I20180920002434 |
| Provider Name | Rachel a Blackford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720567407 PECOS PAC ID: 0446501944 Enrollment ID: I20180921002870 |
| Provider Name | Robert P Sarver |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114408481 PECOS PAC ID: 9032460308 Enrollment ID: I20180926000099 |
| Provider Name | Muhammad Y Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093186314 PECOS PAC ID: 6800155284 Enrollment ID: I20181002000223 |
| Provider Name | Lindsay a Nie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285129023 PECOS PAC ID: 2961754973 Enrollment ID: I20181002002402 |
| Provider Name | Dawn K Seibold |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801313176 PECOS PAC ID: 9032461041 Enrollment ID: I20181002002463 |
| Provider Name | Sameet Moor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366964678 PECOS PAC ID: 6204100290 Enrollment ID: I20181009002421 |
| Provider Name | Claire E Harapat |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942670781 PECOS PAC ID: 7517265002 Enrollment ID: I20181010002549 |
| Provider Name | Lumea M Howard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700268760 PECOS PAC ID: 2062726334 Enrollment ID: I20181011000565 |
| Provider Name | Christine Hartman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588143192 PECOS PAC ID: 9638421902 Enrollment ID: I20181015002472 |
| Provider Name | Brian a Belitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396235180 PECOS PAC ID: 3173651692 Enrollment ID: I20181015002647 |
| Provider Name | Bhavik G Patel |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1659588424 PECOS PAC ID: 6709950066 Enrollment ID: I20181016001004 |
| Provider Name | Katie R Hasler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144716986 PECOS PAC ID: 5597018580 Enrollment ID: I20181020000724 |
| Provider Name | Douglas a Gorney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427544162 PECOS PAC ID: 6305199399 Enrollment ID: I20181020000748 |
| Provider Name | Cassie R Kurash |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295220192 PECOS PAC ID: 4284987801 Enrollment ID: I20181030000513 |
| Provider Name | Scott a Legrand |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1861528515 PECOS PAC ID: 0941498349 Enrollment ID: I20181030000582 |
| Provider Name | Heather Jo Stehr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295217529 PECOS PAC ID: 7416201652 Enrollment ID: I20181107000858 |
| Provider Name | April Barnett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104307354 PECOS PAC ID: 9537413422 Enrollment ID: I20181112002667 |
| Provider Name | Kyle P Kosman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174014484 PECOS PAC ID: 3678827524 Enrollment ID: I20181113002523 |
| Provider Name | Kirby L Singleton |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1124503891 PECOS PAC ID: 5193079549 Enrollment ID: I20181121000917 |
| Provider Name | Melanie B Dahlhauser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841765690 PECOS PAC ID: 8527312974 Enrollment ID: I20181121001012 |
| Provider Name | Ahmad Afif Ahmad Bader |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1487037784 PECOS PAC ID: 2163735853 Enrollment ID: I20181127002144 |
| Provider Name | Maryam Siddiqui |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457731291 PECOS PAC ID: 1456605880 Enrollment ID: I20181129003116 |
| Provider Name | Emily a Grarup |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528543311 PECOS PAC ID: 3870837859 Enrollment ID: I20181201000413 |
| Provider Name | Kelsey R Lee Wagner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588082408 PECOS PAC ID: 5193028637 Enrollment ID: I20181203002568 |
| Provider Name | Alex L Dickinson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952721821 PECOS PAC ID: 1850600784 Enrollment ID: I20181206002279 |
| Provider Name | Jessica Vann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023583192 PECOS PAC ID: 4385989607 Enrollment ID: I20181214000606 |
| Provider Name | Robert D Blanken |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1134197247 PECOS PAC ID: 6608815055 Enrollment ID: I20181228001368 |
| Provider Name | Asher Zelikson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1306239066 PECOS PAC ID: 4284955915 Enrollment ID: I20190103001244 |
| Provider Name | Anthony Glydwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104251776 PECOS PAC ID: 6800023300 Enrollment ID: I20190111000082 |
| Provider Name | Tyler Paul Rasmussen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265880454 PECOS PAC ID: 1052604659 Enrollment ID: I20190118000752 |
| Provider Name | Lydia B Alexander |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679987515 PECOS PAC ID: 1557588969 Enrollment ID: I20190208001303 |
| Provider Name | Alan Burnette |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1821244856 PECOS PAC ID: 2163666108 Enrollment ID: I20190213000544 |
| Provider Name | Marilyn Kaitlyn Sampson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1992275564 PECOS PAC ID: 5698013852 Enrollment ID: I20190213001324 |
| Provider Name | Shayla Mcintyre |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063981827 PECOS PAC ID: 6709124530 Enrollment ID: I20190220002056 |
| Provider Name | Leah M Haubrich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821568858 PECOS PAC ID: 8325387780 Enrollment ID: I20190228002621 |
| Provider Name | Katie M Gudenkauf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396222048 PECOS PAC ID: 4486905924 Enrollment ID: I20190319000842 |
| Provider Name | Jodi a Jans |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1164415287 PECOS PAC ID: 2961429048 Enrollment ID: I20190319002756 |
| Provider Name | Rachel Benson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457820946 PECOS PAC ID: 5395085690 Enrollment ID: I20190325000744 |
| Provider Name | Megan Keppy |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1982160313 PECOS PAC ID: 3072853068 Enrollment ID: I20190329001503 |
| Provider Name | Jessica M Shea-hebrink |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649735309 PECOS PAC ID: 3274874094 Enrollment ID: I20190404001147 |
| Provider Name | Jessica a Currie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629532528 PECOS PAC ID: 9739421074 Enrollment ID: I20190507000439 |
| Provider Name | Prashob Porayette |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1851551428 PECOS PAC ID: 4486934601 Enrollment ID: I20190513000593 |
| Provider Name | Ashley a Degeeter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184196677 PECOS PAC ID: 2264775931 Enrollment ID: I20190521000537 |
| Provider Name | Timothy Thomas Saunders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770147902 PECOS PAC ID: 7911240593 Enrollment ID: I20190522002440 |
| Provider Name | Laura B Schiltz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1730604125 PECOS PAC ID: 4486928876 Enrollment ID: I20190612001347 |
| Provider Name | Kelsey Redmond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689237059 PECOS PAC ID: 8820321243 Enrollment ID: I20190617002324 |
| Provider Name | Vikram Taware |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770935934 PECOS PAC ID: 4183958572 Enrollment ID: I20190618002613 |
| Provider Name | Linsey L Jackson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285021915 PECOS PAC ID: 9335454008 Enrollment ID: I20190619003230 |
| Provider Name | Tyler J Foster |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1689054959 PECOS PAC ID: 3173837101 Enrollment ID: I20190703002722 |
| Provider Name | Shipeng Wei |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023469798 PECOS PAC ID: 4789970179 Enrollment ID: I20190709000693 |
| Provider Name | David Ilceski |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477936169 PECOS PAC ID: 1557651171 Enrollment ID: I20190710002379 |
| Provider Name | Dori K Sevde |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225595838 PECOS PAC ID: 4981939139 Enrollment ID: I20190711000117 |
| Provider Name | Andrei Schwartz |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1497100424 PECOS PAC ID: 6204129992 Enrollment ID: I20190712000762 |
| Provider Name | Brandy M Reints |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306406681 PECOS PAC ID: 7113253709 Enrollment ID: I20190718003545 |
| Provider Name | Jenna Gidel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275984015 PECOS PAC ID: 0244566586 Enrollment ID: I20190724003848 |
| Provider Name | Anne K Henson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487009841 PECOS PAC ID: 3577899814 Enrollment ID: I20190724003991 |
| Provider Name | Meredith Swenson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083066815 PECOS PAC ID: 9133414881 Enrollment ID: I20190725000089 |
| Provider Name | Samantha Jan Algrim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831452531 PECOS PAC ID: 0345499711 Enrollment ID: I20190725000922 |
| Provider Name | Barbara L Salisbury |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164083861 PECOS PAC ID: 7517293426 Enrollment ID: I20190731000528 |
| Provider Name | Tiffanie L Lapan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1215590153 PECOS PAC ID: 6608103320 Enrollment ID: I20190802002563 |
| Provider Name | Bashar Al Khoury |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427400993 PECOS PAC ID: 7315274065 Enrollment ID: I20190805000112 |
| Provider Name | Jennifer M Hoelscher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770146524 PECOS PAC ID: 3971830787 Enrollment ID: I20190815002690 |
| Provider Name | Jessica Lynn Thomas |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1427616903 PECOS PAC ID: 4486981297 Enrollment ID: I20190815002873 |
| Provider Name | Loras Even |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982960324 PECOS PAC ID: 1759695620 Enrollment ID: I20190820001404 |
| Provider Name | Andrea Hughes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043872963 PECOS PAC ID: 0648508143 Enrollment ID: I20190821004189 |
| Provider Name | Imran J Abbasi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427409887 PECOS PAC ID: 3678865128 Enrollment ID: I20190821004191 |
| Provider Name | Willis Hong |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396123436 PECOS PAC ID: 7719250620 Enrollment ID: I20190828000809 |
| Provider Name | Abigail L Crow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437717741 PECOS PAC ID: 2860720885 Enrollment ID: I20190828002287 |
| Provider Name | Amber R Kramer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699327668 PECOS PAC ID: 3375872286 Enrollment ID: I20190830002665 |
| Provider Name | Ashley N Spurgeon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245891498 PECOS PAC ID: 2567791312 Enrollment ID: I20190904002509 |
| Provider Name | Michael Craig Olthoff |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1134500408 PECOS PAC ID: 4789977489 Enrollment ID: I20190910002819 |
| Provider Name | Amy M Massey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679132591 PECOS PAC ID: 7113256496 Enrollment ID: I20190911003086 |
| Provider Name | Michelle Ann Burgard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386093649 PECOS PAC ID: 6204126717 Enrollment ID: I20190911003258 |
| Provider Name | Anita N Ahuja |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568845246 PECOS PAC ID: 4385951045 Enrollment ID: I20190912001523 |
| Provider Name | Kelli a Buresh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891347464 PECOS PAC ID: 9133458169 Enrollment ID: I20190917000611 |
| Provider Name | Tien T Thach |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1013099530 PECOS PAC ID: 3173719846 Enrollment ID: I20190919002366 |
| Provider Name | Tonya J Ringena |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730737248 PECOS PAC ID: 9335479286 Enrollment ID: I20190919002412 |
| Provider Name | Jeanne Rasmussen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174185367 PECOS PAC ID: 6800126475 Enrollment ID: I20190924002874 |
| Provider Name | Nicole L Bentley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629423967 PECOS PAC ID: 6204129356 Enrollment ID: I20191001002251 |
| Provider Name | Emily B Tinguely |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1154975407 PECOS PAC ID: 1254662281 Enrollment ID: I20191007000382 |
| Provider Name | Shoab Sayeed |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447224787 PECOS PAC ID: 8224369293 Enrollment ID: I20191007001989 |
| Provider Name | Isaac J Hinton |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1891112579 PECOS PAC ID: 8921229022 Enrollment ID: I20191011000101 |
| Provider Name | Brandi Donnelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053960609 PECOS PAC ID: 2860723152 Enrollment ID: I20191017002504 |
| Provider Name | Brooke Hewer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821642646 PECOS PAC ID: 0941531149 Enrollment ID: I20191018000474 |
| Provider Name | Blake M Randolph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295382786 PECOS PAC ID: 4880926955 Enrollment ID: I20191023001966 |
| Provider Name | Sarah Jauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780244525 PECOS PAC ID: 6901138973 Enrollment ID: I20191023003040 |
| Provider Name | Samantha M Bissen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245769249 PECOS PAC ID: 9234409178 Enrollment ID: I20191029001116 |
| Provider Name | Emily Marie Guerber |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164877171 PECOS PAC ID: 1052672508 Enrollment ID: I20191030001224 |
| Provider Name | Ahmad M Nafe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841640190 PECOS PAC ID: 9638401078 Enrollment ID: I20191104002513 |
| Provider Name | James F French |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831136324 PECOS PAC ID: 3971577610 Enrollment ID: I20191107002652 |
| Provider Name | Rachel J Taves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912548744 PECOS PAC ID: 5395177414 Enrollment ID: I20191112000146 |
| Provider Name | Sara a Andrews |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225440373 PECOS PAC ID: 6103042890 Enrollment ID: I20191112003112 |
| Provider Name | Reetu Priya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508407461 PECOS PAC ID: 2860824802 Enrollment ID: I20191113002620 |
| Provider Name | Ricky Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649633173 PECOS PAC ID: 7012254527 Enrollment ID: I20191119001838 |
| Provider Name | Maranda Stohr |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821493784 PECOS PAC ID: 3274965785 Enrollment ID: I20191120003193 |
| Provider Name | Denise J Hoevelkamp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447812102 PECOS PAC ID: 3779916119 Enrollment ID: I20191126000436 |
| Provider Name | Sujata a Karkare |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164430161 PECOS PAC ID: 6406010347 Enrollment ID: I20191203001368 |
| Provider Name | Patrick B Keating |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952714867 PECOS PAC ID: 3274828389 Enrollment ID: I20191203001475 |
| Provider Name | Courtney E Hamilton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093365553 PECOS PAC ID: 1153754122 Enrollment ID: I20191204003004 |
| Provider Name | Eli D Musselman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1053791251 PECOS PAC ID: 8224342357 Enrollment ID: I20191211000724 |
| Provider Name | Melissa M Rachuy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750930426 PECOS PAC ID: 3678906294 Enrollment ID: I20191211002811 |
| Provider Name | Flower Austin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1538470091 PECOS PAC ID: 0446565527 Enrollment ID: I20191223000877 |
| Provider Name | Sara L Mackerley |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1891944955 PECOS PAC ID: 3870777832 Enrollment ID: I20200120000318 |
| Provider Name | Wendell Spencer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1861593071 PECOS PAC ID: 3375688203 Enrollment ID: I20200120000476 |
| Provider Name | Teresa S Sheahan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811292030 PECOS PAC ID: 2062688450 Enrollment ID: I20200120001227 |
| Provider Name | Ashley R Bennett |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1003219551 PECOS PAC ID: 6002242666 Enrollment ID: I20200130002355 |
| Provider Name | Brenna E Jiron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063907053 PECOS PAC ID: 3173959731 Enrollment ID: I20200130002453 |
| Provider Name | Samantha J Woehl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770060444 PECOS PAC ID: 9133465933 Enrollment ID: I20200205002952 |
| Provider Name | Jessica Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851941991 PECOS PAC ID: 8921434150 Enrollment ID: I20200207000604 |
| Provider Name | Hannah M Feldman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1457823437 PECOS PAC ID: 4183967789 Enrollment ID: I20200207001085 |
| Provider Name | Levi K Dahle |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1891334637 PECOS PAC ID: 7911333042 Enrollment ID: I20200207001143 |
| Provider Name | Matthew T Molin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497298327 PECOS PAC ID: 3072884923 Enrollment ID: I20200212002170 |
| Provider Name | Breanne M Pink |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427694736 PECOS PAC ID: 2365879848 Enrollment ID: I20200221001552 |
| Provider Name | Jonathan J Wadle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467946061 PECOS PAC ID: 7416204664 Enrollment ID: I20200225001056 |
| Provider Name | Cassidy L Reams |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1568093821 PECOS PAC ID: 5799112967 Enrollment ID: I20200227002420 |
| Provider Name | Madeline C Godar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811424781 PECOS PAC ID: 5698045342 Enrollment ID: I20200306002314 |
| Provider Name | Ashley a Gruver |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457983264 PECOS PAC ID: 7315375037 Enrollment ID: I20200311002714 |
| Provider Name | Elizabeth R O'loughlin |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1891269361 PECOS PAC ID: 0547698979 Enrollment ID: I20200319000393 |
| Provider Name | Shawn Lee Schwabe |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1568937290 PECOS PAC ID: 1557799715 Enrollment ID: I20200322000086 |
| Provider Name | Julia Farruggia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114411402 PECOS PAC ID: 6507295730 Enrollment ID: I20200408004552 |
| Provider Name | Brooke E Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326561150 PECOS PAC ID: 9133485972 Enrollment ID: I20200416001900 |
| Provider Name | Kaitlin Rose Reece |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225666894 PECOS PAC ID: 5496185399 Enrollment ID: I20200416002241 |
| Provider Name | Nicole L Olson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609414010 PECOS PAC ID: 6204266984 Enrollment ID: I20200421000340 |
| Provider Name | Melissa M Meyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477073252 PECOS PAC ID: 0941575104 Enrollment ID: I20200421001806 |
| Provider Name | Alysha Reese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447800685 PECOS PAC ID: 6901236553 Enrollment ID: I20200422000394 |
| Provider Name | Karly R Dankert |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1528695426 PECOS PAC ID: 2163853284 Enrollment ID: I20200505002236 |
| Provider Name | Kelley O'reilly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942567730 PECOS PAC ID: 5193968550 Enrollment ID: I20200506003250 |
| Provider Name | Connie S Mccullick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013358787 PECOS PAC ID: 9436391687 Enrollment ID: I20200520000471 |
| Provider Name | Sunu J Philip |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1457610396 PECOS PAC ID: 3375964398 Enrollment ID: I20200529002302 |
| Provider Name | Courtney N Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407403348 PECOS PAC ID: 6406281286 Enrollment ID: I20200604002448 |
| Provider Name | Michelle a Richmond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306470851 PECOS PAC ID: 6204257991 Enrollment ID: I20200604002491 |
| Provider Name | Prashanth X Anand |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1578877619 PECOS PAC ID: 0840443941 Enrollment ID: I20200617001826 |
| Provider Name | Kelsey L True |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518495290 PECOS PAC ID: 1658641279 Enrollment ID: I20200618001983 |
| Provider Name | Kamran Ilyas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336662733 PECOS PAC ID: 4082985593 Enrollment ID: I20200625002898 |
| Provider Name | Kirstan M Wanninger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457988875 PECOS PAC ID: 4183047525 Enrollment ID: I20200702000297 |
| Provider Name | Sadia Mohyud Din Chaudhary |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861946543 PECOS PAC ID: 2062757958 Enrollment ID: I20200731000702 |
| Provider Name | Amber D Hartman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235764424 PECOS PAC ID: 6507281052 Enrollment ID: I20200731000708 |
| Provider Name | Abby J Doering |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962025767 PECOS PAC ID: 5496170847 Enrollment ID: I20200803001721 |
| Provider Name | Lindsey E Faber |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1831715390 PECOS PAC ID: 0547685992 Enrollment ID: I20200803001990 |
| Provider Name | Nandita C Alla |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154741825 PECOS PAC ID: 7416173877 Enrollment ID: I20200804000590 |
| Provider Name | Chau Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891215190 PECOS PAC ID: 1254600505 Enrollment ID: I20200804003393 |
| Provider Name | Sapna S Gupta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780086769 PECOS PAC ID: 7618273376 Enrollment ID: I20200806000781 |
| Provider Name | Jeremiah Jones |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1750796223 PECOS PAC ID: 3678798717 Enrollment ID: I20200810000277 |
| Provider Name | Gabriel Khalil Eljdid |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477082634 PECOS PAC ID: 4880963891 Enrollment ID: I20200812002974 |
| Provider Name | Emma M Green |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386062784 PECOS PAC ID: 7810313442 Enrollment ID: I20200813001677 |
| Provider Name | Cameron W Overcash |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902336548 PECOS PAC ID: 9830460781 Enrollment ID: I20200814002394 |
| Provider Name | Mark Easter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144752379 PECOS PAC ID: 3779856125 Enrollment ID: I20200817003730 |
| Provider Name | Hailey Michelle Robertson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619594629 PECOS PAC ID: 3072939362 Enrollment ID: I20200818000321 |
| Provider Name | Austin J Coder |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215457080 PECOS PAC ID: 1658640511 Enrollment ID: I20200824000546 |
| Provider Name | Katelynn S Splett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871013623 PECOS PAC ID: 3375812233 Enrollment ID: I20200824000583 |
| Provider Name | Rachel a Sedlacek |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821600263 PECOS PAC ID: 7517384654 Enrollment ID: I20200825002881 |
| Provider Name | Lewis T Mann |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730530148 PECOS PAC ID: 7315230026 Enrollment ID: I20200915002516 |
| Provider Name | Ashley L Thomson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740891696 PECOS PAC ID: 7012336183 Enrollment ID: I20200923002923 |
| Provider Name | Morgan F Halbur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679190227 PECOS PAC ID: 9830518596 Enrollment ID: I20200929002749 |
| Provider Name | Joel a Fuchs |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245764752 PECOS PAC ID: 6901171651 Enrollment ID: I20201001003033 |
| Provider Name | Sean R Trammel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619535093 PECOS PAC ID: 8426383985 Enrollment ID: I20201008002401 |
| Provider Name | Angela Monique Dudley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992322465 PECOS PAC ID: 9931529161 Enrollment ID: I20201008003158 |
| Provider Name | Albert Park |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1538523626 PECOS PAC ID: 6002109691 Enrollment ID: I20201012002048 |
| Provider Name | Ericha L Worple |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1205227865 PECOS PAC ID: 8921303058 Enrollment ID: I20201016000367 |
| Provider Name | Aubrey Riefe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427589944 PECOS PAC ID: 6608104930 Enrollment ID: I20201019000721 |
| Provider Name | Kyle Lemasters |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396239034 PECOS PAC ID: 2860812443 Enrollment ID: I20201020003849 |
| Provider Name | Cassandra M Theobald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467063958 PECOS PAC ID: 2668892928 Enrollment ID: I20201026003124 |
| Provider Name | Jennifer Sue Hansen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023238987 PECOS PAC ID: 4981014172 Enrollment ID: I20201028002743 |
| Provider Name | Melissa Levering |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699381160 PECOS PAC ID: 9436569159 Enrollment ID: I20201109002976 |
| Provider Name | Carolyn Anna Steenhoek |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1871120147 PECOS PAC ID: 6800207200 Enrollment ID: I20201116000582 |
| Provider Name | Kathryn M Ledbetter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285109280 PECOS PAC ID: 1254743404 Enrollment ID: I20201214000581 |
| Provider Name | Anne M Meyer-mccright |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154490837 PECOS PAC ID: 4981676830 Enrollment ID: I20201214001408 |
| Provider Name | Ashley Behymer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568689396 PECOS PAC ID: 4880006758 Enrollment ID: I20201217001289 |
| Provider Name | Kelsey Jean Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467056457 PECOS PAC ID: 4789097189 Enrollment ID: I20210104000376 |
| Provider Name | Lisa Pisney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215981758 PECOS PAC ID: 0547456279 Enrollment ID: I20210107001335 |
| Provider Name | Seth a Brown |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1922087410 PECOS PAC ID: 6305259334 Enrollment ID: I20210111002689 |
| Provider Name | Andrew Oswald |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477187649 PECOS PAC ID: 0042649808 Enrollment ID: I20210112001038 |
| Provider Name | Alesha N Luckett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124629712 PECOS PAC ID: 7214340298 Enrollment ID: I20210112001863 |
| Provider Name | Amber Nicole Troshynski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255927786 PECOS PAC ID: 7810301538 Enrollment ID: I20210120002397 |
| Provider Name | Hope E Breitbach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568075331 PECOS PAC ID: 1052725553 Enrollment ID: I20210125000995 |
| Provider Name | Anthony Robert Greenwood |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1811504590 PECOS PAC ID: 1254745417 Enrollment ID: I20210128002887 |
| Provider Name | Sarha Diana Devrieze |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538762489 PECOS PAC ID: 1557775376 Enrollment ID: I20210205000837 |
| Provider Name | Billie Rael |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134712821 PECOS PAC ID: 4981010790 Enrollment ID: I20210302002741 |
| Provider Name | Samia Harkin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265099907 PECOS PAC ID: 9537494091 Enrollment ID: I20210305001967 |
| Provider Name | Taylor Jo King |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1316537178 PECOS PAC ID: 4688080146 Enrollment ID: I20210308001513 |
| Provider Name | Courtney Cox-kozel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992395958 PECOS PAC ID: 1759797186 Enrollment ID: I20210310001559 |
| Provider Name | Alyson Kay Lieser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588277404 PECOS PAC ID: 2567879596 Enrollment ID: I20210318001236 |
| Provider Name | Melissa Ann Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033710306 PECOS PAC ID: 9133536097 Enrollment ID: I20210322001631 |
| Provider Name | Dawn Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831792787 PECOS PAC ID: 4587071303 Enrollment ID: I20210323001932 |
| Provider Name | Amanda Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184139479 PECOS PAC ID: 3971910738 Enrollment ID: I20210324000851 |
| Provider Name | Jamie Ackerman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679163281 PECOS PAC ID: 8325455959 Enrollment ID: I20210329000237 |
| Provider Name | Kevin Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447463302 PECOS PAC ID: 9830263409 Enrollment ID: I20210405000421 |
| Provider Name | Jessica Lynn Bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174116529 PECOS PAC ID: 7719394006 Enrollment ID: I20210405000437 |
| Provider Name | Brenda J Lugo |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1841810645 PECOS PAC ID: 2769899871 Enrollment ID: I20210407001125 |
| Provider Name | Laura Alison |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1518343755 PECOS PAC ID: 2466761697 Enrollment ID: I20210409001508 |
| Provider Name | Jesus Javier Vera Fox |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679003867 PECOS PAC ID: 5395153670 Enrollment ID: I20210427000583 |
| Provider Name | Laccey Louise Crimmins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902497597 PECOS PAC ID: 2668881897 Enrollment ID: I20210429000927 |
| Provider Name | Laura Hauck |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1518556695 PECOS PAC ID: 9436568581 Enrollment ID: I20210503001000 |
| Provider Name | Linnea a Mennen |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1871117861 PECOS PAC ID: 7911316922 Enrollment ID: I20210504000708 |
| Provider Name | Kathryn Maris Hauge |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770177347 PECOS PAC ID: 9830598887 Enrollment ID: I20210525002843 |
| Provider Name | Alyssa Ryanne Goddard Verheyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689092132 PECOS PAC ID: 1557594959 Enrollment ID: I20210526001710 |
| Provider Name | Marcy J Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992383111 PECOS PAC ID: 1951700749 Enrollment ID: I20210527001858 |
| Provider Name | Kristen Nicole Madsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093317695 PECOS PAC ID: 0749689446 Enrollment ID: I20210601000432 |
| Provider Name | John a Becker |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1477543106 PECOS PAC ID: 5890693634 Enrollment ID: I20210603000912 |
| Provider Name | Elijah G Miller |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1386191682 PECOS PAC ID: 4981004900 Enrollment ID: I20210614001666 |
| Provider Name | Jonathan Robert Lang |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1790349157 PECOS PAC ID: 0244630044 Enrollment ID: I20210616001499 |
| Provider Name | Isaac a Butler |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1003470451 PECOS PAC ID: 9739580150 Enrollment ID: I20210623001204 |
| Provider Name | Donald J Anciaux |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1114452000 PECOS PAC ID: 0749550853 Enrollment ID: I20210623001987 |
| Provider Name | Rachel Nicole Kalenkiewicz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588228027 PECOS PAC ID: 1658772793 Enrollment ID: I20210628001861 |
| Provider Name | Sarah Hoyle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639748718 PECOS PAC ID: 5698176246 Enrollment ID: I20210702001023 |
| Provider Name | Uche P Maduka |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1326575218 PECOS PAC ID: 6204106834 Enrollment ID: I20210708001086 |
| Provider Name | Heidi a Nettrour |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770826125 PECOS PAC ID: 4082016373 Enrollment ID: I20210708002907 |
| Provider Name | Cory Baughman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164929477 PECOS PAC ID: 7911257605 Enrollment ID: I20210712000526 |
| Provider Name | Travis Lee Thuringer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134702285 PECOS PAC ID: 6103228333 Enrollment ID: I20210712001176 |
| Provider Name | Samuel Lampe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396238002 PECOS PAC ID: 6800141763 Enrollment ID: I20210712002239 |
| Provider Name | Derrick C Graulein |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1134581036 PECOS PAC ID: 7911293634 Enrollment ID: I20210714003369 |
| Provider Name | Siddique M Chaudhary |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1912382870 PECOS PAC ID: 5597067579 Enrollment ID: I20210715003408 |
| Provider Name | Ryan S Dennis |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1962074096 PECOS PAC ID: 0749683993 Enrollment ID: I20210726001372 |
| Provider Name | Julia C Dennis |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730752601 PECOS PAC ID: 8123421260 Enrollment ID: I20210727001069 |
| Provider Name | Molly E Ropte |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689168890 PECOS PAC ID: 4981951134 Enrollment ID: I20210728000917 |
| Provider Name | Nathan H Handler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437641537 PECOS PAC ID: 0345595427 Enrollment ID: I20210728001002 |
| Provider Name | Pamela Mccool |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982893608 PECOS PAC ID: 6608948203 Enrollment ID: I20210730001189 |
| Provider Name | Kylee Metzger |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1083247100 PECOS PAC ID: 1759785439 Enrollment ID: I20210803000260 |
| Provider Name | Elise M Mcpherson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326532425 PECOS PAC ID: 8325394646 Enrollment ID: I20210804001833 |
| Provider Name | Darin Larson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1568842391 PECOS PAC ID: 5193032910 Enrollment ID: I20210811001680 |
| Provider Name | Amber Lynn Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295302131 PECOS PAC ID: 8921402900 Enrollment ID: I20210812003346 |
| Provider Name | Noah David Reynolds |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083107411 PECOS PAC ID: 4880098722 Enrollment ID: I20210813002350 |
| Provider Name | Alec James Steils |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578132940 PECOS PAC ID: 4789978479 Enrollment ID: I20210819000917 |
| Provider Name | Paige Owen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497150106 PECOS PAC ID: 7517281728 Enrollment ID: I20210820000321 |
| Provider Name | Julia Noonan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205198751 PECOS PAC ID: 3779831870 Enrollment ID: I20210820002332 |
| Provider Name | Naomi F Polzin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1114551108 PECOS PAC ID: 7517362049 Enrollment ID: I20210823000640 |
| Provider Name | Rachel Pezzino |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346628997 PECOS PAC ID: 3577818228 Enrollment ID: I20210823001227 |
| Provider Name | Bilal Mohamed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669822318 PECOS PAC ID: 8325330509 Enrollment ID: I20210824001538 |
| Provider Name | Rebecca Koresh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124510755 PECOS PAC ID: 5991100927 Enrollment ID: I20210830000132 |
| Provider Name | Amy L Peirce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255004784 PECOS PAC ID: 9537565205 Enrollment ID: I20210903000261 |
| Provider Name | Ashleigh Burt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245722727 PECOS PAC ID: 3072919638 Enrollment ID: I20210907001448 |
| Provider Name | Ann M Bock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154939965 PECOS PAC ID: 0547666174 Enrollment ID: I20210908001080 |
| Provider Name | Autumn K Brunia |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285293001 PECOS PAC ID: 4880929355 Enrollment ID: I20210908003202 |
| Provider Name | Tyler a Zahrli |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831758655 PECOS PAC ID: 3870828346 Enrollment ID: I20210914000986 |
| Provider Name | Liran Bendor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104310887 PECOS PAC ID: 6507114337 Enrollment ID: I20210917000633 |
| Provider Name | Dawn Louise Kerwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790358588 PECOS PAC ID: 7810394822 Enrollment ID: I20210917001122 |
| Provider Name | Melissa Ann Cowan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063180776 PECOS PAC ID: 0941607832 Enrollment ID: I20210920002072 |
| Provider Name | Amy M Sinnwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154992105 PECOS PAC ID: 5799182598 Enrollment ID: I20210921003104 |
| Provider Name | Keile Wahle Simoens |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295231215 PECOS PAC ID: 3870990500 Enrollment ID: I20210923000919 |
| Provider Name | Yi Jie Hammonds |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083108682 PECOS PAC ID: 7618224866 Enrollment ID: I20210923000982 |
| Provider Name | Gabrielle Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659045441 PECOS PAC ID: 4385042555 Enrollment ID: I20211004000391 |
| Provider Name | Stephanie a Gorsuch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942975578 PECOS PAC ID: 2668870734 Enrollment ID: I20211005001421 |
| Provider Name | Ashley J Appleman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902498660 PECOS PAC ID: 3870991847 Enrollment ID: I20211005001765 |
| Provider Name | Shannon Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528633104 PECOS PAC ID: 2466850359 Enrollment ID: I20211006003377 |
| Provider Name | Jenna Nicole Vandonslear |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1831723832 PECOS PAC ID: 6204234107 Enrollment ID: I20211007000106 |
| Provider Name | Saiteja Mallipeddi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356836555 PECOS PAC ID: 2860749199 Enrollment ID: I20211015001972 |
| Provider Name | Alissa Jo Herrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689340879 PECOS PAC ID: 5496143786 Enrollment ID: I20211019000352 |
| Provider Name | Nataliya Kukhar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780868604 PECOS PAC ID: 0941470454 Enrollment ID: I20211019001351 |
| Provider Name | Sophia T Qureshi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619530763 PECOS PAC ID: 4688902331 Enrollment ID: I20211022001244 |
| Provider Name | Giselle J Tan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1134345580 PECOS PAC ID: 9638208614 Enrollment ID: I20211025000787 |
| Provider Name | Ming Sattler |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1255965232 PECOS PAC ID: 7517355548 Enrollment ID: I20211025002669 |
| Provider Name | Aman Luthra |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982191862 PECOS PAC ID: 2769730035 Enrollment ID: I20211026000960 |
| Provider Name | Nikala Prasasouk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144993486 PECOS PAC ID: 9537557475 Enrollment ID: I20211027000543 |
| Provider Name | Emmaline S Staecker |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477180024 PECOS PAC ID: 5698163434 Enrollment ID: I20211027000726 |
| Provider Name | Kathryn Halyko |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649651092 PECOS PAC ID: 9537475785 Enrollment ID: I20211027000921 |
| Provider Name | Lauren Kirkpatrick |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1174028898 PECOS PAC ID: 9739512948 Enrollment ID: I20211027002394 |
| Provider Name | Elizabeth W Boggs |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174784128 PECOS PAC ID: 2769638840 Enrollment ID: I20211028001595 |
| Provider Name | Kirsten Jane Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336817899 PECOS PAC ID: 1355739053 Enrollment ID: I20211029001515 |
| Provider Name | Kavan Girishbhai Patel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1437541406 PECOS PAC ID: 2769737337 Enrollment ID: I20211104001561 |
| Provider Name | Marissa Kate Poots |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477185171 PECOS PAC ID: 0648669085 Enrollment ID: I20211105000850 |
| Provider Name | Taylor Luck |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932776614 PECOS PAC ID: 2163811407 Enrollment ID: I20211108002464 |
| Provider Name | Abby Flannagan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518451020 PECOS PAC ID: 5597154765 Enrollment ID: I20211109001035 |
| Provider Name | Hayley N Sytsma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518639707 PECOS PAC ID: 9436548369 Enrollment ID: I20211116000837 |
| Provider Name | Carrie Ann Marcoux |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548924186 PECOS PAC ID: 2163811837 Enrollment ID: I20211118001020 |
| Provider Name | Keilin Isaacson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821664012 PECOS PAC ID: 4981093523 Enrollment ID: I20211119000984 |
| Provider Name | Skye Aileen Warren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962020297 PECOS PAC ID: 0749670115 Enrollment ID: I20211130000966 |
| Provider Name | Jessica Brooke Webb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164194155 PECOS PAC ID: 2062802135 Enrollment ID: I20211203000557 |
| Provider Name | Trey Nygren |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1467122242 PECOS PAC ID: 2062802150 Enrollment ID: I20211203001479 |
| Provider Name | Cathleen Ann Reglein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932877057 PECOS PAC ID: 0941691554 Enrollment ID: I20211215001032 |
| Provider Name | Jodi Dale Stille |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407521164 PECOS PAC ID: 2264823749 Enrollment ID: I20211216000821 |
| Provider Name | Rachael Hagman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952066011 PECOS PAC ID: 0547651044 Enrollment ID: I20211216001654 |
| Provider Name | Nancy Lynn Robertson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265104707 PECOS PAC ID: 1658762109 Enrollment ID: I20211217000558 |
| Provider Name | Christina Renee Murray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114680568 PECOS PAC ID: 8123419686 Enrollment ID: I20211217000913 |
| Provider Name | Lalah Elizabeth Mclaughlin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1366076812 PECOS PAC ID: 1254722556 Enrollment ID: I20211221001642 |
| Provider Name | Alvise Fileno Bernabei |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1588679013 PECOS PAC ID: 0941218507 Enrollment ID: I20211221002056 |
| Provider Name | Jeffrey Dembner |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1356423271 PECOS PAC ID: 2961396718 Enrollment ID: I20211222000468 |
| Provider Name | Erin Lynne Rewerts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083248256 PECOS PAC ID: 4385035096 Enrollment ID: I20220106000762 |
| Provider Name | Alexandra Kortscheff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235892670 PECOS PAC ID: 0547652927 Enrollment ID: I20220114000676 |
| Provider Name | Melissa Kay Watson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811593643 PECOS PAC ID: 6002208865 Enrollment ID: I20220128000358 |
| Provider Name | Karissa Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710645718 PECOS PAC ID: 1759774409 Enrollment ID: I20220202000909 |
| Provider Name | Kayln Marie Boge-kleiss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649930066 PECOS PAC ID: 6204229628 Enrollment ID: I20220208001358 |
| Provider Name | Cassandra Vandenberg |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1083375711 PECOS PAC ID: 4183017106 Enrollment ID: I20220215000387 |
| Provider Name | Amina Abdullah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598420747 PECOS PAC ID: 6204229230 Enrollment ID: I20220215001213 |
| Provider Name | Sarah Bischoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497416762 PECOS PAC ID: 9436543329 Enrollment ID: I20220217002265 |
| Provider Name | Jose Andres Moreno Lopez |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1043545833 PECOS PAC ID: 7618108291 Enrollment ID: I20220223000432 |
| Provider Name | Katherine Louaine Kachelski |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1104586353 PECOS PAC ID: 1052705712 Enrollment ID: I20220223002619 |
| Provider Name | Hannah Louise Honsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174283576 PECOS PAC ID: 9234523812 Enrollment ID: I20220224000930 |
| Provider Name | Bobbi Sue Lovdahl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104588078 PECOS PAC ID: 7618361734 Enrollment ID: I20220304001978 |
| Provider Name | Molly Justine Kunkel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1518619907 PECOS PAC ID: 4284029208 Enrollment ID: I20220309002094 |
| Provider Name | Julia Kim Ngan Nguyen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1295496362 PECOS PAC ID: 9638564347 Enrollment ID: I20220316001010 |
| Provider Name | Katharine E Chilcote |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1457007296 PECOS PAC ID: 5698160257 Enrollment ID: I20220317000134 |
| Provider Name | Rachel a Amling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508522533 PECOS PAC ID: 1658766969 Enrollment ID: I20220324000553 |
| Provider Name | Cassandra Marie Zimmerman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649922410 PECOS PAC ID: 2062807274 Enrollment ID: I20220324000756 |
| Provider Name | Kelly Hornick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457019051 PECOS PAC ID: 6608261821 Enrollment ID: I20220324001215 |
| Provider Name | Nicole Jean West |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265188270 PECOS PAC ID: 2163818766 Enrollment ID: I20220407001772 |
| Provider Name | Karrie Vander Sluis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750348041 PECOS PAC ID: 5092982603 Enrollment ID: I20220408001722 |
| Provider Name | Thomas Rezansoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992453393 PECOS PAC ID: 1759777006 Enrollment ID: I20220413001390 |
| Provider Name | Margaret Koos |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952715427 PECOS PAC ID: 2163648049 Enrollment ID: I20220413001593 |
| Provider Name | Payal T Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700540606 PECOS PAC ID: 0143614495 Enrollment ID: I20220414000591 |
| Provider Name | Laurel Lea Eicher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235870734 PECOS PAC ID: 1052707221 Enrollment ID: I20220415001104 |
| Provider Name | Vanetta L Levesque |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1033309133 PECOS PAC ID: 5496837585 Enrollment ID: I20220422000625 |
| Provider Name | Shannon Ann Thoma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417601576 PECOS PAC ID: 0345637211 Enrollment ID: I20220422001175 |
| Provider Name | Shane Andrew Mcintyre |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912427758 PECOS PAC ID: 0244509107 Enrollment ID: I20220422001773 |
| Provider Name | Elvis Kasi |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1972000438 PECOS PAC ID: 4789007774 Enrollment ID: I20220427001147 |
| Provider Name | Julie Rae Baburek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932856580 PECOS PAC ID: 5799172235 Enrollment ID: I20220502000124 |
| Provider Name | Adam E Prescott |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1538722152 PECOS PAC ID: 6406270982 Enrollment ID: I20220512002333 |
| Provider Name | Eli N Kelly |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295358042 PECOS PAC ID: 2466875992 Enrollment ID: I20220513000673 |
| Provider Name | Hunter William Howe |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1780101931 PECOS PAC ID: 8022495613 Enrollment ID: I20220520000772 |
| Provider Name | Kalli Kallman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1518618081 PECOS PAC ID: 9537546098 Enrollment ID: I20220523001144 |
| Provider Name | Nicole a Payne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194469486 PECOS PAC ID: 3072990555 Enrollment ID: I20220523002109 |
| Provider Name | Edward Rojas |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1154700268 PECOS PAC ID: 9133543754 Enrollment ID: I20220525001292 |
| Provider Name | Rachel Gilbert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790456010 PECOS PAC ID: 0941692750 Enrollment ID: I20220525002576 |
| Provider Name | Amber Nicole Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841947686 PECOS PAC ID: 3072991397 Enrollment ID: I20220527000769 |
| Provider Name | Ibrahim Raza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033771746 PECOS PAC ID: 7719214683 Enrollment ID: I20220527001134 |
| Provider Name | Tamara Albright Mortenson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912645631 PECOS PAC ID: 0446574537 Enrollment ID: I20220527001576 |
| Provider Name | Sami Mohammed Abdus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801162078 PECOS PAC ID: 4385952746 Enrollment ID: I20220527001722 |
| Provider Name | John D Oholleran |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1912007220 PECOS PAC ID: 9133285224 Enrollment ID: I20220531002703 |
| Provider Name | Mark Williams |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1417986001 PECOS PAC ID: 9638182314 Enrollment ID: I20220603000531 |
| Provider Name | William E Curtis |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1215090527 PECOS PAC ID: 0042220071 Enrollment ID: I20220606001181 |
| Provider Name | Lisa Jean Daringer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265029052 PECOS PAC ID: 9335528892 Enrollment ID: I20220614002074 |
| Provider Name | Benjamin C Pottebaum |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1528419066 PECOS PAC ID: 1254678584 Enrollment ID: I20220614003065 |
| Provider Name | Priya G Gupta |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1457873564 PECOS PAC ID: 3072877018 Enrollment ID: I20220616000657 |
| Provider Name | Muhammad Arslan Arif Maan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851953376 PECOS PAC ID: 8022344357 Enrollment ID: I20220627000119 |
| Provider Name | Erez R Naggar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770044950 PECOS PAC ID: 7911233317 Enrollment ID: I20220627000394 |
| Provider Name | Manraj Padda |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376020933 PECOS PAC ID: 4082965405 Enrollment ID: I20220628000304 |
| Provider Name | James Matthew Wilson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114389285 PECOS PAC ID: 5597144105 Enrollment ID: I20220628000354 |
| Provider Name | Abraham Mohammed Maaz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033679287 PECOS PAC ID: 0648659227 Enrollment ID: I20220628002858 |
| Provider Name | Holly Kramer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275836751 PECOS PAC ID: 8224283775 Enrollment ID: I20220705002468 |
| Provider Name | Aleksandra Sasha Kloos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639738032 PECOS PAC ID: 2860872868 Enrollment ID: I20220708000573 |
| Provider Name | Christy Bridgford |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1578743472 PECOS PAC ID: 3870662034 Enrollment ID: I20220708001507 |
| Provider Name | Thai Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740740059 PECOS PAC ID: 4587990825 Enrollment ID: I20220712003095 |
| Provider Name | Trivian Nguyen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801459128 PECOS PAC ID: 1355683822 Enrollment ID: I20220713000897 |
| Provider Name | Emily R Pursley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033777610 PECOS PAC ID: 5698003424 Enrollment ID: I20220713003185 |
| Provider Name | Ankura Kadakia |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235583956 PECOS PAC ID: 3870996614 Enrollment ID: I20220714001081 |
| Provider Name | Olivia Katherine Rowland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295499499 PECOS PAC ID: 1759774565 Enrollment ID: I20220714003625 |
| Provider Name | Kenneth Son |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831194992 PECOS PAC ID: 1658307954 Enrollment ID: I20220715000573 |
| Provider Name | Victor O Ogoti |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1902553332 PECOS PAC ID: 7810378163 Enrollment ID: I20220718001554 |
| Provider Name | Jason Lau |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932690633 PECOS PAC ID: 3072863877 Enrollment ID: I20220718002146 |
| Provider Name | Shanice Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447998166 PECOS PAC ID: 1153702444 Enrollment ID: I20220718002873 |
| Provider Name | Taylor Cox |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619590213 PECOS PAC ID: 4082038567 Enrollment ID: I20220718003528 |
| Provider Name | Megan Schreier |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174183065 PECOS PAC ID: 6709112584 Enrollment ID: I20220718003838 |
| Provider Name | Rafael Serrano Riera |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1235589599 PECOS PAC ID: 6002211760 Enrollment ID: I20220719002099 |
| Provider Name | Elizabeth G Baker |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215425756 PECOS PAC ID: 2961757083 Enrollment ID: I20220719003896 |
| Provider Name | Joseph Thomas Johnson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336702935 PECOS PAC ID: 9638404601 Enrollment ID: I20220721002471 |
| Provider Name | Samantha Bonin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053056663 PECOS PAC ID: 0345621215 Enrollment ID: I20220724000003 |
| Provider Name | Brittany Redmond |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023578655 PECOS PAC ID: 4880923812 Enrollment ID: I20220725002131 |
| Provider Name | Leann M Hindman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316571938 PECOS PAC ID: 2062842057 Enrollment ID: I20220725002573 |
| Provider Name | Heidi Joy Klingelhofer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508424615 PECOS PAC ID: 2365824018 Enrollment ID: I20220728000587 |
| Provider Name | Jordan Barber |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1720695307 PECOS PAC ID: 1254713670 Enrollment ID: I20220802002251 |
| Provider Name | Jerica M Samson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013661693 PECOS PAC ID: 6800278102 Enrollment ID: I20220803001944 |
| Provider Name | Trudy Ann Pierick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528055639 PECOS PAC ID: 8325420417 Enrollment ID: I20220805002270 |
| Provider Name | Rebecca Gail Krewer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235625203 PECOS PAC ID: 6204189293 Enrollment ID: I20220808000922 |
| Provider Name | Yaseen B Adam |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932278587 PECOS PAC ID: 3577562164 Enrollment ID: I20220808002524 |
| Provider Name | Heather Marie Hazelwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952070682 PECOS PAC ID: 8628451531 Enrollment ID: I20220810000575 |
| Provider Name | Megan D Kavanaugh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134787849 PECOS PAC ID: 7315273547 Enrollment ID: I20220810000586 |
| Provider Name | Katelyn Holly Sherpe |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275018012 PECOS PAC ID: 4789098617 Enrollment ID: I20220811001691 |
| Provider Name | David Edward Henry |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1285861120 PECOS PAC ID: 4880819341 Enrollment ID: I20220812000784 |
| Provider Name | Erica Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053040584 PECOS PAC ID: 9830572569 Enrollment ID: I20220812002951 |
| Provider Name | Uwem Ekwo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417510942 PECOS PAC ID: 3173851870 Enrollment ID: I20220815000399 |
| Provider Name | Kevin Dimas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821559063 PECOS PAC ID: 6507194396 Enrollment ID: I20220815000435 |
| Provider Name | Ashwin Subramani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376100263 PECOS PAC ID: 4587999255 Enrollment ID: I20220815000577 |
| Provider Name | Kelli J Pierce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578295408 PECOS PAC ID: 6204219892 Enrollment ID: I20220815001777 |
| Provider Name | Nicholas Yerkes |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1720225436 PECOS PAC ID: 4385944107 Enrollment ID: I20220821000140 |
| Provider Name | Nicole Marie Bales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164155040 PECOS PAC ID: 8022490580 Enrollment ID: I20220822001653 |
| Provider Name | James Myers |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1376038356 PECOS PAC ID: 9537417621 Enrollment ID: I20220822002349 |
| Provider Name | Samantha Salow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235808585 PECOS PAC ID: 9931597028 Enrollment ID: I20220823001500 |
| Provider Name | Eric Paul Neill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609434240 PECOS PAC ID: 7214311893 Enrollment ID: I20220831000884 |
| Provider Name | Hailey Wilcox |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1548855331 PECOS PAC ID: 4486038866 Enrollment ID: I20220902001263 |
| Provider Name | Nicholas Rainey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326606674 PECOS PAC ID: 8224364880 Enrollment ID: I20220908000912 |
| Provider Name | Seetharam Mannem |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801459045 PECOS PAC ID: 6406230127 Enrollment ID: I20220910000508 |
| Provider Name | Amy Lee Reinert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225763238 PECOS PAC ID: 2668857640 Enrollment ID: I20220912001090 |
| Provider Name | Emily a Schmid |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1790360741 PECOS PAC ID: 2769867795 Enrollment ID: I20220912002814 |
| Provider Name | Daniel Handler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992391668 PECOS PAC ID: 0244648426 Enrollment ID: I20220913001969 |
| Provider Name | Catherine Miller-simington |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1114244720 PECOS PAC ID: 7719281203 Enrollment ID: I20220920001914 |
| Provider Name | Erin Christine Gholson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295467603 PECOS PAC ID: 9032594346 Enrollment ID: I20220921003835 |
| Provider Name | Zachary Treat |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447743083 PECOS PAC ID: 0648525386 Enrollment ID: I20220927001974 |
| Provider Name | Rebecca M Driscoll |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1609461458 PECOS PAC ID: 8729464656 Enrollment ID: I20220930000092 |
| Provider Name | Michael Thomas Doster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134878317 PECOS PAC ID: 1456737287 Enrollment ID: I20221003001532 |
| Provider Name | Kylie Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467172312 PECOS PAC ID: 6305222027 Enrollment ID: I20221004002421 |
| Provider Name | Alexa Ginther |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265169569 PECOS PAC ID: 3476939109 Enrollment ID: I20221004002932 |
| Provider Name | Michael D Font |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1932632197 PECOS PAC ID: 8527338219 Enrollment ID: I20221010002313 |
| Provider Name | Ryan James Krogmann |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1659811701 PECOS PAC ID: 7911385844 Enrollment ID: I20221012000359 |
| Provider Name | Kylie Abney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477124329 PECOS PAC ID: 7719378330 Enrollment ID: I20221012001392 |
| Provider Name | Autumn L Krcil |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518581479 PECOS PAC ID: 0648693176 Enrollment ID: I20221014001356 |
| Provider Name | Walter Mogeni |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548885791 PECOS PAC ID: 7517380256 Enrollment ID: I20221017000719 |
| Provider Name | Sarah Jessica Seuntjens |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1376268565 PECOS PAC ID: 9032585732 Enrollment ID: I20221020003174 |
| Provider Name | Christopher Mone |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902193428 PECOS PAC ID: 6507083870 Enrollment ID: I20221021000787 |
| Provider Name | Taryn Joyce Cox |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801352588 PECOS PAC ID: 5799151338 Enrollment ID: I20221021001919 |
| Provider Name | Adam Tobias Schwalje |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1174904890 PECOS PAC ID: 7416260682 Enrollment ID: I20221024001394 |
| Provider Name | Brianne R Felts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720714918 PECOS PAC ID: 4183090657 Enrollment ID: I20221025001829 |
| Provider Name | Sheri Holland |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588644835 PECOS PAC ID: 5496879421 Enrollment ID: I20221103000402 |
| Provider Name | Andrea Kay Childs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538885215 PECOS PAC ID: 1557738507 Enrollment ID: I20221103000886 |
| Provider Name | Kendallyn Joan Blay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356076145 PECOS PAC ID: 0143697110 Enrollment ID: I20221103001617 |
| Provider Name | Vittal K Chundru |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073784484 PECOS PAC ID: 4486720414 Enrollment ID: I20221107001376 |
| Provider Name | Adrianna D Mitchell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811512064 PECOS PAC ID: 2961825617 Enrollment ID: I20221110000221 |
| Provider Name | Michelle Jane De Wet King |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932658861 PECOS PAC ID: 6507154838 Enrollment ID: I20221114001178 |
| Provider Name | Kimberly Logsdon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548915994 PECOS PAC ID: 9739575853 Enrollment ID: I20221114001540 |
| Provider Name | Shelby Rae Green |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861983280 PECOS PAC ID: 5092061903 Enrollment ID: I20221114002825 |
| Provider Name | Tayler M Rasch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184341711 PECOS PAC ID: 2860860244 Enrollment ID: I20221115002953 |
| Provider Name | Kevin Bowden |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1083165583 PECOS PAC ID: 0749569176 Enrollment ID: I20221117001093 |
| Provider Name | Allison Leigh Roth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477275923 PECOS PAC ID: 0749658649 Enrollment ID: I20221128001230 |
| Provider Name | Kirsten N Hamilton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255058335 PECOS PAC ID: 8820466444 Enrollment ID: I20221201001067 |
| Provider Name | Kristina Lucia Beck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073235925 PECOS PAC ID: 5597133173 Enrollment ID: I20221202000210 |
| Provider Name | Gina Ann Routh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760833107 PECOS PAC ID: 9234422320 Enrollment ID: I20221203000118 |
| Provider Name | Maci Nicole Griffith |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1366059610 PECOS PAC ID: 7113396680 Enrollment ID: I20221206002177 |
| Provider Name | India Warren |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1790360907 PECOS PAC ID: 4688043029 Enrollment ID: I20221207001624 |
| Provider Name | Dana C Thordsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902523665 PECOS PAC ID: 9537538749 Enrollment ID: I20221210000293 |
| Provider Name | Jason L Gipson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740439769 PECOS PAC ID: 6002086642 Enrollment ID: I20221216001013 |
| Provider Name | Jennifer M Carr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780306761 PECOS PAC ID: 0749659597 Enrollment ID: I20221216002398 |
| Provider Name | Jason D Sanders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063161255 PECOS PAC ID: 4486023181 Enrollment ID: I20221219001738 |
| Provider Name | Geoffrey a Jung |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811511504 PECOS PAC ID: 1658794383 Enrollment ID: I20221220002301 |
| Provider Name | Stacey Stallman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700433497 PECOS PAC ID: 9335519750 Enrollment ID: I20221229002352 |
| Provider Name | Tanner Clark |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427421668 PECOS PAC ID: 8123498565 Enrollment ID: I20221230000178 |
| Provider Name | Megan Huey |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1376165340 PECOS PAC ID: 4082033212 Enrollment ID: I20221230001979 |
| Provider Name | Kelsey Lynn Kerns |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295287480 PECOS PAC ID: 5597135822 Enrollment ID: I20230103001852 |
| Provider Name | Cole W Strain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396468807 PECOS PAC ID: 5799155859 Enrollment ID: I20230105002427 |
| Provider Name | Jaqlyn Mccoy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457075749 PECOS PAC ID: 5597135517 Enrollment ID: I20230106002051 |
| Provider Name | Samantha Erin Townsend |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205495439 PECOS PAC ID: 9032536602 Enrollment ID: I20230111000202 |
| Provider Name | Sylena Danielle Blanchard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194442129 PECOS PAC ID: 2062883572 Enrollment ID: I20230120000443 |
| Provider Name | Alexia J Fisher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427625524 PECOS PAC ID: 9638554892 Enrollment ID: I20230124002614 |
| Provider Name | Alexa K Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801463302 PECOS PAC ID: 5092191049 Enrollment ID: I20230124002697 |
| Provider Name | Jill Pollpeter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821667932 PECOS PAC ID: 1658757752 Enrollment ID: I20230124003026 |
| Provider Name | Travis Langan |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1689056822 PECOS PAC ID: 6305193483 Enrollment ID: I20230125001523 |
| Provider Name | Sarah a Kennedy |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1225613151 PECOS PAC ID: 0143691246 Enrollment ID: I20230128000039 |
| Provider Name | Shannon Renae Aschoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538830898 PECOS PAC ID: 4183095169 Enrollment ID: I20230131000459 |
| Provider Name | Jessica Marie Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861103079 PECOS PAC ID: 3375788177 Enrollment ID: I20230202001925 |
| Provider Name | Marissa Anne Hulme |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1518620475 PECOS PAC ID: 1254703044 Enrollment ID: I20230203000693 |
| Provider Name | Vinay Pypur Jayachandrudu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184044828 PECOS PAC ID: 8921326778 Enrollment ID: I20230206000961 |
| Provider Name | Melissa Dawn Grell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306555446 PECOS PAC ID: 9931571601 Enrollment ID: I20230206001396 |
| Provider Name | Joshua a Martini |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1700833621 PECOS PAC ID: 4183756802 Enrollment ID: I20230206002123 |
| Provider Name | Nichole Schold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417417650 PECOS PAC ID: 9537499918 Enrollment ID: I20230207001864 |
| Provider Name | Sarah Lynn Lentz-kapua |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578553624 PECOS PAC ID: 6305218769 Enrollment ID: I20230211000488 |
| Provider Name | Myriam Jacynthe Donovitch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093332389 PECOS PAC ID: 8224457429 Enrollment ID: I20230218000258 |
| Provider Name | Leonard Keeven |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750347035 PECOS PAC ID: 0941207252 Enrollment ID: I20230228002390 |
| Provider Name | Jenna Zoss |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1255094280 PECOS PAC ID: 8527431147 Enrollment ID: I20230302000512 |
| Provider Name | Lisa Plauche |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538460845 PECOS PAC ID: 9931397817 Enrollment ID: I20230308000693 |
| Provider Name | Kacie Liske |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1043940620 PECOS PAC ID: 2062885213 Enrollment ID: I20230308003175 |
| Provider Name | Timothy M Jay |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144843087 PECOS PAC ID: 1052733672 Enrollment ID: I20230309000179 |
| Provider Name | Neina Orrillo |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1033538533 PECOS PAC ID: 8123243268 Enrollment ID: I20230311000146 |
| Provider Name | Andrew James |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558935155 PECOS PAC ID: 8426434481 Enrollment ID: I20230313002494 |
| Provider Name | Jessica Marie Vonsak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578275509 PECOS PAC ID: 9133593114 Enrollment ID: I20230314001162 |
| Provider Name | Sara Waliuddin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720512791 PECOS PAC ID: 6800299603 Enrollment ID: I20230314001336 |
| Provider Name | Hunter Leigh Fausch |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1851066419 PECOS PAC ID: 7315311156 Enrollment ID: I20230320000077 |
| Provider Name | Hannah a Hartman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689298176 PECOS PAC ID: 2365818333 Enrollment ID: I20230323000645 |
| Provider Name | Kate M Jarvis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649763079 PECOS PAC ID: 9638425267 Enrollment ID: I20230331000769 |
| Provider Name | Madeline Marie Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215512041 PECOS PAC ID: 0547635666 Enrollment ID: I20230403002162 |
| Provider Name | Christopher Hinh |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1295229946 PECOS PAC ID: 9032514096 Enrollment ID: I20230404000904 |
| Provider Name | Samantha Jo Krones |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306473780 PECOS PAC ID: 7113357237 Enrollment ID: I20230406000940 |
| Provider Name | Carrie June Vanarman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992415673 PECOS PAC ID: 8224403076 Enrollment ID: I20230407001223 |
| Provider Name | Jeffrey Smith |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1053382580 PECOS PAC ID: 8325058563 Enrollment ID: I20230413001486 |
| Provider Name | Tracy L Bier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003470865 PECOS PAC ID: 0143643890 Enrollment ID: I20230420000296 |
| Provider Name | Jennifer Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346851235 PECOS PAC ID: 8123483146 Enrollment ID: I20230426002870 |
| Provider Name | Stephanie Renee Christian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487354064 PECOS PAC ID: 8022473933 Enrollment ID: I20230428000494 |
| Provider Name | Miranda Rebecca Temple |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740989920 PECOS PAC ID: 1254796097 Enrollment ID: I20230428002376 |
| Provider Name | Yvonne Daugherty |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780178541 PECOS PAC ID: 0840548434 Enrollment ID: I20230428002415 |
| Provider Name | Molly Ann Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083342828 PECOS PAC ID: 1658736426 Enrollment ID: I20230501000202 |
| Provider Name | David Franklin Combs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174224430 PECOS PAC ID: 5698130342 Enrollment ID: I20230502001219 |
| Provider Name | Quoc-thieu Tran |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568844017 PECOS PAC ID: 6204148935 Enrollment ID: I20230502002716 |
| Provider Name | Laurice Edualaine Tudas Higham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619675576 PECOS PAC ID: 5092170787 Enrollment ID: I20230502003048 |
| Provider Name | Emily Field |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215654132 PECOS PAC ID: 3971968694 Enrollment ID: I20230503000591 |
| Provider Name | Melissa Irmen |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1083159354 PECOS PAC ID: 1557727658 Enrollment ID: I20230516000879 |
| Provider Name | Phani Keerthi Surapaneni |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356802201 PECOS PAC ID: 3072979061 Enrollment ID: I20230517001769 |
| Provider Name | Leah Driscoll |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063806289 PECOS PAC ID: 8820454713 Enrollment ID: I20230518002883 |
| Provider Name | Demi L Obrien |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700409828 PECOS PAC ID: 3274919147 Enrollment ID: I20230525002027 |
| Provider Name | Saif Al-adwan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1851849848 PECOS PAC ID: 4789041187 Enrollment ID: I20230530002586 |
| Provider Name | Alicia Marie Grassley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508560988 PECOS PAC ID: 2769849181 Enrollment ID: I20230531000150 |
| Provider Name | Kristine Kaminskas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396286910 PECOS PAC ID: 5294119822 Enrollment ID: I20230607001864 |
| Provider Name | Luke B Morrey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851969729 PECOS PAC ID: 6204239536 Enrollment ID: I20230615003342 |
| Provider Name | Raviteja N Devalla |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1073975298 PECOS PAC ID: 3971881327 Enrollment ID: I20230616000369 |
| Provider Name | Kristina Elizabethann Cook |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396367355 PECOS PAC ID: 5991163826 Enrollment ID: I20230623002777 |
| Provider Name | Hafiza Karic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710656467 PECOS PAC ID: 6406214337 Enrollment ID: I20230623002920 |
| Provider Name | Suman Khicher |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1467985630 PECOS PAC ID: 8224308952 Enrollment ID: I20230624000375 |
| Provider Name | Brigid Adviento |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265924849 PECOS PAC ID: 2668729302 Enrollment ID: I20230627002159 |
| Provider Name | Wafic Itani |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1700306024 PECOS PAC ID: 0345585279 Enrollment ID: I20230630000217 |
| Provider Name | Reed a Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497378939 PECOS PAC ID: 3971927450 Enrollment ID: I20230710000662 |
| Provider Name | April L Forsyth |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528681061 PECOS PAC ID: 0244615409 Enrollment ID: I20230711004354 |
| Provider Name | Jaclyn Marie Houseal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386338085 PECOS PAC ID: 7810357142 Enrollment ID: I20230719000722 |
| Provider Name | Benjamin William Hale |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1124464599 PECOS PAC ID: 7214232313 Enrollment ID: I20230726001197 |
| Provider Name | Abby Sexton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447710660 PECOS PAC ID: 9638406028 Enrollment ID: I20230726003061 |
| Provider Name | Amit Dahiya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205459419 PECOS PAC ID: 1153735410 Enrollment ID: I20230728000837 |
| Provider Name | Nicholas Finlinson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1376017459 PECOS PAC ID: 8729329842 Enrollment ID: I20230728001114 |
| Provider Name | Taylor C Becker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154943900 PECOS PAC ID: 9537583976 Enrollment ID: I20230731003329 |
| Provider Name | Brian David Hokeness |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841753423 PECOS PAC ID: 1456688969 Enrollment ID: I20230804000784 |
| Provider Name | Michael Getz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598389033 PECOS PAC ID: 2668833716 Enrollment ID: I20230804002362 |
| Provider Name | Allison Lee Brown |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942987219 PECOS PAC ID: 5294197232 Enrollment ID: I20230808003142 |
| Provider Name | Stephen B Davick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881219517 PECOS PAC ID: 5991128431 Enrollment ID: I20230808003511 |
| Provider Name | Libby a Wilson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952089757 PECOS PAC ID: 8123480100 Enrollment ID: I20230809000489 |
| Provider Name | Taylor N Jones |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619590569 PECOS PAC ID: 4183047616 Enrollment ID: I20230809003562 |
| Provider Name | Sophie Kaye Calonkey |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1932859477 PECOS PAC ID: 6305208109 Enrollment ID: I20230810002481 |
| Provider Name | Joe-ann Lourens |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952927394 PECOS PAC ID: 2466814207 Enrollment ID: I20230810004232 |
| Provider Name | Megan Renkes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508569930 PECOS PAC ID: 5890157366 Enrollment ID: I20230815003176 |
| Provider Name | Hyo Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316478894 PECOS PAC ID: 2567737661 Enrollment ID: I20230816004069 |
| Provider Name | Marissa Rae Hendriksen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1245974690 PECOS PAC ID: 8224490610 Enrollment ID: I20230816004222 |
| Provider Name | Danielle Jarnagin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265111991 PECOS PAC ID: 1951763275 Enrollment ID: I20230817001673 |
| Provider Name | Kimberly Helmkamp |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1447633128 PECOS PAC ID: 8325354905 Enrollment ID: I20230817003723 |
| Provider Name | Travis R Schulze |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1073248951 PECOS PAC ID: 7618330606 Enrollment ID: I20230823003048 |
| Provider Name | Brianna Maria Rolf |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881357739 PECOS PAC ID: 2860855855 Enrollment ID: I20230823003213 |
| Provider Name | Shrey Modi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1336671593 PECOS PAC ID: 8628456795 Enrollment ID: I20230824003653 |
| Provider Name | Roger Tseng |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114548484 PECOS PAC ID: 2860814688 Enrollment ID: I20230828003436 |
| Provider Name | Margaret Bisgard |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1427784925 PECOS PAC ID: 1052780525 Enrollment ID: I20230829001104 |
| Provider Name | Angela Tara Rumbaugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780361410 PECOS PAC ID: 5991865123 Enrollment ID: I20230829001897 |
| Provider Name | Sabrina Provvidenza Vitale-d'angelo |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1962088104 PECOS PAC ID: 9335502061 Enrollment ID: I20230829002347 |
| Provider Name | Sarah Jean Terronez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144845835 PECOS PAC ID: 6406219047 Enrollment ID: I20230829003451 |
| Provider Name | Lauren Rife |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891361275 PECOS PAC ID: 0446613699 Enrollment ID: I20230906000316 |
| Provider Name | Ashley Sarris Dyhrkopp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710665427 PECOS PAC ID: 8022472158 Enrollment ID: I20230907004018 |
| Provider Name | Collin M Foster |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386267755 PECOS PAC ID: 0941622914 Enrollment ID: I20230908002140 |
| Provider Name | Elyse Rai Mcgraw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699463059 PECOS PAC ID: 8628432234 Enrollment ID: I20230915001010 |
| Provider Name | Elizabeth Mae Dodge |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1619619236 PECOS PAC ID: 8921462359 Enrollment ID: I20230918003345 |
| Provider Name | Grace Hagen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205464245 PECOS PAC ID: 1759700552 Enrollment ID: I20230918003898 |
| Provider Name | Austin Mumm |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043990898 PECOS PAC ID: 2567826845 Enrollment ID: I20230920000480 |
| Provider Name | Isaac Gene Funke |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609650506 PECOS PAC ID: 5294199584 Enrollment ID: I20230920000995 |
| Provider Name | Brianna Jean Damstetter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356047674 PECOS PAC ID: 6002270394 Enrollment ID: I20230920001054 |
| Provider Name | Hannah Stein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184248361 PECOS PAC ID: 8921421827 Enrollment ID: I20230921002219 |
| Provider Name | Babina Mudbhari |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629769047 PECOS PAC ID: 0042664153 Enrollment ID: I20230922003103 |
| Provider Name | Shelby Augustin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659838555 PECOS PAC ID: 9234470840 Enrollment ID: I20230922003537 |
| Provider Name | Mindy Kay Spenner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730674136 PECOS PAC ID: 0547614497 Enrollment ID: I20230926001979 |
| Provider Name | Shelby a Eldridge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104509058 PECOS PAC ID: 1557715489 Enrollment ID: I20230927000775 |
| Provider Name | Naomi Vather-wu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316560766 PECOS PAC ID: 4880018381 Enrollment ID: I20230928000696 |
| Provider Name | Brandon Smith |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1376074658 PECOS PAC ID: 5395127187 Enrollment ID: I20230928004010 |
| Provider Name | Haley Pysick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720658735 PECOS PAC ID: 2365845559 Enrollment ID: I20230929001642 |
| Provider Name | Steven Young |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063917805 PECOS PAC ID: 5395092993 Enrollment ID: I20230929002832 |
| Provider Name | Nyasha Manyame |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609556992 PECOS PAC ID: 4587018999 Enrollment ID: I20231003002414 |
| Provider Name | Amy Elizabeth Blessing |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558095448 PECOS PAC ID: 0547615973 Enrollment ID: I20231004003645 |
| Provider Name | Jason C Todd |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1821701970 PECOS PAC ID: 2860847704 Enrollment ID: I20231012000151 |
| Provider Name | Cheyenne Marie Hess |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1427799329 PECOS PAC ID: 5890140768 Enrollment ID: I20231012001398 |
| Provider Name | Matthew John Gawart |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1285881474 PECOS PAC ID: 7113173535 Enrollment ID: I20231024002072 |
| Provider Name | Ala Mustafa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235795089 PECOS PAC ID: 8123358959 Enrollment ID: I20231026003731 |
| Provider Name | Dimitri Boreisha |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164081584 PECOS PAC ID: 5890029250 Enrollment ID: I20231101001887 |
| Provider Name | Tricia Mcdermott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740836899 PECOS PAC ID: 9133575731 Enrollment ID: I20231101002993 |
| Provider Name | Kevin Ree |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376763094 PECOS PAC ID: 1355435041 Enrollment ID: I20231103001676 |
| Provider Name | Taylor Nicole Frizzell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790565331 PECOS PAC ID: 9537516661 Enrollment ID: I20231113000654 |
| Provider Name | Stephanie a Acosta |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1609261718 PECOS PAC ID: 0941657951 Enrollment ID: I20231114000317 |
| Provider Name | Andrea G Dettmann-spurgeon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346301892 PECOS PAC ID: 1456708460 Enrollment ID: I20231114000474 |
| Provider Name | Heather Nichole Logan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568249746 PECOS PAC ID: 9335597004 Enrollment ID: I20231120001119 |
| Provider Name | Ben Mineck |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710530175 PECOS PAC ID: 2264880814 Enrollment ID: I20231121001668 |
| Provider Name | Daniel Douglas |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1073168571 PECOS PAC ID: 5597113936 Enrollment ID: I20231127000982 |
| Provider Name | Heather Harris |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336394766 PECOS PAC ID: 6608144217 Enrollment ID: I20231128002322 |
| Provider Name | Fozan Aldulaijan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1841505369 PECOS PAC ID: 7810345717 Enrollment ID: I20231204001833 |
| Provider Name | Kathryn Elizabeth Ewoldt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861277980 PECOS PAC ID: 4880042654 Enrollment ID: I20231205001221 |
| Provider Name | Chantal Nicole Kendig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194506394 PECOS PAC ID: 6305295171 Enrollment ID: I20231206001147 |
| Provider Name | Tiffany Marie Lee |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1750018347 PECOS PAC ID: 1355790478 Enrollment ID: I20231213003923 |
| Provider Name | Megan Lee Simpson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437443025 PECOS PAC ID: 0547619637 Enrollment ID: I20231214002614 |
| Provider Name | Collin Sharp |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1659575348 PECOS PAC ID: 8123173176 Enrollment ID: I20231215000187 |
| Provider Name | Yance a Childs |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457865263 PECOS PAC ID: 3375993280 Enrollment ID: I20231219000352 |
| Provider Name | James W Burhop |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1063492593 PECOS PAC ID: 9335107143 Enrollment ID: I20231220001664 |
| Provider Name | Andrea M Bachelder |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689337669 PECOS PAC ID: 0042608069 Enrollment ID: I20231222002045 |
| Provider Name | Tanner Clark |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1427421668 PECOS PAC ID: 8123498565 Enrollment ID: I20231229002274 |
| Provider Name | Rebecca Kerby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992178826 PECOS PAC ID: 1355791427 Enrollment ID: I20240102002616 |
| Provider Name | Michelle R Collette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205503075 PECOS PAC ID: 7012367006 Enrollment ID: I20240103003119 |
| Provider Name | Kristie Wood |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306363841 PECOS PAC ID: 0840641833 Enrollment ID: I20240103003464 |
| Provider Name | Seth Nicolas Additon |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1336848282 PECOS PAC ID: 0648621995 Enrollment ID: I20240110004816 |
| Provider Name | Maggie Brynn Hefner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215504071 PECOS PAC ID: 8527444009 Enrollment ID: I20240112000528 |
| Provider Name | Katelyn Clover Swartz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1043087067 PECOS PAC ID: 2567814593 Enrollment ID: I20240116001319 |
| Provider Name | Courtney Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174305395 PECOS PAC ID: 7911359617 Enrollment ID: I20240118001404 |
| Provider Name | Aubrey Jane Klosterman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1417479916 PECOS PAC ID: 8820440423 Enrollment ID: I20240119000271 |
| Provider Name | Mark a Bennett |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1114907219 PECOS PAC ID: 5597950071 Enrollment ID: I20240119000931 |
| Provider Name | Nicholas G Viyuoh |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952410219 PECOS PAC ID: 2466348263 Enrollment ID: I20240122004242 |
| Provider Name | Robert Cunningham |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1104268838 PECOS PAC ID: 1254569247 Enrollment ID: I20240203000079 |
| Provider Name | Stacy Michelle Lister |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649047143 PECOS PAC ID: 8820431190 Enrollment ID: I20240205000822 |
| Provider Name | Samantha Nicole Ryan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760264758 PECOS PAC ID: 3274976691 Enrollment ID: I20240213000760 |
| Provider Name | Sean K Barrett |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083283907 PECOS PAC ID: 7810398625 Enrollment ID: I20240220003135 |
| Provider Name | Katie Lindeman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326801887 PECOS PAC ID: 7911342274 Enrollment ID: I20240227002474 |
| Provider Name | Joshua Denk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174147987 PECOS PAC ID: 2466876040 Enrollment ID: I20240301000204 |
| Provider Name | Maxwell Magee |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437686516 PECOS PAC ID: 1850793563 Enrollment ID: I20240301002334 |
| Provider Name | Trisha L Tibbitts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043073687 PECOS PAC ID: 6002251824 Enrollment ID: I20240301002922 |
| Provider Name | Taylor Evelyn Timpe |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1003542762 PECOS PAC ID: 5597101147 Enrollment ID: I20240306001610 |
| Provider Name | Gabriel L Conley |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063142487 PECOS PAC ID: 6305226523 Enrollment ID: I20240307000138 |
| Provider Name | Joey Lawrence Christmas |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1770700619 PECOS PAC ID: 7618043605 Enrollment ID: I20240307002287 |
| Provider Name | Ryan C Lee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093383135 PECOS PAC ID: 8123420551 Enrollment ID: I20240311000183 |
| Provider Name | Stacy Jo Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306124557 PECOS PAC ID: 7113199225 Enrollment ID: I20240325003469 |
| Provider Name | Aaron Wasson |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1114378676 PECOS PAC ID: 8123311305 Enrollment ID: I20240328000832 |
| Provider Name | Katherine Jo Tupper |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1093575813 PECOS PAC ID: 8426496076 Enrollment ID: I20240402003116 |
| Provider Name | Jonathan Eller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164161451 PECOS PAC ID: 7214312750 Enrollment ID: I20240409004039 |
| Provider Name | Anna M Olberding |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1366178048 PECOS PAC ID: 8628419660 Enrollment ID: I20240508003137 |
| Provider Name | Victoria E Nemmers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194464925 PECOS PAC ID: 8820473077 Enrollment ID: I20240509003160 |
| Provider Name | Harley Schuety |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1588356711 PECOS PAC ID: 1153762356 Enrollment ID: I20240517001999 |
| Provider Name | James Chounramany |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982109716 PECOS PAC ID: 9931539525 Enrollment ID: I20240522000684 |
| Provider Name | Mohammad Ahsan Hussain |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043889538 PECOS PAC ID: 3779984026 Enrollment ID: I20240522003429 |
| Provider Name | Rodrigo Otavio Lami Pereira |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1306330782 PECOS PAC ID: 2567711922 Enrollment ID: I20240525000173 |
| Provider Name | Yechan Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427787274 PECOS PAC ID: 1850771098 Enrollment ID: I20240529002107 |
| Provider Name | Jacquelyn Harman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992233993 PECOS PAC ID: 8022388966 Enrollment ID: I20240529003275 |
| Provider Name | Hamza Oglat |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1235650839 PECOS PAC ID: 2466797345 Enrollment ID: I20240530001795 |
| Provider Name | Alexis Hunter |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043959398 PECOS PAC ID: 2163801721 Enrollment ID: I20240607002812 |
| Provider Name | Nicholas R Henry |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1235753401 PECOS PAC ID: 3779906607 Enrollment ID: I20240617002661 |
| Provider Name | Maria Abu Nseir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356017594 PECOS PAC ID: 7911449079 Enrollment ID: I20240618002972 |
| Provider Name | Sheikan Elnigomy |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1396205472 PECOS PAC ID: 9133458748 Enrollment ID: I20240625003886 |
| Provider Name | Nicholas James Bunger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073361242 PECOS PAC ID: 3779027974 Enrollment ID: I20240628001614 |
| Provider Name | Sargine Brutus |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417999285 PECOS PAC ID: 5294767455 Enrollment ID: I20240702001596 |
| Provider Name | Daniel Stover |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699399436 PECOS PAC ID: 6507288552 Enrollment ID: I20240710002521 |
| Provider Name | Shila Simkhada |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548834336 PECOS PAC ID: 1951846310 Enrollment ID: I20240710003575 |
| Provider Name | Deven Voelker |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033793864 PECOS PAC ID: 9537561352 Enrollment ID: I20240710005000 |
| Provider Name | Taylor King |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104387513 PECOS PAC ID: 1254761463 Enrollment ID: I20240711002954 |
| Provider Name | Hannah Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073192589 PECOS PAC ID: 3678975125 Enrollment ID: I20240711003167 |
| Provider Name | Abhishek Pandya |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1689131518 PECOS PAC ID: 5395143143 Enrollment ID: I20240712001593 |
| Provider Name | Alaa R Al Talla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396592291 PECOS PAC ID: 4486199304 Enrollment ID: I20240715003315 |
| Provider Name | Margaret Elizabeth Foster |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1013530666 PECOS PAC ID: 5294158473 Enrollment ID: I20240722003922 |
| Provider Name | Karl Kristian Meierding |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912400813 PECOS PAC ID: 2466874169 Enrollment ID: I20240723002829 |
| Provider Name | Hiba Abdel Aziz |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1104016336 PECOS PAC ID: 2860526316 Enrollment ID: I20240723002984 |
| Provider Name | Mariam Hashmi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427623651 PECOS PAC ID: 9436695541 Enrollment ID: I20240725001685 |
| Provider Name | Jeffrey T Artioli |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558006411 PECOS PAC ID: 1658817416 Enrollment ID: I20240729002505 |
| Provider Name | Keali Mari |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841035631 PECOS PAC ID: 2062958820 Enrollment ID: I20240729002723 |
| Provider Name | Firas Siddique |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720650336 PECOS PAC ID: 6800333691 Enrollment ID: I20240729003924 |
| Provider Name | Kyle J Grover |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629715883 PECOS PAC ID: 3577949528 Enrollment ID: I20240730001108 |
| Provider Name | Nicketa Burchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578327094 PECOS PAC ID: 9638616279 Enrollment ID: I20240801000379 |
| Provider Name | Michaela Burandt |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1205557600 PECOS PAC ID: 2264880319 Enrollment ID: I20240801003011 |
| Provider Name | Howard Fishkoff |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144277476 PECOS PAC ID: 8325041759 Enrollment ID: I20240805003685 |
| Provider Name | Daniel Vather-wu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881217321 PECOS PAC ID: 1456776152 Enrollment ID: I20240806000279 |
| Provider Name | Shivaliben Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205491404 PECOS PAC ID: 8921401258 Enrollment ID: I20240806001925 |
| Provider Name | Cecilia a Molloy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306412929 PECOS PAC ID: 1557761863 Enrollment ID: I20240806002530 |
| Provider Name | Adam Bergstrom |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1801598685 PECOS PAC ID: 1456898576 Enrollment ID: I20240806003744 |
| Provider Name | Jordan R King |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1265090401 PECOS PAC ID: 4284090473 Enrollment ID: I20240807002067 |
| Provider Name | Theresa Benskin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578141198 PECOS PAC ID: 3779992185 Enrollment ID: I20240807003770 |
| Provider Name | Rachel Marie Trouten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790520328 PECOS PAC ID: 5991242869 Enrollment ID: I20240809000388 |
| Provider Name | Alexander Menning |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1700306636 PECOS PAC ID: 4688943053 Enrollment ID: I20240809001518 |
| Provider Name | Hayden Lynn Warner |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1497246995 PECOS PAC ID: 3577802727 Enrollment ID: I20240812003085 |
| Provider Name | Grant Douglas Henning |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871242107 PECOS PAC ID: 8426438458 Enrollment ID: I20240814003335 |
| Provider Name | Leon M Siegel |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1578094108 PECOS PAC ID: 7517200306 Enrollment ID: I20240814004566 |
| Provider Name | Teresa M Walsh |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508090549 PECOS PAC ID: 5597990861 Enrollment ID: I20240815003719 |
| Provider Name | Justin C German |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659949030 PECOS PAC ID: 8022418755 Enrollment ID: I20240821000993 |
| Provider Name | Nicole Gensicke |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1750942595 PECOS PAC ID: 2567798440 Enrollment ID: I20240822000496 |
| Provider Name | Kelsey M Peters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710715081 PECOS PAC ID: 8921547829 Enrollment ID: I20240822004672 |
| Provider Name | Zubair Hassan Bodla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427710698 PECOS PAC ID: 5193264802 Enrollment ID: I20240826004072 |
| Provider Name | Jadyn Forsyth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588401053 PECOS PAC ID: 7719426428 Enrollment ID: I20240826004151 |
| Provider Name | Pooja N Mayur |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376289785 PECOS PAC ID: 5597144154 Enrollment ID: I20240827004182 |
| Provider Name | Aparna Alavalapadu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265929152 PECOS PAC ID: 2163773078 Enrollment ID: I20240831000417 |
| Provider Name | Marissa Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467145938 PECOS PAC ID: 4981068087 Enrollment ID: I20240912001032 |
| Provider Name | Sarah Ann O'connell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205674298 PECOS PAC ID: 0143760405 Enrollment ID: I20240912003889 |
| Provider Name | Jessica Leigh Van Dyke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902638620 PECOS PAC ID: 7810437076 Enrollment ID: I20240913003290 |
| Provider Name | Denniz a Zolnoun |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447348750 PECOS PAC ID: 1456476233 Enrollment ID: I20240916001776 |
| Provider Name | Nathan Mohr |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1679066559 PECOS PAC ID: 1850648478 Enrollment ID: I20240918000687 |
| Provider Name | Jackson Richards |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972244655 PECOS PAC ID: 9739560335 Enrollment ID: I20240920000511 |
| Provider Name | Robert Holness |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396066387 PECOS PAC ID: 1759603871 Enrollment ID: I20240920003532 |
| Provider Name | Mariah Jean Forsyth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932947702 PECOS PAC ID: 5294276556 Enrollment ID: I20240926001598 |
| Provider Name | Paige Loy |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821820317 PECOS PAC ID: 8628509957 Enrollment ID: I20240927000084 |
| Provider Name | Kyllie Schmidt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639916273 PECOS PAC ID: 4486185741 Enrollment ID: I20240927001506 |
| Provider Name | Allison Cadden |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1871281782 PECOS PAC ID: 5193256188 Enrollment ID: I20241001003241 |
| Provider Name | Emma Fay Koester |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487480778 PECOS PAC ID: 8426589458 Enrollment ID: I20241002000427 |
| Provider Name | Shelli Van Roekel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457194953 PECOS PAC ID: 6305377946 Enrollment ID: I20241007001663 |
| Provider Name | Melissa Ann Mendenhall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437596343 PECOS PAC ID: 9234661281 Enrollment ID: I20241015002083 |
| Provider Name | Mary T Barrett |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902983976 PECOS PAC ID: 6002901873 Enrollment ID: I20241016003069 |
| Provider Name | Christine Young-denny |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437279049 PECOS PAC ID: 8022540913 Enrollment ID: I20241016003717 |
| Provider Name | John E Meilahn |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1013905058 PECOS PAC ID: 2466357603 Enrollment ID: I20241101001316 |
| Provider Name | Austyn Powers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306443056 PECOS PAC ID: 9638580335 Enrollment ID: I20241106000144 |
| Provider Name | Philip Brooks |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568791143 PECOS PAC ID: 9234566472 Enrollment ID: I20241119001012 |
| Provider Name | Caitlin Mink |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114504479 PECOS PAC ID: 0345642757 Enrollment ID: I20241120004037 |
| Provider Name | Magarya S Waitara |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1548688203 PECOS PAC ID: 7517275308 Enrollment ID: I20241122003120 |
| Provider Name | Ezekiel B Quittner-strom |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134867906 PECOS PAC ID: 5092196360 Enrollment ID: I20241127001919 |
| Provider Name | Sarah Yans |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245502640 PECOS PAC ID: 8123249836 Enrollment ID: I20241129000405 |
| Provider Name | Rebecca Denton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073330049 PECOS PAC ID: 6204362890 Enrollment ID: I20241205003304 |
| Provider Name | Daniel Kandah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144889148 PECOS PAC ID: 7911232533 Enrollment ID: I20241209000427 |
| Provider Name | Angela G Laster |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1144295072 PECOS PAC ID: 3476514084 Enrollment ID: I20241209001432 |
| Provider Name | Alayna Ragain |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1336976000 PECOS PAC ID: 2769918093 Enrollment ID: I20241210004633 |
| Provider Name | Emily Wolf |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1376361725 PECOS PAC ID: 8729514955 Enrollment ID: I20241211000287 |
| Provider Name | Priyanka Reddy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013364462 PECOS PAC ID: 8820389612 Enrollment ID: I20241211003558 |
| Provider Name | Curt Feinberg |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1508862459 PECOS PAC ID: 4082690730 Enrollment ID: I20241218000551 |
| Provider Name | Cheickna Diarra |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1588978803 PECOS PAC ID: 7315135860 Enrollment ID: I20241218002677 |
| Provider Name | Laura E Oyugi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578202172 PECOS PAC ID: 5092195628 Enrollment ID: I20241220002044 |
| Provider Name | Madison Stoaks |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184488751 PECOS PAC ID: 9436686433 Enrollment ID: I20250102000466 |
| Provider Name | Marissa Lundeen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356113625 PECOS PAC ID: 1951744234 Enrollment ID: I20250103001762 |
| Provider Name | Sydney Pierce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558182964 PECOS PAC ID: 1759819535 Enrollment ID: I20250107002274 |
| Provider Name | Emily a Flexsenhar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154146629 PECOS PAC ID: 1456889294 Enrollment ID: I20250108000730 |
| Provider Name | Emily D Puetz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528874344 PECOS PAC ID: 1355879099 Enrollment ID: I20250109001218 |
| Provider Name | Jennifer Chris Wasson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518788900 PECOS PAC ID: 1759819923 Enrollment ID: I20250115003334 |
| Provider Name | Natalie K Roseman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083441257 PECOS PAC ID: 1254860273 Enrollment ID: I20250121002943 |
| Provider Name | Callie Sue Masters |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679383673 PECOS PAC ID: 1153850870 Enrollment ID: I20250124003216 |
| Provider Name | Devan Rae Eiten |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548602535 PECOS PAC ID: 4385174580 Enrollment ID: I20250203002881 |
| Provider Name | Aaron S Hammond |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1538152236 PECOS PAC ID: 7113908450 Enrollment ID: I20250212002081 |
| Provider Name | Ruffin Tchakounte |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245961127 PECOS PAC ID: 7416337639 Enrollment ID: I20250213003572 |
| Provider Name | Danae M Aplas |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1144236498 PECOS PAC ID: 4385601301 Enrollment ID: I20250218001051 |
| Provider Name | Peter John Rafferty |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1053940601 PECOS PAC ID: 3375965080 Enrollment ID: I20250218003504 |
| Provider Name | Russell Mclaughlin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1538112032 PECOS PAC ID: 9830088178 Enrollment ID: I20250221001805 |
| Provider Name | Laura Hoppe |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609365048 PECOS PAC ID: 8325392905 Enrollment ID: I20250221002328 |
| Provider Name | Jacob Cooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083425615 PECOS PAC ID: 1153841069 Enrollment ID: I20250222000112 |
| Provider Name | Taylor Schiebout |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841905437 PECOS PAC ID: 2860865425 Enrollment ID: I20250304002706 |
| Provider Name | Savannah Meredith Wiltfang |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093510745 PECOS PAC ID: 5890216832 Enrollment ID: I20250306003364 |
| Provider Name | Gabrielle Mueller |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1689455396 PECOS PAC ID: 7618499559 Enrollment ID: I20250319004106 |
| Provider Name | John William Hanshew |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1417766841 PECOS PAC ID: 6901329978 Enrollment ID: I20250331002235 |
| Provider Name | Susan Light Roewe |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417375221 PECOS PAC ID: 2668751231 Enrollment ID: I20250402002200 |
| Provider Name | Eric Parrott |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255891792 PECOS PAC ID: 2860827755 Enrollment ID: I20250403000855 |
| Provider Name | Alyson Ladenburger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205637634 PECOS PAC ID: 4789108119 Enrollment ID: I20250408000281 |
| Provider Name | Shiny Kunjummen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346288073 PECOS PAC ID: 2668597311 Enrollment ID: I20250412000304 |
| Provider Name | Esther Dorzin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922445238 PECOS PAC ID: 4284994849 Enrollment ID: I20250415003781 |
| Provider Name | Mikaylah Kathleen Avis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679387880 PECOS PAC ID: 1153846639 Enrollment ID: I20250416003761 |
| Provider Name | Joseph M Van Hulle |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679141998 PECOS PAC ID: 5991108557 Enrollment ID: I20250417003098 |
| Provider Name | Diana Kumar |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124314083 PECOS PAC ID: 8921222480 Enrollment ID: I20250423002987 |
| Provider Name | Wei Wei |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1154536142 PECOS PAC ID: 7911131826 Enrollment ID: I20250423003361 |
| Provider Name | Kiesha Mcgranahan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598584138 PECOS PAC ID: 7214454156 Enrollment ID: I20250505002573 |
| Provider Name | Claire Ryden Maxey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104421627 PECOS PAC ID: 3870909518 Enrollment ID: I20250507002709 |
| Provider Name | Ahmed Elsayed |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1346834389 PECOS PAC ID: 3476062407 Enrollment ID: I20250602002458 |
| Provider Name | David E Kragenbrink |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154316800 PECOS PAC ID: 8527050236 Enrollment ID: I20250603001982 |
| Provider Name | John Sung Joon Kang |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1720265556 PECOS PAC ID: 3779661467 Enrollment ID: I20250605000152 |
| Provider Name | Maysar Hassan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154941185 PECOS PAC ID: 0345642690 Enrollment ID: I20250606002381 |
| Provider Name | Elizabeth Hemkens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851159990 PECOS PAC ID: 0446760987 Enrollment ID: I20250612001087 |
| Provider Name | Marybeth Lore |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063441988 PECOS PAC ID: 6406048461 Enrollment ID: I20250612003269 |
| Provider Name | Martin Francisco |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790422236 PECOS PAC ID: 6608387824 Enrollment ID: I20250616001493 |
| Provider Name | Nicholas Gabriel Dunne |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548945751 PECOS PAC ID: 5395105241 Enrollment ID: I20250617001632 |
| Provider Name | Richard Meier |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649808452 PECOS PAC ID: 0749644011 Enrollment ID: I20250618000126 |
| Provider Name | Bart Kneeland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265466296 PECOS PAC ID: 5395773048 Enrollment ID: I20250618000401 |
| Provider Name | Joseph Rocco Cutrone |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1790218238 PECOS PAC ID: 6406128073 Enrollment ID: I20250624000812 |
| Provider Name | Jill a Beach |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306585245 PECOS PAC ID: 6103201645 Enrollment ID: I20250624003669 |
| Provider Name | Cayleen Sue Rohach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043003486 PECOS PAC ID: 0941714026 Enrollment ID: I20250709004384 |
| Provider Name | Daniel S Bor |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912609215 PECOS PAC ID: 3173983459 Enrollment ID: I20250710002202 |
| Provider Name | Lydia Elyse Von Tersch |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528705001 PECOS PAC ID: 1658886361 Enrollment ID: I20250711003463 |
| Provider Name | Cole T Anderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093451130 PECOS PAC ID: 2769864289 Enrollment ID: I20250714000226 |
| Provider Name | Natalie Ross |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801536115 PECOS PAC ID: 0749660777 Enrollment ID: I20250714000275 |
| Provider Name | Cori N Walker |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1972129542 PECOS PAC ID: 3678996659 Enrollment ID: I20250716002608 |
| Provider Name | Cara Schoon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588394555 PECOS PAC ID: 1355723230 Enrollment ID: I20250717001135 |
| Provider Name | Blake Letney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417686957 PECOS PAC ID: 8729464128 Enrollment ID: I20250719000146 |
| Provider Name | Jolecia Michelle Luyakoh |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1710555842 PECOS PAC ID: 6901208388 Enrollment ID: I20250721003132 |
| Provider Name | Julie Kim |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1851305049 PECOS PAC ID: 0840329595 Enrollment ID: I20250722003710 |
| Provider Name | Rebecca R Rasmussen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568191112 PECOS PAC ID: 5799165924 Enrollment ID: I20250728000547 |
| Provider Name | Daniel Afrifa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528564473 PECOS PAC ID: 9436542800 Enrollment ID: I20250728000655 |
| Provider Name | Carley Cueva |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922737758 PECOS PAC ID: 9234519455 Enrollment ID: I20250728001008 |
| Provider Name | Andrew P Barnes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487383139 PECOS PAC ID: 4385024504 Enrollment ID: I20250728002536 |
| Provider Name | Brandon G Koch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912636283 PECOS PAC ID: 0749660686 Enrollment ID: I20250728003425 |
| Provider Name | Madison M Bagnall |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861121592 PECOS PAC ID: 4385024595 Enrollment ID: I20250729002267 |
| Provider Name | Tyler J Larson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538808092 PECOS PAC ID: 2769865708 Enrollment ID: I20250730001167 |
| Provider Name | Alexis M Block |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174262760 PECOS PAC ID: 4486039922 Enrollment ID: I20250730001740 |
| Provider Name | Bailee Kramer |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1841936895 PECOS PAC ID: 2668980699 Enrollment ID: I20250801001199 |
| Provider Name | Tara Lynn Steinbronn |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1124713144 PECOS PAC ID: 4385152081 Enrollment ID: I20250804003073 |
| Provider Name | Cheyenne Marie Lowe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184413817 PECOS PAC ID: 2365950094 Enrollment ID: I20250804003903 |
| Provider Name | Erin Davick |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1932722071 PECOS PAC ID: 5991127490 Enrollment ID: I20250805000201 |
| Provider Name | Brooke Kutsch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164319372 PECOS PAC ID: 8820506132 Enrollment ID: I20250806001384 |
| Provider Name | Sameh Nassar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629691845 PECOS PAC ID: 3476096306 Enrollment ID: I20250809000363 |
| Provider Name | Tammy Rose Kelly |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1710986997 PECOS PAC ID: 9537072046 Enrollment ID: I20250812004145 |
| Provider Name | Ashten E Sherman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174261077 PECOS PAC ID: 9436530797 Enrollment ID: I20250813004255 |
| Provider Name | Holly Marie Sachau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477396109 PECOS PAC ID: 9638679491 Enrollment ID: I20250826000520 |
| Provider Name | Maggie White |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740911254 PECOS PAC ID: 2062894959 Enrollment ID: I20250827001417 |
| Provider Name | Vijay H Shah |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518607308 PECOS PAC ID: 5799165536 Enrollment ID: I20250827001435 |
| Provider Name | Ines Valcarce Romero |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831825967 PECOS PAC ID: 3779951496 Enrollment ID: I20250827003019 |
| Provider Name | Cassiopeia Eleanor Powell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982597845 PECOS PAC ID: 8325549629 Enrollment ID: I20250828003524 |
| Provider Name | Ashlee Graham |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598323917 PECOS PAC ID: 2860728094 Enrollment ID: I20250903001958 |
| Provider Name | Bethany Boyle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477203024 PECOS PAC ID: 5496136004 Enrollment ID: I20250905000240 |
| Provider Name | Cherline a Lee Rausch |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053873430 PECOS PAC ID: 1850779638 Enrollment ID: I20250905001204 |
| Provider Name | Catherine E Shaughnessy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629770177 PECOS PAC ID: 2365802626 Enrollment ID: I20250905001234 |
| Provider Name | Lauren Hall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376281113 PECOS PAC ID: 6204216237 Enrollment ID: I20250910002099 |
| Provider Name | Morgan Shaw |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245925775 PECOS PAC ID: 2860851599 Enrollment ID: I20250910002329 |
| Provider Name | Kelcie Gunderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487530358 PECOS PAC ID: 9739682295 Enrollment ID: I20250911000580 |
| Provider Name | Kathryn Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902798192 PECOS PAC ID: 1759884232 Enrollment ID: I20250911001232 |
| Provider Name | Sarah Elizabeth Boerm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912881228 PECOS PAC ID: 4587167028 Enrollment ID: I20250911002577 |
| Provider Name | Kevin Mcdonald |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336632637 PECOS PAC ID: 2163823675 Enrollment ID: I20250917003703 |
| Provider Name | Kaitlin Geisenhof |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467157271 PECOS PAC ID: 3274993548 Enrollment ID: I20250918001107 |
| Provider Name | Edvin Rosic |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285372144 PECOS PAC ID: 4880070028 Enrollment ID: I20250918002711 |
| Provider Name | Marci Elizabeth Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295534790 PECOS PAC ID: 0345745725 Enrollment ID: I20250925004011 |
| Provider Name | Timothy Ishmael |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902856198 PECOS PAC ID: 3274443627 Enrollment ID: I20250925004031 |
| Provider Name | Daria Hogren |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1922874825 PECOS PAC ID: 1254777576 Enrollment ID: I20250925004620 |
| Provider Name | Eric J Pacheco |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205715844 PECOS PAC ID: 7911403472 Enrollment ID: I20251002004038 |
| Provider Name | Gokul Yaratha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598164105 PECOS PAC ID: 9830453042 Enrollment ID: I20251013002175 |
| Provider Name | Nicholas Kohles |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700234135 PECOS PAC ID: 6901140284 Enrollment ID: I20251015002931 |
| Provider Name | Tanya Comer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255157830 PECOS PAC ID: 6608363213 Enrollment ID: I20251016003036 |
| Provider Name | Eugene Rizzo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497875868 PECOS PAC ID: 8123420379 Enrollment ID: I20251023001798 |
| Provider Name | Latino Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932515368 PECOS PAC ID: 0648497578 Enrollment ID: I20251023001962 |
| Provider Name | Elissa a Wegley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881203685 PECOS PAC ID: 4082024971 Enrollment ID: I20251031000478 |
| Provider Name | Hojung Yoon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447208616 PECOS PAC ID: 5890722987 Enrollment ID: I20251101000158 |
| Provider Name | Joy Grimes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578858924 PECOS PAC ID: 1052582905 Enrollment ID: I20251101000179 |
| Provider Name | Delaynee Hoover |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083593305 PECOS PAC ID: 4587153168 Enrollment ID: I20251103001487 |
| Provider Name | Keri Crewson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003269234 PECOS PAC ID: 7911319256 Enrollment ID: I20251104003717 |
| Provider Name | Autumn Loga |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053291971 PECOS PAC ID: 8820588296 Enrollment ID: I20251104004158 |
| Provider Name | Fabian Latorre |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265782601 PECOS PAC ID: 9436539889 Enrollment ID: I20251105001643 |
| Provider Name | Alisa Renee Alantho |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1427510254 PECOS PAC ID: 8921437989 Enrollment ID: I20251110001929 |
| Provider Name | Carli Marie Woodley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841165602 PECOS PAC ID: 2860982584 Enrollment ID: I20251110002750 |
| Provider Name | Drew Dust |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427402510 PECOS PAC ID: 1456646348 Enrollment ID: I20251118004420 |
| Provider Name | Wil Germain |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720348592 PECOS PAC ID: 2668791963 Enrollment ID: I20251124000918 |
| Provider Name | Candis Bell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013275767 PECOS PAC ID: 0840601340 Enrollment ID: I20251124001117 |
| Provider Name | Johnathan Lee William Davis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437530110 PECOS PAC ID: 3779984588 Enrollment ID: I20251124003540 |
| Provider Name | Emilina King |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629715024 PECOS PAC ID: 4082107743 Enrollment ID: I20251202002792 |
| Provider Name | Luis Acosta Nunez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154018349 PECOS PAC ID: 3173981883 Enrollment ID: I20251209003346 |
| Provider Name | Claire Duncan Vannatta |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477316628 PECOS PAC ID: 7911491667 Enrollment ID: I20251210003562 |
| Provider Name | Dominic Allan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083461024 PECOS PAC ID: 4981140977 Enrollment ID: I20251212000581 |
| Provider Name | Corey Jonathon Sadd |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1588158984 PECOS PAC ID: 3577810183 Enrollment ID: I20251218003068 |
| Provider Name | Jessica Woellhof |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710878061 PECOS PAC ID: 7517452279 Enrollment ID: I20251219001379 |
| Provider Name | Candice Schlafmann |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235511296 PECOS PAC ID: 5799098505 Enrollment ID: I20251223000310 |
| Provider Name | Ritesh Singh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366730467 PECOS PAC ID: 6002089356 Enrollment ID: I20251229003307 |
| Provider Name | Lindsey Ann Engelken |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265308985 PECOS PAC ID: 3476049461 Enrollment ID: I20251229003565 |
| Provider Name | Gregory Kennedy |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1689622185 PECOS PAC ID: 6608870514 Enrollment ID: I20260107002112 |
| Provider Name | Alexandria Kapfhamer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952270563 PECOS PAC ID: 3476039736 Enrollment ID: I20260107002125 |
| Provider Name | Megan Marie D'mello |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1508669037 PECOS PAC ID: 3375020746 Enrollment ID: I20260116000964 |
| Provider Name | Melissa Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477077295 PECOS PAC ID: 4789950643 Enrollment ID: I20260117000159 |
| Provider Name | Shelby L Gaylor |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1326905969 PECOS PAC ID: 6406333533 Enrollment ID: I20260121000374 |
| Provider Name | Mai Al Khadem |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1134651979 PECOS PAC ID: 2860853116 Enrollment ID: I20260121003820 |
| Provider Name | Mary Huesmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275792566 PECOS PAC ID: 6002394269 Enrollment ID: I20260129001415 |
| Provider Name | Kyle Bos |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1508721374 PECOS PAC ID: 2961980917 Enrollment ID: I20260130002366 |
| Provider Name | Erich Paul Gerhardt |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1851528335 PECOS PAC ID: 7618126145 Enrollment ID: I20260204002985 |
| Provider Name | Olivia Ann Hildreth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518816099 PECOS PAC ID: 9133608466 Enrollment ID: I20260206003725 |
| Provider Name | Kaylie Hackenmiller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851260418 PECOS PAC ID: 3678054368 Enrollment ID: I20260220001439 |
| Provider Name | Steven M Miller |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1124009774 PECOS PAC ID: 8628016094 Enrollment ID: I20260224000595 |
| Provider Name | Dante Mautino |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306688627 PECOS PAC ID: 5799225074 Enrollment ID: I20260224002965 |
| Provider Name | Charles Dylan Miks |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467136630 PECOS PAC ID: 8426539461 Enrollment ID: I20260226003701 |
| Provider Name | Garrett Shackleton |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1295183184 PECOS PAC ID: 6608160411 Enrollment ID: I20260227003095 |
| Provider Name | Devon Foster |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1164942942 PECOS PAC ID: 0547539405 Enrollment ID: I20260302002361 |
| Provider Name | Evan Reinhart |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1578068284 PECOS PAC ID: 0244587608 Enrollment ID: I20260303002912 |
| Provider Name | Sara Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881543551 PECOS PAC ID: 9638651144 Enrollment ID: I20260304002220 |
| Provider Name | Anna Christine Tystahl |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629931019 PECOS PAC ID: 6103308465 Enrollment ID: I20260305001390 |
| Provider Name | Marissa Anne Galvin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578444733 PECOS PAC ID: 3375026883 Enrollment ID: I20260312003322 |
| Provider Name | Jarrett Sappington |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356183651 PECOS PAC ID: 9739625054 Enrollment ID: I20260317002228 |
| Provider Name | Katee Lynn Wyant |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154812964 PECOS PAC ID: 4981940111 Enrollment ID: I20260318000935 |
| Provider Name | Monica Ploetzke |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396158200 PECOS PAC ID: 6103174842 Enrollment ID: I20260318001409 |
| Provider Name | Ryan Joseph King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447114327 PECOS PAC ID: 4688159544 Enrollment ID: I20260327003890 |
| Provider Name | Elisabeth Parilo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407702244 PECOS PAC ID: 5496221368 Enrollment ID: I20260417001585 |
| Provider Name | Shuntina Lilly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619320306 PECOS PAC ID: 2769749902 Enrollment ID: I20260420001680 |
| Provider Name | Lauren a Braden |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1467986885 PECOS PAC ID: 9133496128 Enrollment ID: I20260422003109 |
| Provider Name | Costa Alimonos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235670712 PECOS PAC ID: 6507136223 Enrollment ID: I20260427002166 |
| Provider Name | Tricia Maccarthy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336621135 PECOS PAC ID: 0143636951 Enrollment ID: I20260504006375 |
| Provider Name | Ellesavette Kokkinos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205679602 PECOS PAC ID: 4486190675 Enrollment ID: I20260603002396 |
| Provider Name | Nicole Dyer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053499426 PECOS PAC ID: 8729971189 Enrollment ID: I20260615001121 |
| Provider Name | Mamoon Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679184360 PECOS PAC ID: 6305266750 Enrollment ID: I20260618003923 |
| Provider Name | Peter George |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1275538621 PECOS PAC ID: 9234118142 Enrollment ID: I20260620000380 |
| Provider Name | Heather Talley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245694637 PECOS PAC ID: 7315230083 Enrollment ID: I20260623001368 |
Excellence in Adult Health Care PC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5901 Westown Pkwy, Suite 220, West Des Moines, IA 50266 Phone: 515-326-0970 |
West Grand Medical Associates,p.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 119 19th St, Ste 106, West Des Moines, IA 50265 Phone: 515-226-0112 Fax: 515-226-0208 |
Ageless Men's Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 800 S 50th St Ste 101, West Des Moines, IA 50265 Phone: 725-204-6055 |
Carrot Medical of Delaware, LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2829 Westown Pkwy Ste 100, West Des Moines, IA 50266 Phone: 888-817-9040 |
Dale M. Grunewald DO PC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 230 S 68th St, Suite 1203, West Des Moines, IA 50266 Phone: 515-471-1800 Fax: 515-471-1801 |
Bhc Iowa, LLC Dba Refine Hormone Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 160 Jordan Creek Pkwy Ste 110, West Des Moines, IA 50266 Phone: 515-500-6620 |