| University Family Physicians, Inc. | |
|
1701 N Senate Blvd Indianapolis IN 46202-1239 | |
| (317) 962-2000 | |
| Not Available |
| Full Name | University Family Physicians, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 1701 N Senate Blvd, Indianapolis, Indiana |
| Authorized Official Name and Position | Judith L Coleman (CFO) |
| Authorized Official Contact | 3179483525 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| University Family Physicians, Inc. 250 N Shadeland Ave Indianapolis IN 46219-4959 Ph: (888) 484-3258 | University Family Physicians, Inc. 1701 N Senate Blvd Indianapolis IN 46202-1239 Ph: (317) 962-2000 |
| NPI Number | 1043275787 |
|---|---|
| Provider Enumeration Date | 04/18/2006 |
| Last Update Date | 11/03/2023 |
| Medicare PECOS PAC ID | 7911992797 |
|---|---|
| Medicare Enrollment ID | O20040420000393 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043275787 | NPI | - | NPPES |
| 100059030 | Medicaid | IN |
| Provider Name | Scott E Renshaw |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629034392 PECOS PAC ID: 7911810643 Enrollment ID: I20031110000270 |
| Provider Name | Harold J Hileman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730129032 PECOS PAC ID: 2062319478 Enrollment ID: I20031215000588 |
| Provider Name | Wayne M Ellis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508848102 PECOS PAC ID: 8527953413 Enrollment ID: I20040219000199 |
| Provider Name | Michael Summers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891719324 PECOS PAC ID: 3476442302 Enrollment ID: I20040310001445 |
| Provider Name | Bryan E Hainline |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154431567 PECOS PAC ID: 4789574609 Enrollment ID: I20040316000872 |
| Provider Name | Mitchell Alan Harris |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285741942 PECOS PAC ID: 6305738949 Enrollment ID: I20040327000211 |
| Provider Name | Coby T Richeson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700835204 PECOS PAC ID: 4981698727 Enrollment ID: I20040413001591 |
| Provider Name | Bradley M Sutter |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568467645 PECOS PAC ID: 8527056134 Enrollment ID: I20040503001547 |
| Provider Name | Jerome B Sneed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053492868 PECOS PAC ID: 5193716686 Enrollment ID: I20040522000218 |
| Provider Name | Melanie A Pickett |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1346219003 PECOS PAC ID: 0446240303 Enrollment ID: I20040604000528 |
| Provider Name | Wynter K Vik |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235188137 PECOS PAC ID: 4082696695 Enrollment ID: I20040607000075 |
| Provider Name | Blaine Y Takesue |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225046089 PECOS PAC ID: 2264414762 Enrollment ID: I20040607000767 |
| Provider Name | Holly M Hendrickson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699733592 PECOS PAC ID: 8628052107 Enrollment ID: I20040614000799 |
| Provider Name | Derek T Sprunger |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1184625311 PECOS PAC ID: 8426032434 Enrollment ID: I20040616001396 |
| Provider Name | Carol Lynn Dellinger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689663031 PECOS PAC ID: 8527043983 Enrollment ID: I20040621000572 |
| Provider Name | Gavin J Roberts |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1477555035 PECOS PAC ID: 3779563358 Enrollment ID: I20040728000047 |
| Provider Name | William G Zeh |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1932137668 PECOS PAC ID: 6204749534 Enrollment ID: I20040820000699 |
| Provider Name | John Latona |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1497700983 PECOS PAC ID: 3375516370 Enrollment ID: I20040820000719 |
| Provider Name | Beth A Barron |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679680151 PECOS PAC ID: 7214902352 Enrollment ID: I20040831001568 |
| Provider Name | Xiaoyan Wang |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1700844818 PECOS PAC ID: 1557337367 Enrollment ID: I20040902001208 |
| Provider Name | Dana L Donaldson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1649271867 PECOS PAC ID: 8820057698 Enrollment ID: I20041007000196 |
| Provider Name | Susan M Hunt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740204668 PECOS PAC ID: 4183683691 Enrollment ID: I20041008000662 |
| Provider Name | David D Weaver |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508822545 PECOS PAC ID: 6305808403 Enrollment ID: I20041101000751 |
| Provider Name | Eric A Albright |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1437135506 PECOS PAC ID: 5294799912 Enrollment ID: I20041112000800 |
| Provider Name | Gaylen M Kelton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689651721 PECOS PAC ID: 0042276362 Enrollment ID: I20041208000081 |
| Provider Name | Mary Elizabeth Schueth |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558322123 PECOS PAC ID: 1052378650 Enrollment ID: I20041215000656 |
| Provider Name | Daniel S Smith |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1992762066 PECOS PAC ID: 8224096441 Enrollment ID: I20041220001020 |
| Provider Name | Aaron E Carroll |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013943125 PECOS PAC ID: 3779533518 Enrollment ID: I20050128000515 |
| Provider Name | Chris P Karras |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1396710513 PECOS PAC ID: 0941254965 Enrollment ID: I20050311000349 |
| Provider Name | Sagi V Mathew |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720044217 PECOS PAC ID: 9234117953 Enrollment ID: I20050323000671 |
| Provider Name | David Michael Blackwell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104903111 PECOS PAC ID: 8921055708 Enrollment ID: I20050404000872 |
| Provider Name | Robert Marquez De Las Alas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386688182 PECOS PAC ID: 7214974724 Enrollment ID: I20050414001275 |
| Provider Name | Theresa L Greco |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356318240 PECOS PAC ID: 4789625146 Enrollment ID: I20050516000649 |
| Provider Name | Jeffrey A Kons |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588629133 PECOS PAC ID: 3173565074 Enrollment ID: I20050601000202 |
| Provider Name | Daniel J Fagan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831156330 PECOS PAC ID: 8022050988 Enrollment ID: I20050601000731 |
| Provider Name | Cami S Barger Jones |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467426429 PECOS PAC ID: 3870536485 Enrollment ID: I20050606000249 |
| Provider Name | William A Heisel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508819772 PECOS PAC ID: 5092750968 Enrollment ID: I20050621001211 |
| Provider Name | Kirk D Perry |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609840578 PECOS PAC ID: 5991740730 Enrollment ID: I20050622001195 |
| Provider Name | Valerie A Purvin |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1811902695 PECOS PAC ID: 7719923713 Enrollment ID: I20050630000337 |
| Provider Name | Katharina M Weber |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487694113 PECOS PAC ID: 1850337304 Enrollment ID: I20050706000622 |
| Provider Name | Shashank J Dave |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1447214440 PECOS PAC ID: 2860421690 Enrollment ID: I20050811000441 |
| Provider Name | Carleigh Elissa Wilson |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1831151059 PECOS PAC ID: 6204890486 Enrollment ID: I20050812000432 |
| Provider Name | Ashwin Narasimhan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548241912 PECOS PAC ID: 8426088659 Enrollment ID: I20050817000880 |
| Provider Name | Sarah Jeannette Mckenna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033167101 PECOS PAC ID: 9032144837 Enrollment ID: I20050929001175 |
| Provider Name | Mitchell D Krathwohl |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1447225818 PECOS PAC ID: 0749208643 Enrollment ID: I20051110000131 |
| Provider Name | Timothy Justin Broach |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508822792 PECOS PAC ID: 5092734442 Enrollment ID: I20051115001083 |
| Provider Name | Bryan R Mayol |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1669484333 PECOS PAC ID: 0840219788 Enrollment ID: I20051121000306 |
| Provider Name | Don-john Summerlin |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1114975018 PECOS PAC ID: 3577572965 Enrollment ID: I20060412000547 |
| Provider Name | Rosalia Misseri |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1538127501 PECOS PAC ID: 2365412350 Enrollment ID: I20060721000140 |
| Provider Name | Kishan B Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265455836 PECOS PAC ID: 2264437961 Enrollment ID: I20061003000153 |
| Provider Name | Alejandro A Vega |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316907819 PECOS PAC ID: 7719982339 Enrollment ID: I20061003000326 |
| Provider Name | Jennifer R Hur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740212448 PECOS PAC ID: 1557344264 Enrollment ID: I20061011000146 |
| Provider Name | Michael A Rawlings |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851332100 PECOS PAC ID: 9032118534 Enrollment ID: I20061211000442 |
| Provider Name | Aaron Afshin Cohen-gadol |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1215962279 PECOS PAC ID: 0244260909 Enrollment ID: I20061215000099 |
| Provider Name | Alicyn D Robb |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740387109 PECOS PAC ID: 5496858193 Enrollment ID: I20070319000317 |
| Provider Name | Laura Stover Price |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396784864 PECOS PAC ID: 4284730284 Enrollment ID: I20070508000687 |
| Provider Name | Jane E Wilson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659375335 PECOS PAC ID: 3173620499 Enrollment ID: I20070522000376 |
| Provider Name | Sunil Jayant Juthani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922058684 PECOS PAC ID: 2567560402 Enrollment ID: I20070531000216 |
| Provider Name | Rosen Dimitrov |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1841273638 PECOS PAC ID: 0446224844 Enrollment ID: I20070604000506 |
| Provider Name | Steven D Hill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598716458 PECOS PAC ID: 9830297407 Enrollment ID: I20070605000373 |
| Provider Name | Michelle M Haweit |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376653014 PECOS PAC ID: 2860590015 Enrollment ID: I20070612000180 |
| Provider Name | Louis E Cantor |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1487655783 PECOS PAC ID: 7618075813 Enrollment ID: I20070612000662 |
| Provider Name | Darla J Gowan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538372792 PECOS PAC ID: 8820197825 Enrollment ID: I20070615000193 |
| Provider Name | Jeffrey J Nace |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619984556 PECOS PAC ID: 6901905827 Enrollment ID: I20070619000066 |
| Provider Name | Jeffrey Richard Ihlendorf |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205848728 PECOS PAC ID: 8921108614 Enrollment ID: I20070710000883 |
| Provider Name | Alicia Rene Yilmaz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699888305 PECOS PAC ID: 3779683479 Enrollment ID: I20070711000016 |
| Provider Name | Patrick E Kelley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235180373 PECOS PAC ID: 5799876645 Enrollment ID: I20070807000079 |
| Provider Name | Kathryn M Haider |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1144421041 PECOS PAC ID: 0749372977 Enrollment ID: I20070817000383 |
| Provider Name | Tamika Shawnice Dawson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942400734 PECOS PAC ID: 0143312249 Enrollment ID: I20070822000026 |
| Provider Name | Yasser A Mohamed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366649626 PECOS PAC ID: 1759473739 Enrollment ID: I20070822000841 |
| Provider Name | Hui Bae H Lee |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1801874599 PECOS PAC ID: 6507833589 Enrollment ID: I20070831000007 |
| Provider Name | Tracy P Murray |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942494307 PECOS PAC ID: 0941395248 Enrollment ID: I20071002000254 |
| Provider Name | Peter M Turlo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093785628 PECOS PAC ID: 8729173596 Enrollment ID: I20071009000501 |
| Provider Name | Kevin D Neese |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699710319 PECOS PAC ID: 6800867383 Enrollment ID: I20071016000210 |
| Provider Name | Theresa M Rohr-kirchgraber |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245258599 PECOS PAC ID: 2365416260 Enrollment ID: I20071026000091 |
| Provider Name | John R Mcnary |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316143092 PECOS PAC ID: 3577652452 Enrollment ID: I20071129000482 |
| Provider Name | Devonne A Elkins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619913001 PECOS PAC ID: 1759385180 Enrollment ID: I20080318000402 |
| Provider Name | Muhammad T Idrees |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1285848671 PECOS PAC ID: 2365538634 Enrollment ID: I20080414000475 |
| Provider Name | Helen E Michael |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1508819616 PECOS PAC ID: 2163500919 Enrollment ID: I20080421000221 |
| Provider Name | Simon J Warren |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1407828684 PECOS PAC ID: 4587680848 Enrollment ID: I20080429000206 |
| Provider Name | Kendra L Rininger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528264322 PECOS PAC ID: 5092893263 Enrollment ID: I20080429000425 |
| Provider Name | Rong Fan |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1669648408 PECOS PAC ID: 7517038474 Enrollment ID: I20080619000673 |
| Provider Name | James C Miller |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1083884696 PECOS PAC ID: 5890867246 Enrollment ID: I20080701000168 |
| Provider Name | Mehdi Nassiri |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1538335377 PECOS PAC ID: 9638241920 Enrollment ID: I20080701000549 |
| Provider Name | Kelly L Paul |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1588839856 PECOS PAC ID: 8325110091 Enrollment ID: I20080712000118 |
| Provider Name | Glynnis L Thatch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366466492 PECOS PAC ID: 7214001932 Enrollment ID: I20080729000754 |
| Provider Name | Ruben H Hernandez Mondragon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013181387 PECOS PAC ID: 0547334724 Enrollment ID: I20080806000326 |
| Provider Name | Aaron M Leary |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477710903 PECOS PAC ID: 5890869747 Enrollment ID: I20080811000507 |
| Provider Name | James M Lohman |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1548382104 PECOS PAC ID: 6901973643 Enrollment ID: I20080923000416 |
| Provider Name | Michael G Tuano |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194781450 PECOS PAC ID: 0547343246 Enrollment ID: I20081008000019 |
| Provider Name | Tabassum I Parkar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205015898 PECOS PAC ID: 8325116098 Enrollment ID: I20081008000110 |
| Provider Name | Timothy A Masterson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1528227923 PECOS PAC ID: 8921167321 Enrollment ID: I20081029000899 |
| Provider Name | Stacy L Wade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770742462 PECOS PAC ID: 7911066196 Enrollment ID: I20081103000280 |
| Provider Name | Jesse Spear |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447339684 PECOS PAC ID: 6204920416 Enrollment ID: I20081209000690 |
| Provider Name | Jeremy G Remus |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467401794 PECOS PAC ID: 9537193602 Enrollment ID: I20081218000162 |
| Provider Name | Yara P Catoira-boyle |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1396746459 PECOS PAC ID: 3577625763 Enrollment ID: I20081223000034 |
| Provider Name | Richard C Rink |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1720074149 PECOS PAC ID: 4486624418 Enrollment ID: I20090112000436 |
| Provider Name | David P Pletzer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467426239 PECOS PAC ID: 7012989874 Enrollment ID: I20090324000061 |
| Provider Name | Michael T Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083720817 PECOS PAC ID: 4284791856 Enrollment ID: I20090325000787 |
| Provider Name | Daniela A Lobo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720241144 PECOS PAC ID: 8123185501 Enrollment ID: I20090330000619 |
| Provider Name | Candice R Hamilton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063507374 PECOS PAC ID: 2860543444 Enrollment ID: I20090622000275 |
| Provider Name | David Fryman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750347993 PECOS PAC ID: 6709884869 Enrollment ID: I20090710000481 |
| Provider Name | Zandra S Dhue |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1013177575 PECOS PAC ID: 0547312936 Enrollment ID: I20090715000744 |
| Provider Name | John D Baldea |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1831246347 PECOS PAC ID: 1850445255 Enrollment ID: I20090819000854 |
| Provider Name | Oscar W Cummings |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1235181918 PECOS PAC ID: 6406900786 Enrollment ID: I20090820000718 |
| Provider Name | Neetu Mahendraker |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184899502 PECOS PAC ID: 2668526849 Enrollment ID: I20090822000125 |
| Provider Name | Haihong Mao |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023225901 PECOS PAC ID: 6507911641 Enrollment ID: I20090826000225 |
| Provider Name | Charles R Powell |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1013125871 PECOS PAC ID: 3678643293 Enrollment ID: I20090828000225 |
| Provider Name | Seth D Rinderknecht |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154591220 PECOS PAC ID: 7618022435 Enrollment ID: I20090831000628 |
| Provider Name | Richard W Pearson |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1386731875 PECOS PAC ID: 7214821529 Enrollment ID: I20090930000646 |
| Provider Name | Adam W Brazus |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1144286311 PECOS PAC ID: 8729125158 Enrollment ID: I20091016000375 |
| Provider Name | Donna J Purviance |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013240597 PECOS PAC ID: 4688711559 Enrollment ID: I20091026000387 |
| Provider Name | Stephen R Klapper |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1316910607 PECOS PAC ID: 8123166857 Enrollment ID: I20091117000393 |
| Provider Name | Mushkbar J Khan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013170430 PECOS PAC ID: 3274672290 Enrollment ID: I20091204000468 |
| Provider Name | Angela T Carbone |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1184688186 PECOS PAC ID: 8820137516 Enrollment ID: I20091210000086 |
| Provider Name | Flora Hammond |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1306860358 PECOS PAC ID: 0143268342 Enrollment ID: I20091231000030 |
| Provider Name | Natasha Singh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528157732 PECOS PAC ID: 2860585932 Enrollment ID: I20100111000172 |
| Provider Name | Eric W Waldo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356501514 PECOS PAC ID: 9830231414 Enrollment ID: I20100120000279 |
| Provider Name | Nathan D Prahlow |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1770547788 PECOS PAC ID: 3577607563 Enrollment ID: I20100215000050 |
| Provider Name | Scott A Shapiro |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1790788321 PECOS PAC ID: 6103960778 Enrollment ID: I20100219000542 |
| Provider Name | Kirsten E Kaisner-duncan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114984572 PECOS PAC ID: 3870637259 Enrollment ID: I20100223000735 |
| Provider Name | Gail H Vance |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649236217 PECOS PAC ID: 4688719883 Enrollment ID: I20100226000248 |
| Provider Name | Wilfredo Torres Martinez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487610051 PECOS PAC ID: 4789729997 Enrollment ID: I20100226000357 |
| Provider Name | Mitesh V Shah |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1851394340 PECOS PAC ID: 8325183551 Enrollment ID: I20100226000602 |
| Provider Name | Her-juing Wu |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1700983277 PECOS PAC ID: 0840184156 Enrollment ID: I20100311000006 |
| Provider Name | Gail Stotsky |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215976907 PECOS PAC ID: 9931234184 Enrollment ID: I20100313000025 |
| Provider Name | Brian R Leon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356309587 PECOS PAC ID: 4688709702 Enrollment ID: I20100315000821 |
| Provider Name | Anthony N Akosa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295791200 PECOS PAC ID: 5294860326 Enrollment ID: I20100315000865 |
| Provider Name | Daniel W Belcher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447216932 PECOS PAC ID: 0345375077 Enrollment ID: I20100318000911 |
| Provider Name | Mark D Bruns |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740248962 PECOS PAC ID: 0749315356 Enrollment ID: I20100322000694 |
| Provider Name | Michael Busha |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871660472 PECOS PAC ID: 9739075276 Enrollment ID: I20100325000216 |
| Provider Name | Gregory C Kiray |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639136906 PECOS PAC ID: 8729114921 Enrollment ID: I20100326000625 |
| Provider Name | Deanna R Willis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891753778 PECOS PAC ID: 3779619911 Enrollment ID: I20100327000000 |
| Provider Name | Susan G Kiray |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205943958 PECOS PAC ID: 2860528007 Enrollment ID: I20100327000010 |
| Provider Name | Daniel J Robinson |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1457355307 PECOS PAC ID: 3678555240 Enrollment ID: I20100405000192 |
| Provider Name | Thomas R Marshall |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932153947 PECOS PAC ID: 2466588041 Enrollment ID: I20100407000783 |
| Provider Name | Leeandrea Jm Sloan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730137563 PECOS PAC ID: 7911033444 Enrollment ID: I20100409000086 |
| Provider Name | Rhonda Jeanne Eubanks |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235177338 PECOS PAC ID: 6204963432 Enrollment ID: I20100420000956 |
| Provider Name | Eric Andrew Bannec |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093710881 PECOS PAC ID: 0244284552 Enrollment ID: I20100422001080 |
| Provider Name | Thomas A Kocoshis |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1467565838 PECOS PAC ID: 0042104358 Enrollment ID: I20100427000788 |
| Provider Name | Elliott A Yolles |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1326038654 PECOS PAC ID: 8820124340 Enrollment ID: I20100429000544 |
| Provider Name | Rachael S Bowles |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295793412 PECOS PAC ID: 3577691898 Enrollment ID: I20100506001011 |
| Provider Name | David H Porter |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558317909 PECOS PAC ID: 5294863510 Enrollment ID: I20100506001032 |
| Provider Name | Thomas C Witt |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1801899422 PECOS PAC ID: 5092841833 Enrollment ID: I20100513000708 |
| Provider Name | Mary R Brunner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871535567 PECOS PAC ID: 8628108198 Enrollment ID: I20100609000595 |
| Provider Name | Belinda J Watts |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184665887 PECOS PAC ID: 0345370854 Enrollment ID: I20100610000092 |
| Provider Name | Denise Ash |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023277399 PECOS PAC ID: 4385773910 Enrollment ID: I20100610000197 |
| Provider Name | John F Schaefer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932142908 PECOS PAC ID: 9032249560 Enrollment ID: I20100610000263 |
| Provider Name | Deborah S Kinnamon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093759102 PECOS PAC ID: 4082744511 Enrollment ID: I20100610000325 |
| Provider Name | Elisabeth D Kline |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205879293 PECOS PAC ID: 4880724319 Enrollment ID: I20100610000351 |
| Provider Name | Jerry L Rushton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124086434 PECOS PAC ID: 8022148212 Enrollment ID: I20100615000328 |
| Provider Name | Kathryn B Johnston |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912100041 PECOS PAC ID: 6507996626 Enrollment ID: I20100615000834 |
| Provider Name | James Bohney |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083671002 PECOS PAC ID: 8921138983 Enrollment ID: I20100617000649 |
| Provider Name | Karen M Wheeler |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073559290 PECOS PAC ID: 7517098973 Enrollment ID: I20100629000101 |
| Provider Name | Ann D Zerr |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558304469 PECOS PAC ID: 3678604063 Enrollment ID: I20100629000382 |
| Provider Name | Xiao-ming Yin |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1588630818 PECOS PAC ID: 5193761062 Enrollment ID: I20100712000644 |
| Provider Name | John F Fitzgerald |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457318719 PECOS PAC ID: 7517879158 Enrollment ID: I20100722000501 |
| Provider Name | Deshini A Moonesinghe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780882449 PECOS PAC ID: 6709918006 Enrollment ID: I20100722000547 |
| Provider Name | Patricia A Treadwell |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1508892613 PECOS PAC ID: 3577696319 Enrollment ID: I20100730000856 |
| Provider Name | Broderick J Rhyant |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083662134 PECOS PAC ID: 7517090160 Enrollment ID: I20100803000272 |
| Provider Name | Chandru P Sundaram |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1609861384 PECOS PAC ID: 1850424060 Enrollment ID: I20100809000207 |
| Provider Name | Jason T Cadwallader |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942467469 PECOS PAC ID: 9335273366 Enrollment ID: I20100812001005 |
| Provider Name | Laurie Ackerman |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1477667426 PECOS PAC ID: 0345209821 Enrollment ID: I20100820001047 |
| Provider Name | Yeuk Ting Bonnie Wong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538328075 PECOS PAC ID: 3072637891 Enrollment ID: I20100901000083 |
| Provider Name | Heather A Smith |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1831392935 PECOS PAC ID: 8729102306 Enrollment ID: I20100903000081 |
| Provider Name | Jennifer Lauren Eikenberry |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1891998027 PECOS PAC ID: 1254455843 Enrollment ID: I20100903000241 |
| Provider Name | Amanda J Gosch |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1033370267 PECOS PAC ID: 3476678657 Enrollment ID: I20100910000835 |
| Provider Name | Gautam Phookan |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1093750978 PECOS PAC ID: 9335264597 Enrollment ID: I20100913000428 |
| Provider Name | Daniel William Voegele |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245271691 PECOS PAC ID: 0042335929 Enrollment ID: I20100915000927 |
| Provider Name | Michael Oscar Koch |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1821084252 PECOS PAC ID: 1153391172 Enrollment ID: I20100917000749 |
| Provider Name | Nicole K Greives |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972818938 PECOS PAC ID: 8527250083 Enrollment ID: I20101004000361 |
| Provider Name | Scott A Robbins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699906321 PECOS PAC ID: 4688866841 Enrollment ID: I20101006000235 |
| Provider Name | Melissa Craig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043527856 PECOS PAC ID: 9335331040 Enrollment ID: I20101012001238 |
| Provider Name | Boguslaw I Uchman |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1124023387 PECOS PAC ID: 1153459037 Enrollment ID: I20101019000431 |
| Provider Name | Gloria Fritsch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235395534 PECOS PAC ID: 0840483889 Enrollment ID: I20101021001348 |
| Provider Name | Naveen Rajoli |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306029608 PECOS PAC ID: 7810181625 Enrollment ID: I20101104001324 |
| Provider Name | Jessie M White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194700765 PECOS PAC ID: 8527256114 Enrollment ID: I20101227000141 |
| Provider Name | Dorota Szczepaniak |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972597649 PECOS PAC ID: 0547459554 Enrollment ID: I20110106000449 |
| Provider Name | April L Graves |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1558672592 PECOS PAC ID: 1153510011 Enrollment ID: I20110106001155 |
| Provider Name | Melissa M Pearson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851548341 PECOS PAC ID: 8527257211 Enrollment ID: I20110111000948 |
| Provider Name | Syed J Sher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174694665 PECOS PAC ID: 4486617289 Enrollment ID: I20110208000452 |
| Provider Name | Jennifer N Weida |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1689833915 PECOS PAC ID: 1658552112 Enrollment ID: I20110217000090 |
| Provider Name | Philip C Ferguson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093770265 PECOS PAC ID: 2365625506 Enrollment ID: I20110324000707 |
| Provider Name | Sharron P Grannis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194773267 PECOS PAC ID: 6901089150 Enrollment ID: I20110324000719 |
| Provider Name | Kurt A Patterson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902863533 PECOS PAC ID: 6204019458 Enrollment ID: I20110324000800 |
| Provider Name | Richard H Bernhardt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487850988 PECOS PAC ID: 3870770415 Enrollment ID: I20110607000559 |
| Provider Name | Shaoxiong Chen |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1144541228 PECOS PAC ID: 9739366295 Enrollment ID: I20110609000240 |
| Provider Name | Jiehao Zhou |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1184858276 PECOS PAC ID: 8921285495 Enrollment ID: I20110609000356 |
| Provider Name | Zainab J Sher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093878647 PECOS PAC ID: 6103812664 Enrollment ID: I20110615000166 |
| Provider Name | Eric Djenge |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437322567 PECOS PAC ID: 8820276538 Enrollment ID: I20110629000035 |
| Provider Name | Catherine E Thompson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699743690 PECOS PAC ID: 9830198118 Enrollment ID: I20110715000315 |
| Provider Name | Marzena W Muller |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1518167410 PECOS PAC ID: 6103916879 Enrollment ID: I20110720000155 |
| Provider Name | Shanxiang Zhang |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1750545265 PECOS PAC ID: 0244409696 Enrollment ID: I20110802000082 |
| Provider Name | Anand P Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346361904 PECOS PAC ID: 7113116112 Enrollment ID: I20110810000406 |
| Provider Name | Zhanna Albany |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861654220 PECOS PAC ID: 7012186935 Enrollment ID: I20110811000060 |
| Provider Name | Christine C. Groves |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1457527780 PECOS PAC ID: 5991974610 Enrollment ID: I20110812000447 |
| Provider Name | Naomi C Lightburn |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104087311 PECOS PAC ID: 2769651207 Enrollment ID: I20110817000893 |
| Provider Name | Jingmei Lin |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1588787147 PECOS PAC ID: 8325218514 Enrollment ID: I20110825000457 |
| Provider Name | Bhuvaneswari Burugapalli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518127695 PECOS PAC ID: 4981874039 Enrollment ID: I20110826000453 |
| Provider Name | Michelle K Zimmerman |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1497077853 PECOS PAC ID: 1658541495 Enrollment ID: I20110902000400 |
| Provider Name | April A Jones |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1679860993 PECOS PAC ID: 0143490870 Enrollment ID: I20110907000863 |
| Provider Name | Meagan B Oneill |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841452216 PECOS PAC ID: 9133390529 Enrollment ID: I20110915000028 |
| Provider Name | Margaret Elaine Southwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437160413 PECOS PAC ID: 0941471692 Enrollment ID: I20110929000133 |
| Provider Name | Lynette Smith-caillouet |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871680199 PECOS PAC ID: 8921135690 Enrollment ID: I20111010000561 |
| Provider Name | Robert E Emerson |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1487611604 PECOS PAC ID: 2163694480 Enrollment ID: I20111011000290 |
| Provider Name | Jose M Bonnin |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1366409120 PECOS PAC ID: 2163694498 Enrollment ID: I20111011000422 |
| Provider Name | Thomas M Ulbright |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1376500918 PECOS PAC ID: 8325210669 Enrollment ID: I20111011000446 |
| Provider Name | Liang Cheng |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1528025301 PECOS PAC ID: 4486826724 Enrollment ID: I20111011000497 |
| Provider Name | Paul M Musto |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1568429603 PECOS PAC ID: 0941472138 Enrollment ID: I20111012000373 |
| Provider Name | Jaci R Glass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326320656 PECOS PAC ID: 9436321569 Enrollment ID: I20111013000124 |
| Provider Name | Lisbeth G Larsson |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1083667711 PECOS PAC ID: 8729250881 Enrollment ID: I20111013000504 |
| Provider Name | Raymond L Konger |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1760433379 PECOS PAC ID: 5193997906 Enrollment ID: I20111020000038 |
| Provider Name | Carrie L Phillips |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1720045875 PECOS PAC ID: 3274705090 Enrollment ID: I20111020000057 |
| Provider Name | Harvey M Cramer |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1023060712 PECOS PAC ID: 6103098975 Enrollment ID: I20111020000746 |
| Provider Name | Diana P Summanwar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184887887 PECOS PAC ID: 7315110905 Enrollment ID: I20111026000615 |
| Provider Name | Romil Saxena |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1629035399 PECOS PAC ID: 3072786185 Enrollment ID: I20111107000374 |
| Provider Name | Magdalena B Czader |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1720045503 PECOS PAC ID: 4385817394 Enrollment ID: I20111107000582 |
| Provider Name | Sunil Badve |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1699732453 PECOS PAC ID: 6800069865 Enrollment ID: I20111108000224 |
| Provider Name | Darrell Wudunn |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1295736536 PECOS PAC ID: 9436257649 Enrollment ID: I20111115000392 |
| Provider Name | Chi Wah Yung |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1295736544 PECOS PAC ID: 1254439466 Enrollment ID: I20111115000777 |
| Provider Name | David Plager |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1922009083 PECOS PAC ID: 7416926258 Enrollment ID: I20111201000166 |
| Provider Name | Javier Sevilla |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023076775 PECOS PAC ID: 7911172804 Enrollment ID: I20111205000197 |
| Provider Name | Kevin Bernard Gebke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316903511 PECOS PAC ID: 5597775429 Enrollment ID: I20111215000842 |
| Provider Name | Debra Spector Boyce |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932109881 PECOS PAC ID: 6901964287 Enrollment ID: I20120109000304 |
| Provider Name | Kevin L Jones |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558398024 PECOS PAC ID: 9830366475 Enrollment ID: I20120123000079 |
| Provider Name | Joey P Sum |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437350493 PECOS PAC ID: 1052404449 Enrollment ID: I20120223000658 |
| Provider Name | Daniel E Neely |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1144221326 PECOS PAC ID: 8729246210 Enrollment ID: I20120301000487 |
| Provider Name | Maria Cuda |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316946320 PECOS PAC ID: 4789671710 Enrollment ID: I20120307000006 |
| Provider Name | Jamie L Bradbury |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1861659450 PECOS PAC ID: 1557487030 Enrollment ID: I20120315000164 |
| Provider Name | Marcie K Judge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558521849 PECOS PAC ID: 6103088125 Enrollment ID: I20120508000471 |
| Provider Name | Kavitha Subramoney |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1194958033 PECOS PAC ID: 8729241054 Enrollment ID: I20120523000421 |
| Provider Name | Noaman F Siddiqi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124294749 PECOS PAC ID: 7618157470 Enrollment ID: I20120530000010 |
| Provider Name | Michael Peter Sinnott |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1477720522 PECOS PAC ID: 8820252216 Enrollment ID: I20120615000011 |
| Provider Name | Nicole R Phillips |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386870772 PECOS PAC ID: 8426212515 Enrollment ID: I20120621000553 |
| Provider Name | Mackenzie E Lupov |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336371509 PECOS PAC ID: 2769647791 Enrollment ID: I20120626000063 |
| Provider Name | Benjamin Whittam |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1508913328 PECOS PAC ID: 1052576618 Enrollment ID: I20120705000026 |
| Provider Name | Debasmita Mohapatra |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558625491 PECOS PAC ID: 2668637836 Enrollment ID: I20120713000420 |
| Provider Name | Melissa D Lah |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1962607820 PECOS PAC ID: 2264698356 Enrollment ID: I20120717000538 |
| Provider Name | Rajnish Khillan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043541949 PECOS PAC ID: 3476719113 Enrollment ID: I20120724000575 |
| Provider Name | Mallery R Neff |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528387628 PECOS PAC ID: 2860648078 Enrollment ID: I20120803000217 |
| Provider Name | Dara L Sander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457611584 PECOS PAC ID: 1254587330 Enrollment ID: I20120806000089 |
| Provider Name | Nishi Dave |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1821288275 PECOS PAC ID: 5294983094 Enrollment ID: I20120920000379 |
| Provider Name | Raime C Blattner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679829055 PECOS PAC ID: 5193975936 Enrollment ID: I20121101000202 |
| Provider Name | Andrea L Moser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770831810 PECOS PAC ID: 2668624529 Enrollment ID: I20121129000173 |
| Provider Name | Amy G Lawrence |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063763332 PECOS PAC ID: 9032361548 Enrollment ID: I20121208000005 |
| Provider Name | Sara E Cook |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588823694 PECOS PAC ID: 6709038219 Enrollment ID: I20121210000017 |
| Provider Name | Jacqueline M Nonweiler- Parr |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508036633 PECOS PAC ID: 1759428170 Enrollment ID: I20130102000172 |
| Provider Name | Shawn A Tinkham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659627891 PECOS PAC ID: 0042465197 Enrollment ID: I20130221000423 |
| Provider Name | Susan K Adkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144577818 PECOS PAC ID: 6608021555 Enrollment ID: I20130227000193 |
| Provider Name | David J Rizk |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558529198 PECOS PAC ID: 1052451218 Enrollment ID: I20130306000600 |
| Provider Name | Won Sun Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720007412 PECOS PAC ID: 9133258254 Enrollment ID: I20130429000274 |
| Provider Name | Bryan H Schmitt |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1649235466 PECOS PAC ID: 2567633068 Enrollment ID: I20130501000580 |
| Provider Name | Donna L O Daniel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811237415 PECOS PAC ID: 9234377698 Enrollment ID: I20130524000629 |
| Provider Name | Ehab M Wanas |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114151669 PECOS PAC ID: 9335397132 Enrollment ID: I20130805000260 |
| Provider Name | Michael Peregrim |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790001303 PECOS PAC ID: 7810139318 Enrollment ID: I20130813000584 |
| Provider Name | Whitney Michelle Pratt |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1083849335 PECOS PAC ID: 3678712254 Enrollment ID: I20130828000735 |
| Provider Name | Chen Zhang |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1184887515 PECOS PAC ID: 2062678667 Enrollment ID: I20130830000490 |
| Provider Name | Brock D Mcmillen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952629644 PECOS PAC ID: 4082850862 Enrollment ID: I20130906000444 |
| Provider Name | Jonathan T Shirazi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1124330857 PECOS PAC ID: 0244470326 Enrollment ID: I20130906000452 |
| Provider Name | Stephen J Hartsock |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1114938453 PECOS PAC ID: 7214171362 Enrollment ID: I20130911000804 |
| Provider Name | Mohamed H Morad |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730481870 PECOS PAC ID: 3779723564 Enrollment ID: I20130916000098 |
| Provider Name | Jessica J Kluetz |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1235367616 PECOS PAC ID: 4981838109 Enrollment ID: I20131001000509 |
| Provider Name | Matthew J Kuhar |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1699934547 PECOS PAC ID: 6608069679 Enrollment ID: I20131016000958 |
| Provider Name | Kelly C Cary |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1073770657 PECOS PAC ID: 7810166113 Enrollment ID: I20131017001915 |
| Provider Name | Clinton David Bahler |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1780842153 PECOS PAC ID: 9436390986 Enrollment ID: I20131023000456 |
| Provider Name | Rebecca O'bryan |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1295900652 PECOS PAC ID: 5395992531 Enrollment ID: I20131102000145 |
| Provider Name | Konrad M Szymanski |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1750646691 PECOS PAC ID: 1456590264 Enrollment ID: I20131111001513 |
| Provider Name | Bharat Ns Sastry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093963068 PECOS PAC ID: 1557418027 Enrollment ID: I20131112002046 |
| Provider Name | Latifat A Oyekola |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376756684 PECOS PAC ID: 2860557352 Enrollment ID: I20131125000947 |
| Provider Name | Erika A Dunn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376979245 PECOS PAC ID: 6608004221 Enrollment ID: I20140106000347 |
| Provider Name | Barbara D Evens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679906010 PECOS PAC ID: 1951539261 Enrollment ID: I20140113001556 |
| Provider Name | Melissa A Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104191402 PECOS PAC ID: 5092944363 Enrollment ID: I20140207000299 |
| Provider Name | Kevin Allen Swartz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669546404 PECOS PAC ID: 1456420454 Enrollment ID: I20140210000900 |
| Provider Name | Candice D Moad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942641840 PECOS PAC ID: 8527299098 Enrollment ID: I20140326000846 |
| Provider Name | Nusiratu T Cosby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508289422 PECOS PAC ID: 8123259363 Enrollment ID: I20140401000908 |
| Provider Name | Tessa Cecile Palmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639594773 PECOS PAC ID: 7113159583 Enrollment ID: I20140417000878 |
| Provider Name | Jeffrey Paul Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780661074 PECOS PAC ID: 1052492097 Enrollment ID: I20140505000111 |
| Provider Name | Henry Robert Knouse |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275824500 PECOS PAC ID: 8123265139 Enrollment ID: I20140508001262 |
| Provider Name | Danielle N Wiese |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447559802 PECOS PAC ID: 5092939496 Enrollment ID: I20140604001428 |
| Provider Name | Danielle M Erney |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568690519 PECOS PAC ID: 7113142548 Enrollment ID: I20140627000427 |
| Provider Name | Christopher M Kniese |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1962796102 PECOS PAC ID: 6204079239 Enrollment ID: I20140703000252 |
| Provider Name | Nisha S Kheradiya |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1891937819 PECOS PAC ID: 4688899370 Enrollment ID: I20140714002122 |
| Provider Name | Arnold F Henry |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1942511472 PECOS PAC ID: 6800025321 Enrollment ID: I20140716000749 |
| Provider Name | Daniel J Ordaz |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1437474988 PECOS PAC ID: 6103059100 Enrollment ID: I20140717000609 |
| Provider Name | Allison A Pernic |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1497070957 PECOS PAC ID: 4688890148 Enrollment ID: I20140718002146 |
| Provider Name | Robert Michael Schrock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932544533 PECOS PAC ID: 6901022086 Enrollment ID: I20140725000961 |
| Provider Name | Stephanie M. Ware |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1174555999 PECOS PAC ID: 3577511831 Enrollment ID: I20140804000440 |
| Provider Name | Anshu Sidana |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659662872 PECOS PAC ID: 4587801469 Enrollment ID: I20140814000758 |
| Provider Name | Christa N Robertson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609282946 PECOS PAC ID: 4082832795 Enrollment ID: I20140821001201 |
| Provider Name | Chadi Saifan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740450477 PECOS PAC ID: 1052487923 Enrollment ID: I20140916001233 |
| Provider Name | Ashley R Lawrence |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629239314 PECOS PAC ID: 2769601103 Enrollment ID: I20140916002522 |
| Provider Name | Hongmei Yang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083840698 PECOS PAC ID: 3971757428 Enrollment ID: I20140924001420 |
| Provider Name | Tara L Bouton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518392026 PECOS PAC ID: 5890923072 Enrollment ID: I20140929001639 |
| Provider Name | Linda L Boone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134529753 PECOS PAC ID: 0446472617 Enrollment ID: I20141104001870 |
| Provider Name | Lora Meyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306039433 PECOS PAC ID: 0941523310 Enrollment ID: I20141217000127 |
| Provider Name | Nathanial Ray Chumley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316218571 PECOS PAC ID: 8820234396 Enrollment ID: I20150114001856 |
| Provider Name | Jesse J Savage |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1881828085 PECOS PAC ID: 9436478989 Enrollment ID: I20150505000293 |
| Provider Name | Garrett J Jackson |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1336381631 PECOS PAC ID: 1557680006 Enrollment ID: I20150505000563 |
| Provider Name | Zhi Xu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235499989 PECOS PAC ID: 0648590547 Enrollment ID: I20150515001692 |
| Provider Name | Ausama M Ismail |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710245626 PECOS PAC ID: 4284870064 Enrollment ID: I20150515001800 |
| Provider Name | Drew A Kepple |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104117167 PECOS PAC ID: 9739329814 Enrollment ID: I20150528001832 |
| Provider Name | Omer S Al-buoshkor |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144586934 PECOS PAC ID: 7719125814 Enrollment ID: I20150604002827 |
| Provider Name | Eric W Han |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841565942 PECOS PAC ID: 8123349446 Enrollment ID: I20150611001046 |
| Provider Name | Roy G Henderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861426694 PECOS PAC ID: 3173663689 Enrollment ID: I20150611001103 |
| Provider Name | Brian Christopher Middleton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427285196 PECOS PAC ID: 4284886664 Enrollment ID: I20150616000762 |
| Provider Name | Charline S Boente |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1114211505 PECOS PAC ID: 9931410511 Enrollment ID: I20150623002845 |
| Provider Name | Jonathan D Moulder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831459890 PECOS PAC ID: 4082850557 Enrollment ID: I20150706001828 |
| Provider Name | Alicia S Almeida Ponce |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194089409 PECOS PAC ID: 4688810153 Enrollment ID: I20150708002134 |
| Provider Name | Kimbre V Zahn |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1659662203 PECOS PAC ID: 1052542560 Enrollment ID: I20150715001039 |
| Provider Name | Sheryl D Katta Charles |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1871881367 PECOS PAC ID: 5597078675 Enrollment ID: I20150717002378 |
| Provider Name | Samantha L Polster |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1790162915 PECOS PAC ID: 7012221435 Enrollment ID: I20150729009417 |
| Provider Name | Zhipeng Zhang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720366313 PECOS PAC ID: 7618281049 Enrollment ID: I20150729009952 |
| Provider Name | Jean M Mensz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134407513 PECOS PAC ID: 3072827427 Enrollment ID: I20150730010828 |
| Provider Name | Mustafa Hyder |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275821563 PECOS PAC ID: 2163736273 Enrollment ID: I20150803003028 |
| Provider Name | Glenda L Ramirez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851603658 PECOS PAC ID: 1557592276 Enrollment ID: I20150908001221 |
| Provider Name | Shobha Shahani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679824700 PECOS PAC ID: 0244546125 Enrollment ID: I20150909000684 |
| Provider Name | Claudia J Brock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225326606 PECOS PAC ID: 3476860875 Enrollment ID: I20150917001114 |
| Provider Name | Marilyn A Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003290974 PECOS PAC ID: 2163739244 Enrollment ID: I20150922002824 |
| Provider Name | Stephen M Jovonovich |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1457594145 PECOS PAC ID: 8628388758 Enrollment ID: I20151102002129 |
| Provider Name | Desirae M Hyde |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568834190 PECOS PAC ID: 8325358740 Enrollment ID: I20151113001299 |
| Provider Name | Marcela Chacon Enciso |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336439272 PECOS PAC ID: 9739328774 Enrollment ID: I20151120002151 |
| Provider Name | Neshahthari Wijeyakuhan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962717348 PECOS PAC ID: 3577707744 Enrollment ID: I20151202000829 |
| Provider Name | Enoch B Kassa |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1083980858 PECOS PAC ID: 6901039601 Enrollment ID: I20151218000181 |
| Provider Name | Nguyet Le |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1528222866 PECOS PAC ID: 3971790973 Enrollment ID: I20160107002625 |
| Provider Name | Devina Prasad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881921344 PECOS PAC ID: 5294905063 Enrollment ID: I20160126001437 |
| Provider Name | Pamela M Breedlove |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366834293 PECOS PAC ID: 3274837679 Enrollment ID: I20160204002039 |
| Provider Name | Aditya Ahlawat |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427496322 PECOS PAC ID: 4385868751 Enrollment ID: I20160224001459 |
| Provider Name | Rebecca E Pullyard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124487145 PECOS PAC ID: 0840597092 Enrollment ID: I20160401001459 |
| Provider Name | Leticia Nicolle Nunez De Perez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548665953 PECOS PAC ID: 1850690306 Enrollment ID: I20160504001859 |
| Provider Name | Aaron G Watters |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811288152 PECOS PAC ID: 8325286230 Enrollment ID: I20160519002161 |
| Provider Name | Julie Chow |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1891016838 PECOS PAC ID: 4082904941 Enrollment ID: I20160606000269 |
| Provider Name | Kris A Homb |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1366767006 PECOS PAC ID: 1759508393 Enrollment ID: I20160606000353 |
| Provider Name | Olivia J Park |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1669761748 PECOS PAC ID: 7810287786 Enrollment ID: I20160606000564 |
| Provider Name | Kyle Littell |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1164782348 PECOS PAC ID: 4688815764 Enrollment ID: I20160613002398 |
| Provider Name | Ryan K Alexander |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184063331 PECOS PAC ID: 8527362607 Enrollment ID: I20160613002447 |
| Provider Name | Unknown Sanna |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093142978 PECOS PAC ID: 7416248828 Enrollment ID: I20160615000703 |
| Provider Name | Simranjit Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598192650 PECOS PAC ID: 5496046856 Enrollment ID: I20160615002261 |
| Provider Name | Denis Jusufbegovic |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1952544975 PECOS PAC ID: 7416263306 Enrollment ID: I20160616001321 |
| Provider Name | Christopher M Dipiro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285968149 PECOS PAC ID: 1355525296 Enrollment ID: I20160621000207 |
| Provider Name | Shaohui Liu |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1881980779 PECOS PAC ID: 1658683180 Enrollment ID: I20160621001768 |
| Provider Name | Catherine Moya Krumenacker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922442458 PECOS PAC ID: 6901040286 Enrollment ID: I20160622000378 |
| Provider Name | Alnee L Gadberry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578925103 PECOS PAC ID: 3779874565 Enrollment ID: I20160627000499 |
| Provider Name | Amy Elizabeth Krambeck |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1265419006 PECOS PAC ID: 4486704657 Enrollment ID: I20160629001965 |
| Provider Name | Simit M Doshi |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1538580253 PECOS PAC ID: 7719285451 Enrollment ID: I20160708000470 |
| Provider Name | Bryan M Leber |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598100273 PECOS PAC ID: 1153555057 Enrollment ID: I20160708000624 |
| Provider Name | Lara E Darling |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174961528 PECOS PAC ID: 9537393673 Enrollment ID: I20160708001072 |
| Provider Name | Conan V Chittick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396004404 PECOS PAC ID: 9830335306 Enrollment ID: I20160715000662 |
| Provider Name | David Stockwell |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1861664682 PECOS PAC ID: 2769775428 Enrollment ID: I20160719001037 |
| Provider Name | Marcelino E Rivera |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1538454210 PECOS PAC ID: 3274780739 Enrollment ID: I20160725000841 |
| Provider Name | Matthew W Wolenski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922367309 PECOS PAC ID: 9537305008 Enrollment ID: I20160727000182 |
| Provider Name | Beth Ann Shelton |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306075510 PECOS PAC ID: 1658513569 Enrollment ID: I20160729000847 |
| Provider Name | Carrie J Osborne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871956813 PECOS PAC ID: 6305130055 Enrollment ID: I20160803002334 |
| Provider Name | Katherine A Ahlfeld |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730553447 PECOS PAC ID: 8729372883 Enrollment ID: I20160811002390 |
| Provider Name | Andrew H Jea |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1568662724 PECOS PAC ID: 3870676851 Enrollment ID: I20160815002102 |
| Provider Name | Katherine A Gray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396197950 PECOS PAC ID: 0143515924 Enrollment ID: I20160817002669 |
| Provider Name | Vinod Kumar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922435049 PECOS PAC ID: 5890080337 Enrollment ID: I20160823003023 |
| Provider Name | Tanya Kezia Danielle Wilson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366887564 PECOS PAC ID: 4486897360 Enrollment ID: I20160902001984 |
| Provider Name | Miguel R Escobar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376644856 PECOS PAC ID: 8022085968 Enrollment ID: I20160908000763 |
| Provider Name | Akaber Elkhamra |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033373881 PECOS PAC ID: 0547419889 Enrollment ID: I20160914002949 |
| Provider Name | Sam Valid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912318783 PECOS PAC ID: 1456668185 Enrollment ID: I20161004000048 |
| Provider Name | Alexander Vortmeyer |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1124265665 PECOS PAC ID: 2264596311 Enrollment ID: I20161004002405 |
| Provider Name | Mary K Fuller-nave |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053867572 PECOS PAC ID: 3274821368 Enrollment ID: I20161005000366 |
| Provider Name | Ahmed Khalid Alomari |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1962718494 PECOS PAC ID: 2062712623 Enrollment ID: I20161102000367 |
| Provider Name | Quinton R Sparrow |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154663508 PECOS PAC ID: 2668750100 Enrollment ID: I20161103000985 |
| Provider Name | Jennifer A Wilkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760939771 PECOS PAC ID: 0244519148 Enrollment ID: I20161117000455 |
| Provider Name | Casaundra M Buning |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770916926 PECOS PAC ID: 7911141569 Enrollment ID: I20161202000323 |
| Provider Name | Kelly A Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295988079 PECOS PAC ID: 8022269745 Enrollment ID: I20161228002263 |
| Provider Name | Khurram Shahzad |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730446931 PECOS PAC ID: 8022327923 Enrollment ID: I20170118000379 |
| Provider Name | Emanuel L Pires |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578754040 PECOS PAC ID: 7810082906 Enrollment ID: I20170130002459 |
| Provider Name | Melissa A Redden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215474572 PECOS PAC ID: 4284917584 Enrollment ID: I20170213000197 |
| Provider Name | Robert Wallace Byrn |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700838307 PECOS PAC ID: 2365726940 Enrollment ID: I20170227000892 |
| Provider Name | Christopher L Emery |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1316999329 PECOS PAC ID: 3476631698 Enrollment ID: I20170307001506 |
| Provider Name | Afsa P Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710322862 PECOS PAC ID: 8820239775 Enrollment ID: I20170308000753 |
| Provider Name | Angela R Boyle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487191276 PECOS PAC ID: 7315221520 Enrollment ID: I20170308000862 |
| Provider Name | Hassan Mostafa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174939003 PECOS PAC ID: 1052537388 Enrollment ID: I20170405000315 |
| Provider Name | Brittany K Cooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508304551 PECOS PAC ID: 6002192879 Enrollment ID: I20170410001251 |
| Provider Name | Jennifer Broaddus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689106056 PECOS PAC ID: 3274819479 Enrollment ID: I20170424000369 |
| Provider Name | Rachel Peterson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780028134 PECOS PAC ID: 3779726757 Enrollment ID: I20170510001294 |
| Provider Name | Teela Dawn Crecelius |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902210263 PECOS PAC ID: 3678798998 Enrollment ID: I20170510001363 |
| Provider Name | Michael Park |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043659956 PECOS PAC ID: 3274828173 Enrollment ID: I20170511001063 |
| Provider Name | Sidney H Allison |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275893752 PECOS PAC ID: 2264709377 Enrollment ID: I20170522000066 |
| Provider Name | Benjamin Steven Randel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699112854 PECOS PAC ID: 4486894441 Enrollment ID: I20170525000455 |
| Provider Name | Muhammad M Haq |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659790194 PECOS PAC ID: 6800164260 Enrollment ID: I20170608000975 |
| Provider Name | Farman Khan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1396150686 PECOS PAC ID: 9335417609 Enrollment ID: I20170612000286 |
| Provider Name | Andrew Vincent Coccaro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861802779 PECOS PAC ID: 2860798816 Enrollment ID: I20170613000245 |
| Provider Name | Travis J Dams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154735702 PECOS PAC ID: 7113142084 Enrollment ID: I20170613000355 |
| Provider Name | Shivani Bhatia Martin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558645366 PECOS PAC ID: 0749508265 Enrollment ID: I20170614000218 |
| Provider Name | Karl Erach Balsara |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1639490857 PECOS PAC ID: 9032419734 Enrollment ID: I20170615000371 |
| Provider Name | Jeffrey S Raskin |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1740422898 PECOS PAC ID: 5698920411 Enrollment ID: I20170616000287 |
| Provider Name | Chintan N Prajapati |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396162236 PECOS PAC ID: 5597985143 Enrollment ID: I20170616000938 |
| Provider Name | Ellen M Klink |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1538507397 PECOS PAC ID: 5890937882 Enrollment ID: I20170621000792 |
| Provider Name | Matthea Rentea |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376957845 PECOS PAC ID: 8729203732 Enrollment ID: I20170622002827 |
| Provider Name | Amber J Perry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922535251 PECOS PAC ID: 2466720057 Enrollment ID: I20170623000564 |
| Provider Name | Rebecca Renae Dunn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760829162 PECOS PAC ID: 3072747971 Enrollment ID: I20170626000692 |
| Provider Name | Tivere Shemi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205188943 PECOS PAC ID: 0143440321 Enrollment ID: I20170705001836 |
| Provider Name | Pir K Ali |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932467834 PECOS PAC ID: 6901108372 Enrollment ID: I20170705002473 |
| Provider Name | Yi Dong |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104245687 PECOS PAC ID: 2668775073 Enrollment ID: I20170712000100 |
| Provider Name | Kyle A Rahrig |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1205276144 PECOS PAC ID: 1153628441 Enrollment ID: I20170717000549 |
| Provider Name | Ryan John Wise |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1932542842 PECOS PAC ID: 6608016126 Enrollment ID: I20170720000199 |
| Provider Name | Adam David Henry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679919294 PECOS PAC ID: 0244471761 Enrollment ID: I20170724002648 |
| Provider Name | Brett H Graham |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861572117 PECOS PAC ID: 9032005194 Enrollment ID: I20170725002301 |
| Provider Name | Porus Shah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447652953 PECOS PAC ID: 3375813173 Enrollment ID: I20170727001815 |
| Provider Name | Heather L Lutz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023539004 PECOS PAC ID: 0244501922 Enrollment ID: I20170731001751 |
| Provider Name | Shunhua Guo |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1548557853 PECOS PAC ID: 1658674015 Enrollment ID: I20170804000092 |
| Provider Name | Juan Carlos Venis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043623069 PECOS PAC ID: 8628295078 Enrollment ID: I20170807003704 |
| Provider Name | Tony Y Ren |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831503283 PECOS PAC ID: 5092930461 Enrollment ID: I20170808003616 |
| Provider Name | Matthew W George |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154587921 PECOS PAC ID: 5991976367 Enrollment ID: I20170818001098 |
| Provider Name | Dan Robert Leimann |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1306282066 PECOS PAC ID: 8527358431 Enrollment ID: I20170818001134 |
| Provider Name | Mary K Eckerle |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518300755 PECOS PAC ID: 5991003352 Enrollment ID: I20170823002533 |
| Provider Name | Esther P Soundar |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1861837320 PECOS PAC ID: 9638441850 Enrollment ID: I20170823003121 |
| Provider Name | Tasneem Siddiqua |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154634020 PECOS PAC ID: 8921314337 Enrollment ID: I20170829000726 |
| Provider Name | Amir R Hajrasouliha |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1083916027 PECOS PAC ID: 9234458936 Enrollment ID: I20170829002394 |
| Provider Name | Shaina L Schochat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649690579 PECOS PAC ID: 8729203195 Enrollment ID: I20170830000614 |
| Provider Name | Umer A Bhatti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255745568 PECOS PAC ID: 2567687759 Enrollment ID: I20170830002117 |
| Provider Name | Samuel Maghidman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1821086703 PECOS PAC ID: 0547296907 Enrollment ID: I20170830002582 |
| Provider Name | Alex S Gilman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386608255 PECOS PAC ID: 0143201525 Enrollment ID: I20170920002097 |
| Provider Name | Yugandhar C Kalagara |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285039602 PECOS PAC ID: 6608176128 Enrollment ID: I20170928002650 |
| Provider Name | Bryan Rey Norkus |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376957928 PECOS PAC ID: 9638394828 Enrollment ID: I20171003004967 |
| Provider Name | Ranbir Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134531072 PECOS PAC ID: 0143596288 Enrollment ID: I20171018000563 |
| Provider Name | Theodore Ernest Wilson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699035030 PECOS PAC ID: 0941438568 Enrollment ID: I20171031002674 |
| Provider Name | Stephen J Jordan |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1598055758 PECOS PAC ID: 9638316466 Enrollment ID: I20171108003018 |
| Provider Name | Brittany Brinley |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649616855 PECOS PAC ID: 7719278613 Enrollment ID: I20171110001500 |
| Provider Name | Nyoka K Lamey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902325780 PECOS PAC ID: 3779849526 Enrollment ID: I20171117002084 |
| Provider Name | Natasha Raman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861930042 PECOS PAC ID: 2365709037 Enrollment ID: I20171205002243 |
| Provider Name | Chunhai Hao |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1306804208 PECOS PAC ID: 4981666534 Enrollment ID: I20171208001002 |
| Provider Name | Suzanne Lappas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275049363 PECOS PAC ID: 0042579278 Enrollment ID: I20180117000063 |
| Provider Name | Paul M Wallach |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487665675 PECOS PAC ID: 0244395697 Enrollment ID: I20180123002044 |
| Provider Name | Marappa Gownder Nalle |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578877064 PECOS PAC ID: 1759523053 Enrollment ID: I20180201002566 |
| Provider Name | Mounish Karlapudi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1396165163 PECOS PAC ID: 4981820206 Enrollment ID: I20180202000341 |
| Provider Name | James Keith Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245769355 PECOS PAC ID: 2466712831 Enrollment ID: I20180202000697 |
| Provider Name | Sydney K Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942717533 PECOS PAC ID: 3274893466 Enrollment ID: I20180208000715 |
| Provider Name | Pamela M Dam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821599614 PECOS PAC ID: 7315200037 Enrollment ID: I20180411001258 |
| Provider Name | Samuel R Tredemeyer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366570855 PECOS PAC ID: 7315048451 Enrollment ID: I20180511000326 |
| Provider Name | Molly Anne Mcpheron |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225476930 PECOS PAC ID: 4082855267 Enrollment ID: I20180601001182 |
| Provider Name | Bridget C Thorne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366930331 PECOS PAC ID: 9537424023 Enrollment ID: I20180605000169 |
| Provider Name | Imran A Sethi |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1093914301 PECOS PAC ID: 0244313500 Enrollment ID: I20180615001865 |
| Provider Name | Jay A Hildebrand |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427269737 PECOS PAC ID: 2264615905 Enrollment ID: I20180625002110 |
| Provider Name | Monte Shaw Willis |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1548215528 PECOS PAC ID: 2567474778 Enrollment ID: I20180626000563 |
| Provider Name | Alyssa Dayne Swick |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194110544 PECOS PAC ID: 1951613371 Enrollment ID: I20180628001206 |
| Provider Name | Krista Rath Allen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558758011 PECOS PAC ID: 2769793736 Enrollment ID: I20180628001273 |
| Provider Name | Jakoda A Snider |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063894517 PECOS PAC ID: 0345554390 Enrollment ID: I20180629002455 |
| Provider Name | Sarah E Macgregor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477972024 PECOS PAC ID: 9537450523 Enrollment ID: I20180702002338 |
| Provider Name | Ahsan Aslam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992180970 PECOS PAC ID: 6901152727 Enrollment ID: I20180710002170 |
| Provider Name | Aileen F Puno |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114163664 PECOS PAC ID: 2365600475 Enrollment ID: I20180712003629 |
| Provider Name | William Brian Kuhn |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1548451040 PECOS PAC ID: 6507848025 Enrollment ID: I20180719002271 |
| Provider Name | Sarah N Book |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891281895 PECOS PAC ID: 0648527754 Enrollment ID: I20180720000831 |
| Provider Name | Ross D Green |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235526419 PECOS PAC ID: 7113231176 Enrollment ID: I20180723003326 |
| Provider Name | Katrina Alise Ducis |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1629367354 PECOS PAC ID: 0143541573 Enrollment ID: I20180724002860 |
| Provider Name | Abdirahim Mohamed Rashid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255713871 PECOS PAC ID: 3375857196 Enrollment ID: I20180725000130 |
| Provider Name | Elizabeth Ann Martin |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1609219021 PECOS PAC ID: 2961636113 Enrollment ID: I20180725000238 |
| Provider Name | Gebran Khneizer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386039477 PECOS PAC ID: 4789986100 Enrollment ID: I20180726003332 |
| Provider Name | Sachin B Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841684768 PECOS PAC ID: 2163724477 Enrollment ID: I20180807001641 |
| Provider Name | Nakeeta L Stansberry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649400896 PECOS PAC ID: 1658620026 Enrollment ID: I20180817001027 |
| Provider Name | Kassem Bourgi |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1780948299 PECOS PAC ID: 8426280983 Enrollment ID: I20180821000750 |
| Provider Name | Allison M Tann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164901724 PECOS PAC ID: 6507115300 Enrollment ID: I20180827002575 |
| Provider Name | Steven D Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386123446 PECOS PAC ID: 7517217268 Enrollment ID: I20180830002033 |
| Provider Name | Raechel E Serrano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376042655 PECOS PAC ID: 8022368588 Enrollment ID: I20180904000945 |
| Provider Name | Michelle C Ziegler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811491491 PECOS PAC ID: 2264782788 Enrollment ID: I20180904003518 |
| Provider Name | Kelly Diane Jenne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144767344 PECOS PAC ID: 6800147497 Enrollment ID: I20180920001536 |
| Provider Name | Rohit Gulati |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1174965818 PECOS PAC ID: 4587896337 Enrollment ID: I20181008001291 |
| Provider Name | Nadeem Najam |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1982669495 PECOS PAC ID: 9032178934 Enrollment ID: I20181012000679 |
| Provider Name | Carmanny S Dinkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083189146 PECOS PAC ID: 8527310754 Enrollment ID: I20181016002097 |
| Provider Name | Erin E Conboy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295099240 PECOS PAC ID: 5092952259 Enrollment ID: I20181019002447 |
| Provider Name | Uzochukwu Amadi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689961088 PECOS PAC ID: 7012226855 Enrollment ID: I20181026000399 |
| Provider Name | Emily M Gould |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366824112 PECOS PAC ID: 3072827021 Enrollment ID: I20181106003270 |
| Provider Name | Dianna Marie Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851803456 PECOS PAC ID: 4183978323 Enrollment ID: I20181107000734 |
| Provider Name | Andrew J Wolfe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760869366 PECOS PAC ID: 8527372580 Enrollment ID: I20181110000327 |
| Provider Name | Anusha Vege |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487040853 PECOS PAC ID: 9638423189 Enrollment ID: I20181119003064 |
| Provider Name | Joshua Tomas Richey |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386739589 PECOS PAC ID: 3375887573 Enrollment ID: I20181128002716 |
| Provider Name | Rachel Ann Cash |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700352853 PECOS PAC ID: 3971847724 Enrollment ID: I20181204003966 |
| Provider Name | Margaret Marie Spolnik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134577851 PECOS PAC ID: 0547552127 Enrollment ID: I20181211002920 |
| Provider Name | Shana C Zwick |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518990738 PECOS PAC ID: 4082707781 Enrollment ID: I20181212003003 |
| Provider Name | Lucas M Teel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104392257 PECOS PAC ID: 8628314069 Enrollment ID: I20190107001805 |
| Provider Name | Lauren Knight |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538632559 PECOS PAC ID: 8022354232 Enrollment ID: I20190109001112 |
| Provider Name | Fnu Jaydev |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275915563 PECOS PAC ID: 9537471099 Enrollment ID: I20190122001549 |
| Provider Name | Saduf Ijaz Bilfaqi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215270087 PECOS PAC ID: 7012145261 Enrollment ID: I20190124000159 |
| Provider Name | Elie Jose Checo Heinsen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467764381 PECOS PAC ID: 9739322884 Enrollment ID: I20190305001800 |
| Provider Name | Shakeel Choudhry |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801258355 PECOS PAC ID: 3173863131 Enrollment ID: I20190329000661 |
| Provider Name | Kathy L Newell |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1083726103 PECOS PAC ID: 0446384374 Enrollment ID: I20190417003064 |
| Provider Name | Stephan George Dixon |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1396125589 PECOS PAC ID: 7416256607 Enrollment ID: I20190509000899 |
| Provider Name | Maria Stunkel |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1588042709 PECOS PAC ID: 9436464096 Enrollment ID: I20190513002799 |
| Provider Name | Sheila Elaika Segura |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1891061370 PECOS PAC ID: 0446591101 Enrollment ID: I20190517001601 |
| Provider Name | Joseph Daniel Helfenberger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184074486 PECOS PAC ID: 4587956180 Enrollment ID: I20190522000041 |
| Provider Name | Jacob C Halvorsen |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1326423930 PECOS PAC ID: 1153614888 Enrollment ID: I20190606001364 |
| Provider Name | John-paul Lavik |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1518370923 PECOS PAC ID: 9931461126 Enrollment ID: I20190610001534 |
| Provider Name | Michelle Ann Timmons |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720173008 PECOS PAC ID: 9032442777 Enrollment ID: I20190611003071 |
| Provider Name | Lauren C Mehner |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1285020685 PECOS PAC ID: 7214239771 Enrollment ID: I20190614000104 |
| Provider Name | Arefin Chowdhury |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235589003 PECOS PAC ID: 5294028684 Enrollment ID: I20190620002014 |
| Provider Name | Stephanie Lynn Reynolds |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386095719 PECOS PAC ID: 6305139080 Enrollment ID: I20190624000263 |
| Provider Name | Gal Marcan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932555844 PECOS PAC ID: 2567755184 Enrollment ID: I20190624001089 |
| Provider Name | Adam Maclauchlan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457702896 PECOS PAC ID: 6002109709 Enrollment ID: I20190624001181 |
| Provider Name | Khristian Sunga |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417305434 PECOS PAC ID: 5799076543 Enrollment ID: I20190624001758 |
| Provider Name | Bryce A Mohr |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437536869 PECOS PAC ID: 7810201878 Enrollment ID: I20190624002815 |
| Provider Name | Catherine G Trigonis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760846877 PECOS PAC ID: 5395023238 Enrollment ID: I20190627000572 |
| Provider Name | Jennifer Marie King |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1093163347 PECOS PAC ID: 3577854488 Enrollment ID: I20190702003060 |
| Provider Name | Alexander D'angelo |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1972998516 PECOS PAC ID: 8426363466 Enrollment ID: I20190709001658 |
| Provider Name | Jacob John Wagner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700266079 PECOS PAC ID: 5597076406 Enrollment ID: I20190710002264 |
| Provider Name | Ella Varney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205821691 PECOS PAC ID: 1951330935 Enrollment ID: I20190710002266 |
| Provider Name | John Lewis Eisenlohr |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386007011 PECOS PAC ID: 2567754153 Enrollment ID: I20190717002594 |
| Provider Name | John Thompson Lind |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1407054042 PECOS PAC ID: 0244307817 Enrollment ID: I20190718003215 |
| Provider Name | Joanna J Campodonico |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477973311 PECOS PAC ID: 8426328964 Enrollment ID: I20190723000673 |
| Provider Name | Richard J Fiorito |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033673090 PECOS PAC ID: 0042546343 Enrollment ID: I20190724002634 |
| Provider Name | Meredith Leilani Koontz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861053068 PECOS PAC ID: 5799011813 Enrollment ID: I20190727000353 |
| Provider Name | Isra Ibrahim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659722460 PECOS PAC ID: 9234465352 Enrollment ID: I20190727000378 |
| Provider Name | Mark Kandary |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104277235 PECOS PAC ID: 2365729019 Enrollment ID: I20190729001584 |
| Provider Name | Shai Mandelboim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609209600 PECOS PAC ID: 7315231107 Enrollment ID: I20190803000052 |
| Provider Name | Mary E Connell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396194403 PECOS PAC ID: 7517259112 Enrollment ID: I20190809000610 |
| Provider Name | Carina Thea Marcella David |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629424254 PECOS PAC ID: 9133411846 Enrollment ID: I20190821001203 |
| Provider Name | Christine Megan Nix |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013362839 PECOS PAC ID: 2365731874 Enrollment ID: I20190822000093 |
| Provider Name | Clair Ann Francomano |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1083657613 PECOS PAC ID: 8325072390 Enrollment ID: I20190822000714 |
| Provider Name | Sukhwinder Singh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164871174 PECOS PAC ID: 2769754332 Enrollment ID: I20190823002382 |
| Provider Name | Gabrielle Christine Geddes |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1972803161 PECOS PAC ID: 8325281363 Enrollment ID: I20190823003249 |
| Provider Name | Faiza Amin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548618291 PECOS PAC ID: 9830476555 Enrollment ID: I20190827001396 |
| Provider Name | Banu Berkem |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225681992 PECOS PAC ID: 9638408834 Enrollment ID: I20190913001184 |
| Provider Name | Shelly D Timmons |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1619950854 PECOS PAC ID: 8921293986 Enrollment ID: I20190923002228 |
| Provider Name | Bradley N Bohnstedt |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1952568271 PECOS PAC ID: 4587800081 Enrollment ID: I20190925001899 |
| Provider Name | Matthew M Amayun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568011005 PECOS PAC ID: 2466782008 Enrollment ID: I20190925001937 |
| Provider Name | Melissa G Collier |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003025511 PECOS PAC ID: 9436435633 Enrollment ID: I20190926000665 |
| Provider Name | Melissa W Ko |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548325707 PECOS PAC ID: 9739253931 Enrollment ID: I20191003000778 |
| Provider Name | Courtney Sue Bono |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629626213 PECOS PAC ID: 3779814595 Enrollment ID: I20191009001774 |
| Provider Name | Khaleel Al-obaidy |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1649665324 PECOS PAC ID: 6901177393 Enrollment ID: I20191031001566 |
| Provider Name | Allie Suzanne Caveney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356997779 PECOS PAC ID: 6204168685 Enrollment ID: I20191105000549 |
| Provider Name | Divya R Nallapuram |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730533373 PECOS PAC ID: 7113219122 Enrollment ID: I20191107000820 |
| Provider Name | Elizabeth Ann Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164847372 PECOS PAC ID: 8729393160 Enrollment ID: I20191115001363 |
| Provider Name | Lindsay Nicole Rich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326683210 PECOS PAC ID: 4082047279 Enrollment ID: I20191202000728 |
| Provider Name | Elizabeth Anne Snodgrass-stringer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588207310 PECOS PAC ID: 5395178149 Enrollment ID: I20191209001665 |
| Provider Name | Toni Suarez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073156360 PECOS PAC ID: 5496188070 Enrollment ID: I20191212001817 |
| Provider Name | Danielle N Mcclendon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609426410 PECOS PAC ID: 7416381629 Enrollment ID: I20191221000403 |
| Provider Name | Michele R Spargur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518424464 PECOS PAC ID: 5597199729 Enrollment ID: I20191223000139 |
| Provider Name | Hector Alonso Mesa Corrales |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1811082209 PECOS PAC ID: 5395831507 Enrollment ID: I20200109000164 |
| Provider Name | Nikolay Kirilov Popnikolov |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1821041187 PECOS PAC ID: 9830292929 Enrollment ID: I20200114001659 |
| Provider Name | Muhammad Ajmal A Panezai |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1982954442 PECOS PAC ID: 6204057219 Enrollment ID: I20200211000395 |
| Provider Name | Kenneth Jia En Lim |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1316280381 PECOS PAC ID: 1052555182 Enrollment ID: I20200214002305 |
| Provider Name | Todd L Randolph |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1740249192 PECOS PAC ID: 4789661547 Enrollment ID: I20200218000109 |
| Provider Name | Fatmah H Albaaj |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023373081 PECOS PAC ID: 8325274889 Enrollment ID: I20200407001926 |
| Provider Name | Elizabeth Mae Cowgill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558899740 PECOS PAC ID: 7911276035 Enrollment ID: I20200505002958 |
| Provider Name | Audrey Chun |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1144615048 PECOS PAC ID: 8628370228 Enrollment ID: I20200507001443 |
| Provider Name | Nnabugo D Ozurumba |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1154732667 PECOS PAC ID: 3577805217 Enrollment ID: I20200508000100 |
| Provider Name | Daniel T Cheriye |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225558208 PECOS PAC ID: 3274802459 Enrollment ID: I20200513001213 |
| Provider Name | Kathryn E Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144681917 PECOS PAC ID: 8325345903 Enrollment ID: I20200515000570 |
| Provider Name | Jacob Lew Ramsey-morrow |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1457708364 PECOS PAC ID: 5294028700 Enrollment ID: I20200518001850 |
| Provider Name | Tieying Hou |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1558780833 PECOS PAC ID: 4981025251 Enrollment ID: I20200522002299 |
| Provider Name | Brock D Vanderbush |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396162749 PECOS PAC ID: 4385937762 Enrollment ID: I20200608001415 |
| Provider Name | Manognya Muttineni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023490208 PECOS PAC ID: 6901119908 Enrollment ID: I20200608002932 |
| Provider Name | Esmeralda Gutierrez-asis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881959526 PECOS PAC ID: 2860637006 Enrollment ID: I20200618003078 |
| Provider Name | Megan N Nyee Macki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417578584 PECOS PAC ID: 0547682411 Enrollment ID: I20200623000436 |
| Provider Name | Harinder P Kaur |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851822266 PECOS PAC ID: 3072886571 Enrollment ID: I20200623002315 |
| Provider Name | Virendra Rajendrakumar Desai |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1497016182 PECOS PAC ID: 5597187005 Enrollment ID: I20200629002739 |
| Provider Name | Kevin Denis Schwartz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700314077 PECOS PAC ID: 4789956988 Enrollment ID: I20200706002470 |
| Provider Name | Richard Michael Schroeder |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1578957650 PECOS PAC ID: 3072847524 Enrollment ID: I20200708003503 |
| Provider Name | Brandon Cole Lane |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1851730782 PECOS PAC ID: 9830498260 Enrollment ID: I20200714002096 |
| Provider Name | Priyanka Hiten Parekh |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1780034223 PECOS PAC ID: 6608167598 Enrollment ID: I20200716000290 |
| Provider Name | Ruth E Stanton |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1154785954 PECOS PAC ID: 9436421260 Enrollment ID: I20200716003413 |
| Provider Name | Tariku T Gudura |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255861001 PECOS PAC ID: 2668773268 Enrollment ID: I20200717003053 |
| Provider Name | Christopher Ryan Moriarty |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1194139816 PECOS PAC ID: 1850653247 Enrollment ID: I20200720003234 |
| Provider Name | Laura Warmke |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1467879502 PECOS PAC ID: 6800019373 Enrollment ID: I20200721003336 |
| Provider Name | Yan Yang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467974055 PECOS PAC ID: 0547684565 Enrollment ID: I20200723002458 |
| Provider Name | Ekanga Sunday Petters |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144751827 PECOS PAC ID: 8527331321 Enrollment ID: I20200727000534 |
| Provider Name | Rachel Paula Kowal |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1982761979 PECOS PAC ID: 8123151313 Enrollment ID: I20200727001982 |
| Provider Name | Caitrin M Kelly |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255712667 PECOS PAC ID: 9638487242 Enrollment ID: I20200727002151 |
| Provider Name | Samuel Eugene Franks |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1982011904 PECOS PAC ID: 5496975591 Enrollment ID: I20200727003386 |
| Provider Name | Kunal Gupta |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1316203805 PECOS PAC ID: 9032364864 Enrollment ID: I20200729001769 |
| Provider Name | Yaling Liu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417305509 PECOS PAC ID: 7012203839 Enrollment ID: I20200731001175 |
| Provider Name | Stacie Hirota |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720442353 PECOS PAC ID: 1052608544 Enrollment ID: I20200803000182 |
| Provider Name | Omer Abdelaziz Mohammed Saeed |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1659754711 PECOS PAC ID: 8325347784 Enrollment ID: I20200804003316 |
| Provider Name | Karen Scharenberg Amstutz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407983976 PECOS PAC ID: 8325463458 Enrollment ID: I20200805003137 |
| Provider Name | Pavan Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508390592 PECOS PAC ID: 2365711520 Enrollment ID: I20200806002293 |
| Provider Name | Abhilasha Jarori |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619298080 PECOS PAC ID: 1254565344 Enrollment ID: I20200811002145 |
| Provider Name | Akshita Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639603947 PECOS PAC ID: 7719256981 Enrollment ID: I20200812002339 |
| Provider Name | Chandra Mohan Thippanna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730517061 PECOS PAC ID: 2466688155 Enrollment ID: I20200812002710 |
| Provider Name | Ann Hulme |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1124402920 PECOS PAC ID: 6103133632 Enrollment ID: I20200819002932 |
| Provider Name | Sarah Spitnagle Bosslet |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962462531 PECOS PAC ID: 3870505928 Enrollment ID: I20200821000383 |
| Provider Name | Michael J Hwang |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1871904532 PECOS PAC ID: 3375973811 Enrollment ID: I20200821002193 |
| Provider Name | Kelsey M Knight |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043822844 PECOS PAC ID: 7214354026 Enrollment ID: I20200825002231 |
| Provider Name | Mithila Gongireddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366971814 PECOS PAC ID: 9436576915 Enrollment ID: I20200828001376 |
| Provider Name | Mina S Youssef |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447783683 PECOS PAC ID: 3173893971 Enrollment ID: I20200831000709 |
| Provider Name | Amy Patel Gabbard |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1093122632 PECOS PAC ID: 8921330705 Enrollment ID: I20200911000316 |
| Provider Name | Manasa Surasani Reddy |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1982024634 PECOS PAC ID: 8426308263 Enrollment ID: I20201009001999 |
| Provider Name | Carmen R Frede |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487267332 PECOS PAC ID: 5496175408 Enrollment ID: I20201013002276 |
| Provider Name | Anna M Schultheis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871137786 PECOS PAC ID: 1254751019 Enrollment ID: I20201015002260 |
| Provider Name | Peter Hanna Halim Mousa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548780125 PECOS PAC ID: 0042630808 Enrollment ID: I20201015002408 |
| Provider Name | Kara Irene Anoskey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235732256 PECOS PAC ID: 5597176057 Enrollment ID: I20201204001710 |
| Provider Name | Mark Vaughn Larkins |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1740230317 PECOS PAC ID: 3072565175 Enrollment ID: I20210114000745 |
| Provider Name | Rachael Anne Aust |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154925634 PECOS PAC ID: 5395158281 Enrollment ID: I20210114001029 |
| Provider Name | Brittany Taylor Kocoj |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962002238 PECOS PAC ID: 6901219898 Enrollment ID: I20210114001145 |
| Provider Name | Lynda Jean Norris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871124545 PECOS PAC ID: 0042624850 Enrollment ID: I20210205000639 |
| Provider Name | Jessica C Ahonen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659956951 PECOS PAC ID: 9537576848 Enrollment ID: I20210405001330 |
| Provider Name | Brandon Allen Umphress |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1982090361 PECOS PAC ID: 7719269521 Enrollment ID: I20210615001611 |
| Provider Name | Zheyu Lu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023514478 PECOS PAC ID: 7214273242 Enrollment ID: I20210623001195 |
| Provider Name | Daniel Bruce Eddelman |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1861807844 PECOS PAC ID: 7517265259 Enrollment ID: I20210624001484 |
| Provider Name | Jason Kippenbrock |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093208100 PECOS PAC ID: 3678828266 Enrollment ID: I20210713001391 |
| Provider Name | Michael Joseph Mcmanus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922680487 PECOS PAC ID: 2062814023 Enrollment ID: I20210713002747 |
| Provider Name | Victoria S Sharaf |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952808156 PECOS PAC ID: 4183979990 Enrollment ID: I20210722001621 |
| Provider Name | James Pastrnak |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1639528235 PECOS PAC ID: 0941588891 Enrollment ID: I20210728002180 |
| Provider Name | Bradley L Collins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639666423 PECOS PAC ID: 9032513874 Enrollment ID: I20210802001522 |
| Provider Name | Muhammad Rishi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1487898011 PECOS PAC ID: 0840316782 Enrollment ID: I20210803001262 |
| Provider Name | Wade Garret Kvatum |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447743398 PECOS PAC ID: 9537414149 Enrollment ID: I20210804001478 |
| Provider Name | Gordon G Mao |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1063854651 PECOS PAC ID: 7517255136 Enrollment ID: I20210804001545 |
| Provider Name | Clem J Wegman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366936601 PECOS PAC ID: 3870849631 Enrollment ID: I20210804004132 |
| Provider Name | Katrina Michelle Collins |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1770995144 PECOS PAC ID: 1153750237 Enrollment ID: I20210810000295 |
| Provider Name | Lindsey Anne Harden Atwood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356879068 PECOS PAC ID: 3072881986 Enrollment ID: I20210811001359 |
| Provider Name | Natascia V Borsellino |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528552965 PECOS PAC ID: 9739435058 Enrollment ID: I20210817000391 |
| Provider Name | Swathi B Jallipalli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306341730 PECOS PAC ID: 1052660511 Enrollment ID: I20210817002189 |
| Provider Name | Tyler Joseph Knight |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1184157133 PECOS PAC ID: 0446655203 Enrollment ID: I20210818000413 |
| Provider Name | Angela M Richardson |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1316289218 PECOS PAC ID: 1759703994 Enrollment ID: I20210824000351 |
| Provider Name | Victoria J Miller |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1679936009 PECOS PAC ID: 6406149384 Enrollment ID: I20210824000365 |
| Provider Name | Kevin R Gordon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124791678 PECOS PAC ID: 8123423522 Enrollment ID: I20210824000508 |
| Provider Name | Swetha Jalli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114372489 PECOS PAC ID: 4981977865 Enrollment ID: I20210824001036 |
| Provider Name | Muhammad Y Jan |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1679988281 PECOS PAC ID: 9335364835 Enrollment ID: I20210824001395 |
| Provider Name | Holly Nicole Harding |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376037887 PECOS PAC ID: 4789930157 Enrollment ID: I20210824001431 |
| Provider Name | Savannah Jayne Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780232520 PECOS PAC ID: 6103221536 Enrollment ID: I20210824002042 |
| Provider Name | Jignesh Kishor Tailor |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1629669643 PECOS PAC ID: 2668887308 Enrollment ID: I20210824002530 |
| Provider Name | Laura Prince |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1194187146 PECOS PAC ID: 1456644673 Enrollment ID: I20210824002810 |
| Provider Name | Rajesh Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174828271 PECOS PAC ID: 2264670629 Enrollment ID: I20210825001731 |
| Provider Name | Shannon S Dillon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770796955 PECOS PAC ID: 6406946326 Enrollment ID: I20210825002288 |
| Provider Name | Roopsi Bring |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750873030 PECOS PAC ID: 2466708789 Enrollment ID: I20210831002646 |
| Provider Name | Priya Joshi |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1013302769 PECOS PAC ID: 3375839962 Enrollment ID: I20210831002717 |
| Provider Name | Nicholas W Berry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386147866 PECOS PAC ID: 3971850884 Enrollment ID: I20210909000758 |
| Provider Name | Eric T Degraaf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316614605 PECOS PAC ID: 1153727342 Enrollment ID: I20210914001799 |
| Provider Name | Ahmed M Jlasi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801386412 PECOS PAC ID: 0840697447 Enrollment ID: I20210924000228 |
| Provider Name | Laila Mossa-basha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669978375 PECOS PAC ID: 4688921943 Enrollment ID: I20210927000802 |
| Provider Name | Swetha Parvataneni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174931406 PECOS PAC ID: 0042582116 Enrollment ID: I20210930000599 |
| Provider Name | Soha Khan Rizvi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285085654 PECOS PAC ID: 6800155516 Enrollment ID: I20211015001429 |
| Provider Name | Jill S Dana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063184869 PECOS PAC ID: 0547658874 Enrollment ID: I20211019002036 |
| Provider Name | Amanda M Saratsis |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1164673141 PECOS PAC ID: 7911224308 Enrollment ID: I20211115000284 |
| Provider Name | Kerry B Nagee |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1467749598 PECOS PAC ID: 0244450757 Enrollment ID: I20211123001177 |
| Provider Name | Elvira Shreder Payne |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306338454 PECOS PAC ID: 1254681604 Enrollment ID: I20211202001074 |
| Provider Name | Charles Austin Curtis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013413806 PECOS PAC ID: 6305247172 Enrollment ID: I20211208000433 |
| Provider Name | Benjamin Jay Byriel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609367101 PECOS PAC ID: 9638424443 Enrollment ID: I20211221001989 |
| Provider Name | Brooke Michelle Hansen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164189361 PECOS PAC ID: 9436541547 Enrollment ID: I20220124001355 |
| Provider Name | Lori A Stanley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346906526 PECOS PAC ID: 9739572215 Enrollment ID: I20220204000592 |
| Provider Name | Pierre U Etienne |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124468400 PECOS PAC ID: 2961714084 Enrollment ID: I20220218001349 |
| Provider Name | William R Bell |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1720269251 PECOS PAC ID: 4486927019 Enrollment ID: I20220302000595 |
| Provider Name | Sabrina Fabara |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558717520 PECOS PAC ID: 4183055197 Enrollment ID: I20220302001682 |
| Provider Name | Brynlee Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407500382 PECOS PAC ID: 2961897962 Enrollment ID: I20220309001417 |
| Provider Name | Gizem Tumer |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1396906566 PECOS PAC ID: 1759504491 Enrollment ID: I20220322000632 |
| Provider Name | Sun Mi Lee |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1205069440 PECOS PAC ID: 6507252624 Enrollment ID: I20220329002382 |
| Provider Name | Nabeel Awan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134876097 PECOS PAC ID: 7416343264 Enrollment ID: I20220405000973 |
| Provider Name | Angela Marie Scaringe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174284921 PECOS PAC ID: 8527454206 Enrollment ID: I20220405002699 |
| Provider Name | Loren R Schubert |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437611332 PECOS PAC ID: 0143558593 Enrollment ID: I20220419000961 |
| Provider Name | Dongwei Zhang |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1437415239 PECOS PAC ID: 9335434182 Enrollment ID: I20220426001148 |
| Provider Name | Lu Jun Pan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477843449 PECOS PAC ID: 3779862396 Enrollment ID: I20220427000728 |
| Provider Name | Adrian Lugo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215496237 PECOS PAC ID: 0345578175 Enrollment ID: I20220513000954 |
| Provider Name | Natika L Washington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346883030 PECOS PAC ID: 8123405073 Enrollment ID: I20220513001640 |
| Provider Name | Brandon John Heeger |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356734503 PECOS PAC ID: 4981952439 Enrollment ID: I20220516001053 |
| Provider Name | Ryan Ray House |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1407389679 PECOS PAC ID: 4385021146 Enrollment ID: I20220517000512 |
| Provider Name | Hayder Abbood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922448141 PECOS PAC ID: 2668768649 Enrollment ID: I20220523000626 |
| Provider Name | Anna L Skupin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831739416 PECOS PAC ID: 9234516667 Enrollment ID: I20220524001701 |
| Provider Name | Martina Marie Natali |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013662071 PECOS PAC ID: 7214315597 Enrollment ID: I20220526002186 |
| Provider Name | Andrea Michelle Sellmeyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588304133 PECOS PAC ID: 8921486085 Enrollment ID: I20220601001240 |
| Provider Name | Arminder Singh Johal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942794227 PECOS PAC ID: 1951658111 Enrollment ID: I20220603000661 |
| Provider Name | Murtaza Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801457650 PECOS PAC ID: 5294062162 Enrollment ID: I20220604000350 |
| Provider Name | Haneen Ayed Shawkat Mohammad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104251040 PECOS PAC ID: 8325278278 Enrollment ID: I20220606000321 |
| Provider Name | Katherine Michelle Brown |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1396234308 PECOS PAC ID: 2961739347 Enrollment ID: I20220607002671 |
| Provider Name | Evan-jacob Bearinger Garcia |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1073046801 PECOS PAC ID: 2365864097 Enrollment ID: I20220608001551 |
| Provider Name | Xin Zhang |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1851827372 PECOS PAC ID: 1052667375 Enrollment ID: I20220610000311 |
| Provider Name | Nichole L Lepage |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1225558125 PECOS PAC ID: 0547530065 Enrollment ID: I20220615002086 |
| Provider Name | Irum Mahmood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699334367 PECOS PAC ID: 5496089534 Enrollment ID: I20220616002683 |
| Provider Name | Abigail Pence |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386384493 PECOS PAC ID: 6204215478 Enrollment ID: I20220617001136 |
| Provider Name | Arslan Zafar Chaudhry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467017624 PECOS PAC ID: 5395124598 Enrollment ID: I20220617001752 |
| Provider Name | Paul Thomas Mingo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891355871 PECOS PAC ID: 9739414962 Enrollment ID: I20220621001072 |
| Provider Name | Neggin Afsari |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861953416 PECOS PAC ID: 8729313408 Enrollment ID: I20220621001328 |
| Provider Name | Ayesha Badar |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1619462330 PECOS PAC ID: 5193076800 Enrollment ID: I20220621003200 |
| Provider Name | Shannon Nicole Hauger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427798867 PECOS PAC ID: 8527447556 Enrollment ID: I20220622002625 |
| Provider Name | Brent Matthew Molden |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1073975629 PECOS PAC ID: 8921487760 Enrollment ID: I20220624000514 |
| Provider Name | Irene A Carrothers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003041831 PECOS PAC ID: 0547418238 Enrollment ID: I20220624000942 |
| Provider Name | Jenna D Loveday |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083101653 PECOS PAC ID: 1850640103 Enrollment ID: I20220627002912 |
| Provider Name | Daniel Joseph Schramm |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1700383064 PECOS PAC ID: 4284981531 Enrollment ID: I20220628002137 |
| Provider Name | Kunal Suri |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1033630256 PECOS PAC ID: 4587044110 Enrollment ID: I20220629001425 |
| Provider Name | Ann E Schmitt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801359666 PECOS PAC ID: 6406180249 Enrollment ID: I20220705001930 |
| Provider Name | Kapesh Kunwar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497319040 PECOS PAC ID: 5991033201 Enrollment ID: I20220707002750 |
| Provider Name | David Beckham Mullen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356803365 PECOS PAC ID: 6800121906 Enrollment ID: I20220709000234 |
| Provider Name | Thomas Robert Freije |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003379090 PECOS PAC ID: 3072847037 Enrollment ID: I20220711003559 |
| Provider Name | Katie Sue Carson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346703840 PECOS PAC ID: 7517291503 Enrollment ID: I20220714002780 |
| Provider Name | Amber Marie Sweet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093455404 PECOS PAC ID: 5890176317 Enrollment ID: I20220714003773 |
| Provider Name | Ivan Antonio Gonzalez Arostegui |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1679925697 PECOS PAC ID: 3779964234 Enrollment ID: I20220715000908 |
| Provider Name | Allysa Hannah Nagy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932697976 PECOS PAC ID: 9537414370 Enrollment ID: I20220719002994 |
| Provider Name | Steven Michael Wakeman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1841639101 PECOS PAC ID: 4880983493 Enrollment ID: I20220725000496 |
| Provider Name | Jill Caroline Penman |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1497243802 PECOS PAC ID: 4183989858 Enrollment ID: I20220727001840 |
| Provider Name | Mohamed Amin Mustafa |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1245680354 PECOS PAC ID: 5496048670 Enrollment ID: I20220728001173 |
| Provider Name | Saul Wilson |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1871700690 PECOS PAC ID: 2163574666 Enrollment ID: I20220802002200 |
| Provider Name | Nathan Buckley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417510033 PECOS PAC ID: 8123350451 Enrollment ID: I20220810000358 |
| Provider Name | Aysam H Mahmoud |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598228629 PECOS PAC ID: 4183007966 Enrollment ID: I20220811000289 |
| Provider Name | Rabia Qaiser |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1639365802 PECOS PAC ID: 7911149224 Enrollment ID: I20220811000989 |
| Provider Name | Anna Geraldina Pendrey Guillen |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1437644911 PECOS PAC ID: 2062768989 Enrollment ID: I20220816003168 |
| Provider Name | Rafael J Rolon Rivera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316233661 PECOS PAC ID: 1456570738 Enrollment ID: I20220825000730 |
| Provider Name | Savanna H Bruski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922561711 PECOS PAC ID: 2062746563 Enrollment ID: I20220901000328 |
| Provider Name | Kavita Umrau |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1275086530 PECOS PAC ID: 1355686189 Enrollment ID: I20220902000610 |
| Provider Name | Christopher Brian Thomas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588077234 PECOS PAC ID: 1557387255 Enrollment ID: I20220912001920 |
| Provider Name | Amanda Daufae Dobbins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407317787 PECOS PAC ID: 1254716970 Enrollment ID: I20220916001203 |
| Provider Name | Adele O Kraft |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1528350915 PECOS PAC ID: 2961651591 Enrollment ID: I20220917000272 |
| Provider Name | Katie L Buel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598177008 PECOS PAC ID: 7618279514 Enrollment ID: I20221007001042 |
| Provider Name | Omar Salman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013408939 PECOS PAC ID: 1557626074 Enrollment ID: I20221008000282 |
| Provider Name | Abigail K Wegehaupt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861952814 PECOS PAC ID: 9234464751 Enrollment ID: I20221013001723 |
| Provider Name | Heather R Uberto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093434433 PECOS PAC ID: 9436525425 Enrollment ID: I20221017000681 |
| Provider Name | Jessica L Davis |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1750607966 PECOS PAC ID: 2365673969 Enrollment ID: I20221019001935 |
| Provider Name | John S Underwood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508391194 PECOS PAC ID: 6709153315 Enrollment ID: I20221021001475 |
| Provider Name | Michelle L Ritchey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578286928 PECOS PAC ID: 1557738960 Enrollment ID: I20221027001370 |
| Provider Name | Sabina L Silver |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1558624684 PECOS PAC ID: 4082846217 Enrollment ID: I20221104001958 |
| Provider Name | Hannah E Delucio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417664327 PECOS PAC ID: 1052789567 Enrollment ID: I20221114003148 |
| Provider Name | Simona L Wildman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700509338 PECOS PAC ID: 8022486315 Enrollment ID: I20221117000699 |
| Provider Name | Jordan Rebekah Maxwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528781804 PECOS PAC ID: 1254709454 Enrollment ID: I20221118002192 |
| Provider Name | Ahsan Siddiqi |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1174919021 PECOS PAC ID: 9032410949 Enrollment ID: I20221209002204 |
| Provider Name | Navin Chandra Ravishankar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194285221 PECOS PAC ID: 3173859964 Enrollment ID: I20221209002403 |
| Provider Name | Stacia L Frazee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124770466 PECOS PAC ID: 2163891367 Enrollment ID: I20221209002625 |
| Provider Name | Peter Joseph Gindling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023726106 PECOS PAC ID: 8527437433 Enrollment ID: I20221216000261 |
| Provider Name | Jessica Anne Schuster |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487018149 PECOS PAC ID: 7416292750 Enrollment ID: I20221230002228 |
| Provider Name | Andres Martin Acosta |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1275948127 PECOS PAC ID: 1759690910 Enrollment ID: I20230105002823 |
| Provider Name | Brooke Ratcliffe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710649496 PECOS PAC ID: 0042681330 Enrollment ID: I20230124003461 |
| Provider Name | Michael Feldman |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1447294335 PECOS PAC ID: 7517909302 Enrollment ID: I20230130000653 |
| Provider Name | Syed Hammad H Jafri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922256858 PECOS PAC ID: 1557534351 Enrollment ID: I20230202002938 |
| Provider Name | Khushboo Doshi |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1407274152 PECOS PAC ID: 9830472505 Enrollment ID: I20230207000784 |
| Provider Name | Murad Akjah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386366060 PECOS PAC ID: 2961874607 Enrollment ID: I20230207001010 |
| Provider Name | Jennifer K Amador |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114631884 PECOS PAC ID: 8628441664 Enrollment ID: I20230222002056 |
| Provider Name | Megan K Tenbarge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548966963 PECOS PAC ID: 2961875703 Enrollment ID: I20230227001464 |
| Provider Name | Nicole D Poteet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831896471 PECOS PAC ID: 4082087259 Enrollment ID: I20230309000576 |
| Provider Name | Kemin Xu |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1710414339 PECOS PAC ID: 7214393479 Enrollment ID: I20230515002073 |
| Provider Name | Carina A Dehner |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1033695648 PECOS PAC ID: 9537499868 Enrollment ID: I20230522000436 |
| Provider Name | Rose Chisenga |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043871486 PECOS PAC ID: 6608104443 Enrollment ID: I20230523000806 |
| Provider Name | Kenneth N Ofori |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1508392754 PECOS PAC ID: 1951649235 Enrollment ID: I20230523002071 |
| Provider Name | Kyle G Cotten |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1437610003 PECOS PAC ID: 2264767573 Enrollment ID: I20230531000770 |
| Provider Name | Muhammad Ahmad |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1023562642 PECOS PAC ID: 7517252901 Enrollment ID: I20230531000901 |
| Provider Name | Andrew D Young |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528590379 PECOS PAC ID: 8426326646 Enrollment ID: I20230605000347 |
| Provider Name | Kirandeep Banga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033734645 PECOS PAC ID: 4486055373 Enrollment ID: I20230608002671 |
| Provider Name | Shivam Hasmukh Patel |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1679035018 PECOS PAC ID: 6406189356 Enrollment ID: I20230614002674 |
| Provider Name | Angela Kuo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235525445 PECOS PAC ID: 4486975042 Enrollment ID: I20230615000561 |
| Provider Name | Diego F Armas Cadavid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962192021 PECOS PAC ID: 8325406846 Enrollment ID: I20230615001124 |
| Provider Name | Zachary R Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043875883 PECOS PAC ID: 9537582937 Enrollment ID: I20230615002087 |
| Provider Name | Molly Elizaebth Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992324313 PECOS PAC ID: 3476975731 Enrollment ID: I20230615002278 |
| Provider Name | Agnes E Davenport |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740970854 PECOS PAC ID: 8729446281 Enrollment ID: I20230615002609 |
| Provider Name | Kenneth A Moore |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1013304054 PECOS PAC ID: 8426437948 Enrollment ID: I20230622001863 |
| Provider Name | Sharmilla Segar |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1396309969 PECOS PAC ID: 1153655816 Enrollment ID: I20230624000172 |
| Provider Name | Sebastian Ruiz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851910509 PECOS PAC ID: 0345661146 Enrollment ID: I20230627000258 |
| Provider Name | Rada Cretu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760172118 PECOS PAC ID: 4486012267 Enrollment ID: I20230627001210 |
| Provider Name | Benjamin Scott Bacon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386263168 PECOS PAC ID: 8022430016 Enrollment ID: I20230627001213 |
| Provider Name | Jordan Marie Rogers Lucas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487274577 PECOS PAC ID: 6406277292 Enrollment ID: I20230627002145 |
| Provider Name | Andrew Gust Koustenis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821559709 PECOS PAC ID: 0749683175 Enrollment ID: I20230710003077 |
| Provider Name | Carleigh N Bruce |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1043772858 PECOS PAC ID: 8729403746 Enrollment ID: I20230712000158 |
| Provider Name | Jessica L Hata |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1770809410 PECOS PAC ID: 2062726326 Enrollment ID: I20230712000488 |
| Provider Name | Joseph D Bogaard |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1962943167 PECOS PAC ID: 0446520472 Enrollment ID: I20230714000369 |
| Provider Name | David A Camp |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1508328956 PECOS PAC ID: 1254666936 Enrollment ID: I20230714003117 |
| Provider Name | Maham Fatima |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063028009 PECOS PAC ID: 4880013705 Enrollment ID: I20230715000696 |
| Provider Name | Seth Alexander Hunter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326667106 PECOS PAC ID: 7810319183 Enrollment ID: I20230719003727 |
| Provider Name | Carli P Whittington |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1174052856 PECOS PAC ID: 8224391305 Enrollment ID: I20230720003353 |
| Provider Name | Massood Mohammadi |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1932899051 PECOS PAC ID: 0244691814 Enrollment ID: I20230728001646 |
| Provider Name | Scott A Childers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265750236 PECOS PAC ID: 9234371725 Enrollment ID: I20230731001869 |
| Provider Name | Varsha Nair |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1659802734 PECOS PAC ID: 6002152840 Enrollment ID: I20230803001143 |
| Provider Name | Jacob Sama |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639593775 PECOS PAC ID: 3779882758 Enrollment ID: I20230803004425 |
| Provider Name | Mert Sevgi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427662519 PECOS PAC ID: 4082033253 Enrollment ID: I20230804000551 |
| Provider Name | Courtney M Jackson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013533926 PECOS PAC ID: 7719300292 Enrollment ID: I20230804000959 |
| Provider Name | Leah Kathryn Westrick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659990406 PECOS PAC ID: 9537581624 Enrollment ID: I20230810001848 |
| Provider Name | Naser A Kafeel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003437054 PECOS PAC ID: 8527450840 Enrollment ID: I20230822001589 |
| Provider Name | Michelle N Mcclory |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821479601 PECOS PAC ID: 7618330531 Enrollment ID: I20230825000168 |
| Provider Name | Ashley M Kirchhoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548942931 PECOS PAC ID: 7517321649 Enrollment ID: I20230907004314 |
| Provider Name | Katherine A Mansalis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255589941 PECOS PAC ID: 4486897766 Enrollment ID: I20230919000768 |
| Provider Name | David B Mcfarland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740066943 PECOS PAC ID: 8224482575 Enrollment ID: I20230920003778 |
| Provider Name | Tarachandra M Narumanchi |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1538253570 PECOS PAC ID: 3779512215 Enrollment ID: I20230926003079 |
| Provider Name | Matthew W Pease |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1114308558 PECOS PAC ID: 0749634483 Enrollment ID: I20230928001584 |
| Provider Name | Haseeba Khan |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1184148223 PECOS PAC ID: 8628340007 Enrollment ID: I20231010000328 |
| Provider Name | Tiffani B Wenck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376323469 PECOS PAC ID: 3678929759 Enrollment ID: I20231025003071 |
| Provider Name | Hannah J Harmsen |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1366897894 PECOS PAC ID: 3577973932 Enrollment ID: I20231031002132 |
| Provider Name | Amos Mwago Kangau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679353189 PECOS PAC ID: 7315393808 Enrollment ID: I20231108000171 |
| Provider Name | Shelby P Arles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306568944 PECOS PAC ID: 8628426293 Enrollment ID: I20231121002575 |
| Provider Name | Lisa M Rickard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457068439 PECOS PAC ID: 9537538368 Enrollment ID: I20231213002877 |
| Provider Name | Britani N Frame |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043086283 PECOS PAC ID: 8022468768 Enrollment ID: I20231221001562 |
| Provider Name | Robyn K Zaenglein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497437644 PECOS PAC ID: 2769832252 Enrollment ID: I20231226000625 |
| Provider Name | Prentice R Ruth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982470902 PECOS PAC ID: 0143672568 Enrollment ID: I20240122000357 |
| Provider Name | Shannon Michelle Gullion |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891565842 PECOS PAC ID: 9830532126 Enrollment ID: I20240202002583 |
| Provider Name | Bret C Mobley |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1184812133 PECOS PAC ID: 0345393948 Enrollment ID: I20240220000257 |
Moazzam Habib Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9240 N Meridian St, Suite 240, Indianapolis, IN 46260 Phone: 317-571-0030 Fax: 317-571-0031 | |
Shalom 56th Street-new Access Point Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5750 W 56th St, Indianapolis, IN 46254 Phone: 317-291-7422 Fax: 317-291-4912 | |
Franciscan Health Indianapolis & Mooresville Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5230a East Stop 11 Road, Suite 250, Indianapolis, IN 46237 Phone: 317-528-8921 Fax: 317-528-6916 | |
Evernorth Care Providers - Delaware Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8888 Keystone Xing Ste 1300, Indianapolis, IN 46240 Phone: 773-292-4800 Fax: 312-564-4059 | |
Eskenazi Health Center Cottage Corner Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1434 Shelby St, Indianapolis, IN 46203 Phone: 317-655-3200 Fax: 317-655-3210 | |
Hello Wellness Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1040 E 86th St, Suite 48-a, Indianapolis, IN 46240 Phone: 317-569-1800 | |
Indiana Neurodiagnostics, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9465 Counselors Row, Ste. 200 Office 257, Indianapolis, IN 46240 Phone: 317-614-0310 Fax: 866-279-4704 |