| University of Chicago | |
|
5841 S Maryland Ave Ucpg/mc 1099 Chicago IL 60637-1447 | |
| (773) 702-9200 | |
| Not Available |
| Full Name | University of Chicago |
|---|---|
| Speciality | Clinic/Center |
| Location | 5841 S Maryland Ave, Chicago, Illinois |
| Authorized Official Name and Position | Mary Jean Ostrander (MANAGER - PROVIDER ENROLLMENT) |
| Authorized Official Contact | 7738344508 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| University of Chicago 150 Harvester Dr Ste 300 Burr Ridge IL 60527-5965 Ph: (773) 702-6400 | University of Chicago 5841 S Maryland Ave Ucpg/mc 1099 Chicago IL 60637-1447 Ph: (773) 702-9200 |
| NPI Number | 1821048786 |
|---|---|
| Provider Enumeration Date | 05/11/2006 |
| Last Update Date | 11/03/2020 |
| Certification Date | 11/03/2020 |
| Medicare PECOS PAC ID | 7719899426 |
|---|---|
| Medicare Enrollment ID | O20031103000094 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821048786 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | () | Primary |
| Provider Name | David G Beiser |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801958350 PECOS PAC ID: 0143124354 Enrollment ID: I20031120000395 |
| Provider Name | Renslow D Sherer |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1679689939 PECOS PAC ID: 2860397163 Enrollment ID: I20031201000271 |
| Provider Name | Judith D Holleman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740474063 PECOS PAC ID: 5395641260 Enrollment ID: I20031210001021 |
| Provider Name | Sunthorn Muangmingsuk |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174504880 PECOS PAC ID: 2961309505 Enrollment ID: I20031212000789 |
| Provider Name | Margaret a Harris |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1619178571 PECOS PAC ID: 1759288129 Enrollment ID: I20031215000403 |
| Provider Name | Rishi Arora |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1134199367 PECOS PAC ID: 7719884105 Enrollment ID: I20031215000460 |
| Provider Name | Kenneth J Nunes |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861422503 PECOS PAC ID: 1759288012 Enrollment ID: I20031215000867 |
| Provider Name | Issam a Awad |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1699781690 PECOS PAC ID: 7214834563 Enrollment ID: I20031216000242 |
| Provider Name | Maunak V Rana |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1265456925 PECOS PAC ID: 8527969997 Enrollment ID: I20040119000160 |
| Provider Name | Robert W Molnar |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1881601243 PECOS PAC ID: 8628979440 Enrollment ID: I20040127000085 |
| Provider Name | Arcangelo M Iusco |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1609834225 PECOS PAC ID: 3577466564 Enrollment ID: I20040128000616 |
| Provider Name | Dale Steven Brink |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1093722365 PECOS PAC ID: 6204720600 Enrollment ID: I20040211000373 |
| Provider Name | Eric C Beyer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083764013 PECOS PAC ID: 0042105009 Enrollment ID: I20040218000606 |
| Provider Name | Fatima S Khan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235157637 PECOS PAC ID: 1456247196 Enrollment ID: I20040227000488 |
| Provider Name | Rohan Sundaralingam |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1548339559 PECOS PAC ID: 0345137386 Enrollment ID: I20040303000632 |
| Provider Name | Maureen Crowley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649220534 PECOS PAC ID: 2769371228 Enrollment ID: I20040312000485 |
| Provider Name | Anthony J Geroulis |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1982769717 PECOS PAC ID: 2365331782 Enrollment ID: I20040313000228 |
| Provider Name | Ranjana R Gokhale |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669522603 PECOS PAC ID: 0446149777 Enrollment ID: I20040313000334 |
| Provider Name | Eugene B Chang |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1346302890 PECOS PAC ID: 5294624557 Enrollment ID: I20040313000570 |
| Provider Name | Mark C Tan |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1578658266 PECOS PAC ID: 7618868076 Enrollment ID: I20040324000090 |
| Provider Name | David C Engblade |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1700821204 PECOS PAC ID: 7113819442 Enrollment ID: I20040330000015 |
| Provider Name | Christine Greene |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588762298 PECOS PAC ID: 3779576087 Enrollment ID: I20040405000309 |
| Provider Name | Jeremy C Miller |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942250568 PECOS PAC ID: 6608860168 Enrollment ID: I20040408001334 |
| Provider Name | Nasreen N Ansari |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992886717 PECOS PAC ID: 5294729851 Enrollment ID: I20040414001338 |
| Provider Name | Anthony N Gentile |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245323856 PECOS PAC ID: 0941297592 Enrollment ID: I20040427000824 |
| Provider Name | Frank Cetta |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306822549 PECOS PAC ID: 9931008570 Enrollment ID: I20040508000135 |
| Provider Name | Visalakshi Vallury |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174528061 PECOS PAC ID: 4981693421 Enrollment ID: I20040510000706 |
| Provider Name | Magdalena Anitescu |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1891850012 PECOS PAC ID: 8022008085 Enrollment ID: I20040513000434 |
| Provider Name | Maryam Siddiqui |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386725232 PECOS PAC ID: 9032109004 Enrollment ID: I20040513000500 |
| Provider Name | Louis G Portugal |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1114937091 PECOS PAC ID: 9032109681 Enrollment ID: I20040514001070 |
| Provider Name | Stephen G Pophal |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629000963 PECOS PAC ID: 1658362710 Enrollment ID: I20040519000532 |
| Provider Name | Ernst R Lengyel |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1447296306 PECOS PAC ID: 0244221729 Enrollment ID: I20040522000175 |
| Provider Name | Mark E Nunnally |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1144385360 PECOS PAC ID: 3375524606 Enrollment ID: I20040525000158 |
| Provider Name | Mindy a Schwartz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053474569 PECOS PAC ID: 1951382910 Enrollment ID: I20040526000295 |
| Provider Name | Linda Wagner-weiner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366592313 PECOS PAC ID: 3779564588 Enrollment ID: I20040527000510 |
| Provider Name | Ann M Zmuda |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1558424077 PECOS PAC ID: 0941281372 Enrollment ID: I20040601000275 |
| Provider Name | Sharon M Feehan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871670596 PECOS PAC ID: 7911982608 Enrollment ID: I20040618000346 |
| Provider Name | Engin Yilmaz |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245324821 PECOS PAC ID: 7618952292 Enrollment ID: I20040618001021 |
| Provider Name | David Alexander Harter |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437180221 PECOS PAC ID: 1153306410 Enrollment ID: I20040621001484 |
| Provider Name | John D Gnezda |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1295722296 PECOS PAC ID: 8325024367 Enrollment ID: I20040629000680 |
| Provider Name | Stephen G Weber |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1295898716 PECOS PAC ID: 7214914720 Enrollment ID: I20040702000054 |
| Provider Name | Carol E Semrad |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1871656389 PECOS PAC ID: 1153308697 Enrollment ID: I20040702000292 |
| Provider Name | Cai Glushak |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811050339 PECOS PAC ID: 5698754471 Enrollment ID: I20040715000728 |
| Provider Name | Christopher K Daugherty |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1063574523 PECOS PAC ID: 9537149653 Enrollment ID: I20040721000190 |
| Provider Name | Edward a Michals |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255343992 PECOS PAC ID: 2365422805 Enrollment ID: I20040723000863 |
| Provider Name | Abraham Dachman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710038781 PECOS PAC ID: 6507846045 Enrollment ID: I20040723000890 |
| Provider Name | Erika C Claud |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255481297 PECOS PAC ID: 0143290940 Enrollment ID: I20040729000134 |
| Provider Name | Michael C Woo |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1306901525 PECOS PAC ID: 0143292433 Enrollment ID: I20040809000004 |
| Provider Name | Murray J Keene |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154429710 PECOS PAC ID: 4082685870 Enrollment ID: I20040809000367 |
| Provider Name | Jonathan M Lorenz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972654945 PECOS PAC ID: 9830162437 Enrollment ID: I20040812001287 |
| Provider Name | John H Stepney |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1235346701 PECOS PAC ID: 2163495136 Enrollment ID: I20040817001270 |
| Provider Name | Michael Paul Blair |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1285645549 PECOS PAC ID: 5799758686 Enrollment ID: I20040818000797 |
| Provider Name | Gayle R Spill |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1699767855 PECOS PAC ID: 2860465663 Enrollment ID: I20040819000140 |
| Provider Name | Mary H Lawler |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1366434565 PECOS PAC ID: 5294708996 Enrollment ID: I20040819000245 |
| Provider Name | Michelle S Gittler |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1033101274 PECOS PAC ID: 9537132246 Enrollment ID: I20040819000282 |
| Provider Name | Angela Benzuly |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1134141104 PECOS PAC ID: 6800869546 Enrollment ID: I20040819000520 |
| Provider Name | David T Rubin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1699838102 PECOS PAC ID: 3577537091 Enrollment ID: I20040820001080 |
| Provider Name | Bharathi V Reddy |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1073676599 PECOS PAC ID: 9739153073 Enrollment ID: I20040823001376 |
| Provider Name | Frank J Zimmerman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174673123 PECOS PAC ID: 6406820406 Enrollment ID: I20040825000256 |
| Provider Name | Wendy Stock |
|---|---|
| Provider Type | Practitioner - Hematopoietic Cell Transplantation And Cellular Therapy |
| Provider Identifiers | NPI Number: 1588727093 PECOS PAC ID: 4587638382 Enrollment ID: I20040825001238 |
| Provider Name | Seiko D Yamada |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275561409 PECOS PAC ID: 6406821255 Enrollment ID: I20040826000691 |
| Provider Name | Juliana E Lutz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275743445 PECOS PAC ID: 9830164680 Enrollment ID: I20040826000709 |
| Provider Name | Amy L Pannaralla |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861430118 PECOS PAC ID: 6305811688 Enrollment ID: I20040831000260 |
| Provider Name | John a Hart |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1750433439 PECOS PAC ID: 3779558069 Enrollment ID: I20040831000339 |
| Provider Name | Alison S Tothy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720138779 PECOS PAC ID: 4587639513 Enrollment ID: I20040901000661 |
| Provider Name | Chris V Albanis |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1720040017 PECOS PAC ID: 6002881059 Enrollment ID: I20040901000790 |
| Provider Name | Edith J Chernoff |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699870477 PECOS PAC ID: 5698741999 Enrollment ID: I20040908000898 |
| Provider Name | Ebele N Chinwuba |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093886517 PECOS PAC ID: 7214903517 Enrollment ID: I20040908000915 |
| Provider Name | Tariq M Malik |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1104037993 PECOS PAC ID: 6406822717 Enrollment ID: I20040908000984 |
| Provider Name | Sarah L Stein |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1851454367 PECOS PAC ID: 4981670205 Enrollment ID: I20040908001032 |
| Provider Name | Brian S Funaki |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356492326 PECOS PAC ID: 5193791101 Enrollment ID: I20040909000942 |
| Provider Name | Daniel C Johnson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902899438 PECOS PAC ID: 8325014368 Enrollment ID: I20040909001165 |
| Provider Name | Christopher M Straus |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861543837 PECOS PAC ID: 4183690142 Enrollment ID: I20040909001300 |
| Provider Name | Silvana Pannain |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1558423004 PECOS PAC ID: 6709854409 Enrollment ID: I20040921000426 |
| Provider Name | Alaine M Kamm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023223120 PECOS PAC ID: 9638147358 Enrollment ID: I20040921000589 |
| Provider Name | Steven J Chmura |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1629137161 PECOS PAC ID: 2769450352 Enrollment ID: I20040921001163 |
| Provider Name | Laura a Fetzer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346378148 PECOS PAC ID: 6305814740 Enrollment ID: I20040922001147 |
| Provider Name | Deborah S Loeff |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1770525149 PECOS PAC ID: 1355319765 Enrollment ID: I20040923000402 |
| Provider Name | Nada Williamson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1245445030 PECOS PAC ID: 9436128873 Enrollment ID: I20041001000190 |
| Provider Name | Valluvan Jeevanandam |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1285738344 PECOS PAC ID: 3274592555 Enrollment ID: I20041004000946 |
| Provider Name | Dorian Woods |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285788208 PECOS PAC ID: 3476512401 Enrollment ID: I20041006000482 |
| Provider Name | Vineet Arora |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457413908 PECOS PAC ID: 2769441385 Enrollment ID: I20041007000688 |
| Provider Name | Mary a Nevin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871555805 PECOS PAC ID: 8022077528 Enrollment ID: I20041008001364 |
| Provider Name | Sajid S Shahul |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1255322020 PECOS PAC ID: 8628048964 Enrollment ID: I20041013001179 |
| Provider Name | Maria C Sosenko |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1982658852 PECOS PAC ID: 7810957834 Enrollment ID: I20041014000361 |
| Provider Name | Michael D Schreiber |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902956956 PECOS PAC ID: 6800857202 Enrollment ID: I20041019001413 |
| Provider Name | Fernando D Goldenberg |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1386795367 PECOS PAC ID: 4183685217 Enrollment ID: I20041022000200 |
| Provider Name | Ruta M Shabez |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063460376 PECOS PAC ID: 3476514373 Enrollment ID: I20041025000142 |
| Provider Name | Rita Nanda |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1568524015 PECOS PAC ID: 2860453412 Enrollment ID: I20041026000916 |
| Provider Name | Julie L Oyler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740490051 PECOS PAC ID: 6709847361 Enrollment ID: I20041026000985 |
| Provider Name | Douglas K Hogarth |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1619030137 PECOS PAC ID: 9335101088 Enrollment ID: I20041103001156 |
| Provider Name | Noah P Levy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851385322 PECOS PAC ID: 7214990894 Enrollment ID: I20041104000878 |
| Provider Name | Yonglin Pu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407907470 PECOS PAC ID: 4284697855 Enrollment ID: I20041105000242 |
| Provider Name | Linda J Walsh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619095932 PECOS PAC ID: 2567425929 Enrollment ID: I20041105001030 |
| Provider Name | Jeffrey a Leef |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1174674147 PECOS PAC ID: 3678536976 Enrollment ID: I20041108000887 |
| Provider Name | Thuong G Van Ha |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770634743 PECOS PAC ID: 3274596580 Enrollment ID: I20041108001003 |
| Provider Name | Elizabeth a Blair |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1679632897 PECOS PAC ID: 8921061862 Enrollment ID: I20041110001217 |
| Provider Name | Kapuluru G Reddy |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1982767406 PECOS PAC ID: 5799747440 Enrollment ID: I20041111000872 |
| Provider Name | Anthony Chang |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1407908825 PECOS PAC ID: 4587628334 Enrollment ID: I20041112000247 |
| Provider Name | Mark Greenwald |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1720144975 PECOS PAC ID: 5799677530 Enrollment ID: I20041112000737 |
| Provider Name | Mark K Abe |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629128657 PECOS PAC ID: 4880658517 Enrollment ID: I20041112000921 |
| Provider Name | Arieh L Shalhav |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1316002140 PECOS PAC ID: 0749244481 Enrollment ID: I20041112000965 |
| Provider Name | Raymond M Galocy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982784344 PECOS PAC ID: 2163486804 Enrollment ID: I20041112000996 |
| Provider Name | Jayant M Pinto |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1891850624 PECOS PAC ID: 7113981671 Enrollment ID: I20041115000635 |
| Provider Name | James Colombo |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1972692069 PECOS PAC ID: 6002871464 Enrollment ID: I20041124000445 |
| Provider Name | Lenore M Litwin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1861576050 PECOS PAC ID: 1951367333 Enrollment ID: I20041207001065 |
| Provider Name | Arthur J Dipatri |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1396731444 PECOS PAC ID: 9032167036 Enrollment ID: I20050106000442 |
| Provider Name | Ama Fordwor-koranteng |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013036151 PECOS PAC ID: 9931157799 Enrollment ID: I20050107000690 |
| Provider Name | Joseph Craig |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1730193186 PECOS PAC ID: 9133178890 Enrollment ID: I20050120000031 |
| Provider Name | Elbio M Flores |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1265431712 PECOS PAC ID: 9436108917 Enrollment ID: I20050121000849 |
| Provider Name | Tipu S Puri |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1548322092 PECOS PAC ID: 7517918782 Enrollment ID: I20050204000226 |
| Provider Name | Peter J Smith |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720142995 PECOS PAC ID: 0547213258 Enrollment ID: I20050222000906 |
| Provider Name | Michael E Msall |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316097355 PECOS PAC ID: 7618920323 Enrollment ID: I20050222000917 |
| Provider Name | Bruce M Bissonnette |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1255402673 PECOS PAC ID: 0941253116 Enrollment ID: I20050228000795 |
| Provider Name | Grace H Lee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437121472 PECOS PAC ID: 2466405303 Enrollment ID: I20050303000666 |
| Provider Name | Dianne Deplewski |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073663019 PECOS PAC ID: 4284689498 Enrollment ID: I20050321000347 |
| Provider Name | Sonia P Oyola |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730192451 PECOS PAC ID: 4789639915 Enrollment ID: I20050321000467 |
| Provider Name | Sharon L Duval |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366634487 PECOS PAC ID: 5799731311 Enrollment ID: I20050328000325 |
| Provider Name | Shona N Vas |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1720106735 PECOS PAC ID: 0840199642 Enrollment ID: I20050330000434 |
| Provider Name | Bella Y Padaoan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1821179524 PECOS PAC ID: 2163479858 Enrollment ID: I20050405000739 |
| Provider Name | Seenu M Hariprasad |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1639235880 PECOS PAC ID: 7113965146 Enrollment ID: I20050420001044 |
| Provider Name | Chanannait Paisansathan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1588778724 PECOS PAC ID: 5890733687 Enrollment ID: I20050421001078 |
| Provider Name | Romeen Mohmed Lavani |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366592305 PECOS PAC ID: 7810935327 Enrollment ID: I20050425000179 |
| Provider Name | Daniel E Appelbaum |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184775157 PECOS PAC ID: 0749229011 Enrollment ID: I20050426001193 |
| Provider Name | Stephen R Nold |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1831128123 PECOS PAC ID: 5799724084 Enrollment ID: I20050502001146 |
| Provider Name | Farah a Hasan |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1285665596 PECOS PAC ID: 7911948740 Enrollment ID: I20050520000978 |
| Provider Name | Philip C Hoffman |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1700949229 PECOS PAC ID: 3870536501 Enrollment ID: I20050603000724 |
| Provider Name | Richard a Larson |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1114089661 PECOS PAC ID: 8426091174 Enrollment ID: I20050603000810 |
| Provider Name | Mark J Ratain |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1255494779 PECOS PAC ID: 5597708255 Enrollment ID: I20050603000933 |
| Provider Name | Elaine M Worcester |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1568525087 PECOS PAC ID: 3072553072 Enrollment ID: I20050607001204 |
| Provider Name | Patrick N Cunningham |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1518033315 PECOS PAC ID: 6204879588 Enrollment ID: I20050607001249 |
| Provider Name | Kate a Feinstein |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538210505 PECOS PAC ID: 8527001809 Enrollment ID: I20050607001298 |
| Provider Name | Ali Shaibani |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023041720 PECOS PAC ID: 2961445101 Enrollment ID: I20050608000375 |
| Provider Name | Julian Solway |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1306909817 PECOS PAC ID: 5496798506 Enrollment ID: I20050608001031 |
| Provider Name | Steven R White |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1922161447 PECOS PAC ID: 8325082324 Enrollment ID: I20050610000323 |
| Provider Name | Olufunmilayo Olopade |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1649332198 PECOS PAC ID: 4082658919 Enrollment ID: I20050613000423 |
| Provider Name | Sonia S Kupfer |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1588726038 PECOS PAC ID: 5193769560 Enrollment ID: I20050616000217 |
| Provider Name | Momin Muzaffar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588690812 PECOS PAC ID: 3173559655 Enrollment ID: I20050715000588 |
| Provider Name | Amanda M Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184818825 PECOS PAC ID: 0446287270 Enrollment ID: I20050722000420 |
| Provider Name | Vivek N Prachand |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1619032448 PECOS PAC ID: 2062449689 Enrollment ID: I20050725001106 |
| Provider Name | Dana P Peres Edelson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255528535 PECOS PAC ID: 1951339126 Enrollment ID: I20050728001214 |
| Provider Name | Doriane C Miller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497795470 PECOS PAC ID: 6204865744 Enrollment ID: I20050805000054 |
| Provider Name | Aliya N Husain |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1669524344 PECOS PAC ID: 8921037466 Enrollment ID: I20050805000062 |
| Provider Name | Sangeeta Bhorade |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1174685622 PECOS PAC ID: 4284663725 Enrollment ID: I20050805000071 |
| Provider Name | Deborah a Boyle |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104857499 PECOS PAC ID: 0244269660 Enrollment ID: I20050805000744 |
| Provider Name | Milen P Peev |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740267368 PECOS PAC ID: 9830128149 Enrollment ID: I20050808000297 |
| Provider Name | Mark W Lingen |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1568514248 PECOS PAC ID: 0042249724 Enrollment ID: I20050812000185 |
| Provider Name | Susan L Cohn |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043289234 PECOS PAC ID: 1355371782 Enrollment ID: I20050816000639 |
| Provider Name | Kimberly S Kenton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629042759 PECOS PAC ID: 1052341393 Enrollment ID: I20050817000100 |
| Provider Name | Hiroyuki Abe |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275684243 PECOS PAC ID: 2365472537 Enrollment ID: I20050817000429 |
| Provider Name | Richard E Heller |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477537215 PECOS PAC ID: 8325005028 Enrollment ID: I20050819000037 |
| Provider Name | Sudarshan K Sharma |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1740265974 PECOS PAC ID: 3274564034 Enrollment ID: I20050822001323 |
| Provider Name | Irsk J Anderson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891856621 PECOS PAC ID: 7416989942 Enrollment ID: I20050906000959 |
| Provider Name | Gokhan M Mutlu |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1841226537 PECOS PAC ID: 0648203364 Enrollment ID: I20050914000117 |
| Provider Name | Nikunj N Shah |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1134109861 PECOS PAC ID: 6406889898 Enrollment ID: I20050915000898 |
| Provider Name | Jeanne M Farnan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356462691 PECOS PAC ID: 6507899739 Enrollment ID: I20050916000824 |
| Provider Name | Joseph W Fink |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1700904562 PECOS PAC ID: 5496789455 Enrollment ID: I20050920000879 |
| Provider Name | Maureen a Lacy |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1275652984 PECOS PAC ID: 7113951187 Enrollment ID: I20050920000979 |
| Provider Name | Christopher L Skelly |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1225193063 PECOS PAC ID: 0749214393 Enrollment ID: I20050922000741 |
| Provider Name | Perpetua T Goodall |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700999828 PECOS PAC ID: 0648204198 Enrollment ID: I20050923000186 |
| Provider Name | Daniel Yohanna |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659491264 PECOS PAC ID: 3577598572 Enrollment ID: I20050928001024 |
| Provider Name | Elliot S Gershon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063520781 PECOS PAC ID: 7911819339 Enrollment ID: I20051003000700 |
| Provider Name | Jeanne M Decara |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1972665438 PECOS PAC ID: 8123044294 Enrollment ID: I20051018000746 |
| Provider Name | Anne T Hinkamp |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1427069772 PECOS PAC ID: 4789600305 Enrollment ID: I20051021000619 |
| Provider Name | James J Walter |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669535183 PECOS PAC ID: 9335165836 Enrollment ID: I20051024000102 |
| Provider Name | Ruba Azzam |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356491385 PECOS PAC ID: 6406872902 Enrollment ID: I20051024000119 |
| Provider Name | Teresita M Hogan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063408094 PECOS PAC ID: 4587680046 Enrollment ID: I20051024000562 |
| Provider Name | Michael F Oconnor |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1083731327 PECOS PAC ID: 0749206399 Enrollment ID: I20051025000362 |
| Provider Name | Jennifer L Burns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487776399 PECOS PAC ID: 1557389079 Enrollment ID: I20051103000398 |
| Provider Name | John C Alverdy |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1366507196 PECOS PAC ID: 0840218145 Enrollment ID: I20051104000500 |
| Provider Name | Nawal Ellen Ragheb Mueller |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1700869195 PECOS PAC ID: 6608894324 Enrollment ID: I20051110000446 |
| Provider Name | Gregory P Zagaja |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1760547509 PECOS PAC ID: 1254350754 Enrollment ID: I20051114001079 |
| Provider Name | Peter Pytel |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1821140500 PECOS PAC ID: 0042230609 Enrollment ID: I20051129000390 |
| Provider Name | Monica M Christmas |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780637827 PECOS PAC ID: 6406877919 Enrollment ID: I20051213000189 |
| Provider Name | Karen Sarah Hoehn |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912057951 PECOS PAC ID: 9133141047 Enrollment ID: I20051220000542 |
| Provider Name | Dimitrios Christos Nikas |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1124014386 PECOS PAC ID: 8729000666 Enrollment ID: I20051220000784 |
| Provider Name | Royce J Lee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093834624 PECOS PAC ID: 9436171642 Enrollment ID: I20051230000267 |
| Provider Name | Samantha J Holsti |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1114011665 PECOS PAC ID: 2163446741 Enrollment ID: I20060123000341 |
| Provider Name | Amy Durkin Celauro |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1316068943 PECOS PAC ID: 0042234627 Enrollment ID: I20060123000378 |
| Provider Name | Susan Bublick Glick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902969421 PECOS PAC ID: 7911912142 Enrollment ID: I20060209000322 |
| Provider Name | Linda Ann Janisch |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1851518070 PECOS PAC ID: 6800801689 Enrollment ID: I20060215000522 |
| Provider Name | Cedric J Mckoy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952529372 PECOS PAC ID: 4486669272 Enrollment ID: I20060215000576 |
| Provider Name | Gregory a Tomczyk |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1376634212 PECOS PAC ID: 9830105758 Enrollment ID: I20060302000204 |
| Provider Name | Monica C Malec |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1598705766 PECOS PAC ID: 5193731842 Enrollment ID: I20060303000623 |
| Provider Name | Meggan M Evans Forbes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174666051 PECOS PAC ID: 3971519596 Enrollment ID: I20060306000446 |
| Provider Name | Jeremy D Marks |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962552901 PECOS PAC ID: 6305853151 Enrollment ID: I20060320000385 |
| Provider Name | Sudhir Sriram |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033392725 PECOS PAC ID: 5092722736 Enrollment ID: I20060321000399 |
| Provider Name | Manuel F Utset |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1932215480 PECOS PAC ID: 5092723080 Enrollment ID: I20060403000423 |
| Provider Name | Saba Y Ahmed |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1861448003 PECOS PAC ID: 6709895360 Enrollment ID: I20060411000244 |
| Provider Name | Everett E Vokes |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1932262458 PECOS PAC ID: 1052320058 Enrollment ID: I20060419000816 |
| Provider Name | James H Tonsgard |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396806717 PECOS PAC ID: 6800805789 Enrollment ID: I20060420000681 |
| Provider Name | Christopher M Sullivan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1770648511 PECOS PAC ID: 6709895683 Enrollment ID: I20060420000689 |
| Provider Name | Lawrence J Gottlieb |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1790840528 PECOS PAC ID: 2567472376 Enrollment ID: I20060424000576 |
| Provider Name | Mary Strek |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1497818918 PECOS PAC ID: 2264442904 Enrollment ID: I20060426000335 |
| Provider Name | Sherwin W Ho |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1508921339 PECOS PAC ID: 8820008584 Enrollment ID: I20060426000528 |
| Provider Name | Todd D Stern |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679636187 PECOS PAC ID: 9931119591 Enrollment ID: I20060426000609 |
| Provider Name | Marshall H Chin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164584611 PECOS PAC ID: 0143230722 Enrollment ID: I20060426000741 |
| Provider Name | James N Woodruff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659434173 PECOS PAC ID: 9830109446 Enrollment ID: I20060426000928 |
| Provider Name | Mitchell C Posner |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1700941531 PECOS PAC ID: 7911917521 Enrollment ID: I20060426000932 |
| Provider Name | Jeffrey W Nichols |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1992809941 PECOS PAC ID: 4587674072 Enrollment ID: I20060427000728 |
| Provider Name | David O Meltzer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013079565 PECOS PAC ID: 2163432295 Enrollment ID: I20060503000408 |
| Provider Name | Russell D Cohen |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1336201888 PECOS PAC ID: 6305856436 Enrollment ID: I20060503000429 |
| Provider Name | Christopher M Gomez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184658478 PECOS PAC ID: 8022028174 Enrollment ID: I20060503000528 |
| Provider Name | Adam S Cifu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982766432 PECOS PAC ID: 9931119096 Enrollment ID: I20060503000628 |
| Provider Name | Holly J Benjamin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174673107 PECOS PAC ID: 1052321130 Enrollment ID: I20060503000767 |
| Provider Name | Brian C Toolan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1861402984 PECOS PAC ID: 8022028109 Enrollment ID: I20060503000785 |
| Provider Name | John F Mcconville |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1295897742 PECOS PAC ID: 8628088705 Enrollment ID: I20060503000803 |
| Provider Name | Christopher Clardy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346390382 PECOS PAC ID: 6204846397 Enrollment ID: I20060503000853 |
| Provider Name | Hedy L Kindler |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1851453302 PECOS PAC ID: 3971513912 Enrollment ID: I20060504000474 |
| Provider Name | Helen S Te |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1033272554 PECOS PAC ID: 1850301821 Enrollment ID: I20060504000713 |
| Provider Name | Chawki F El-zein |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1497711394 PECOS PAC ID: 5193736155 Enrollment ID: I20060505000599 |
| Provider Name | Ronald N Cohen |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1437211463 PECOS PAC ID: 8426069204 Enrollment ID: I20060508000673 |
| Provider Name | Philip P Connell |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1538228077 PECOS PAC ID: 8921019688 Enrollment ID: I20060509000475 |
| Provider Name | Sonali M Smith |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1215153226 PECOS PAC ID: 4183635873 Enrollment ID: I20060509000690 |
| Provider Name | Thomas W Cutter |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1790840916 PECOS PAC ID: 6406867100 Enrollment ID: I20060509000832 |
| Provider Name | Peter a Klock |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1881759009 PECOS PAC ID: 0042221756 Enrollment ID: I20060509000915 |
| Provider Name | Ashley S Martin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063451292 PECOS PAC ID: 1658383385 Enrollment ID: I20060621000353 |
| Provider Name | Rachel K Wolfson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407897887 PECOS PAC ID: 5698787299 Enrollment ID: I20060623000208 |
| Provider Name | Blase N Polite |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1306873211 PECOS PAC ID: 6002829512 Enrollment ID: I20060731000413 |
| Provider Name | Shyam K Prabhakaran |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1700815818 PECOS PAC ID: 8921063512 Enrollment ID: I20060908000194 |
| Provider Name | Peter Angelos |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1568435428 PECOS PAC ID: 9931104759 Enrollment ID: I20060928000369 |
| Provider Name | Russell R Reid |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1801835632 PECOS PAC ID: 7911902739 Enrollment ID: I20060928000387 |
| Provider Name | Adil Javed |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1932142833 PECOS PAC ID: 7416953286 Enrollment ID: I20061018000654 |
| Provider Name | Victoria Holloway Barbosa |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1578570024 PECOS PAC ID: 8426054206 Enrollment ID: I20061019000027 |
| Provider Name | Sandeep Nathan |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1225054588 PECOS PAC ID: 4789681313 Enrollment ID: I20061024000619 |
| Provider Name | Hue H Luu |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1295757011 PECOS PAC ID: 2264439439 Enrollment ID: I20061031000496 |
| Provider Name | Thomas L Fisher |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275528499 PECOS PAC ID: 7012980071 Enrollment ID: I20061103000355 |
| Provider Name | Monica E Peek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841247277 PECOS PAC ID: 0244238947 Enrollment ID: I20061113000203 |
| Provider Name | Matthew S Kaufmann |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1336165109 PECOS PAC ID: 8729086277 Enrollment ID: I20061117000371 |
| Provider Name | Jeffrey S Mueller |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1841380003 PECOS PAC ID: 0244238442 Enrollment ID: I20061127000042 |
| Provider Name | Jennifer Lim Angeles |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114945276 PECOS PAC ID: 2062410186 Enrollment ID: I20061127000257 |
| Provider Name | Dane Hassani |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1003901430 PECOS PAC ID: 9133127244 Enrollment ID: I20061128000602 |
| Provider Name | Andrew I Aronsohn |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1639106313 PECOS PAC ID: 4486653078 Enrollment ID: I20061208000234 |
| Provider Name | Susan Sam |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1013020759 PECOS PAC ID: 8628077955 Enrollment ID: I20061213000401 |
| Provider Name | Kristy E Todd |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1508955394 PECOS PAC ID: 0648270579 Enrollment ID: I20061228000024 |
| Provider Name | Husain a Sattar |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1861565897 PECOS PAC ID: 7113927930 Enrollment ID: I20061229000360 |
| Provider Name | Michele L Knappe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609937143 PECOS PAC ID: 2466452719 Enrollment ID: I20070110000304 |
| Provider Name | Timothy a Sentongo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598726432 PECOS PAC ID: 4981604295 Enrollment ID: I20070111000129 |
| Provider Name | Stanley L Liauw |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1922011790 PECOS PAC ID: 2567462872 Enrollment ID: I20070111000189 |
| Provider Name | Paul J Chang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023080983 PECOS PAC ID: 2769484708 Enrollment ID: I20070205000464 |
| Provider Name | Gladell P Paner |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1942366893 PECOS PAC ID: 5597767236 Enrollment ID: I20070208000209 |
| Provider Name | Jason M Kane |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215959515 PECOS PAC ID: 3971596073 Enrollment ID: I20070220000077 |
| Provider Name | Jeffrey B Matthews |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1679540736 PECOS PAC ID: 4587576616 Enrollment ID: I20070226000023 |
| Provider Name | Nirupama Mahidhara |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205862422 PECOS PAC ID: 3678676087 Enrollment ID: I20070305000618 |
| Provider Name | Tabitha Watts |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750469987 PECOS PAC ID: 9436253408 Enrollment ID: I20070330000432 |
| Provider Name | Sandy Y Gibson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780799387 PECOS PAC ID: 0941304612 Enrollment ID: I20070406000155 |
| Provider Name | Parthenia C Davis |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1306990288 PECOS PAC ID: 6204930829 Enrollment ID: I20070409000269 |
| Provider Name | Patricia B Raksin |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1679685630 PECOS PAC ID: 4981709730 Enrollment ID: I20070424000059 |
| Provider Name | Carol J Macmillan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306949615 PECOS PAC ID: 1951408319 Enrollment ID: I20070518000253 |
| Provider Name | Ravi M Deshmukh |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1427107697 PECOS PAC ID: 5890711535 Enrollment ID: I20070521000492 |
| Provider Name | Anish Kirit Oza |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1518050046 PECOS PAC ID: 1355448408 Enrollment ID: I20070524000124 |
| Provider Name | Frank W Dupont |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1770578122 PECOS PAC ID: 0941308779 Enrollment ID: I20070601000421 |
| Provider Name | Keme H Carter |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881625697 PECOS PAC ID: 2668570862 Enrollment ID: I20070612000624 |
| Provider Name | Masayoshi Uemura |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407069503 PECOS PAC ID: 6709985138 Enrollment ID: I20070625000749 |
| Provider Name | Jason T Poston |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1255483897 PECOS PAC ID: 3375643380 Enrollment ID: I20070705000105 |
| Provider Name | Justin P Kline |
|---|---|
| Provider Type | Practitioner - Hematopoietic Cell Transplantation And Cellular Therapy |
| Provider Identifiers | NPI Number: 1831313691 PECOS PAC ID: 4789784414 Enrollment ID: I20070711000194 |
| Provider Name | Benjamin S Ko |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1619096583 PECOS PAC ID: 1951401686 Enrollment ID: I20070711000214 |
| Provider Name | Iris L Romero |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366574451 PECOS PAC ID: 9830299569 Enrollment ID: I20070711000240 |
| Provider Name | Aytek Oto |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528142866 PECOS PAC ID: 4284530825 Enrollment ID: I20070711000861 |
| Provider Name | Olwen M Hahn |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1992823611 PECOS PAC ID: 9537269972 Enrollment ID: I20070713000357 |
| Provider Name | Steven M Zangan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164631479 PECOS PAC ID: 5294835534 Enrollment ID: I20070716000224 |
| Provider Name | John a Schneider |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1396868147 PECOS PAC ID: 7618078858 Enrollment ID: I20070718000574 |
| Provider Name | Michael H Davidson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1023033321 PECOS PAC ID: 7719088749 Enrollment ID: I20070720000625 |
| Provider Name | Phillip S Losavio |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1124232137 PECOS PAC ID: 6305937582 Enrollment ID: I20070801000724 |
| Provider Name | Michele P Stack |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1568594240 PECOS PAC ID: 1557452125 Enrollment ID: I20070810000537 |
| Provider Name | Jay L Koyner |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1275656340 PECOS PAC ID: 9133211253 Enrollment ID: I20070822000122 |
| Provider Name | Marie B Tobin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295792265 PECOS PAC ID: 4981648748 Enrollment ID: I20070822000465 |
| Provider Name | Karen S Bernstein |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457495707 PECOS PAC ID: 1153414602 Enrollment ID: I20070829000828 |
| Provider Name | Rebecca Chin Kuo |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1306908231 PECOS PAC ID: 0749373561 Enrollment ID: I20070910000476 |
| Provider Name | Sanija Bajramovic |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1851341705 PECOS PAC ID: 5496848244 Enrollment ID: I20070910000759 |
| Provider Name | Renee E Peart |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1194933846 PECOS PAC ID: 8820182819 Enrollment ID: I20070921000197 |
| Provider Name | Brian C Callender |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447472782 PECOS PAC ID: 0244324192 Enrollment ID: I20070921000810 |
| Provider Name | Bree L Andrews |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629293303 PECOS PAC ID: 0547355646 Enrollment ID: I20071004000459 |
| Provider Name | Michele a Rubin |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1124150602 PECOS PAC ID: 3072608900 Enrollment ID: I20071005000786 |
| Provider Name | Elbert S Huang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073674800 PECOS PAC ID: 1951496751 Enrollment ID: I20071008000492 |
| Provider Name | Mohammed R Shabbir |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1073551594 PECOS PAC ID: 3173619988 Enrollment ID: I20071009000878 |
| Provider Name | Roxanne E Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689886202 PECOS PAC ID: 3476649245 Enrollment ID: I20071010000396 |
| Provider Name | John M Cunningham |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427051622 PECOS PAC ID: 9537255096 Enrollment ID: I20071012000639 |
| Provider Name | Willard W Sharp |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306976816 PECOS PAC ID: 3072600899 Enrollment ID: I20071025000649 |
| Provider Name | Shellie N Williams |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1447313705 PECOS PAC ID: 6507885076 Enrollment ID: I20071026000297 |
| Provider Name | Michael a Less |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1689600611 PECOS PAC ID: 2769374313 Enrollment ID: I20071108000608 |
| Provider Name | Nita Karnik Lee |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1255374708 PECOS PAC ID: 3173591997 Enrollment ID: I20071120000425 |
| Provider Name | Danish Ahmed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1083819684 PECOS PAC ID: 0143318451 Enrollment ID: I20071121000025 |
| Provider Name | Cezar B Tolentino |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043415771 PECOS PAC ID: 4486744687 Enrollment ID: I20071212000028 |
| Provider Name | Atul N Gupta |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1396791729 PECOS PAC ID: 0042300089 Enrollment ID: I20071214000275 |
| Provider Name | Ashok K Khilwani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770788317 PECOS PAC ID: 3870673874 Enrollment ID: I20080103000313 |
| Provider Name | Christine a Babcock |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588870448 PECOS PAC ID: 5597714709 Enrollment ID: I20080111000235 |
| Provider Name | Samuel L Volchenboum |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1659460434 PECOS PAC ID: 6507848801 Enrollment ID: I20080111000616 |
| Provider Name | Kenneth S Cohen |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1881787067 PECOS PAC ID: 3577644871 Enrollment ID: I20080111000748 |
| Provider Name | Kathleen J Drinan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1164417135 PECOS PAC ID: 4385725100 Enrollment ID: I20080118000207 |
| Provider Name | Mark D Hoffman |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1780694216 PECOS PAC ID: 1759462427 Enrollment ID: I20080118000615 |
| Provider Name | Carla B Harmath |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1962486639 PECOS PAC ID: 5597847830 Enrollment ID: I20080125000410 |
| Provider Name | Howard J Halpern |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1447319983 PECOS PAC ID: 2365524600 Enrollment ID: I20080125000475 |
| Provider Name | Mindy L Jacobs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033230156 PECOS PAC ID: 4486736147 Enrollment ID: I20080204000066 |
| Provider Name | Bansari S Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396956801 PECOS PAC ID: 4385727122 Enrollment ID: I20080215000705 |
| Provider Name | Mohan S Gundeti |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1790968147 PECOS PAC ID: 4587747324 Enrollment ID: I20080216000028 |
| Provider Name | Kamala G Cotts |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427110980 PECOS PAC ID: 8123101961 Enrollment ID: I20080216000033 |
| Provider Name | Douglas Nordli |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386755486 PECOS PAC ID: 4789768821 Enrollment ID: I20080227000516 |
| Provider Name | Sonya Y Rawls |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1861679128 PECOS PAC ID: 8325125248 Enrollment ID: I20080402000733 |
| Provider Name | Cory Y Chen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851394548 PECOS PAC ID: 7416044854 Enrollment ID: I20080403000384 |
| Provider Name | Daniel J Haraf |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1356400899 PECOS PAC ID: 9335226018 Enrollment ID: I20080404000441 |
| Provider Name | Katrina G Escarilla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689881518 PECOS PAC ID: 3779660360 Enrollment ID: I20080407000527 |
| Provider Name | Jana J Richards |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801015672 PECOS PAC ID: 2365521499 Enrollment ID: I20080430000833 |
| Provider Name | Scott Egon Eggener |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1548440027 PECOS PAC ID: 8820179435 Enrollment ID: I20080508000454 |
| Provider Name | Annemarie Oconnor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467641613 PECOS PAC ID: 9739259227 Enrollment ID: I20080610000767 |
| Provider Name | Carolyn M Culberg |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902076730 PECOS PAC ID: 7719058627 Enrollment ID: I20080620000323 |
| Provider Name | Amy E Butler |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1922292374 PECOS PAC ID: 1850462565 Enrollment ID: I20080623000591 |
| Provider Name | James a Wallace |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1669687307 PECOS PAC ID: 2062476591 Enrollment ID: I20080626000710 |
| Provider Name | Sandeep Gurbuxani |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1003093535 PECOS PAC ID: 0547332066 Enrollment ID: I20080627000456 |
| Provider Name | Jannine C Joyce |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659574879 PECOS PAC ID: 0749352144 Enrollment ID: I20080630000375 |
| Provider Name | Joyce W Tang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417160359 PECOS PAC ID: 7618049784 Enrollment ID: I20080707000324 |
| Provider Name | David R Onsager |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1396829156 PECOS PAC ID: 9638242290 Enrollment ID: I20080716000178 |
| Provider Name | Gene H Kim |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1598923005 PECOS PAC ID: 6709950181 Enrollment ID: I20080801000658 |
| Provider Name | Katherine C Thompson |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1477736676 PECOS PAC ID: 3577638881 Enrollment ID: I20080821000304 |
| Provider Name | Milda R Saunders |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164609269 PECOS PAC ID: 9537234752 Enrollment ID: I20080821000443 |
| Provider Name | Gadi a Revivo |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1922179787 PECOS PAC ID: 0345315461 Enrollment ID: I20080823000052 |
| Provider Name | John D Yoon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568657823 PECOS PAC ID: 2567538085 Enrollment ID: I20080908000368 |
| Provider Name | Arshiya a Baig |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265639595 PECOS PAC ID: 7911088455 Enrollment ID: I20080926000433 |
| Provider Name | Valerie G Press |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275716557 PECOS PAC ID: 3577630961 Enrollment ID: I20080926000488 |
| Provider Name | Rosemarie D Slowikowski |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1457456998 PECOS PAC ID: 9032286315 Enrollment ID: I20080929000487 |
| Provider Name | Adriana M Orozco Kellermeier |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124178165 PECOS PAC ID: 9537237219 Enrollment ID: I20081008000163 |
| Provider Name | Sarah a Wagner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558568998 PECOS PAC ID: 8628146156 Enrollment ID: I20081009000763 |
| Provider Name | Amy K Whitaker |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1023284627 PECOS PAC ID: 5890863278 Enrollment ID: I20081013000341 |
| Provider Name | Kirti M Kulkarni |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407029598 PECOS PAC ID: 8123186202 Enrollment ID: I20081017000438 |
| Provider Name | Konstantin Umanskiy |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1033310909 PECOS PAC ID: 7214095611 Enrollment ID: I20081028000697 |
| Provider Name | Sameer a Ansari |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1932214152 PECOS PAC ID: 0042216640 Enrollment ID: I20081029000429 |
| Provider Name | Karam Radwan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295730117 PECOS PAC ID: 3779558028 Enrollment ID: I20081112000518 |
| Provider Name | Bernhard J Ortel |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1245405497 PECOS PAC ID: 3779643929 Enrollment ID: I20081118000886 |
| Provider Name | Aisha Jameel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730239773 PECOS PAC ID: 7315007440 Enrollment ID: I20081119000761 |
| Provider Name | Donna M Christian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053440800 PECOS PAC ID: 0648330480 Enrollment ID: I20081124000246 |
| Provider Name | Marina Del Rios |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689615585 PECOS PAC ID: 7113025602 Enrollment ID: I20081208000533 |
| Provider Name | Julie Chor |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659553378 PECOS PAC ID: 7214099902 Enrollment ID: I20081213000215 |
| Provider Name | Caitlin E Aveyard |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1598912644 PECOS PAC ID: 3678635224 Enrollment ID: I20081216000619 |
| Provider Name | Daniel Orozco |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1154329399 PECOS PAC ID: 9537221957 Enrollment ID: I20081218000729 |
| Provider Name | Yasmin Hasan |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1194939744 PECOS PAC ID: 7719049899 Enrollment ID: I20081224000296 |
| Provider Name | Ralph R Weichselbaum |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1578510749 PECOS PAC ID: 4688586936 Enrollment ID: I20090113000764 |
| Provider Name | Lisa M Vinci |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023171543 PECOS PAC ID: 0648333724 Enrollment ID: I20090115000539 |
| Provider Name | Cathleen a Mulcahy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861637514 PECOS PAC ID: 3870656853 Enrollment ID: I20090116000602 |
| Provider Name | Dayle V Davenport |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639338213 PECOS PAC ID: 6305909391 Enrollment ID: I20090119000003 |
| Provider Name | Stephanie L Weaver |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942316229 PECOS PAC ID: 0749344638 Enrollment ID: I20090121000247 |
| Provider Name | Marie B Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124210448 PECOS PAC ID: 2567526304 Enrollment ID: I20090123000039 |
| Provider Name | Susan M Gradle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447444682 PECOS PAC ID: 9537223623 Enrollment ID: I20090204000677 |
| Provider Name | Christine a Omalley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346434446 PECOS PAC ID: 1153486048 Enrollment ID: I20090209000606 |
| Provider Name | Emily M Landon |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1942378138 PECOS PAC ID: 0547353203 Enrollment ID: I20090210000451 |
| Provider Name | Jill a Colontuono |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619161916 PECOS PAC ID: 4587729215 Enrollment ID: I20090212000650 |
| Provider Name | Gregory W Ruhnke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679541395 PECOS PAC ID: 1759317118 Enrollment ID: I20090225000145 |
| Provider Name | Elizabeth a Hurter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760651194 PECOS PAC ID: 3375609415 Enrollment ID: I20090225000629 |
| Provider Name | Wai H Lam |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1154566594 PECOS PAC ID: 1456417526 Enrollment ID: I20090226000165 |
| Provider Name | Amy K Siston |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1902044324 PECOS PAC ID: 7315003001 Enrollment ID: I20090304000641 |
| Provider Name | Christine T Elsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720279136 PECOS PAC ID: 0143386508 Enrollment ID: I20090310000272 |
| Provider Name | Janet Chin |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1205862653 PECOS PAC ID: 9335206382 Enrollment ID: I20090319000182 |
| Provider Name | Manik a Amin |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1265689889 PECOS PAC ID: 8325105299 Enrollment ID: I20090319000485 |
| Provider Name | Amanda D Ellis Pelletier |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639325129 PECOS PAC ID: 5991862641 Enrollment ID: I20090324000395 |
| Provider Name | Atman Shah |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1033138557 PECOS PAC ID: 9830196856 Enrollment ID: I20090512000601 |
| Provider Name | Sherri a Sadler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396939492 PECOS PAC ID: 9931258258 Enrollment ID: I20090515000458 |
| Provider Name | Kendra Outler |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1629191747 PECOS PAC ID: 8527950138 Enrollment ID: I20090603000152 |
| Provider Name | Tania L Saroli |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497870117 PECOS PAC ID: 6709936255 Enrollment ID: I20090604000301 |
| Provider Name | Shari G Snow |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235241530 PECOS PAC ID: 9133279300 Enrollment ID: I20090609000553 |
| Provider Name | Dana L Suskind |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1689739427 PECOS PAC ID: 7315098357 Enrollment ID: I20090702000123 |
| Provider Name | Hassan a Shah |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1659412682 PECOS PAC ID: 0446302228 Enrollment ID: I20090709000537 |
| Provider Name | Ross Milner |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1902857287 PECOS PAC ID: 5890762926 Enrollment ID: I20090713000292 |
| Provider Name | Derrick M Brown |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1366671802 PECOS PAC ID: 2062564446 Enrollment ID: I20090715000691 |
| Provider Name | Michael C Hurley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407099872 PECOS PAC ID: 1658423835 Enrollment ID: I20090720000056 |
| Provider Name | Veena Ramaiah |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588714521 PECOS PAC ID: 1658423850 Enrollment ID: I20090720000239 |
| Provider Name | Neda Laiteerapong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104012277 PECOS PAC ID: 2769534726 Enrollment ID: I20090722000348 |
| Provider Name | Gregory Henkle |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649408030 PECOS PAC ID: 5496808370 Enrollment ID: I20090727000145 |
| Provider Name | Carina W Yang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992920987 PECOS PAC ID: 2567515315 Enrollment ID: I20090728000083 |
| Provider Name | Siri Atma W Greeley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225292402 PECOS PAC ID: 9032262308 Enrollment ID: I20090804000401 |
| Provider Name | Sandra L Rose |
|---|---|
| Provider Type | Practitioner - Epileptologists |
| Provider Identifiers | NPI Number: 1487889317 PECOS PAC ID: 0749333029 Enrollment ID: I20090804000429 |
| Provider Name | Jina a Saltzman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386697191 PECOS PAC ID: 3072580703 Enrollment ID: I20090810000602 |
| Provider Name | Russell Z Szmulewitz |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1508029703 PECOS PAC ID: 7113071192 Enrollment ID: I20090811000514 |
| Provider Name | Peter H O Donnell |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1861695819 PECOS PAC ID: 5698829018 Enrollment ID: I20090820000094 |
| Provider Name | Tatjana Antic |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1376782524 PECOS PAC ID: 2961557871 Enrollment ID: I20090828000244 |
| Provider Name | Erin M Jamen-esposito |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053541318 PECOS PAC ID: 8224183553 Enrollment ID: I20090909000718 |
| Provider Name | Anil R Shah |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1972521086 PECOS PAC ID: 3870596281 Enrollment ID: I20090915000734 |
| Provider Name | Janet Friant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528153210 PECOS PAC ID: 2567518533 Enrollment ID: I20090916000083 |
| Provider Name | Anjana a Pillai |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1154591428 PECOS PAC ID: 3971659954 Enrollment ID: I20090916000133 |
| Provider Name | Kimberly C Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679700512 PECOS PAC ID: 8527114404 Enrollment ID: I20090917000334 |
| Provider Name | Yasmeen Ansari |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750597811 PECOS PAC ID: 4385790864 Enrollment ID: I20090924000547 |
| Provider Name | Christopher O Olopade |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1235234246 PECOS PAC ID: 3870639149 Enrollment ID: I20090930000522 |
| Provider Name | Dalia H Elmofty |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1851547616 PECOS PAC ID: 0648316919 Enrollment ID: I20090930000570 |
| Provider Name | Renee S Aronsohn |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1831356070 PECOS PAC ID: 2466598651 Enrollment ID: I20091001000069 |
| Provider Name | Grace Z Mak |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1417168717 PECOS PAC ID: 8729124953 Enrollment ID: I20091001000441 |
| Provider Name | Vera Tesic |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1548418239 PECOS PAC ID: 8426194283 Enrollment ID: I20091008000013 |
| Provider Name | Steve W Handoyo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033296801 PECOS PAC ID: 3375544653 Enrollment ID: I20091012000438 |
| Provider Name | Megan a Defrates |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275793382 PECOS PAC ID: 2163568593 Enrollment ID: I20091015000073 |
| Provider Name | Ervin Kocjancic |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1841423878 PECOS PAC ID: 0143366575 Enrollment ID: I20091015000089 |
| Provider Name | Marcello Cherchi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1366621393 PECOS PAC ID: 7618014903 Enrollment ID: I20091019000322 |
| Provider Name | Stacie K Levine |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1932261484 PECOS PAC ID: 9436297678 Enrollment ID: I20091110000147 |
| Provider Name | Melinda Kay Lukens |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346401379 PECOS PAC ID: 1850439779 Enrollment ID: I20091113000499 |
| Provider Name | Marie V Albarillo |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285734053 PECOS PAC ID: 7517995483 Enrollment ID: I20091124000368 |
| Provider Name | Svetlana Bielecki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134309982 PECOS PAC ID: 2668512260 Enrollment ID: I20091211000494 |
| Provider Name | Christina E Lewicky Gaupp |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194844019 PECOS PAC ID: 7113068370 Enrollment ID: I20100109000396 |
| Provider Name | Azhar Awan |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1497829725 PECOS PAC ID: 1850432071 Enrollment ID: I20100111000467 |
| Provider Name | Shu-yuan Xiao |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1902977200 PECOS PAC ID: 3779640388 Enrollment ID: I20100115000247 |
| Provider Name | David J Weiss |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1386712891 PECOS PAC ID: 5597807347 Enrollment ID: I20100118000014 |
| Provider Name | Andrew R Howard |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1942252432 PECOS PAC ID: 1759387467 Enrollment ID: I20100118000130 |
| Provider Name | Nicole M Leong |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639301096 PECOS PAC ID: 7315089331 Enrollment ID: I20100128000507 |
| Provider Name | Elizabeth a Oppert |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1699001107 PECOS PAC ID: 2961545918 Enrollment ID: I20100130000110 |
| Provider Name | Maricela Sandoval |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376765685 PECOS PAC ID: 8628111051 Enrollment ID: I20100206000017 |
| Provider Name | Robert J Rojas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154395127 PECOS PAC ID: 3577607050 Enrollment ID: I20100222000558 |
| Provider Name | Madhumita a Chatterjee |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679510804 PECOS PAC ID: 4486681731 Enrollment ID: I20100304000905 |
| Provider Name | Catherine M Murks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558588707 PECOS PAC ID: 8022143403 Enrollment ID: I20100324000570 |
| Provider Name | Tammy a Poma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467670778 PECOS PAC ID: 6800922626 Enrollment ID: I20100331000990 |
| Provider Name | Sharmilee M Nyenhuis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760546469 PECOS PAC ID: 7315018603 Enrollment ID: I20100416000159 |
| Provider Name | Piotr P Witkowski |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1104058023 PECOS PAC ID: 4789711615 Enrollment ID: I20100423000393 |
| Provider Name | Rakesh C Navuluri |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1871788323 PECOS PAC ID: 4789711490 Enrollment ID: I20100428000377 |
| Provider Name | Vishal Gupta |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093920191 PECOS PAC ID: 3072666312 Enrollment ID: I20100515000042 |
| Provider Name | Mary E Rinella |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1497787238 PECOS PAC ID: 6709915911 Enrollment ID: I20100526001066 |
| Provider Name | Ira J Blumen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700948254 PECOS PAC ID: 6507995628 Enrollment ID: I20100528000353 |
| Provider Name | Dorota K Havlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336367390 PECOS PAC ID: 6204965320 Enrollment ID: I20100528000387 |
| Provider Name | Gary Loy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851404073 PECOS PAC ID: 1355470196 Enrollment ID: I20100603000578 |
| Provider Name | Amit M Joshi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033163241 PECOS PAC ID: 8325177173 Enrollment ID: I20100603000750 |
| Provider Name | Ronda Jill Oram |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386730745 PECOS PAC ID: 5496885055 Enrollment ID: I20100609000382 |
| Provider Name | Fredric L Coe |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1609938158 PECOS PAC ID: 9335279843 Enrollment ID: I20100610000100 |
| Provider Name | David H Sarne |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1336245968 PECOS PAC ID: 4284764507 Enrollment ID: I20100614000408 |
| Provider Name | Abigail M Morrow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881918134 PECOS PAC ID: 9335279405 Enrollment ID: I20100616000540 |
| Provider Name | Sheila Warren |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1457686271 PECOS PAC ID: 9032249958 Enrollment ID: I20100618000633 |
| Provider Name | Steven B Nussbaum |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1427165943 PECOS PAC ID: 7618007550 Enrollment ID: I20100618000849 |
| Provider Name | Charina Felipa Ferido Alcain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255522652 PECOS PAC ID: 5395877286 Enrollment ID: I20100712000543 |
| Provider Name | Phillip Ahn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376527879 PECOS PAC ID: 5193857985 Enrollment ID: I20100714000278 |
| Provider Name | Christine a Racette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821312000 PECOS PAC ID: 3971635715 Enrollment ID: I20100714000986 |
| Provider Name | Sohail A. Chaudhry |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1245247717 PECOS PAC ID: 9133251770 Enrollment ID: I20100719000199 |
| Provider Name | Matthew Koshy |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1568506103 PECOS PAC ID: 5890828354 Enrollment ID: I20100804000401 |
| Provider Name | Martin D Herman |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1306844899 PECOS PAC ID: 6507990421 Enrollment ID: I20100813001060 |
| Provider Name | John Ruge |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1538166301 PECOS PAC ID: 2961536891 Enrollment ID: I20100813001071 |
| Provider Name | Scott D Moses |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306875653 PECOS PAC ID: 9335273051 Enrollment ID: I20100817001129 |
| Provider Name | Anna L Zisman |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1437317740 PECOS PAC ID: 8820122450 Enrollment ID: I20100817001534 |
| Provider Name | Jacqueline Deborah Leavitt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144332768 PECOS PAC ID: 1456485960 Enrollment ID: I20100819000867 |
| Provider Name | Zaid a Aziz |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1952567125 PECOS PAC ID: 0446374458 Enrollment ID: I20100827000450 |
| Provider Name | Joly Raju |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356678189 PECOS PAC ID: 5496870875 Enrollment ID: I20100909000571 |
| Provider Name | Arvind Rajagopal |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1053415539 PECOS PAC ID: 9133244783 Enrollment ID: I20100920000448 |
| Provider Name | Arlene Molino Ruiz De Luzuriaga |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1134328511 PECOS PAC ID: 4486755329 Enrollment ID: I20101004001386 |
| Provider Name | Wei Wei Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972761872 PECOS PAC ID: 1951593730 Enrollment ID: I20101012000700 |
| Provider Name | Carrie L Smith |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477664456 PECOS PAC ID: 8628261138 Enrollment ID: I20101015001171 |
| Provider Name | Steven M Montner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699826669 PECOS PAC ID: 1951594142 Enrollment ID: I20101020000764 |
| Provider Name | Gregory S Stacy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952452922 PECOS PAC ID: 4082807292 Enrollment ID: I20101020001016 |
| Provider Name | Mary S Hammes |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1366505885 PECOS PAC ID: 3577757186 Enrollment ID: I20101027001408 |
| Provider Name | Michelle a Josephson |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1184785917 PECOS PAC ID: 6901090521 Enrollment ID: I20101027001468 |
| Provider Name | Nicole S Stankus |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1942363452 PECOS PAC ID: 1951595594 Enrollment ID: I20101028000081 |
| Provider Name | Amber T Pincavage |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992989933 PECOS PAC ID: 4789878141 Enrollment ID: I20101029000275 |
| Provider Name | Bhakti K Patel |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1831352160 PECOS PAC ID: 6507050978 Enrollment ID: I20101029000424 |
| Provider Name | Andrea S Markham |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1558688531 PECOS PAC ID: 5991999310 Enrollment ID: I20101029001072 |
| Provider Name | Joel R Pekow |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1902896566 PECOS PAC ID: 8628072600 Enrollment ID: I20101101000794 |
| Provider Name | Renuka Malik |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1942473525 PECOS PAC ID: 4880888106 Enrollment ID: I20101101000822 |
| Provider Name | James J Curran |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1154483618 PECOS PAC ID: 5496949646 Enrollment ID: I20101101001303 |
| Provider Name | Fuad M Baroody |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1992860720 PECOS PAC ID: 9830383082 Enrollment ID: I20101101001324 |
| Provider Name | Sachin D Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194737452 PECOS PAC ID: 3678767878 Enrollment ID: I20101102000233 |
| Provider Name | Rex C Haydon |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1881759611 PECOS PAC ID: 3375737380 Enrollment ID: I20101103001404 |
| Provider Name | Olatoyosi M Odenike |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1194887646 PECOS PAC ID: 6204022551 Enrollment ID: I20101129000350 |
| Provider Name | Michael J Thirman |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1356522460 PECOS PAC ID: 4385830645 Enrollment ID: I20101129000371 |
| Provider Name | Thomas F Gajewski |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1194888610 PECOS PAC ID: 2365638632 Enrollment ID: I20101129000559 |
| Provider Name | James Ahn |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457594574 PECOS PAC ID: 5890981963 Enrollment ID: I20101201000722 |
| Provider Name | Khalid I Afzal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780881896 PECOS PAC ID: 2062608151 Enrollment ID: I20101201000837 |
| Provider Name | Gini F Fleming |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1407918964 PECOS PAC ID: 9638366461 Enrollment ID: I20101206001298 |
| Provider Name | Tao Xie |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1417132119 PECOS PAC ID: 9830387489 Enrollment ID: I20101223000024 |
| Provider Name | Girish Venkataraman |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1568625937 PECOS PAC ID: 7416145925 Enrollment ID: I20101228000803 |
| Provider Name | Alexandra N Funaki |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447301411 PECOS PAC ID: 5991994030 Enrollment ID: I20110105000887 |
| Provider Name | Anthony T Reder |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1467503441 PECOS PAC ID: 0547459539 Enrollment ID: I20110106000231 |
| Provider Name | Christopher R Shea |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1780747295 PECOS PAC ID: 7315136348 Enrollment ID: I20110106000636 |
| Provider Name | Zheng Xie |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1215092432 PECOS PAC ID: 0042409930 Enrollment ID: I20110107000286 |
| Provider Name | James X Tao |
|---|---|
| Provider Type | Practitioner - Epileptologists |
| Provider Identifiers | NPI Number: 1174674154 PECOS PAC ID: 2668661570 Enrollment ID: I20110107000466 |
| Provider Name | Betty C Soliven |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629195987 PECOS PAC ID: 6406045319 Enrollment ID: I20110107000576 |
| Provider Name | Dionne Blackman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629130174 PECOS PAC ID: 3173712924 Enrollment ID: I20110107001072 |
| Provider Name | Catherine Harth |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205934122 PECOS PAC ID: 0345439196 Enrollment ID: I20110107001079 |
| Provider Name | James a Mastrianni |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1821149808 PECOS PAC ID: 1951590710 Enrollment ID: I20110110000152 |
| Provider Name | Richard P Kraig |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1912058991 PECOS PAC ID: 4486843240 Enrollment ID: I20110110000184 |
| Provider Name | Kourosh Rezania |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1376694356 PECOS PAC ID: 8022207893 Enrollment ID: I20110110000309 |
| Provider Name | Peter Warnke |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1932286663 PECOS PAC ID: 1658379557 Enrollment ID: I20110110000667 |
| Provider Name | Melissa S Tesher |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649430166 PECOS PAC ID: 1759570401 Enrollment ID: I20110111000474 |
| Provider Name | Mary a Hurley-schopen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417272212 PECOS PAC ID: 8820287535 Enrollment ID: I20110112000184 |
| Provider Name | Lawrence Mark Steinberg |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1073761953 PECOS PAC ID: 6002005527 Enrollment ID: I20110113000743 |
| Provider Name | Ori Gottlieb |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1518172675 PECOS PAC ID: 1052500543 Enrollment ID: I20110114000209 |
| Provider Name | Timothy L Gillison |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1710905906 PECOS PAC ID: 2062411572 Enrollment ID: I20110114000559 |
| Provider Name | Helene G Rubeiz |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1538210513 PECOS PAC ID: 0042409674 Enrollment ID: I20110114000853 |
| Provider Name | James R Brorson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831240811 PECOS PAC ID: 3072702448 Enrollment ID: I20110117000168 |
| Provider Name | Avery Tung |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1770648990 PECOS PAC ID: 5799974168 Enrollment ID: I20110117000184 |
| Provider Name | Mark a Chaney |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1346305562 PECOS PAC ID: 6608065073 Enrollment ID: I20110117000186 |
| Provider Name | Ward a Reeves |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1730231416 PECOS PAC ID: 9032398334 Enrollment ID: I20110119000280 |
| Provider Name | Thomas N Krausz |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1740332428 PECOS PAC ID: 0446439764 Enrollment ID: I20110119000484 |
| Provider Name | Roger D Hurst |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1962415539 PECOS PAC ID: 3678752656 Enrollment ID: I20110124000086 |
| Provider Name | Seng H Ong |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861441693 PECOS PAC ID: 0345272761 Enrollment ID: I20110125001161 |
| Provider Name | Nora T Jaskowiak |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1760552681 PECOS PAC ID: 0042499006 Enrollment ID: I20110131000886 |
| Provider Name | Natalie S Opanasets |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366615833 PECOS PAC ID: 8426237892 Enrollment ID: I20110201000523 |
| Provider Name | Michele C Kaplon-jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225347362 PECOS PAC ID: 8325228299 Enrollment ID: I20110209000825 |
| Provider Name | Marcus R Clark |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1790847242 PECOS PAC ID: 3577743194 Enrollment ID: I20110214000578 |
| Provider Name | Louis H Philipson |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1093877540 PECOS PAC ID: 8820278450 Enrollment ID: I20110214000602 |
| Provider Name | Bakhtiar Yamini |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1851456693 PECOS PAC ID: 4284814815 Enrollment ID: I20110214000608 |
| Provider Name | Melanie K Samardzija |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861658445 PECOS PAC ID: 1951581586 Enrollment ID: I20110214000665 |
| Provider Name | Laura J Corral |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1922179357 PECOS PAC ID: 0749461036 Enrollment ID: I20110218000896 |
| Provider Name | Matthew J Sorrentino |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1215090725 PECOS PAC ID: 6709067044 Enrollment ID: I20110221000446 |
| Provider Name | Dennis C Whiting |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285936310 PECOS PAC ID: 6002097896 Enrollment ID: I20110228000377 |
| Provider Name | R Parker Ward |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1578626099 PECOS PAC ID: 5294916862 Enrollment ID: I20110302000484 |
| Provider Name | Helen B Fromme |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750431797 PECOS PAC ID: 0446431035 Enrollment ID: I20110302000790 |
| Provider Name | John P Kress |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1679635122 PECOS PAC ID: 0648452227 Enrollment ID: I20110303000846 |
| Provider Name | Stephanie J Gurney |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1457558371 PECOS PAC ID: 7810084712 Enrollment ID: I20110308000565 |
| Provider Name | Alfred J Martin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386764090 PECOS PAC ID: 2961684162 Enrollment ID: I20110309000616 |
| Provider Name | Jennifer Y Gambla |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1174581482 PECOS PAC ID: 0042277949 Enrollment ID: I20110310000855 |
| Provider Name | Yingshan Shi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154360618 PECOS PAC ID: 0143402271 Enrollment ID: I20110310001052 |
| Provider Name | Adrienne a Rigitano |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1346543055 PECOS PAC ID: 8022290063 Enrollment ID: I20110311000213 |
| Provider Name | Edward T Naureckas |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1386706836 PECOS PAC ID: 9931381944 Enrollment ID: I20110314000020 |
| Provider Name | Radhika R Peddinti |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629252754 PECOS PAC ID: 8325220270 Enrollment ID: I20110314000618 |
| Provider Name | Jill L.O. Dejong |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942277322 PECOS PAC ID: 7719920990 Enrollment ID: I20110314001064 |
| Provider Name | Javad Hekmatpanah |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1699830422 PECOS PAC ID: 7012190747 Enrollment ID: I20110317000720 |
| Provider Name | Sanghyun M Paik |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033269071 PECOS PAC ID: 2567645047 Enrollment ID: I20110321000774 |
| Provider Name | Caroline O Olaleye |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821024001 PECOS PAC ID: 0840473302 Enrollment ID: I20110322000515 |
| Provider Name | Karin R Tiernan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730408311 PECOS PAC ID: 4880877216 Enrollment ID: I20110323000320 |
| Provider Name | Andrew M Davis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275642167 PECOS PAC ID: 2961685086 Enrollment ID: I20110328000701 |
| Provider Name | Kathleen G Beavis |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1689794075 PECOS PAC ID: 9032392063 Enrollment ID: I20110329000076 |
| Provider Name | Paulpoj Chiranand |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1639377260 PECOS PAC ID: 6305020934 Enrollment ID: I20110406000433 |
| Provider Name | Jacqueline K Hudson |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1073810792 PECOS PAC ID: 5698959195 Enrollment ID: I20110407000378 |
| Provider Name | Deborah Spitz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942328943 PECOS PAC ID: 4183808595 Enrollment ID: I20110408000702 |
| Provider Name | Neil Manu Gupta |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205033248 PECOS PAC ID: 1254516982 Enrollment ID: I20110425000100 |
| Provider Name | James M Millis |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1447315270 PECOS PAC ID: 6800939638 Enrollment ID: I20110504000673 |
| Provider Name | David Ngigi Kiragu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982860367 PECOS PAC ID: 4385821693 Enrollment ID: I20110613000764 |
| Provider Name | Camille D Dicostanzo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306884952 PECOS PAC ID: 5092993022 Enrollment ID: I20110622000471 |
| Provider Name | Cheryl B Benjamin |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1972814465 PECOS PAC ID: 8426236183 Enrollment ID: I20110628000341 |
| Provider Name | Diana Bolotin |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1164746905 PECOS PAC ID: 6103094784 Enrollment ID: I20110726000681 |
| Provider Name | Shannon Martin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316100902 PECOS PAC ID: 2769651017 Enrollment ID: I20110803000416 |
| Provider Name | Anton M Chivu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487831186 PECOS PAC ID: 0648321091 Enrollment ID: I20110803000452 |
| Provider Name | Ryan S Young |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1093014144 PECOS PAC ID: 4981873783 Enrollment ID: I20110812000180 |
| Provider Name | Nicola Meyer Orlov |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083870216 PECOS PAC ID: 9436329331 Enrollment ID: I20110901000561 |
| Provider Name | Simona C Chivu |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1942416235 PECOS PAC ID: 4486825858 Enrollment ID: I20110914000692 |
| Provider Name | Madhu C Yarlagadda |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053574897 PECOS PAC ID: 7810168200 Enrollment ID: I20110914000832 |
| Provider Name | Mai Y Pho |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1881735124 PECOS PAC ID: 3577734862 Enrollment ID: I20110916000402 |
| Provider Name | Tamar S Polonsky |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1942597984 PECOS PAC ID: 6002087111 Enrollment ID: I20110921000832 |
| Provider Name | Daniel S Rubin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1477843423 PECOS PAC ID: 5092986059 Enrollment ID: I20110922000595 |
| Provider Name | Jennifer a Gower |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1609157429 PECOS PAC ID: 2365614963 Enrollment ID: I20111003000762 |
| Provider Name | Cheng-kai Kao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962664540 PECOS PAC ID: 1153593587 Enrollment ID: I20111007000341 |
| Provider Name | Recia L Frenn |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457572703 PECOS PAC ID: 2567634702 Enrollment ID: I20111011000636 |
| Provider Name | Jennifer L Labas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326343310 PECOS PAC ID: 7517139686 Enrollment ID: I20111013000665 |
| Provider Name | Allison H Bartlett |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144491085 PECOS PAC ID: 7214003151 Enrollment ID: I20111019000889 |
| Provider Name | Andrea C Bundy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255639563 PECOS PAC ID: 7911179759 Enrollment ID: I20111020000320 |
| Provider Name | Sarah a Collins |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942401948 PECOS PAC ID: 3072614247 Enrollment ID: I20111103000282 |
| Provider Name | Christopher R Weber |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1619262177 PECOS PAC ID: 8527232271 Enrollment ID: I20111116000065 |
| Provider Name | Sana Hasan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659652253 PECOS PAC ID: 7214101856 Enrollment ID: I20111117000309 |
| Provider Name | Kelli M Nickols |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578847489 PECOS PAC ID: 2860666070 Enrollment ID: I20111129000048 |
| Provider Name | Melinda R Fitzgerald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053600932 PECOS PAC ID: 0941474035 Enrollment ID: I20111130000275 |
| Provider Name | Maria D Alkureishi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326176645 PECOS PAC ID: 9739354705 Enrollment ID: I20111203000036 |
| Provider Name | Mustafa Hussain |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1447418660 PECOS PAC ID: 2466632617 Enrollment ID: I20111203000074 |
| Provider Name | Keegan Anne Checkett |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992902514 PECOS PAC ID: 5991876328 Enrollment ID: I20111207000736 |
| Provider Name | Jessica N Kempton |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1164700399 PECOS PAC ID: 2567637895 Enrollment ID: I20111214000677 |
| Provider Name | Andrzej J Jakubowiak |
|---|---|
| Provider Type | Practitioner - Hematopoietic Cell Transplantation And Cellular Therapy |
| Provider Identifiers | NPI Number: 1134205081 PECOS PAC ID: 8224051057 Enrollment ID: I20111215000095 |
| Provider Name | Stephen D Small |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1952466179 PECOS PAC ID: 2769657915 Enrollment ID: I20111216000203 |
| Provider Name | Narayan Sundaram |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598940090 PECOS PAC ID: 5395910558 Enrollment ID: I20111216000226 |
| Provider Name | Sunil Narula |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1861428583 PECOS PAC ID: 8527129311 Enrollment ID: I20111216000496 |
| Provider Name | Yuliya Yanovskaya |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1578593737 PECOS PAC ID: 7810905437 Enrollment ID: I20120103000109 |
| Provider Name | Maria Paz Shariff |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1437321692 PECOS PAC ID: 4486724770 Enrollment ID: I20120124000937 |
| Provider Name | Eevin E Judkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093092595 PECOS PAC ID: 1153588983 Enrollment ID: I20120207000459 |
| Provider Name | Yasemin a Ozcan |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1376531558 PECOS PAC ID: 8729247176 Enrollment ID: I20120305000620 |
| Provider Name | Jennifer Pisano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275721250 PECOS PAC ID: 4688834013 Enrollment ID: I20120322000225 |
| Provider Name | Krupa G Andalkar |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1043594872 PECOS PAC ID: 1153581590 Enrollment ID: I20120322000407 |
| Provider Name | Jonathan Y Shin |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1902894033 PECOS PAC ID: 4082874730 Enrollment ID: I20120404000594 |
| Provider Name | Candice T Norcott |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1083836506 PECOS PAC ID: 9638330335 Enrollment ID: I20120405000096 |
| Provider Name | Crystin J Robbins |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1457509853 PECOS PAC ID: 1759542152 Enrollment ID: I20120411000664 |
| Provider Name | Dorota Pietrowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891069902 PECOS PAC ID: 8921269754 Enrollment ID: I20120420000660 |
| Provider Name | Denise E Rouse |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1952686149 PECOS PAC ID: 5395907893 Enrollment ID: I20120430000186 |
| Provider Name | Rosemary Zangas |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922384007 PECOS PAC ID: 5092977215 Enrollment ID: I20120507000033 |
| Provider Name | Megan J Huisingh Scheetz |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1720273063 PECOS PAC ID: 7315109402 Enrollment ID: I20120508000013 |
| Provider Name | Scott D Feldman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407940166 PECOS PAC ID: 8426210444 Enrollment ID: I20120508000422 |
| Provider Name | Raquel Salazar |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1912196544 PECOS PAC ID: 1355438540 Enrollment ID: I20120516000233 |
| Provider Name | Neelofer Shafi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1316104813 PECOS PAC ID: 3971782194 Enrollment ID: I20120517000155 |
| Provider Name | Jessica L Garcia |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1255561676 PECOS PAC ID: 5193988160 Enrollment ID: I20120601000010 |
| Provider Name | Matthew Brian Schneider |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750661815 PECOS PAC ID: 7618131681 Enrollment ID: I20120605000085 |
| Provider Name | Uzma D Siddiqui |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1013990399 PECOS PAC ID: 8022082718 Enrollment ID: I20120606000387 |
| Provider Name | Mark F Myren |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1992992804 PECOS PAC ID: 0042474777 Enrollment ID: I20120611000020 |
| Provider Name | Omiyosoye a Ololade |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144235557 PECOS PAC ID: 8527151372 Enrollment ID: I20120612000057 |
| Provider Name | Maria Theresa G Abaring |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1962647586 PECOS PAC ID: 8022272582 Enrollment ID: I20120613000162 |
| Provider Name | Grace Chong |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649433285 PECOS PAC ID: 1456515899 Enrollment ID: I20120614000265 |
| Provider Name | Miranda K Carrico |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1154585412 PECOS PAC ID: 0244307486 Enrollment ID: I20120614000751 |
| Provider Name | Septimiu Murgu |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1881623460 PECOS PAC ID: 5496754665 Enrollment ID: I20120724000309 |
| Provider Name | Robert T Kavitt |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1205023611 PECOS PAC ID: 9133385594 Enrollment ID: I20120730000637 |
| Provider Name | Emilee E Gancarz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750644795 PECOS PAC ID: 6901062231 Enrollment ID: I20120731000613 |
| Provider Name | Tracie Clisby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942574769 PECOS PAC ID: 3173779303 Enrollment ID: I20120803000415 |
| Provider Name | Regina N Wan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306117213 PECOS PAC ID: 4688820673 Enrollment ID: I20120807000549 |
| Provider Name | Amanda L Hasseltine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184994741 PECOS PAC ID: 1658528831 Enrollment ID: I20120822000669 |
| Provider Name | Audrey M Leslie |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1972885705 PECOS PAC ID: 0042467276 Enrollment ID: I20120823000297 |
| Provider Name | Gillian M Brennan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174782437 PECOS PAC ID: 2961659057 Enrollment ID: I20120824000186 |
| Provider Name | Jon E Grant |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235163759 PECOS PAC ID: 2466494455 Enrollment ID: I20120907000097 |
| Provider Name | Aalok Karshandas Kacha |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1861773079 PECOS PAC ID: 9335397058 Enrollment ID: I20120920000679 |
| Provider Name | Melchor Paulo Adapon Aranas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376775205 PECOS PAC ID: 6406004092 Enrollment ID: I20120925000169 |
| Provider Name | Shoaib a Memon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821248741 PECOS PAC ID: 0143479709 Enrollment ID: I20120926000150 |
| Provider Name | Mark Roberts |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1447400379 PECOS PAC ID: 7214186873 Enrollment ID: I20120926000173 |
| Provider Name | Sarah E Payne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952656258 PECOS PAC ID: 7113176637 Enrollment ID: I20120927000092 |
| Provider Name | Tiffany J Patton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578799482 PECOS PAC ID: 3274782743 Enrollment ID: I20120927000761 |
| Provider Name | Navneet Cheema |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245486497 PECOS PAC ID: 3779732706 Enrollment ID: I20121005000383 |
| Provider Name | Neil Gupta |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1487828653 PECOS PAC ID: 1759568389 Enrollment ID: I20121005000494 |
| Provider Name | Paula E Williams |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134385693 PECOS PAC ID: 1951550656 Enrollment ID: I20121011000914 |
| Provider Name | Mark Edward Saine |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1992051262 PECOS PAC ID: 7517116254 Enrollment ID: I20121012000457 |
| Provider Name | Rochelle N Naylor |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871757567 PECOS PAC ID: 7810147386 Enrollment ID: I20121017000906 |
| Provider Name | Jonathan D Paul |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1134358146 PECOS PAC ID: 0345490827 Enrollment ID: I20121017000950 |
| Provider Name | Corey E Tabit |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1255598587 PECOS PAC ID: 4385814375 Enrollment ID: I20121022000454 |
| Provider Name | Lorretta G Logan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508125774 PECOS PAC ID: 7719138064 Enrollment ID: I20121113000682 |
| Provider Name | Abraham Groner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336469451 PECOS PAC ID: 9133371693 Enrollment ID: I20121207000037 |
| Provider Name | Lewis L Shi |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1497826853 PECOS PAC ID: 4688843378 Enrollment ID: I20121207000059 |
| Provider Name | Karen a Meehan |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1972837037 PECOS PAC ID: 9830341080 Enrollment ID: I20121214000233 |
| Provider Name | Elizabeth Meinert |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952545949 PECOS PAC ID: 1355593401 Enrollment ID: I20121218000423 |
| Provider Name | Julianna M Clark-wronski |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1942450861 PECOS PAC ID: 5496908402 Enrollment ID: I20121226000167 |
| Provider Name | Alexandra M Dumitrescu |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1003078049 PECOS PAC ID: 3274786611 Enrollment ID: I20130114000379 |
| Provider Name | Kathleen F Nagle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558648865 PECOS PAC ID: 0749433076 Enrollment ID: I20130116000436 |
| Provider Name | Shasha Wu |
|---|---|
| Provider Type | Practitioner - Epileptologists |
| Provider Identifiers | NPI Number: 1083833412 PECOS PAC ID: 5597919654 Enrollment ID: I20130126000024 |
| Provider Name | Ann Bich Nguyen |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1629208988 PECOS PAC ID: 2163676107 Enrollment ID: I20130129000296 |
| Provider Name | Stacy T Lindau |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104855014 PECOS PAC ID: 9436303971 Enrollment ID: I20130208000109 |
| Provider Name | Lakshmi Warrior |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1689830978 PECOS PAC ID: 8628222932 Enrollment ID: I20130213000237 |
| Provider Name | Jessica V Haack |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134496045 PECOS PAC ID: 3678727930 Enrollment ID: I20130214000148 |
| Provider Name | Anita Raghavan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023344280 PECOS PAC ID: 1254585433 Enrollment ID: I20130218000388 |
| Provider Name | Jodel L Powers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083966188 PECOS PAC ID: 6103061270 Enrollment ID: I20130320000121 |
| Provider Name | Michael R Bishop |
|---|---|
| Provider Type | Practitioner - Hematopoietic Cell Transplantation And Cellular Therapy |
| Provider Identifiers | NPI Number: 1558666214 PECOS PAC ID: 5597934521 Enrollment ID: I20130320000425 |
| Provider Name | John M Collins |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497086722 PECOS PAC ID: 3577708510 Enrollment ID: I20130322000432 |
| Provider Name | Kristina K Gallow |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811271935 PECOS PAC ID: 7911142898 Enrollment ID: I20130325000334 |
| Provider Name | Joseph T Giannini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649523226 PECOS PAC ID: 7517102213 Enrollment ID: I20130401000107 |
| Provider Name | Laura G Mcintyre |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396973095 PECOS PAC ID: 6608012000 Enrollment ID: I20130409000135 |
| Provider Name | Shaun T Ittiara |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1992995542 PECOS PAC ID: 4284870460 Enrollment ID: I20130412000314 |
| Provider Name | Arlene V Roman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164549846 PECOS PAC ID: 9234375312 Enrollment ID: I20130416000108 |
| Provider Name | Ashley a Perkovic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912242561 PECOS PAC ID: 2264678200 Enrollment ID: I20130418000373 |
| Provider Name | Tiana L. Riley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427396795 PECOS PAC ID: 4082850896 Enrollment ID: I20130424000538 |
| Provider Name | Dana M Caruso |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1972848794 PECOS PAC ID: 0941447148 Enrollment ID: I20130507000572 |
| Provider Name | Tanya R Wells |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366798746 PECOS PAC ID: 4385881382 Enrollment ID: I20130510000563 |
| Provider Name | Julie Mudge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336491869 PECOS PAC ID: 0042457665 Enrollment ID: I20130518000032 |
| Provider Name | Reem U Jan |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1750581732 PECOS PAC ID: 5991943136 Enrollment ID: I20130530000442 |
| Provider Name | Michael Gluth |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1629049226 PECOS PAC ID: 7810975620 Enrollment ID: I20130617000440 |
| Provider Name | James L Labelle |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700060472 PECOS PAC ID: 1456409010 Enrollment ID: I20130625000324 |
| Provider Name | Leticia Mota |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699011189 PECOS PAC ID: 4880834621 Enrollment ID: I20130628000182 |
| Provider Name | Nancy J Beckman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1750725495 PECOS PAC ID: 8426298100 Enrollment ID: I20130628000649 |
| Provider Name | Gabriella L Borrelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912250077 PECOS PAC ID: 4284874777 Enrollment ID: I20130703000656 |
| Provider Name | Krysta D Wolfe |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1700199130 PECOS PAC ID: 1850531872 Enrollment ID: I20130715000575 |
| Provider Name | James E Warnecke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437405156 PECOS PAC ID: 3476793381 Enrollment ID: I20130717000051 |
| Provider Name | Jasminka Duheric |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1578866349 PECOS PAC ID: 7911147863 Enrollment ID: I20130717000442 |
| Provider Name | Colin N Brown |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164627725 PECOS PAC ID: 4880781871 Enrollment ID: I20130718000512 |
| Provider Name | Sarah B Dickson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679765705 PECOS PAC ID: 0648411207 Enrollment ID: I20130724000125 |
| Provider Name | Jessica P Ridgway |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1457548034 PECOS PAC ID: 4688815905 Enrollment ID: I20130730000429 |
| Provider Name | Takeyoshi Ota |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1912167073 PECOS PAC ID: 5193898211 Enrollment ID: I20130801000499 |
| Provider Name | Melissa Marinelli |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1164650107 PECOS PAC ID: 5799926887 Enrollment ID: I20130801000504 |
| Provider Name | Husam H Balkhy |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1790750891 PECOS PAC ID: 2668369034 Enrollment ID: I20130801000598 |
| Provider Name | Mark a Applebaum |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033448147 PECOS PAC ID: 3779752795 Enrollment ID: I20130801000719 |
| Provider Name | Kichul Ko |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1649472440 PECOS PAC ID: 3577704576 Enrollment ID: I20130801000780 |
| Provider Name | Anna Volerman Beaser |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023244605 PECOS PAC ID: 8123267333 Enrollment ID: I20130801000804 |
| Provider Name | Moira C Mcnulty |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1306158787 PECOS PAC ID: 1759522782 Enrollment ID: I20130802000228 |
| Provider Name | Jason Xiaojun Cheng |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1891019568 PECOS PAC ID: 6901939941 Enrollment ID: I20130805000087 |
| Provider Name | Sarah a Sobotka |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750516092 PECOS PAC ID: 3870735814 Enrollment ID: I20130805000278 |
| Provider Name | Nicole a Cipriani |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1821369265 PECOS PAC ID: 5092961334 Enrollment ID: I20130807000755 |
| Provider Name | Michael J Liston |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235362971 PECOS PAC ID: 9436391877 Enrollment ID: I20130814000146 |
| Provider Name | Sushila R Dalal |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1508033234 PECOS PAC ID: 1658513866 Enrollment ID: I20130816000421 |
| Provider Name | Jeffrey B Martin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1104079862 PECOS PAC ID: 2668625047 Enrollment ID: I20130828000452 |
| Provider Name | Victoria Oluwabusola Fadiya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033555388 PECOS PAC ID: 8628202405 Enrollment ID: I20131010000201 |
| Provider Name | Francis J Alenghat |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1073633038 PECOS PAC ID: 3779717327 Enrollment ID: I20131014001760 |
| Provider Name | Priti M Jani |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841455490 PECOS PAC ID: 9537394978 Enrollment ID: I20131021000939 |
| Provider Name | Jeremy P Segal |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1437394756 PECOS PAC ID: 8022243302 Enrollment ID: I20131022000630 |
| Provider Name | Robert Fong |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1154616548 PECOS PAC ID: 0446485742 Enrollment ID: I20131022001109 |
| Provider Name | Julia M Philip-kuli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417262031 PECOS PAC ID: 1456586726 Enrollment ID: I20131023001313 |
| Provider Name | Rupali Gandhi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801912621 PECOS PAC ID: 3173706041 Enrollment ID: I20131025000548 |
| Provider Name | Shirley Moy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033544242 PECOS PAC ID: 4587899430 Enrollment ID: I20131030000962 |
| Provider Name | Amanda M Burress |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811282742 PECOS PAC ID: 2961680749 Enrollment ID: I20131031000816 |
| Provider Name | Dimitra Skondra |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1063652469 PECOS PAC ID: 9638340136 Enrollment ID: I20131101000598 |
| Provider Name | Kristine M Bowersox |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1992139281 PECOS PAC ID: 0042445850 Enrollment ID: I20131104000698 |
| Provider Name | Juraj Letko |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659547859 PECOS PAC ID: 0547495293 Enrollment ID: I20131105000502 |
| Provider Name | Joy M Elion |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689840704 PECOS PAC ID: 7416182019 Enrollment ID: I20131107001211 |
| Provider Name | David W Chang |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1285732172 PECOS PAC ID: 0446444012 Enrollment ID: I20131118000042 |
| Provider Name | Edwin Ramos |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1447409115 PECOS PAC ID: 6608990312 Enrollment ID: I20131118001830 |
| Provider Name | Karechia N Chagoya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699112508 PECOS PAC ID: 6406082635 Enrollment ID: I20131118001868 |
| Provider Name | Marisa C Brady |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1245472844 PECOS PAC ID: 4981738671 Enrollment ID: I20131119000889 |
| Provider Name | Sylvia Falls |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1528231750 PECOS PAC ID: 0042446957 Enrollment ID: I20131125001235 |
| Provider Name | Lauren Michelle Creighton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457642209 PECOS PAC ID: 8820275274 Enrollment ID: I20131126001334 |
| Provider Name | Ethan Molitch-hou |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609039130 PECOS PAC ID: 5991931669 Enrollment ID: I20131202001749 |
| Provider Name | Seeba Anam |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972727428 PECOS PAC ID: 9234285123 Enrollment ID: I20131203000625 |
| Provider Name | Kara M White |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1083042766 PECOS PAC ID: 9335376292 Enrollment ID: I20131220001487 |
| Provider Name | Alice Elena Tudor |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1194155671 PECOS PAC ID: 7012144785 Enrollment ID: I20131230001671 |
| Provider Name | Rubeena Anjum |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114187531 PECOS PAC ID: 0941492581 Enrollment ID: I20140115000103 |
| Provider Name | Andrea Nath Shogan |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1396902490 PECOS PAC ID: 7012146582 Enrollment ID: I20140203000462 |
| Provider Name | Alberuni M Zamah |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386768257 PECOS PAC ID: 0446358998 Enrollment ID: I20140206001289 |
| Provider Name | Venkatesan R Krishnamoorthi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669679437 PECOS PAC ID: 8325278617 Enrollment ID: I20140306001426 |
| Provider Name | Keriann T Kordas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538598180 PECOS PAC ID: 0547491391 Enrollment ID: I20140320001672 |
| Provider Name | Brian W. Kim |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1346299831 PECOS PAC ID: 0143216176 Enrollment ID: I20140324000812 |
| Provider Name | Kelly J Stanek |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1821413329 PECOS PAC ID: 1153552609 Enrollment ID: I20140326000147 |
| Provider Name | Dasha L Liubarets |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265675649 PECOS PAC ID: 4880826627 Enrollment ID: I20140410000618 |
| Provider Name | Tia R Kostas |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1174722409 PECOS PAC ID: 2365612298 Enrollment ID: I20140411001395 |
| Provider Name | Cara B Essling |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386069607 PECOS PAC ID: 6406088095 Enrollment ID: I20140414001573 |
| Provider Name | Ayodeji O Adegunsoye |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255645537 PECOS PAC ID: 3375775976 Enrollment ID: I20140414001752 |
| Provider Name | Melissa T Peck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306273107 PECOS PAC ID: 7719119239 Enrollment ID: I20140416001681 |
| Provider Name | Celeste C Thomas |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1982857660 PECOS PAC ID: 2860625647 Enrollment ID: I20140501000779 |
| Provider Name | Sarah K Keedy |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1902021207 PECOS PAC ID: 2264655513 Enrollment ID: I20140514001276 |
| Provider Name | Kenneth J Lee |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851557011 PECOS PAC ID: 8022231679 Enrollment ID: I20140529000224 |
| Provider Name | Jennifer S O Boyle |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1528276219 PECOS PAC ID: 0042434060 Enrollment ID: I20140613001111 |
| Provider Name | Katherine E Lorimer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295151983 PECOS PAC ID: 1254555170 Enrollment ID: I20140617000381 |
| Provider Name | Heather E Leeper |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1962667808 PECOS PAC ID: 0143476507 Enrollment ID: I20140618000209 |
| Provider Name | Maria J Ferrera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285955476 PECOS PAC ID: 3678797388 Enrollment ID: I20140620000341 |
| Provider Name | Francesco J Umbriaco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356772636 PECOS PAC ID: 0446475594 Enrollment ID: I20140702002110 |
| Provider Name | Micah T Prochaska |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114213857 PECOS PAC ID: 6406071257 Enrollment ID: I20140710001826 |
| Provider Name | Thomas F Spiegel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528181401 PECOS PAC ID: 4880767110 Enrollment ID: I20140710001931 |
| Provider Name | Katie L Tataris |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821237397 PECOS PAC ID: 3577726165 Enrollment ID: I20140710002182 |
| Provider Name | George William Weyer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295047553 PECOS PAC ID: 4183847312 Enrollment ID: I20140710002450 |
| Provider Name | Gabrielle Lapping Carr |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336301472 PECOS PAC ID: 6406072933 Enrollment ID: I20140718001456 |
| Provider Name | Benjamin H Levy |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1922245737 PECOS PAC ID: 3577789841 Enrollment ID: I20140722001639 |
| Provider Name | Basel Katerji |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508152315 PECOS PAC ID: 9032357926 Enrollment ID: I20140722001680 |
| Provider Name | Kimberly R Salminen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1164850244 PECOS PAC ID: 4486870201 Enrollment ID: I20140730002258 |
| Provider Name | Elise Lauderdale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841603917 PECOS PAC ID: 3274759063 Enrollment ID: I20140731001645 |
| Provider Name | Kimberly C Trotter |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1598072340 PECOS PAC ID: 3476770884 Enrollment ID: I20140808000240 |
| Provider Name | Margaret M Putman |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1295022283 PECOS PAC ID: 3870710189 Enrollment ID: I20140811001462 |
| Provider Name | Shelia M Broome |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023350204 PECOS PAC ID: 1951532761 Enrollment ID: I20140811002127 |
| Provider Name | Jonathan E Lio |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1578852497 PECOS PAC ID: 6406005289 Enrollment ID: I20140903001477 |
| Provider Name | Kammi J Henriksen |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1710242110 PECOS PAC ID: 4082863204 Enrollment ID: I20140919002222 |
| Provider Name | Pritesh Patel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194969857 PECOS PAC ID: 5991947657 Enrollment ID: I20140919002318 |
| Provider Name | Malathi Shivaji Rao |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265694525 PECOS PAC ID: 2567603293 Enrollment ID: I20141001002824 |
| Provider Name | Daniel J Fridberg |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1740691013 PECOS PAC ID: 7719108497 Enrollment ID: I20141021003282 |
| Provider Name | Elizabeth L Tung |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073806162 PECOS PAC ID: 5092936732 Enrollment ID: I20141022002641 |
| Provider Name | Jaclyn F Eisenberg |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285913582 PECOS PAC ID: 3072734284 Enrollment ID: I20141030002651 |
| Provider Name | Amelia R Nelson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1427379833 PECOS PAC ID: 3870715022 Enrollment ID: I20141104001247 |
| Provider Name | Allison K Dalton |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1730318593 PECOS PAC ID: 3476775636 Enrollment ID: I20141104001416 |
| Provider Name | Dragana Radovanovic |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295013969 PECOS PAC ID: 9234351404 Enrollment ID: I20141104001647 |
| Provider Name | Sarosh Rana |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760673925 PECOS PAC ID: 6305910779 Enrollment ID: I20141108000166 |
| Provider Name | Gaurav a Upadhyay |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1306973748 PECOS PAC ID: 3173780921 Enrollment ID: I20141112001321 |
| Provider Name | Brett K Palama |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992090575 PECOS PAC ID: 7113149709 Enrollment ID: I20141114002023 |
| Provider Name | Mohanjit K Gill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619371267 PECOS PAC ID: 7719209774 Enrollment ID: I20141201002123 |
| Provider Name | Raghu Shantan R Marri |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1841511573 PECOS PAC ID: 4880916709 Enrollment ID: I20141204000837 |
| Provider Name | Michael J Lee |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1881896652 PECOS PAC ID: 2466544838 Enrollment ID: I20141208001335 |
| Provider Name | Charles L Rhee |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1235441783 PECOS PAC ID: 7113249897 Enrollment ID: I20141208001878 |
| Provider Name | Julia Rosebush |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417157074 PECOS PAC ID: 2264629542 Enrollment ID: I20141208002183 |
| Provider Name | Holly Beth Costantini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386055531 PECOS PAC ID: 9335462282 Enrollment ID: I20141229000656 |
| Provider Name | Trissa a Babrowski |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1205166873 PECOS PAC ID: 4981927548 Enrollment ID: I20150107000084 |
| Provider Name | Nicole J Bendin |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1518257955 PECOS PAC ID: 7315261682 Enrollment ID: I20150114001010 |
| Provider Name | Caroline L Skolnik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992021125 PECOS PAC ID: 5294059564 Enrollment ID: I20150114001136 |
| Provider Name | Katherine M Willey |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1427142454 PECOS PAC ID: 3577587757 Enrollment ID: I20150114001917 |
| Provider Name | Laura a Kalas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417355397 PECOS PAC ID: 8820313349 Enrollment ID: I20150204000924 |
| Provider Name | Kwang Jin Choi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922260942 PECOS PAC ID: 5799952305 Enrollment ID: I20150209000453 |
| Provider Name | Cevher Ozcan |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1760636146 PECOS PAC ID: 8224046438 Enrollment ID: I20150216000717 |
| Provider Name | Erica E Simmons |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1104222611 PECOS PAC ID: 0446576995 Enrollment ID: I20150228000147 |
| Provider Name | Viktoriya Kagan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972907459 PECOS PAC ID: 7911223094 Enrollment ID: I20150309000594 |
| Provider Name | Sonya Jane Mathies Dinizulu |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093121931 PECOS PAC ID: 5698091775 Enrollment ID: I20150309000813 |
| Provider Name | Brittany L Beach |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902234941 PECOS PAC ID: 4284862624 Enrollment ID: I20150313000933 |
| Provider Name | Alejandro Del Real |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780097543 PECOS PAC ID: 8628394475 Enrollment ID: I20150313000978 |
| Provider Name | Armughan Bangash |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962679852 PECOS PAC ID: 3375682578 Enrollment ID: I20150313002318 |
| Provider Name | Rachel England |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558762237 PECOS PAC ID: 8022335819 Enrollment ID: I20150316000115 |
| Provider Name | Abigail M Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164812988 PECOS PAC ID: 4880911593 Enrollment ID: I20150317002438 |
| Provider Name | Carlie M Paul |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1861739955 PECOS PAC ID: 3779800404 Enrollment ID: I20150318000372 |
| Provider Name | Nitasha Sarswat |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1033498167 PECOS PAC ID: 1254584386 Enrollment ID: I20150327001548 |
| Provider Name | Elizabeth a Pfaendtner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891128989 PECOS PAC ID: 2567789696 Enrollment ID: I20150328000267 |
| Provider Name | Pete Pelletier |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1922324201 PECOS PAC ID: 3274771530 Enrollment ID: I20150401001264 |
| Provider Name | Ellen Y Choi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1235328766 PECOS PAC ID: 5092988923 Enrollment ID: I20150402000378 |
| Provider Name | Kamlesh Jha |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457667677 PECOS PAC ID: 8729305610 Enrollment ID: I20150403000462 |
| Provider Name | Karima Addetia |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1740612993 PECOS PAC ID: 0648598003 Enrollment ID: I20150414002553 |
| Provider Name | Lily Yuen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992910061 PECOS PAC ID: 5294054961 Enrollment ID: I20150430000937 |
| Provider Name | Arlene B Chapman |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1982614921 PECOS PAC ID: 8022133891 Enrollment ID: I20150430001346 |
| Provider Name | Diane Maria Less |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497150486 PECOS PAC ID: 2163741851 Enrollment ID: I20150430001481 |
| Provider Name | Brooke N Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962894188 PECOS PAC ID: 3779802822 Enrollment ID: I20150512001596 |
| Provider Name | Charocka L Hartzol Coleman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275921389 PECOS PAC ID: 4981924362 Enrollment ID: I20150527000505 |
| Provider Name | Jacqueline D Smart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891184412 PECOS PAC ID: 9931429248 Enrollment ID: I20150527001819 |
| Provider Name | Pooja a Louis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1801290069 PECOS PAC ID: 0749500080 Enrollment ID: I20150527002536 |
| Provider Name | Margaret G Mueller |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346570405 PECOS PAC ID: 3779894993 Enrollment ID: I20150615001803 |
| Provider Name | Waseem J Cossor |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508178062 PECOS PAC ID: 5496066060 Enrollment ID: I20150623002388 |
| Provider Name | Thomas K Lee |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1871512780 PECOS PAC ID: 9234223447 Enrollment ID: I20150701002573 |
| Provider Name | Aravind Athiviraham |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1801101209 PECOS PAC ID: 1153577028 Enrollment ID: I20150713001643 |
| Provider Name | Christina E Ciaccio |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1760555858 PECOS PAC ID: 8628078037 Enrollment ID: I20150713001968 |
| Provider Name | Wendy S Darlington |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942442736 PECOS PAC ID: 3476866989 Enrollment ID: I20150713002105 |
| Provider Name | Tabraiz a Mohammed |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1861657785 PECOS PAC ID: 8921276411 Enrollment ID: I20150713002258 |
| Provider Name | Emily a Fess |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1093123432 PECOS PAC ID: 8426361965 Enrollment ID: I20150713002958 |
| Provider Name | Katherine Anne Shah |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1245612548 PECOS PAC ID: 0648583120 Enrollment ID: I20150714000857 |
| Provider Name | Farah a Alvi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831576602 PECOS PAC ID: 6305159419 Enrollment ID: I20150720000146 |
| Provider Name | Kari a Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043606445 PECOS PAC ID: 0244543247 Enrollment ID: I20150721000001 |
| Provider Name | Jason T Alexander |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649533613 PECOS PAC ID: 1355564881 Enrollment ID: I20150723009687 |
| Provider Name | Jamiee S Holbrook |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538421086 PECOS PAC ID: 0042523680 Enrollment ID: I20150724011899 |
| Provider Name | Ricardo R Lastra |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1053576389 PECOS PAC ID: 8426274465 Enrollment ID: I20150724012041 |
| Provider Name | Geoffrey Wool |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1538484563 PECOS PAC ID: 0648401729 Enrollment ID: I20150727000189 |
| Provider Name | Sarah F Faris |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1831332345 PECOS PAC ID: 4284859117 Enrollment ID: I20150730013513 |
| Provider Name | Chelsea a Dorsey |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1215253729 PECOS PAC ID: 3274847389 Enrollment ID: I20150803002919 |
| Provider Name | Margaret a Kay-stacey |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1144540642 PECOS PAC ID: 0941514707 Enrollment ID: I20150806012038 |
| Provider Name | Nadieska Caballero |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1447489448 PECOS PAC ID: 5597989137 Enrollment ID: I20150806012082 |
| Provider Name | Margaret J Curtin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992127617 PECOS PAC ID: 8729393491 Enrollment ID: I20150811004111 |
| Provider Name | Samantha M Dixon |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1366828634 PECOS PAC ID: 8527373158 Enrollment ID: I20150812006178 |
| Provider Name | Reasheal M Watts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528458163 PECOS PAC ID: 4284949652 Enrollment ID: I20150813010928 |
| Provider Name | Edwin K Mcdonald |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1831346774 PECOS PAC ID: 9436464682 Enrollment ID: I20150817001793 |
| Provider Name | Grace B Lashore |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821364969 PECOS PAC ID: 7113232307 Enrollment ID: I20150818003039 |
| Provider Name | Neil Sengupta |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1225262744 PECOS PAC ID: 7416262639 Enrollment ID: I20150818004068 |
| Provider Name | Junaid Nizamuddin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1124278346 PECOS PAC ID: 7012183916 Enrollment ID: I20150818004242 |
| Provider Name | Keith Jonathan Ruskin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1972586303 PECOS PAC ID: 9133253818 Enrollment ID: I20150818004255 |
| Provider Name | Anna L Ruskin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1154596906 PECOS PAC ID: 8224284740 Enrollment ID: I20150818004342 |
| Provider Name | Jonathan Hero Chung |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508878752 PECOS PAC ID: 5597817270 Enrollment ID: I20150818004630 |
| Provider Name | Aniruddha Hazra |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1669736021 PECOS PAC ID: 5294040341 Enrollment ID: I20150818005625 |
| Provider Name | Audrey Ann Less |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1396128393 PECOS PAC ID: 9436464435 Enrollment ID: I20150820010304 |
| Provider Name | Yulia M Demidovich |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1306897475 PECOS PAC ID: 5698731974 Enrollment ID: I20150831000013 |
| Provider Name | Henry D Huang |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1508011040 PECOS PAC ID: 6800102880 Enrollment ID: I20150908000296 |
| Provider Name | Namrata Setia |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1366603805 PECOS PAC ID: 0244465706 Enrollment ID: I20150909001778 |
| Provider Name | Shireen Hashmat |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801027057 PECOS PAC ID: 6406011154 Enrollment ID: I20151001002668 |
| Provider Name | Kristen R Taruc |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881099265 PECOS PAC ID: 9234456492 Enrollment ID: I20151002002348 |
| Provider Name | Stefanie L Blummer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073827267 PECOS PAC ID: 4981912334 Enrollment ID: I20151005000510 |
| Provider Name | Nishant Agrawal |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1265571061 PECOS PAC ID: 3072675289 Enrollment ID: I20151109000696 |
| Provider Name | Laura a Douglass |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922322064 PECOS PAC ID: 3476776477 Enrollment ID: I20151109001003 |
| Provider Name | William T Larsen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1356711584 PECOS PAC ID: 9537469846 Enrollment ID: I20151118000758 |
| Provider Name | Patricia E Chapman-kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083082358 PECOS PAC ID: 5597065706 Enrollment ID: I20151119001715 |
| Provider Name | Leo T Ting |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1730550070 PECOS PAC ID: 1355642364 Enrollment ID: I20151216002474 |
| Provider Name | Christina M Sands |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922479773 PECOS PAC ID: 8325349293 Enrollment ID: I20151217002272 |
| Provider Name | Sharon M Holloway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336459502 PECOS PAC ID: 6800197534 Enrollment ID: I20151222000617 |
| Provider Name | Kimberly a Sturm |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1699145433 PECOS PAC ID: 7719288299 Enrollment ID: I20151229001952 |
| Provider Name | Penny S Viater |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336336221 PECOS PAC ID: 4385946086 Enrollment ID: I20160113000375 |
| Provider Name | Andrea R Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356727713 PECOS PAC ID: 7113220146 Enrollment ID: I20160125001733 |
| Provider Name | Brittany D Wolfe |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477928281 PECOS PAC ID: 4880997824 Enrollment ID: I20160125001981 |
| Provider Name | Sandra S Hiel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407236540 PECOS PAC ID: 4981907623 Enrollment ID: I20160129001007 |
| Provider Name | Abbe L Kordik |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1649591959 PECOS PAC ID: 9436453917 Enrollment ID: I20160203000877 |
| Provider Name | Akash Patnaik |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1750360962 PECOS PAC ID: 9133180490 Enrollment ID: I20160225001283 |
| Provider Name | Matthew E Young |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1699926444 PECOS PAC ID: 1658677224 Enrollment ID: I20160308000844 |
| Provider Name | Olga Saletska |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720451099 PECOS PAC ID: 0749586337 Enrollment ID: I20160308001240 |
| Provider Name | Dhara Patel Amin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760734073 PECOS PAC ID: 3870715477 Enrollment ID: I20160318001473 |
| Provider Name | Olga Pasternak-wise |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366603276 PECOS PAC ID: 9638399066 Enrollment ID: I20160406000731 |
| Provider Name | Kelly J Truby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356733927 PECOS PAC ID: 5890093421 Enrollment ID: I20160415000791 |
| Provider Name | Christina M Mitsdarffer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639530298 PECOS PAC ID: 8123327822 Enrollment ID: I20160502001437 |
| Provider Name | Laura Cin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1376999250 PECOS PAC ID: 7517256548 Enrollment ID: I20160516000732 |
| Provider Name | Emily a Bauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457712416 PECOS PAC ID: 2860781614 Enrollment ID: I20160517002390 |
| Provider Name | Oussama Itani |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083640361 PECOS PAC ID: 8426064767 Enrollment ID: I20160517002528 |
| Provider Name | Saara Kaviany |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821435009 PECOS PAC ID: 6608172903 Enrollment ID: I20160520000955 |
| Provider Name | Zehra Nigah Aftab |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265723050 PECOS PAC ID: 5597068429 Enrollment ID: I20160603000438 |
| Provider Name | Vivek N Patel |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1194165357 PECOS PAC ID: 3678863230 Enrollment ID: I20160609001998 |
| Provider Name | Suisui Song |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1861669020 PECOS PAC ID: 3971759507 Enrollment ID: I20160613002475 |
| Provider Name | Alexandre Zaharia |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801141569 PECOS PAC ID: 4284925587 Enrollment ID: I20160616000982 |
| Provider Name | Benjamin a Derman |
|---|---|
| Provider Type | Practitioner - Hematopoietic Cell Transplantation And Cellular Therapy |
| Provider Identifiers | NPI Number: 1730526310 PECOS PAC ID: 6608167754 Enrollment ID: I20160620001978 |
| Provider Name | Michelle a Cunningham |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437597846 PECOS PAC ID: 0941506257 Enrollment ID: I20160705002189 |
| Provider Name | Elizabeth a Hushka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043674138 PECOS PAC ID: 8527350818 Enrollment ID: I20160706002533 |
| Provider Name | Pramod P Patel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1447526629 PECOS PAC ID: 8729381157 Enrollment ID: I20160712001851 |
| Provider Name | Susan Jill Capan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720434772 PECOS PAC ID: 0749573236 Enrollment ID: I20160720002956 |
| Provider Name | Christine a Carlos |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184986861 PECOS PAC ID: 6901104785 Enrollment ID: I20160728001351 |
| Provider Name | Peleg M Horowitz |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1003088279 PECOS PAC ID: 5496993040 Enrollment ID: I20160728001993 |
| Provider Name | Naoum P Issa |
|---|---|
| Provider Type | Practitioner - Epileptologists |
| Provider Identifiers | NPI Number: 1902184591 PECOS PAC ID: 9739481474 Enrollment ID: I20160728002093 |
| Provider Name | John W Moroney |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1518930601 PECOS PAC ID: 3971640079 Enrollment ID: I20160728002410 |
| Provider Name | Jennifer M Rusiecki |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851680037 PECOS PAC ID: 1456645258 Enrollment ID: I20160802000932 |
| Provider Name | Jennifer M Wolf |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1023047396 PECOS PAC ID: 6608770615 Enrollment ID: I20160802001030 |
| Provider Name | Jennifer E Wildes |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1437599636 PECOS PAC ID: 6901122654 Enrollment ID: I20160802002021 |
| Provider Name | Randy F Sweis |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1093034498 PECOS PAC ID: 0446553515 Enrollment ID: I20160802002195 |
| Provider Name | Ashraf a Baeshu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376862540 PECOS PAC ID: 4486892692 Enrollment ID: I20160802002279 |
| Provider Name | Cathryn T Lee |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1518305390 PECOS PAC ID: 4880900638 Enrollment ID: I20160802002792 |
| Provider Name | Whayoun Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558653139 PECOS PAC ID: 1456526425 Enrollment ID: I20160805001950 |
| Provider Name | Sean P Pitroda |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1619264538 PECOS PAC ID: 5193028165 Enrollment ID: I20160808001160 |
| Provider Name | Daniel Aaron Goodman |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1699041657 PECOS PAC ID: 0446554323 Enrollment ID: I20160808002896 |
| Provider Name | En Ling Wu |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1962845214 PECOS PAC ID: 9032403316 Enrollment ID: I20160809002514 |
| Provider Name | Pulsar Li |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1134415805 PECOS PAC ID: 4082908280 Enrollment ID: I20160811000409 |
| Provider Name | Emily D Fenton |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285003079 PECOS PAC ID: 2860786076 Enrollment ID: I20160811000562 |
| Provider Name | Jarva Chow |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1497069306 PECOS PAC ID: 4587967427 Enrollment ID: I20160811001822 |
| Provider Name | Tessa Balach |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1568628865 PECOS PAC ID: 4880872142 Enrollment ID: I20160816003015 |
| Provider Name | Joseph Ray Henderson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992026181 PECOS PAC ID: 0143475467 Enrollment ID: I20160818000450 |
| Provider Name | Xavier M Keutgen |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1831336528 PECOS PAC ID: 0143515965 Enrollment ID: I20160818000726 |
| Provider Name | Christina H Son |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1508165705 PECOS PAC ID: 9830492461 Enrollment ID: I20160818000754 |
| Provider Name | James J Reidy |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1851366496 PECOS PAC ID: 0345277695 Enrollment ID: I20160818001107 |
| Provider Name | Sandra Goyal |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1639478027 PECOS PAC ID: 4981906500 Enrollment ID: I20160822001648 |
| Provider Name | David S Goodyear |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912273806 PECOS PAC ID: 2668767898 Enrollment ID: I20160826000223 |
| Provider Name | Lauren J Gleason |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1780826560 PECOS PAC ID: 5597911701 Enrollment ID: I20160906000015 |
| Provider Name | Mahesh Padmanaban |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1528379674 PECOS PAC ID: 1759684970 Enrollment ID: I20160906000962 |
| Provider Name | Ami V Desai |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790967164 PECOS PAC ID: 5890938781 Enrollment ID: I20160915000604 |
| Provider Name | Jihye Ha |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1902160732 PECOS PAC ID: 3678876026 Enrollment ID: I20160915001119 |
| Provider Name | Sarah M Rodriguez |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1497054944 PECOS PAC ID: 4789824582 Enrollment ID: I20160915001367 |
| Provider Name | Adena E Rosenblatt |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1922399807 PECOS PAC ID: 1355637497 Enrollment ID: I20160915001587 |
| Provider Name | Julia Claire Simon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609139393 PECOS PAC ID: 2769785245 Enrollment ID: I20160916000349 |
| Provider Name | Peter a Riedell |
|---|---|
| Provider Type | Practitioner - Hematopoietic Cell Transplantation And Cellular Therapy |
| Provider Identifiers | NPI Number: 1265753834 PECOS PAC ID: 4183911266 Enrollment ID: I20160919001209 |
| Provider Name | Tatvam T Choksi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770839987 PECOS PAC ID: 4789906876 Enrollment ID: I20160929001181 |
| Provider Name | Sarah L Nizamuddin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1215257076 PECOS PAC ID: 9830365717 Enrollment ID: I20160930000435 |
| Provider Name | Audrey Oetomo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457789315 PECOS PAC ID: 0547497349 Enrollment ID: I20160930000797 |
| Provider Name | Erin K Zahradnik |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275767386 PECOS PAC ID: 1951524347 Enrollment ID: I20160930000894 |
| Provider Name | Hatem Al Kassem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609211481 PECOS PAC ID: 4688978158 Enrollment ID: I20161014000061 |
| Provider Name | John J Fung |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1235293622 PECOS PAC ID: 7315900891 Enrollment ID: I20161014000107 |
| Provider Name | Luis a Landeras |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659304855 PECOS PAC ID: 8123078573 Enrollment ID: I20161014000228 |
| Provider Name | Sonali Paul |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1134388598 PECOS PAC ID: 0648494138 Enrollment ID: I20161014001884 |
| Provider Name | Nichole M Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174911242 PECOS PAC ID: 9436464849 Enrollment ID: I20161017000276 |
| Provider Name | Murtuza M Rampurwala |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1326272469 PECOS PAC ID: 8729211594 Enrollment ID: I20161017000725 |
| Provider Name | Caroline R Suba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235505553 PECOS PAC ID: 6901194364 Enrollment ID: I20161018001378 |
| Provider Name | Taaha a Shakir |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811143290 PECOS PAC ID: 9133362320 Enrollment ID: I20161018001445 |
| Provider Name | Kelly a Kramer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851585012 PECOS PAC ID: 8123316528 Enrollment ID: I20161018002757 |
| Provider Name | Asim V Farooq |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1639436777 PECOS PAC ID: 4789996307 Enrollment ID: I20161101001017 |
| Provider Name | Satyajit Kosuri |
|---|---|
| Provider Type | Practitioner - Hematopoietic Cell Transplantation And Cellular Therapy |
| Provider Identifiers | NPI Number: 1306028451 PECOS PAC ID: 4789962499 Enrollment ID: I20161101001190 |
| Provider Name | Jeffrey L Tong |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1922405521 PECOS PAC ID: 7012232200 Enrollment ID: I20161102000022 |
| Provider Name | Mim Ari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588989826 PECOS PAC ID: 6002040607 Enrollment ID: I20161108000503 |
| Provider Name | Rebecca K Friedlander |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477672061 PECOS PAC ID: 0547443202 Enrollment ID: I20161110000228 |
| Provider Name | Maria M Keegan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255885877 PECOS PAC ID: 0042599094 Enrollment ID: I20161114002310 |
| Provider Name | Nicole E Back |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1134672116 PECOS PAC ID: 4385923390 Enrollment ID: I20161116000219 |
| Provider Name | Rahel Ketema |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194273961 PECOS PAC ID: 5698055002 Enrollment ID: I20161130002325 |
| Provider Name | Afsheen Noorani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427423813 PECOS PAC ID: 3870873060 Enrollment ID: I20161205001787 |
| Provider Name | Shayan Rayani |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1528226941 PECOS PAC ID: 6305070434 Enrollment ID: I20161206002012 |
| Provider Name | David W Kerbow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578018792 PECOS PAC ID: 1557641628 Enrollment ID: I20161206002528 |
| Provider Name | Paul G Lantz |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1710328224 PECOS PAC ID: 4284878737 Enrollment ID: I20161208001348 |
| Provider Name | Daniel a Arber |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1174614267 PECOS PAC ID: 6103984299 Enrollment ID: I20161213000113 |
| Provider Name | Edwin Rangel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1154864726 PECOS PAC ID: 8123309762 Enrollment ID: I20161220000253 |
| Provider Name | Teresa R Zednik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013394246 PECOS PAC ID: 0941581367 Enrollment ID: I20161223000411 |
| Provider Name | Andrea R Loberg |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659634640 PECOS PAC ID: 2567766223 Enrollment ID: I20170105002131 |
| Provider Name | Sarah a Major |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1942752894 PECOS PAC ID: 7911289459 Enrollment ID: I20170118002206 |
| Provider Name | Aaron D Manshaem |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1528427861 PECOS PAC ID: 9436455235 Enrollment ID: I20170127002148 |
| Provider Name | Jaymine F Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598209827 PECOS PAC ID: 6406138254 Enrollment ID: I20170131001844 |
| Provider Name | Emily Beth Patzik |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1912459157 PECOS PAC ID: 0941583751 Enrollment ID: I20170201001541 |
| Provider Name | Catherine M Grandi |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1083158380 PECOS PAC ID: 4486937000 Enrollment ID: I20170206001586 |
| Provider Name | Rita L Mcgill |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1700887296 PECOS PAC ID: 0345376455 Enrollment ID: I20170206001636 |
| Provider Name | Aasheeta a Bawa |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1861865347 PECOS PAC ID: 4486937315 Enrollment ID: I20170220000897 |
| Provider Name | Denise J Morales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689110850 PECOS PAC ID: 8820371719 Enrollment ID: I20170220002988 |
| Provider Name | Bethany J Slater |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1669668869 PECOS PAC ID: 0446565501 Enrollment ID: I20170301000984 |
| Provider Name | Azalea Vicenteno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386187912 PECOS PAC ID: 3072897586 Enrollment ID: I20170301001119 |
| Provider Name | Angela M Fiorelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124570742 PECOS PAC ID: 3274817622 Enrollment ID: I20170302000215 |
| Provider Name | Anna C Cordasco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538610738 PECOS PAC ID: 5698055713 Enrollment ID: I20170302000355 |
| Provider Name | Anna C Fuller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902340078 PECOS PAC ID: 5496039844 Enrollment ID: I20170302000487 |
| Provider Name | Ashley Maieritsch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154865178 PECOS PAC ID: 5294019642 Enrollment ID: I20170302000564 |
| Provider Name | Matthew J Kaminsky |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1316292386 PECOS PAC ID: 4688958945 Enrollment ID: I20170306000244 |
| Provider Name | Allison M Anfinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609327212 PECOS PAC ID: 0941584213 Enrollment ID: I20170306000739 |
| Provider Name | Kyle Lynn Randle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417326729 PECOS PAC ID: 1052695111 Enrollment ID: I20170309000961 |
| Provider Name | Rozmeen Shivji |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912112079 PECOS PAC ID: 3173808797 Enrollment ID: I20170322002563 |
| Provider Name | Nicole M Previs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114154846 PECOS PAC ID: 5496030959 Enrollment ID: I20170323001856 |
| Provider Name | Staci Lynn Boldizsar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548585128 PECOS PAC ID: 8921310558 Enrollment ID: I20170330000923 |
| Provider Name | Ardaman P Shergill |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1992948152 PECOS PAC ID: 5597075085 Enrollment ID: I20170406002736 |
| Provider Name | Paula Barnes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194068700 PECOS PAC ID: 3971805235 Enrollment ID: I20170406002888 |
| Provider Name | Holley R Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437586583 PECOS PAC ID: 1951538396 Enrollment ID: I20170420002357 |
| Provider Name | Annette H Mata |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1285187393 PECOS PAC ID: 7719264670 Enrollment ID: I20170501002192 |
| Provider Name | Donald R Cantrell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477828085 PECOS PAC ID: 8426335936 Enrollment ID: I20170511000532 |
| Provider Name | Tara M Sajn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861863938 PECOS PAC ID: 8628345931 Enrollment ID: I20170516002744 |
| Provider Name | Kelly E Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447782446 PECOS PAC ID: 6709154099 Enrollment ID: I20170608002437 |
| Provider Name | Keona a Brown Goodson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891223699 PECOS PAC ID: 2062780026 Enrollment ID: I20170615000185 |
| Provider Name | Jacklyn M Gideon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629515572 PECOS PAC ID: 4284903675 Enrollment ID: I20170628000696 |
| Provider Name | Justin L Okray |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1639572902 PECOS PAC ID: 8628347077 Enrollment ID: I20170628003244 |
| Provider Name | Kimberly Therese Brown |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093928285 PECOS PAC ID: 4789709379 Enrollment ID: I20170705003146 |
| Provider Name | Zainab Obaidi |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1891102505 PECOS PAC ID: 3072883685 Enrollment ID: I20170713003634 |
| Provider Name | Krunal H Pardiwala |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1194014647 PECOS PAC ID: 3173828571 Enrollment ID: I20170714000272 |
| Provider Name | Ellen Moon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821010281 PECOS PAC ID: 7416051933 Enrollment ID: I20170724000030 |
| Provider Name | Anand a Patel |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1467870204 PECOS PAC ID: 0648574632 Enrollment ID: I20170725001121 |
| Provider Name | Cristina M. Odonoghue |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1508032715 PECOS PAC ID: 4880964733 Enrollment ID: I20170725003788 |
| Provider Name | Allyson E Glowicki |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1356873004 PECOS PAC ID: 9638440209 Enrollment ID: I20170801002443 |
| Provider Name | Hollie Giannini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295260396 PECOS PAC ID: 3072884329 Enrollment ID: I20170803003238 |
| Provider Name | Sara a Kalantari |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1639498355 PECOS PAC ID: 9032408323 Enrollment ID: I20170808000333 |
| Provider Name | Nabil M Abou Baker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750724720 PECOS PAC ID: 6608147756 Enrollment ID: I20170808000732 |
| Provider Name | Ryan P Merkow |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1396968889 PECOS PAC ID: 6305117458 Enrollment ID: I20170808000853 |
| Provider Name | Lindsay W Alpert |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1679930457 PECOS PAC ID: 8123321197 Enrollment ID: I20170808001223 |
| Provider Name | Chang Yang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902219611 PECOS PAC ID: 8820390644 Enrollment ID: I20170808001473 |
| Provider Name | Paul Edward Kukulski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689088114 PECOS PAC ID: 3375846199 Enrollment ID: I20170808002252 |
| Provider Name | Elizabeth a Murphy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467478206 PECOS PAC ID: 8325042682 Enrollment ID: I20170808003175 |
| Provider Name | Matthew T Cerasale |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811289192 PECOS PAC ID: 8022240829 Enrollment ID: I20170809001016 |
| Provider Name | Michelle Lynn Fletcher |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295149284 PECOS PAC ID: 9133344542 Enrollment ID: I20170809003291 |
| Provider Name | David G Gamboa |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942414875 PECOS PAC ID: 6204079635 Enrollment ID: I20170818003172 |
| Provider Name | SM Jamalvi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801028162 PECOS PAC ID: 8224272372 Enrollment ID: I20170823001064 |
| Provider Name | Peter B Veldman |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1205099298 PECOS PAC ID: 3072772581 Enrollment ID: I20170823002957 |
| Provider Name | Denise M Peters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023544582 PECOS PAC ID: 8022380039 Enrollment ID: I20170824002814 |
| Provider Name | Margaret Geisler |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1205372901 PECOS PAC ID: 7517230253 Enrollment ID: I20170831002522 |
| Provider Name | Barbara J Gordon |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1972746238 PECOS PAC ID: 9931486982 Enrollment ID: I20170906003620 |
| Provider Name | Joshua a Sherman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447592753 PECOS PAC ID: 0547568479 Enrollment ID: I20170907000401 |
| Provider Name | David a Hampton |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1255348694 PECOS PAC ID: 2163667007 Enrollment ID: I20170907002654 |
| Provider Name | Julianne L Kjolhede |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023456837 PECOS PAC ID: 3779856034 Enrollment ID: I20170907003061 |
| Provider Name | Thomas Chen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275951527 PECOS PAC ID: 0042443574 Enrollment ID: I20170907003276 |
| Provider Name | Khanh to Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245679240 PECOS PAC ID: 1052540275 Enrollment ID: I20170908001965 |
| Provider Name | Alejandro a Palma |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396159075 PECOS PAC ID: 3072816735 Enrollment ID: I20170908002811 |
| Provider Name | Alexander T Pearson |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1134448665 PECOS PAC ID: 2961795059 Enrollment ID: I20170911000376 |
| Provider Name | Priya Saraswathi Prakash |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1699937292 PECOS PAC ID: 6002055969 Enrollment ID: I20170913001557 |
| Provider Name | Manish Tushar Raiji |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1437310455 PECOS PAC ID: 2163725987 Enrollment ID: I20170913001822 |
| Provider Name | Selwyn O Rogers |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1538121462 PECOS PAC ID: 4688866858 Enrollment ID: I20170913002089 |
| Provider Name | Andrew W Schram |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164836409 PECOS PAC ID: 0345530853 Enrollment ID: I20170913002258 |
| Provider Name | Sara J Wallace |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1174899207 PECOS PAC ID: 7618291451 Enrollment ID: I20170913003745 |
| Provider Name | Andrew D Beaser |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1720215387 PECOS PAC ID: 3072779016 Enrollment ID: I20170915001479 |
| Provider Name | Margaret K Colleton |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1437450012 PECOS PAC ID: 2860675816 Enrollment ID: I20170915003230 |
| Provider Name | Katie L O'sullivan |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1902038094 PECOS PAC ID: 2163725136 Enrollment ID: I20170919002572 |
| Provider Name | Alexandra L Surman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013438795 PECOS PAC ID: 3779857354 Enrollment ID: I20170920002148 |
| Provider Name | Kelly Nelson Kelly |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780979302 PECOS PAC ID: 7618275066 Enrollment ID: I20170921001806 |
| Provider Name | Anna Biernacka |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1164776639 PECOS PAC ID: 9931407699 Enrollment ID: I20170921002657 |
| Provider Name | Cynthia a Serdiuk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801326194 PECOS PAC ID: 1557635703 Enrollment ID: I20170927000000 |
| Provider Name | Obianuju Sandra Madueke-laveaux |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295032555 PECOS PAC ID: 3971815879 Enrollment ID: I20170929001858 |
| Provider Name | Kimberly a Stanford |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821330481 PECOS PAC ID: 3476788076 Enrollment ID: I20170929002193 |
| Provider Name | Kenneth Louis Wilson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1902871742 PECOS PAC ID: 2769464387 Enrollment ID: I20171002001021 |
| Provider Name | Jennifer T Cone |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1295025534 PECOS PAC ID: 1658646583 Enrollment ID: I20171003006614 |
| Provider Name | Chih-yi Liao |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1588958987 PECOS PAC ID: 9436379112 Enrollment ID: I20171004003796 |
| Provider Name | Natalie Joy Zimmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528580917 PECOS PAC ID: 8628343357 Enrollment ID: I20171006000020 |
| Provider Name | Megan H Abo |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306242318 PECOS PAC ID: 3173842895 Enrollment ID: I20171030002712 |
| Provider Name | Casey W Stulce |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205125598 PECOS PAC ID: 4789986084 Enrollment ID: I20171101002451 |
| Provider Name | Bridget a Mcgrath |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750792081 PECOS PAC ID: 1759501448 Enrollment ID: I20171101002615 |
| Provider Name | Benjamin Daniel Shogan |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1932403326 PECOS PAC ID: 4981908662 Enrollment ID: I20171102002015 |
| Provider Name | Eric L Dahms |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1619494259 PECOS PAC ID: 0941566202 Enrollment ID: I20171102002162 |
| Provider Name | Rachel Ann High |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386162808 PECOS PAC ID: 8325304439 Enrollment ID: I20171106002605 |
| Provider Name | Hannah M Toms |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1780102251 PECOS PAC ID: 3577829621 Enrollment ID: I20171107000827 |
| Provider Name | Steven C Quan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1871943092 PECOS PAC ID: 7618255522 Enrollment ID: I20171108000950 |
| Provider Name | Jeanette T Varquez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649789876 PECOS PAC ID: 5092071498 Enrollment ID: I20171116002761 |
| Provider Name | Kimberly E Lynch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417472887 PECOS PAC ID: 4385901610 Enrollment ID: I20171122000031 |
| Provider Name | Nicole Odya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225554777 PECOS PAC ID: 8729345061 Enrollment ID: I20171122000453 |
| Provider Name | Laura Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174642763 PECOS PAC ID: 3375791007 Enrollment ID: I20171128001366 |
| Provider Name | Ma April Anne Pangilinan Trillana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588183735 PECOS PAC ID: 1557629409 Enrollment ID: I20171222000013 |
| Provider Name | Megan M Haynes |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1649780818 PECOS PAC ID: 8426316324 Enrollment ID: I20171226001373 |
| Provider Name | Karyn a Schmidt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699287821 PECOS PAC ID: 5991063521 Enrollment ID: I20180103000405 |
| Provider Name | Rachel P Roadruck |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1033629308 PECOS PAC ID: 1759649346 Enrollment ID: I20180104000197 |
| Provider Name | Alecia S Jefferson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811281306 PECOS PAC ID: 6709145204 Enrollment ID: I20180108002707 |
| Provider Name | Kalina J Gorczyca |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740706407 PECOS PAC ID: 2062771892 Enrollment ID: I20180123003557 |
| Provider Name | Lauren S Rees |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710496864 PECOS PAC ID: 6800155680 Enrollment ID: I20180124002609 |
| Provider Name | Gary P Fernando |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013188408 PECOS PAC ID: 0749313658 Enrollment ID: I20180130000457 |
| Provider Name | Monther S Qandeel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265579551 PECOS PAC ID: 5496058752 Enrollment ID: I20180130002548 |
| Provider Name | Jenifer K Wong-yu |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891208617 PECOS PAC ID: 0446510523 Enrollment ID: I20180209001794 |
| Provider Name | Noemi Brunner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114932589 PECOS PAC ID: 4082618665 Enrollment ID: I20180222003051 |
| Provider Name | Bernadette a Gruchalski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760999783 PECOS PAC ID: 4981965902 Enrollment ID: I20180307001332 |
| Provider Name | Stephen R Estime |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1801189709 PECOS PAC ID: 6507171311 Enrollment ID: I20180314000782 |
| Provider Name | Laura H Mapes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891208914 PECOS PAC ID: 9638431620 Enrollment ID: I20180403002692 |
| Provider Name | Elizabeth a Zerante |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154832616 PECOS PAC ID: 9638432651 Enrollment ID: I20180404001260 |
| Provider Name | Nathan R Schoettler |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1992060180 PECOS PAC ID: 9931322948 Enrollment ID: I20180411000874 |
| Provider Name | Nicole C Annes |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1518463330 PECOS PAC ID: 6709149024 Enrollment ID: I20180418001625 |
| Provider Name | Jennifer M Bassler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992213896 PECOS PAC ID: 2961765177 Enrollment ID: I20180420000457 |
| Provider Name | Kunjal J Shah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710439526 PECOS PAC ID: 4385907591 Enrollment ID: I20180420000640 |
| Provider Name | Tareq Kass-hout |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1144513359 PECOS PAC ID: 4880910512 Enrollment ID: I20180424000154 |
| Provider Name | Jingtao Huang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174887020 PECOS PAC ID: 1355640251 Enrollment ID: I20180507002089 |
| Provider Name | Katie N Valentino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932593217 PECOS PAC ID: 3476817875 Enrollment ID: I20180511001481 |
| Provider Name | Erin C Hollandsworth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720585953 PECOS PAC ID: 4688939747 Enrollment ID: I20180521002432 |
| Provider Name | Anne Marie Roupas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992058077 PECOS PAC ID: 2860757424 Enrollment ID: I20180531002009 |
| Provider Name | Karen R Fauman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982724183 PECOS PAC ID: 6103942644 Enrollment ID: I20180606000001 |
| Provider Name | Ana I Huaringa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063781664 PECOS PAC ID: 8426225368 Enrollment ID: I20180626001483 |
| Provider Name | Juli Dziuban |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1972002491 PECOS PAC ID: 2668727041 Enrollment ID: I20180626003431 |
| Provider Name | Alissa L Faletti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942725890 PECOS PAC ID: 6709132087 Enrollment ID: I20180628000787 |
| Provider Name | Helen J Castro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124521497 PECOS PAC ID: 4789930074 Enrollment ID: I20180628001292 |
| Provider Name | Nina Mbadiwe |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740625052 PECOS PAC ID: 9436440229 Enrollment ID: I20180702003363 |
| Provider Name | Aayesha N Arif |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104329200 PECOS PAC ID: 0143576090 Enrollment ID: I20180706000959 |
| Provider Name | Katherine Elkins |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1043707201 PECOS PAC ID: 0840546750 Enrollment ID: I20180709000436 |
| Provider Name | Lateisha Nicole Fort |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275024523 PECOS PAC ID: 2466708102 Enrollment ID: I20180710003116 |
| Provider Name | Christine Y Jung |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992293799 PECOS PAC ID: 3476800905 Enrollment ID: I20180716000950 |
| Provider Name | Emilie M Sauser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871099598 PECOS PAC ID: 7911254479 Enrollment ID: I20180716002369 |
| Provider Name | Aree Lashawn Welch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558858910 PECOS PAC ID: 9133476443 Enrollment ID: I20180718001106 |
| Provider Name | Kevin Tsui |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1447505664 PECOS PAC ID: 5294964565 Enrollment ID: I20180718003412 |
| Provider Name | Lucas M Kimmig |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1346500576 PECOS PAC ID: 6305151788 Enrollment ID: I20180723001516 |
| Provider Name | Jennifer B Allen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1649619602 PECOS PAC ID: 9537302054 Enrollment ID: I20180725003882 |
| Provider Name | Sara a Berrini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295225068 PECOS PAC ID: 9234487620 Enrollment ID: I20180801001120 |
| Provider Name | Christina Kim |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003117334 PECOS PAC ID: 6800190570 Enrollment ID: I20180801002366 |
| Provider Name | Williard Mazhawidza |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477923084 PECOS PAC ID: 9739499518 Enrollment ID: I20180801003890 |
| Provider Name | Peter Nagele |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1780601310 PECOS PAC ID: 1658308895 Enrollment ID: I20180802000573 |
| Provider Name | Shelley a Sandiford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578754958 PECOS PAC ID: 6901062892 Enrollment ID: I20180807000345 |
| Provider Name | Gaelle Pierre |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265939623 PECOS PAC ID: 7911255047 Enrollment ID: I20180807001855 |
| Provider Name | Michael W Drazer |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1942564117 PECOS PAC ID: 3577866391 Enrollment ID: I20180807002510 |
| Provider Name | Michelle Blanco Lemelman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891058830 PECOS PAC ID: 8426356288 Enrollment ID: I20180807002645 |
| Provider Name | Christine Marie Bestvina |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1720354137 PECOS PAC ID: 5890098677 Enrollment ID: I20180808001476 |
| Provider Name | Jennifer a Bennett |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1164742722 PECOS PAC ID: 6800036682 Enrollment ID: I20180809002109 |
| Provider Name | Oluwakemi Onajin |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1245672393 PECOS PAC ID: 7810114055 Enrollment ID: I20180809004061 |
| Provider Name | Nathan W Olson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972824779 PECOS PAC ID: 9335421171 Enrollment ID: I20180809005869 |
| Provider Name | Laura T Dickens |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1649618455 PECOS PAC ID: 8527291129 Enrollment ID: I20180811000198 |
| Provider Name | Adriana S Olson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891016754 PECOS PAC ID: 3274751045 Enrollment ID: I20180815000053 |
| Provider Name | Christopher L Williams |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1760982540 PECOS PAC ID: 8729238373 Enrollment ID: I20180815000406 |
| Provider Name | David B Kaplan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1982040986 PECOS PAC ID: 5395987697 Enrollment ID: I20180816000422 |
| Provider Name | Paulina Petrishka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952828980 PECOS PAC ID: 6305195892 Enrollment ID: I20180816000909 |
| Provider Name | Madan Kumar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699032516 PECOS PAC ID: 7214178755 Enrollment ID: I20180823003359 |
| Provider Name | Carmelle V Romain |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1336382670 PECOS PAC ID: 5193016871 Enrollment ID: I20180827001916 |
| Provider Name | Cuoghi C Edens |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114247087 PECOS PAC ID: 6800199548 Enrollment ID: I20180907000281 |
| Provider Name | David W Hwang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134506785 PECOS PAC ID: 9537462528 Enrollment ID: I20180910000027 |
| Provider Name | Marni M Tahvilian |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1558880633 PECOS PAC ID: 1557611795 Enrollment ID: I20180910000060 |
| Provider Name | Veronica Penyak Cipriani |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1508129594 PECOS PAC ID: 3577867555 Enrollment ID: I20180910000149 |
| Provider Name | Jennifer T Paul |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619234275 PECOS PAC ID: 4082913090 Enrollment ID: I20180910001207 |
| Provider Name | Daniel J Bickley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407294291 PECOS PAC ID: 3274836887 Enrollment ID: I20180911000663 |
| Provider Name | Nicholas G Ludmer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861811523 PECOS PAC ID: 8224255955 Enrollment ID: I20180911001400 |
| Provider Name | Rade Tomic |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1548377658 PECOS PAC ID: 5991785487 Enrollment ID: I20180912000444 |
| Provider Name | Ashish Premkumar |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215279344 PECOS PAC ID: 6800189366 Enrollment ID: I20180912003496 |
| Provider Name | Zachary W Wright |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1649697889 PECOS PAC ID: 9537462866 Enrollment ID: I20180912003640 |
| Provider Name | Habeeb Sadaf Amatul |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558701664 PECOS PAC ID: 7618100256 Enrollment ID: I20180924000405 |
| Provider Name | Christos Lazaridis |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1457497802 PECOS PAC ID: 8123191566 Enrollment ID: I20180924001143 |
| Provider Name | Shan Shan Xie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649682675 PECOS PAC ID: 3375894728 Enrollment ID: I20180924002178 |
| Provider Name | Kathryn Jean Rowland |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1609037050 PECOS PAC ID: 2769760966 Enrollment ID: I20180926002944 |
| Provider Name | Jessica S Donington |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1497783567 PECOS PAC ID: 1456431428 Enrollment ID: I20180928000204 |
| Provider Name | Kristen L Reed |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1487147393 PECOS PAC ID: 8628329760 Enrollment ID: I20180928000657 |
| Provider Name | Shreya R Vasavada |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1942788922 PECOS PAC ID: 8426300070 Enrollment ID: I20181009001420 |
| Provider Name | Samantha Mozdzynski |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1326524562 PECOS PAC ID: 9032461462 Enrollment ID: I20181011002178 |
| Provider Name | Susan L Nasr |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316364250 PECOS PAC ID: 8921374380 Enrollment ID: I20181015000375 |
| Provider Name | Won H Oh |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1053899138 PECOS PAC ID: 7719239920 Enrollment ID: I20181016000983 |
| Provider Name | Carolyn Kazuko Shima |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104266626 PECOS PAC ID: 4688978273 Enrollment ID: I20181019001142 |
| Provider Name | Mwia Mutua |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326434648 PECOS PAC ID: 2365795366 Enrollment ID: I20181022000068 |
| Provider Name | Bow Young Chung |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1073809570 PECOS PAC ID: 5799080487 Enrollment ID: I20181024000321 |
| Provider Name | Elisabetta Apollinari |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1740787290 PECOS PAC ID: 2961755749 Enrollment ID: I20181024001592 |
| Provider Name | Terrya V Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427575190 PECOS PAC ID: 8729331475 Enrollment ID: I20181025001738 |
| Provider Name | Melisa J Marcotte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255816369 PECOS PAC ID: 9830442276 Enrollment ID: I20181031003192 |
| Provider Name | Megan C Tress |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235612383 PECOS PAC ID: 5597018952 Enrollment ID: I20181101000543 |
| Provider Name | Paramita Das |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1912226614 PECOS PAC ID: 7113223686 Enrollment ID: I20181101000739 |
| Provider Name | Alanna J Storck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497232417 PECOS PAC ID: 3274886668 Enrollment ID: I20181101001663 |
| Provider Name | Carlos Anaya |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538120860 PECOS PAC ID: 1254474448 Enrollment ID: I20181102000620 |
| Provider Name | Arielle Tzipora Hirschfeld |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063808954 PECOS PAC ID: 6002116332 Enrollment ID: I20181114000633 |
| Provider Name | Retta C Perkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649780446 PECOS PAC ID: 4880948421 Enrollment ID: I20181116001305 |
| Provider Name | Maria E Calzonzi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003396219 PECOS PAC ID: 6305190984 Enrollment ID: I20181117000175 |
| Provider Name | Fatima a Aldarweesh |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1396144879 PECOS PAC ID: 5799904637 Enrollment ID: I20181117000226 |
| Provider Name | Joshua I Garza |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1750727541 PECOS PAC ID: 6204067606 Enrollment ID: I20181129002318 |
| Provider Name | Luca a Vricella |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1316987423 PECOS PAC ID: 7214941202 Enrollment ID: I20181205002338 |
| Provider Name | Laila L Robateau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316412018 PECOS PAC ID: 5496099111 Enrollment ID: I20181207000237 |
| Provider Name | Tomas Munoz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710225263 PECOS PAC ID: 9032499314 Enrollment ID: I20181211002307 |
| Provider Name | Patricia Swistowicz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255820627 PECOS PAC ID: 8820333222 Enrollment ID: I20181212002901 |
| Provider Name | Pankti D Reid |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1427491711 PECOS PAC ID: 8527209626 Enrollment ID: I20181219000574 |
| Provider Name | Blair R Foushi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962838334 PECOS PAC ID: 4183969058 Enrollment ID: I20181220002143 |
| Provider Name | Colleen M Golden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861968273 PECOS PAC ID: 6406191329 Enrollment ID: I20181221000813 |
| Provider Name | Alisa K Heitman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154671071 PECOS PAC ID: 6901120351 Enrollment ID: I20181221001062 |
| Provider Name | Sarah a Kosinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568946572 PECOS PAC ID: 4880939610 Enrollment ID: I20181221001655 |
| Provider Name | Christin L Sogge |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1154801819 PECOS PAC ID: 8022353648 Enrollment ID: I20181228002025 |
| Provider Name | Christine a Hudoba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255747754 PECOS PAC ID: 2264759737 Enrollment ID: I20190122000012 |
| Provider Name | Ritu Verma |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184633091 PECOS PAC ID: 8123180098 Enrollment ID: I20190122000574 |
| Provider Name | Kaitlin E Grady |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336573401 PECOS PAC ID: 4082848585 Enrollment ID: I20190123002283 |
| Provider Name | Meaghan E Maroney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851866487 PECOS PAC ID: 5496092819 Enrollment ID: I20190123002779 |
| Provider Name | Eric C Seper |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1023527207 PECOS PAC ID: 5395082747 Enrollment ID: I20190123004244 |
| Provider Name | Jill Judith Veselik |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992966451 PECOS PAC ID: 2668622838 Enrollment ID: I20190201001062 |
| Provider Name | Stela Lapic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124598909 PECOS PAC ID: 8527306273 Enrollment ID: I20190205002560 |
| Provider Name | Jennifer L Miles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720586688 PECOS PAC ID: 6901167493 Enrollment ID: I20190207000302 |
| Provider Name | Darcy Marie Fisher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942710678 PECOS PAC ID: 1557609120 Enrollment ID: I20190207000502 |
| Provider Name | Amanda M Tucker |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1275047656 PECOS PAC ID: 8224376488 Enrollment ID: I20190213001339 |
| Provider Name | Alizabeth Grace-neu Van Wieren |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1932352457 PECOS PAC ID: 0648315796 Enrollment ID: I20190226000034 |
| Provider Name | Colleen J Labuhn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831666429 PECOS PAC ID: 1951640879 Enrollment ID: I20190311001853 |
| Provider Name | Fabiana S Araujo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1720537095 PECOS PAC ID: 0345580015 Enrollment ID: I20190314002485 |
| Provider Name | Tetyana Pytel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447715420 PECOS PAC ID: 0042550717 Enrollment ID: I20190314002637 |
| Provider Name | Amalia G Canada |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1508248774 PECOS PAC ID: 5698015378 Enrollment ID: I20190315000268 |
| Provider Name | Meghan Day Krishnan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1639640238 PECOS PAC ID: 8729328414 Enrollment ID: I20190315000596 |
| Provider Name | Brian Alan Jones |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982805289 PECOS PAC ID: 3577783174 Enrollment ID: I20190318002160 |
| Provider Name | Stephanie Therese Bachmann |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1225593965 PECOS PAC ID: 4688914914 Enrollment ID: I20190322000613 |
| Provider Name | Kathryn Yagunic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730664871 PECOS PAC ID: 3678813771 Enrollment ID: I20190328000636 |
| Provider Name | Amanda M Krug |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1831656248 PECOS PAC ID: 7810238516 Enrollment ID: I20190405002042 |
| Provider Name | Caroline a Trotman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1093279127 PECOS PAC ID: 5395087233 Enrollment ID: I20190425001149 |
| Provider Name | Lina F Khamis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538384409 PECOS PAC ID: 8325098072 Enrollment ID: I20190508000460 |
| Provider Name | Eliva Ortiz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831675743 PECOS PAC ID: 7315289527 Enrollment ID: I20190508000878 |
| Provider Name | Roshni K Patel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1619434602 PECOS PAC ID: 3779825989 Enrollment ID: I20190508000905 |
| Provider Name | Tina D Lofton Mosley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902396542 PECOS PAC ID: 2466795398 Enrollment ID: I20190516002429 |
| Provider Name | Lauren Harriett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700232733 PECOS PAC ID: 1658614409 Enrollment ID: I20190517000502 |
| Provider Name | Laura Ryan Heyson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1770041949 PECOS PAC ID: 9335472547 Enrollment ID: I20190603002115 |
| Provider Name | Ameera S Haamid |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295149409 PECOS PAC ID: 7214221407 Enrollment ID: I20190603002475 |
| Provider Name | Mark C Chottiner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821446006 PECOS PAC ID: 9335431667 Enrollment ID: I20190604000048 |
| Provider Name | Brittany R Graff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700344512 PECOS PAC ID: 6800129925 Enrollment ID: I20190605000487 |
| Provider Name | Ajay a Wagh |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1851594121 PECOS PAC ID: 0749429397 Enrollment ID: I20190611000858 |
| Provider Name | Jessica L Jankiewicz |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1821656273 PECOS PAC ID: 4183957830 Enrollment ID: I20190611003321 |
| Provider Name | Dennis D Chen |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1467715235 PECOS PAC ID: 0244543742 Enrollment ID: I20190612002452 |
| Provider Name | Bradley a Silva |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1992123269 PECOS PAC ID: 0143523076 Enrollment ID: I20190614000482 |
| Provider Name | Anila Naz Khan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1730537986 PECOS PAC ID: 4183916000 Enrollment ID: I20190619000419 |
| Provider Name | Narutoshi Hibino |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1295134484 PECOS PAC ID: 8123343746 Enrollment ID: I20190620000681 |
| Provider Name | Shana K Creighton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518425214 PECOS PAC ID: 9234463555 Enrollment ID: I20190620000861 |
| Provider Name | Jalal S Baig |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1740647437 PECOS PAC ID: 4981992328 Enrollment ID: I20190627002426 |
| Provider Name | Craig Umscheid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861449902 PECOS PAC ID: 5698787760 Enrollment ID: I20190628000096 |
| Provider Name | Denise a Sakyi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679925531 PECOS PAC ID: 3678808128 Enrollment ID: I20190705000927 |
| Provider Name | Liz M Denis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1376043737 PECOS PAC ID: 7113252727 Enrollment ID: I20190718000126 |
| Provider Name | Nikhil Narang |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1922362383 PECOS PAC ID: 0446554109 Enrollment ID: I20190723000018 |
| Provider Name | Maya Viner |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861855165 PECOS PAC ID: 3274820253 Enrollment ID: I20190725001614 |
| Provider Name | Kathryn Anne Mills |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1033471131 PECOS PAC ID: 6901109792 Enrollment ID: I20190725003495 |
| Provider Name | Justin Ripley Porter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851747406 PECOS PAC ID: 3375835374 Enrollment ID: I20190725003733 |
| Provider Name | Megan L Prochaska |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1285922427 PECOS PAC ID: 6204109408 Enrollment ID: I20190725003788 |
| Provider Name | Ari J Rosenberg |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1699017715 PECOS PAC ID: 8426368820 Enrollment ID: I20190726001084 |
| Provider Name | Divya Kumari |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669881702 PECOS PAC ID: 9739413097 Enrollment ID: I20190726002592 |
| Provider Name | Anu Radha Neerukonda |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1619234218 PECOS PAC ID: 2264749134 Enrollment ID: I20190727000157 |
| Provider Name | Arun Nagaraju |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861805871 PECOS PAC ID: 2668775966 Enrollment ID: I20190729000237 |
| Provider Name | Ali Mansour |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760822597 PECOS PAC ID: 4183927908 Enrollment ID: I20190729000442 |
| Provider Name | William Fiske Parker |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1316201320 PECOS PAC ID: 6406158401 Enrollment ID: I20190729001006 |
| Provider Name | Daniel J Aldrich |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447614003 PECOS PAC ID: 8820383524 Enrollment ID: I20190729001270 |
| Provider Name | Tanya L Zakrison |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649509068 PECOS PAC ID: 3870749658 Enrollment ID: I20190729001638 |
| Provider Name | Virginia a Baker |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1639547417 PECOS PAC ID: 7911234414 Enrollment ID: I20190806003683 |
| Provider Name | Karalyn R Cain |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396306221 PECOS PAC ID: 3375870561 Enrollment ID: I20190812000048 |
| Provider Name | Piyush K Agarwal |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1629193180 PECOS PAC ID: 5496856965 Enrollment ID: I20190812002582 |
| Provider Name | Reena Anand |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548624604 PECOS PAC ID: 1153658208 Enrollment ID: I20190812002899 |
| Provider Name | Abdullah H Pratt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043662612 PECOS PAC ID: 4183919988 Enrollment ID: I20190813000151 |
| Provider Name | Blanca Edith Iriarte Oporto |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932559143 PECOS PAC ID: 8729375332 Enrollment ID: I20190815001517 |
| Provider Name | Iazsmin B Ventura |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1225464290 PECOS PAC ID: 4981994803 Enrollment ID: I20190816003041 |
| Provider Name | John P Murray |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1821280991 PECOS PAC ID: 2860720331 Enrollment ID: I20190821002742 |
| Provider Name | Maylyn S Martinez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780075622 PECOS PAC ID: 0143505040 Enrollment ID: I20190826000027 |
| Provider Name | Nora H Lee |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1871977959 PECOS PAC ID: 0143538843 Enrollment ID: I20190827002712 |
| Provider Name | Isabel Malone |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669826822 PECOS PAC ID: 4880922939 Enrollment ID: I20190827003035 |
| Provider Name | Sandeep Tummala |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023464716 PECOS PAC ID: 7810285947 Enrollment ID: I20190828001826 |
| Provider Name | Chad T Dean |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1740608520 PECOS PAC ID: 5799034922 Enrollment ID: I20190828003197 |
| Provider Name | Margaret a Clemons Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023661980 PECOS PAC ID: 9335478171 Enrollment ID: I20190904002268 |
| Provider Name | Karine Otten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376102160 PECOS PAC ID: 7517296072 Enrollment ID: I20190909001292 |
| Provider Name | Walid a Hussain |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871854257 PECOS PAC ID: 2466742499 Enrollment ID: I20190909004016 |
| Provider Name | Ashley Elizabeth Wolf |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376885764 PECOS PAC ID: 2062702129 Enrollment ID: I20190911000545 |
| Provider Name | Rebecca Wilson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518318070 PECOS PAC ID: 9638462039 Enrollment ID: I20190911001730 |
| Provider Name | Terence E Imbery |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1609134063 PECOS PAC ID: 4981933249 Enrollment ID: I20190911002449 |
| Provider Name | Dustin a Ehsan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912387531 PECOS PAC ID: 3870897416 Enrollment ID: I20190912000719 |
| Provider Name | Michael a Vanwinkle |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1457909533 PECOS PAC ID: 4688903735 Enrollment ID: I20190916000592 |
| Provider Name | Samara Blair |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467808956 PECOS PAC ID: 7012207046 Enrollment ID: I20190917002078 |
| Provider Name | Kristen Nelson Mcmillan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992842454 PECOS PAC ID: 2961592332 Enrollment ID: I20190918002820 |
| Provider Name | Jennifer C Szafran |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1699125211 PECOS PAC ID: 1951693944 Enrollment ID: I20190923002857 |
| Provider Name | Brendon S Ross |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1730506601 PECOS PAC ID: 5395040331 Enrollment ID: I20191002000057 |
| Provider Name | Nancy B Lins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396202354 PECOS PAC ID: 3779813969 Enrollment ID: I20191002000301 |
| Provider Name | Natasha Singh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336502533 PECOS PAC ID: 9739419920 Enrollment ID: I20191002000406 |
| Provider Name | Jade Veronica Pagkas-bather |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1831533959 PECOS PAC ID: 5991035180 Enrollment ID: I20191002000525 |
| Provider Name | Aditya Juloori |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1952714636 PECOS PAC ID: 9638470149 Enrollment ID: I20191002000949 |
| Provider Name | Yalini Vigneswaran |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1285916403 PECOS PAC ID: 8022311786 Enrollment ID: I20191002002719 |
| Provider Name | Katherine C Kurnit |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1902194269 PECOS PAC ID: 8921375064 Enrollment ID: I20191002002886 |
| Provider Name | Eileen M Dillenbeck |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1164942934 PECOS PAC ID: 0446581367 Enrollment ID: I20191008001083 |
| Provider Name | Claire F Cunningham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366097826 PECOS PAC ID: 9931430469 Enrollment ID: I20191014002214 |
| Provider Name | Elisabeth a Wise |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336794510 PECOS PAC ID: 8921339466 Enrollment ID: I20191014002735 |
| Provider Name | Emily Beth Rubenstein Dropkin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396391306 PECOS PAC ID: 6709117278 Enrollment ID: I20191015000244 |
| Provider Name | Jonathan S Grinstein |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1396065249 PECOS PAC ID: 2264735919 Enrollment ID: I20191017001408 |
| Provider Name | Henry David |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851785547 PECOS PAC ID: 7113269093 Enrollment ID: I20191018001643 |
| Provider Name | Emily D Doll |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457795858 PECOS PAC ID: 9739411810 Enrollment ID: I20191022001917 |
| Provider Name | Huda Adam |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215304258 PECOS PAC ID: 6103120795 Enrollment ID: I20191023000002 |
| Provider Name | Sylvia Munoz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902365174 PECOS PAC ID: 5395077424 Enrollment ID: I20191023000142 |
| Provider Name | Brandon Jackson Baird |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1518302454 PECOS PAC ID: 7315296290 Enrollment ID: I20191023001985 |
| Provider Name | Mostafa H El Dafrawy |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1285900118 PECOS PAC ID: 8628226032 Enrollment ID: I20191105001056 |
| Provider Name | Ghasson M Mubarak |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1417310616 PECOS PAC ID: 7113259417 Enrollment ID: I20191105001917 |
| Provider Name | Elvisa Orhani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215384318 PECOS PAC ID: 9133451446 Enrollment ID: I20191105002273 |
| Provider Name | Rosemary Y Uy-palmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891342796 PECOS PAC ID: 3678905981 Enrollment ID: I20191107000189 |
| Provider Name | Nisha Jain |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1407261027 PECOS PAC ID: 1759620388 Enrollment ID: I20191107001563 |
| Provider Name | Heesung N Kang |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1790063949 PECOS PAC ID: 8820306830 Enrollment ID: I20191112003116 |
| Provider Name | Jana Kliestik |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1538412754 PECOS PAC ID: 4284968355 Enrollment ID: I20191120000480 |
| Provider Name | Calvin Adatsi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033767082 PECOS PAC ID: 1355773888 Enrollment ID: I20191121000308 |
| Provider Name | Katherine Walter |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1568013498 PECOS PAC ID: 1153753645 Enrollment ID: I20191121002712 |
| Provider Name | Molly a Erickson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1922538859 PECOS PAC ID: 0446682843 Enrollment ID: I20191122000280 |
| Provider Name | Nikhil Malhotra |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740635168 PECOS PAC ID: 2163710039 Enrollment ID: I20191122000891 |
| Provider Name | Gabriela Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568013183 PECOS PAC ID: 6507299765 Enrollment ID: I20191203000863 |
| Provider Name | Sebastian Q Vrouwe |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1467966796 PECOS PAC ID: 7810320850 Enrollment ID: I20191205002856 |
| Provider Name | Ruchi Singla |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649513151 PECOS PAC ID: 0941517908 Enrollment ID: I20191206000381 |
| Provider Name | Sydney N Aronson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1376000653 PECOS PAC ID: 3375976277 Enrollment ID: I20191206002227 |
| Provider Name | Lindsay J Yassan |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1457792269 PECOS PAC ID: 7517260458 Enrollment ID: I20191211000226 |
| Provider Name | Raghavendra G. Mirmira |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1417099771 PECOS PAC ID: 1456361245 Enrollment ID: I20191219000061 |
| Provider Name | Amanda J Walker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467093286 PECOS PAC ID: 6103250170 Enrollment ID: I20191227001358 |
| Provider Name | Mia Donoghue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588200034 PECOS PAC ID: 5799119392 Enrollment ID: I20200107000040 |
| Provider Name | Charina G Diokno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336782424 PECOS PAC ID: 8628405925 Enrollment ID: I20200226002263 |
| Provider Name | Anastasia K Gliatis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063056919 PECOS PAC ID: 3779910088 Enrollment ID: I20200226002459 |
| Provider Name | Carolyn R Zic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073152989 PECOS PAC ID: 0446687768 Enrollment ID: I20200227000255 |
| Provider Name | Alexis R Liska |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1760834691 PECOS PAC ID: 6103114434 Enrollment ID: I20200227000407 |
| Provider Name | Ryan E Longman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1689794356 PECOS PAC ID: 8628121365 Enrollment ID: I20200320001941 |
| Provider Name | Gregory J Pohrebny |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306489075 PECOS PAC ID: 7517395759 Enrollment ID: I20200320002742 |
| Provider Name | Jessica L Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992344451 PECOS PAC ID: 2466880612 Enrollment ID: I20200321000287 |
| Provider Name | Gillian C Kerns |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184165359 PECOS PAC ID: 1658709829 Enrollment ID: I20200323000110 |
| Provider Name | Wuen-chwin J Yu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205475563 PECOS PAC ID: 5496183600 Enrollment ID: I20200323002090 |
| Provider Name | Jamie E Mathews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689212169 PECOS PAC ID: 1557799764 Enrollment ID: I20200323002195 |
| Provider Name | Katrina L Lee |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841296530 PECOS PAC ID: 9335123256 Enrollment ID: I20200323002891 |
| Provider Name | Omar Metwally |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295375806 PECOS PAC ID: 2567890692 Enrollment ID: I20200324000070 |
| Provider Name | Atefeh Djavid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336789379 PECOS PAC ID: 8426486564 Enrollment ID: I20200324000349 |
| Provider Name | Maria Lucia L Madariaga |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1104053677 PECOS PAC ID: 2668636671 Enrollment ID: I20200324000582 |
| Provider Name | Renee Katsinis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558748277 PECOS PAC ID: 8022447036 Enrollment ID: I20200326001235 |
| Provider Name | Sayyeda H Fatima |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1205334638 PECOS PAC ID: 9335400753 Enrollment ID: I20200410001226 |
| Provider Name | Alejandra J Rivera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831738491 PECOS PAC ID: 5799115895 Enrollment ID: I20200413002203 |
| Provider Name | Elizabeth S Pealy |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1932442456 PECOS PAC ID: 0547526006 Enrollment ID: I20200429000011 |
| Provider Name | Elisheva Coleman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1780970418 PECOS PAC ID: 9830402486 Enrollment ID: I20200506000822 |
| Provider Name | Purvi Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265067003 PECOS PAC ID: 2567893530 Enrollment ID: I20200506001877 |
| Provider Name | Elena Ignatiev |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194374637 PECOS PAC ID: 0345671335 Enrollment ID: I20200506002749 |
| Provider Name | Samantha C Gunning |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1790165090 PECOS PAC ID: 3173837457 Enrollment ID: I20200519000600 |
| Provider Name | Bogdana Gryniv |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720625593 PECOS PAC ID: 5193156404 Enrollment ID: I20200520001433 |
| Provider Name | Luke F Reynolds |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1710513221 PECOS PAC ID: 4981035219 Enrollment ID: I20200520002142 |
| Provider Name | Marta N Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568012292 PECOS PAC ID: 3577984814 Enrollment ID: I20200522000622 |
| Provider Name | Lisa M Mailliard |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1861514820 PECOS PAC ID: 7113084153 Enrollment ID: I20200603000010 |
| Provider Name | Aditi Anand Acharya |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1922629203 PECOS PAC ID: 4789005430 Enrollment ID: I20200604000800 |
| Provider Name | Vinod Kondragunta |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1588906168 PECOS PAC ID: 0244531614 Enrollment ID: I20200619000231 |
| Provider Name | Daniel J Olson |
|---|---|
| Provider Type | Practitioner - Hematopoietic Cell Transplantation And Cellular Therapy |
| Provider Identifiers | NPI Number: 1003234329 PECOS PAC ID: 6608171657 Enrollment ID: I20200624002301 |
| Provider Name | Danielle F Natarus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386274017 PECOS PAC ID: 0345662011 Enrollment ID: I20200625001810 |
| Provider Name | Michael G Earing |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053362004 PECOS PAC ID: 4880688670 Enrollment ID: I20200626002240 |
| Provider Name | Miroslav Peychev Peev |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1639517006 PECOS PAC ID: 4981994274 Enrollment ID: I20200629000217 |
| Provider Name | Amber S Kowalsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164053484 PECOS PAC ID: 3870915457 Enrollment ID: I20200629000746 |
| Provider Name | Kellie E Zavala |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1225664998 PECOS PAC ID: 0749602225 Enrollment ID: I20200630001236 |
| Provider Name | Dinah Kate Hamilton Thibeault |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780116590 PECOS PAC ID: 7416370986 Enrollment ID: I20200701001028 |
| Provider Name | Emily A. Karras |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962932079 PECOS PAC ID: 4183994783 Enrollment ID: I20200721004278 |
| Provider Name | Hassan Aboumerhi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1336528637 PECOS PAC ID: 1850696063 Enrollment ID: I20200722003300 |
| Provider Name | Dana Branch |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1730533811 PECOS PAC ID: 3870837222 Enrollment ID: I20200723001252 |
| Provider Name | Andrew R Fisher |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1073927422 PECOS PAC ID: 5294080073 Enrollment ID: I20200723001887 |
| Provider Name | Kathleen Mary Sperling |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922549013 PECOS PAC ID: 2961789805 Enrollment ID: I20200804002371 |
| Provider Name | Nicole Anne Clem |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023405222 PECOS PAC ID: 1456672773 Enrollment ID: I20200810000068 |
| Provider Name | Sonam Thind |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164044707 PECOS PAC ID: 1759706658 Enrollment ID: I20200810002239 |
| Provider Name | Tiffany a Sayani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629699616 PECOS PAC ID: 4486070661 Enrollment ID: I20200818003783 |
| Provider Name | Desirae Demarco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821628710 PECOS PAC ID: 7719303783 Enrollment ID: I20200820003122 |
| Provider Name | Nehal Patel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689089518 PECOS PAC ID: 9830314566 Enrollment ID: I20200824000017 |
| Provider Name | Theresa T Jumanan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457999872 PECOS PAC ID: 0547686420 Enrollment ID: I20200824000615 |
| Provider Name | Danisa Kena Daubenspeck |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1063891125 PECOS PAC ID: 0648573923 Enrollment ID: I20200825002199 |
| Provider Name | Jennifer Helen Cooperrider |
|---|---|
| Provider Type | Practitioner - Hematopoietic Cell Transplantation And Cellular Therapy |
| Provider Identifiers | NPI Number: 1154841757 PECOS PAC ID: 8921379546 Enrollment ID: I20200901000480 |
| Provider Name | Nicholas Taylor Woolf |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528595659 PECOS PAC ID: 0749559540 Enrollment ID: I20200901001556 |
| Provider Name | Margaret G Ruble |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477175552 PECOS PAC ID: 7810314192 Enrollment ID: I20200901002072 |
| Provider Name | Jonathan D Lattell |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1093246282 PECOS PAC ID: 4385913904 Enrollment ID: I20200902000111 |
| Provider Name | Yousuf Imad Kamil Kyeso |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1700299815 PECOS PAC ID: 7214206309 Enrollment ID: I20200908000156 |
| Provider Name | Summer E Hanson |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1942252135 PECOS PAC ID: 0244486488 Enrollment ID: I20200908000290 |
| Provider Name | Parth K Modi |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1073809398 PECOS PAC ID: 7416242953 Enrollment ID: I20200908001862 |
| Provider Name | Nicholas H Maassen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1477718302 PECOS PAC ID: 7113148289 Enrollment ID: I20200908002269 |
| Provider Name | Gilmer Rodriguez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164479788 PECOS PAC ID: 3274506589 Enrollment ID: I20200908002989 |
| Provider Name | Angad a Chadha |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1568852994 PECOS PAC ID: 1153614789 Enrollment ID: I20200909002245 |
| Provider Name | Nancy S Ghanayem |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538110390 PECOS PAC ID: 7416015870 Enrollment ID: I20200912000051 |
| Provider Name | Luka Pocivavsek |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1518251347 PECOS PAC ID: 8921426677 Enrollment ID: I20200914000940 |
| Provider Name | Mohammed Nabeel Hameed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336765064 PECOS PAC ID: 9234557851 Enrollment ID: I20200915000316 |
| Provider Name | Cassie Ann Soltwedel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235751488 PECOS PAC ID: 8921426438 Enrollment ID: I20200916000064 |
| Provider Name | Joseph M Mcdonald |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568882157 PECOS PAC ID: 5193144707 Enrollment ID: I20201001000813 |
| Provider Name | Jeffrey G Stepan |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1811316201 PECOS PAC ID: 1658663919 Enrollment ID: I20201001001459 |
| Provider Name | Kristine L Bautista |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689220261 PECOS PAC ID: 2860811247 Enrollment ID: I20201005000907 |
| Provider Name | Nathaniel G Meadow |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700317963 PECOS PAC ID: 0648543330 Enrollment ID: I20201005001589 |
| Provider Name | Courtney N Kelley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740774280 PECOS PAC ID: 6406193903 Enrollment ID: I20201005002869 |
| Provider Name | Adam S Duvall |
|---|---|
| Provider Type | Practitioner - Hematopoietic Cell Transplantation And Cellular Therapy |
| Provider Identifiers | NPI Number: 1285995266 PECOS PAC ID: 0143520734 Enrollment ID: I20201006000899 |
| Provider Name | Rebecca Anne Propper |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518386655 PECOS PAC ID: 5890076905 Enrollment ID: I20201006001859 |
| Provider Name | Jonathan Anthony Trujillo |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1801205208 PECOS PAC ID: 2860795671 Enrollment ID: I20201007000539 |
| Provider Name | Sambhavi Krishnamoorthy |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1316233513 PECOS PAC ID: 2860613403 Enrollment ID: I20201016001083 |
| Provider Name | Peng Wang |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1780927038 PECOS PAC ID: 5799105250 Enrollment ID: I20201022000017 |
| Provider Name | Rolf N Barth |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1861435182 PECOS PAC ID: 8426017955 Enrollment ID: I20201022000117 |
| Provider Name | Shashwati Pradhan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679993455 PECOS PAC ID: 2961719000 Enrollment ID: I20201022000535 |
| Provider Name | Clarabelle Devries |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1649684945 PECOS PAC ID: 1850512823 Enrollment ID: I20201022000935 |
| Provider Name | Ewelina Orozco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073154829 PECOS PAC ID: 7113347592 Enrollment ID: I20201023002328 |
| Provider Name | Kinga S Olortegui |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1497018469 PECOS PAC ID: 5698077493 Enrollment ID: I20201104001543 |
| Provider Name | Sarah D Sharpe |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1154930634 PECOS PAC ID: 0840600755 Enrollment ID: I20201104002131 |
| Provider Name | Tracy F Norman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356376727 PECOS PAC ID: 9335559251 Enrollment ID: I20201104002865 |
| Provider Name | Moshe Bedziner |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1134739857 PECOS PAC ID: 1557771003 Enrollment ID: I20201111003029 |
| Provider Name | Emily Pena |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1164901864 PECOS PAC ID: 9234473877 Enrollment ID: I20201112000362 |
| Provider Name | Deanna Bassette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578163515 PECOS PAC ID: 0345650826 Enrollment ID: I20201112001334 |
| Provider Name | Hillary E Mclaren |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831545482 PECOS PAC ID: 0648566190 Enrollment ID: I20201112001623 |
| Provider Name | Alyse R Bedell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1053920512 PECOS PAC ID: 0941610349 Enrollment ID: I20201112002491 |
| Provider Name | Sarah a Ackroyd |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1982053526 PECOS PAC ID: 9335570415 Enrollment ID: I20201118002214 |
| Provider Name | Colette B Brottman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1821645847 PECOS PAC ID: 5496166399 Enrollment ID: I20201125001380 |
| Provider Name | Natalie M Stella |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306475058 PECOS PAC ID: 4880005792 Enrollment ID: I20201125002210 |
| Provider Name | Shoji O Samson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831504067 PECOS PAC ID: 6103237961 Enrollment ID: I20201130001274 |
| Provider Name | Nina Gupta |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1861806994 PECOS PAC ID: 5496970337 Enrollment ID: I20201130002403 |
| Provider Name | Krystina M Chickerillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427507433 PECOS PAC ID: 6305257031 Enrollment ID: I20201201001336 |
| Provider Name | Hassan Arshad |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1992902589 PECOS PAC ID: 1658564331 Enrollment ID: I20201208000343 |
| Provider Name | Gauri H Pawar |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275005191 PECOS PAC ID: 7810232360 Enrollment ID: I20201208000461 |
| Provider Name | Rosario Angelica Perez Gutierrez |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1790203057 PECOS PAC ID: 7113293986 Enrollment ID: I20201210000021 |
| Provider Name | Harita S Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699015461 PECOS PAC ID: 8820396559 Enrollment ID: I20201210002541 |
| Provider Name | Rasika a Karnik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467719716 PECOS PAC ID: 0941514905 Enrollment ID: I20201210003033 |
| Provider Name | Jenna M Mark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821609462 PECOS PAC ID: 1052723152 Enrollment ID: I20201215000364 |
| Provider Name | Colin Zepeda |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861751729 PECOS PAC ID: 7214169861 Enrollment ID: I20201221002932 |
| Provider Name | Rachel M Barsella |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336752856 PECOS PAC ID: 0749692309 Enrollment ID: I20201224000018 |
| Provider Name | Sweta P Soni |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1174947675 PECOS PAC ID: 7810309473 Enrollment ID: I20201224000061 |
| Provider Name | Candice Ann a Tan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1841745312 PECOS PAC ID: 5991118580 Enrollment ID: I20201228000571 |
| Provider Name | Theresa Dorthyann Dijoseph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770053746 PECOS PAC ID: 3779996368 Enrollment ID: I20201228000758 |
| Provider Name | Karima a Shabana |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871003897 PECOS PAC ID: 6002229614 Enrollment ID: I20201228001373 |
| Provider Name | Leili T Khorassani |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1588048094 PECOS PAC ID: 6305137720 Enrollment ID: I20201228002141 |
| Provider Name | Anna J Ward |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1275180218 PECOS PAC ID: 5698189306 Enrollment ID: I20210120002186 |
| Provider Name | Nicole Bubes |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1457864993 PECOS PAC ID: 4587922109 Enrollment ID: I20210121000093 |
| Provider Name | Anayeli Locascio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841805546 PECOS PAC ID: 1759795339 Enrollment ID: I20210121001868 |
| Provider Name | Dana L Temple |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477072643 PECOS PAC ID: 7719319912 Enrollment ID: I20210122000118 |
| Provider Name | Colleen C Roche |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235746736 PECOS PAC ID: 3173937703 Enrollment ID: I20210122000675 |
| Provider Name | Laura Urciuoli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598219602 PECOS PAC ID: 4880982693 Enrollment ID: I20210122000800 |
| Provider Name | Alexis H Small |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1043811672 PECOS PAC ID: 5890109912 Enrollment ID: I20210202000861 |
| Provider Name | Martha D Hodges |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982204061 PECOS PAC ID: 4789098708 Enrollment ID: I20210202001382 |
| Provider Name | Andrea Landi |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1639531411 PECOS PAC ID: 0648567586 Enrollment ID: I20210202003247 |
| Provider Name | Kelly T Oconnor |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1518514520 PECOS PAC ID: 1254745060 Enrollment ID: I20210205000488 |
| Provider Name | Timothy Patrick Plackett |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1851567648 PECOS PAC ID: 0244562825 Enrollment ID: I20210209002883 |
| Provider Name | Karen E Schaller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740559129 PECOS PAC ID: 9739594045 Enrollment ID: I20210219000126 |
| Provider Name | Casey L Debias |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730796988 PECOS PAC ID: 6709291883 Enrollment ID: I20210223002444 |
| Provider Name | Thomas Courville Yates |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861920779 PECOS PAC ID: 4981974136 Enrollment ID: I20210224001071 |
| Provider Name | Shanika M Eberhardt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598357188 PECOS PAC ID: 5597171900 Enrollment ID: I20210310000759 |
| Provider Name | Dana M Augustine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750766788 PECOS PAC ID: 3375859630 Enrollment ID: I20210310002337 |
| Provider Name | Lalitha M Sitaraman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1184918294 PECOS PAC ID: 0749593143 Enrollment ID: I20210317000095 |
| Provider Name | Susan Evelyn Rowell |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1285615781 PECOS PAC ID: 9133226251 Enrollment ID: I20210320000085 |
| Provider Name | David a Kalvelage |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053908228 PECOS PAC ID: 7214344175 Enrollment ID: I20210322001686 |
| Provider Name | Obada Shamaa |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1275980658 PECOS PAC ID: 5799075438 Enrollment ID: I20210323000901 |
| Provider Name | Dhruvatej Boddupalli |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1912310475 PECOS PAC ID: 3476860701 Enrollment ID: I20210331000707 |
| Provider Name | John C. Lamattina |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1033245725 PECOS PAC ID: 7517031461 Enrollment ID: I20210331001531 |
| Provider Name | Heelai Wardak |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1275195851 PECOS PAC ID: 6305254111 Enrollment ID: I20210415002194 |
| Provider Name | Bhuvaneswari Sandeep Ram |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1619353760 PECOS PAC ID: 4284042979 Enrollment ID: I20210419000747 |
| Provider Name | Housamedain F Amir |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588272074 PECOS PAC ID: 3173931862 Enrollment ID: I20210419000834 |
| Provider Name | Guadalupe Miranda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932798881 PECOS PAC ID: 9436567922 Enrollment ID: I20210422000515 |
| Provider Name | Marina C Garassino |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1053999599 PECOS PAC ID: 7012325467 Enrollment ID: I20210423000111 |
| Provider Name | Basirat Sulaiman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447851472 PECOS PAC ID: 5193133585 Enrollment ID: I20210423002025 |
| Provider Name | Arrion Shelton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700435534 PECOS PAC ID: 3274942289 Enrollment ID: I20210504000762 |
| Provider Name | Andrea Kathryn Berkemeyer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841796448 PECOS PAC ID: 0941619746 Enrollment ID: I20210507000212 |
| Provider Name | Taysir Walid Awad |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1225415102 PECOS PAC ID: 2163831702 Enrollment ID: I20210511001475 |
| Provider Name | Crystal a Amoah |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1548884547 PECOS PAC ID: 2961811252 Enrollment ID: I20210518001214 |
| Provider Name | Talya J Malkin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629699608 PECOS PAC ID: 1254730369 Enrollment ID: I20210521001803 |
| Provider Name | Peter a Petropulos |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619404969 PECOS PAC ID: 6507265196 Enrollment ID: I20210602001318 |
| Provider Name | Jennifer R Martin |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1639754609 PECOS PAC ID: 3173922788 Enrollment ID: I20210602002277 |
| Provider Name | Kate Mckinnon |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306474713 PECOS PAC ID: 1355740861 Enrollment ID: I20210602002300 |
| Provider Name | Carrie Barth |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336104983 PECOS PAC ID: 8729057294 Enrollment ID: I20210614000014 |
| Provider Name | Marion C Henry |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1427235233 PECOS PAC ID: 1355608829 Enrollment ID: I20210614002322 |
| Provider Name | Adekunle O Odunsi |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1295726958 PECOS PAC ID: 4981896230 Enrollment ID: I20210615000449 |
| Provider Name | Behzad Elahi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1932549698 PECOS PAC ID: 5991073678 Enrollment ID: I20210616002559 |
| Provider Name | Ala a Elyaman |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1346789740 PECOS PAC ID: 1254731763 Enrollment ID: I20210621000393 |
| Provider Name | Yejide Awolola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619574274 PECOS PAC ID: 3971905449 Enrollment ID: I20210707002174 |
| Provider Name | Nora C Friedmann |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598350894 PECOS PAC ID: 0840693131 Enrollment ID: I20210723002112 |
| Provider Name | Taylor Szpara |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366974578 PECOS PAC ID: 6608128723 Enrollment ID: I20210729000912 |
| Provider Name | Ross H Mcmillan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1578099578 PECOS PAC ID: 8123421971 Enrollment ID: I20210730001569 |
| Provider Name | Marc R Miller |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558724260 PECOS PAC ID: 0547555765 Enrollment ID: I20210730001715 |
| Provider Name | Laura Cavallone |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1881610012 PECOS PAC ID: 3072577204 Enrollment ID: I20210802003086 |
| Provider Name | Shivani Kumar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053761346 PECOS PAC ID: 2365734902 Enrollment ID: I20210803001116 |
| Provider Name | Nathalie Antonios |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1902301138 PECOS PAC ID: 1254680978 Enrollment ID: I20210806000844 |
| Provider Name | Sana Mohamed Salih |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700080397 PECOS PAC ID: 5294702700 Enrollment ID: I20210810001606 |
| Provider Name | Matthew D Ettleson |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1487043170 PECOS PAC ID: 7517267305 Enrollment ID: I20210810002984 |
| Provider Name | Alexis K Warren |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1457880171 PECOS PAC ID: 0244509925 Enrollment ID: I20210811004303 |
| Provider Name | Nicholas Jaszczak |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1124232079 PECOS PAC ID: 9032261714 Enrollment ID: I20210811004395 |
| Provider Name | Sarah P Shubeck |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1386080760 PECOS PAC ID: 6709191570 Enrollment ID: I20210812000199 |
| Provider Name | Daniel P Kurz |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1487097549 PECOS PAC ID: 4082976584 Enrollment ID: I20210812000676 |
| Provider Name | Kathryn Squiers Raseman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710482039 PECOS PAC ID: 4880942341 Enrollment ID: I20210812000994 |
| Provider Name | Emily Broun Lund |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1538401112 PECOS PAC ID: 0547547135 Enrollment ID: I20210812001761 |
| Provider Name | Vimal Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639103302 PECOS PAC ID: 5193782563 Enrollment ID: I20210818001184 |
| Provider Name | Noa K Cleveland |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1568844223 PECOS PAC ID: 3678886876 Enrollment ID: I20210818002628 |
| Provider Name | Melissa R Vizza |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1134740145 PECOS PAC ID: 4082019229 Enrollment ID: I20210825003334 |
| Provider Name | Katie M O'halloran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104427293 PECOS PAC ID: 3375948557 Enrollment ID: I20210826000815 |
| Provider Name | Sawliha Yousuf Seedat |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1811526155 PECOS PAC ID: 5597160556 Enrollment ID: I20210830001021 |
| Provider Name | Denise Asafu-adjei |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1376969436 PECOS PAC ID: 7416293089 Enrollment ID: I20210830001940 |
| Provider Name | Shana Hornbeck |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1326562836 PECOS PAC ID: 0941562177 Enrollment ID: I20210901000365 |
| Provider Name | Arti Deepa Tewari |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295255107 PECOS PAC ID: 4486927399 Enrollment ID: I20210902000234 |
| Provider Name | Michael P Mccartin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629562608 PECOS PAC ID: 2264789874 Enrollment ID: I20210902000403 |
| Provider Name | Daniel Zachary Phillip Friedman |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1023629680 PECOS PAC ID: 0042637381 Enrollment ID: I20210902002308 |
| Provider Name | Maureen R Beederman |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1386058485 PECOS PAC ID: 3779886619 Enrollment ID: I20210902003154 |
| Provider Name | Jennifer H Smazil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477158434 PECOS PAC ID: 8527464205 Enrollment ID: I20210903000754 |
| Provider Name | Elizabeth C Kertowidjojo |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1659767259 PECOS PAC ID: 4486995909 Enrollment ID: I20210903001308 |
| Provider Name | Christopher Harris |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952831646 PECOS PAC ID: 3870863749 Enrollment ID: I20210903001927 |
| Provider Name | Rajesh K Jain |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1083976187 PECOS PAC ID: 9739306333 Enrollment ID: I20210907000075 |
| Provider Name | Lydia Chelala |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851778633 PECOS PAC ID: 1557656303 Enrollment ID: I20210908001626 |
| Provider Name | Kari Newsom Mccord |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881278877 PECOS PAC ID: 2062818594 Enrollment ID: I20210909001045 |
| Provider Name | Meghan S Kilmer |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1336816644 PECOS PAC ID: 5597161661 Enrollment ID: I20210915001639 |
| Provider Name | Moira Kathleen Gilroy Olson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720516941 PECOS PAC ID: 3375949464 Enrollment ID: I20210915002786 |
| Provider Name | Hadleigh Luchetti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053960906 PECOS PAC ID: 6608209218 Enrollment ID: I20210917001945 |
| Provider Name | Naida Margaret Cole |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1659632032 PECOS PAC ID: 3870721988 Enrollment ID: I20210921001927 |
| Provider Name | Yi Hsuan Lu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164007928 PECOS PAC ID: 2163829987 Enrollment ID: I20210921004013 |
| Provider Name | Andrew Benjamin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1205274131 PECOS PAC ID: 3678876315 Enrollment ID: I20210922000423 |
| Provider Name | Michelle M Havlik |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1114138047 PECOS PAC ID: 9931506771 Enrollment ID: I20210922000578 |
| Provider Name | Mariam Nawas |
|---|---|
| Provider Type | Practitioner - Hematopoietic Cell Transplantation And Cellular Therapy |
| Provider Identifiers | NPI Number: 1841617008 PECOS PAC ID: 6608168695 Enrollment ID: I20210922000625 |
| Provider Name | Ashley E Brown |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861912917 PECOS PAC ID: 5698046571 Enrollment ID: I20210922002620 |
| Provider Name | Srinath C Yeshwant |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1679894661 PECOS PAC ID: 5496065682 Enrollment ID: I20210922002893 |
| Provider Name | Nasim Nourmohammadi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1881049286 PECOS PAC ID: 0143627604 Enrollment ID: I20210927000146 |
| Provider Name | Andrea Ramirez-gomez |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1427503077 PECOS PAC ID: 6305133125 Enrollment ID: I20210927001181 |
| Provider Name | Nan Chen |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1558749887 PECOS PAC ID: 3678970092 Enrollment ID: I20210927002706 |
| Provider Name | Theodore a Timothy |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1467983163 PECOS PAC ID: 1557633419 Enrollment ID: I20210928003753 |
| Provider Name | Moon Hee Hur |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629425665 PECOS PAC ID: 4880985480 Enrollment ID: I20211006000944 |
| Provider Name | Syed Saad Iqbal |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093351926 PECOS PAC ID: 9335547389 Enrollment ID: I20211006001238 |
| Provider Name | Andrew C Rausch |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1144640673 PECOS PAC ID: 2961746284 Enrollment ID: I20211006002225 |
| Provider Name | Nicole D Edison |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033597729 PECOS PAC ID: 1951648948 Enrollment ID: I20211007001803 |
| Provider Name | Nathaniel J Glasser |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932633120 PECOS PAC ID: 7315213030 Enrollment ID: I20211007003502 |
| Provider Name | Alejandra C Lastra |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1366605776 PECOS PAC ID: 4587833827 Enrollment ID: I20211012002023 |
| Provider Name | Amy Xu |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1538689674 PECOS PAC ID: 4789928458 Enrollment ID: I20211012002240 |
| Provider Name | Lorriane Elsie Canham |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1447678263 PECOS PAC ID: 2365741444 Enrollment ID: I20211012002988 |
| Provider Name | Rachel W Galanos |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1558985242 PECOS PAC ID: 9032517495 Enrollment ID: I20211015000055 |
| Provider Name | Sumit Jain |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1437507316 PECOS PAC ID: 7810288453 Enrollment ID: I20211022000266 |
| Provider Name | Michelle Puszynski |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1942731070 PECOS PAC ID: 3274890298 Enrollment ID: I20211025001052 |
| Provider Name | Edward J Kim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588198626 PECOS PAC ID: 5597153494 Enrollment ID: I20211026002523 |
| Provider Name | Jeremy Wallin-sanchez |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1760918635 PECOS PAC ID: 2062782279 Enrollment ID: I20211027000747 |
| Provider Name | Hiba a Haider |
|---|---|
| Provider Type | Practitioner - Epileptologists |
| Provider Identifiers | NPI Number: 1558687939 PECOS PAC ID: 3476860438 Enrollment ID: I20211029001873 |
| Provider Name | Nancy L Arndt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114697562 PECOS PAC ID: 7416345962 Enrollment ID: I20211102002466 |
| Provider Name | Julie Ann Santana |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1649851833 PECOS PAC ID: 7719949056 Enrollment ID: I20211102002658 |
| Provider Name | Hena Patel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1962840843 PECOS PAC ID: 3274823240 Enrollment ID: I20211103001879 |
| Provider Name | Romulo M Mocorro |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1821194010 PECOS PAC ID: 4486672011 Enrollment ID: I20211108002346 |
| Provider Name | Miyeita Giselle Magee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538624184 PECOS PAC ID: 3870982119 Enrollment ID: I20211108002554 |
| Provider Name | Neha Rani Bhardwaj |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659683837 PECOS PAC ID: 4587880398 Enrollment ID: I20211109001060 |
| Provider Name | Christopher Thomas Salerno |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1245259837 PECOS PAC ID: 8123024882 Enrollment ID: I20211109002782 |
| Provider Name | Edward G Unruh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811660533 PECOS PAC ID: 6507255726 Enrollment ID: I20211110000016 |
| Provider Name | Marita a Kametas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497424873 PECOS PAC ID: 9537558606 Enrollment ID: I20211110002198 |
| Provider Name | Shivika Trivedi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1023451267 PECOS PAC ID: 6406155092 Enrollment ID: I20211110002452 |
| Provider Name | Seline Bhanu Rajan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750871190 PECOS PAC ID: 0941543474 Enrollment ID: I20211116000623 |
| Provider Name | Muhammad Fayyaz Ahmed |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1922482850 PECOS PAC ID: 6103258074 Enrollment ID: I20211116002298 |
| Provider Name | Hector a Preti |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1861484628 PECOS PAC ID: 3476540634 Enrollment ID: I20211117002920 |
| Provider Name | Roshni T Patel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1972276640 PECOS PAC ID: 0840680815 Enrollment ID: I20211206002241 |
| Provider Name | Keena E Bikulcius |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225700255 PECOS PAC ID: 2769872779 Enrollment ID: I20211207000574 |
| Provider Name | Kristin Noel Rosseau |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093243149 PECOS PAC ID: 9234408147 Enrollment ID: I20211207001510 |
| Provider Name | Chloe S Glispie-gogins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053992362 PECOS PAC ID: 4880084748 Enrollment ID: I20211208001066 |
| Provider Name | Megan Rose Silas |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1821450578 PECOS PAC ID: 0244508752 Enrollment ID: I20211215002787 |
| Provider Name | Amanda Kathryn Browning |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1992328603 PECOS PAC ID: 7012308547 Enrollment ID: I20211216002870 |
| Provider Name | Mindy Thi Dinh |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1356006241 PECOS PAC ID: 7113318460 Enrollment ID: I20211222000861 |
| Provider Name | Katherine Calvelo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710650577 PECOS PAC ID: 3779974951 Enrollment ID: I20211222002557 |
| Provider Name | Marcus L Forward |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336767292 PECOS PAC ID: 7214328491 Enrollment ID: I20211222002577 |
| Provider Name | Tyler M Tschida |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1619496619 PECOS PAC ID: 2668734864 Enrollment ID: I20211223001059 |
| Provider Name | Allison H Foster |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407012735 PECOS PAC ID: 2062803919 Enrollment ID: I20220103001481 |
| Provider Name | Marielena Bachier-rodriguez |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1376839969 PECOS PAC ID: 8527314533 Enrollment ID: I20220114001163 |
| Provider Name | Sarah E O'rourke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982368239 PECOS PAC ID: 9537551742 Enrollment ID: I20220120002430 |
| Provider Name | Nymisha a Rao |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992290621 PECOS PAC ID: 8426304189 Enrollment ID: I20220121002178 |
| Provider Name | Katie I Swail |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1184292583 PECOS PAC ID: 6901298025 Enrollment ID: I20220124001709 |
| Provider Name | Kayla M Steinhorst |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1013674100 PECOS PAC ID: 1850784505 Enrollment ID: I20220202000874 |
| Provider Name | Jason K Anderson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1407908098 PECOS PAC ID: 3779682661 Enrollment ID: I20220210002717 |
| Provider Name | Rachel Jachim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558020826 PECOS PAC ID: 1759774714 Enrollment ID: I20220215002071 |
| Provider Name | Nicole Bardoczi |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528644002 PECOS PAC ID: 4880087865 Enrollment ID: I20220216000459 |
| Provider Name | Katiun Attarpour |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1568883072 PECOS PAC ID: 2365835287 Enrollment ID: I20220216002194 |
| Provider Name | Todd Lasch |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1295306595 PECOS PAC ID: 4688067531 Enrollment ID: I20220217000757 |
| Provider Name | Kimberly Allyson Homa |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1871012807 PECOS PAC ID: 1759774631 Enrollment ID: I20220217001664 |
| Provider Name | Angela Kurian |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1982111571 PECOS PAC ID: 2466846241 Enrollment ID: I20220221000687 |
| Provider Name | Julie Ann Johnsen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1821300559 PECOS PAC ID: 2365836160 Enrollment ID: I20220221001218 |
| Provider Name | Elisa M Goreski |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1700399953 PECOS PAC ID: 3274927082 Enrollment ID: I20220221001666 |
| Provider Name | Mallory Fink |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1790142164 PECOS PAC ID: 7618275470 Enrollment ID: I20220222000627 |
| Provider Name | Sally Elisa Lam |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043975709 PECOS PAC ID: 4789078551 Enrollment ID: I20220222001492 |
| Provider Name | Laura Camille Michalesko |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1902004922 PECOS PAC ID: 3971997602 Enrollment ID: I20220223001745 |
| Provider Name | Andrea Schoen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528638616 PECOS PAC ID: 1456745033 Enrollment ID: I20220224000796 |
| Provider Name | Geoffrey M Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841951415 PECOS PAC ID: 0446644835 Enrollment ID: I20220301001176 |
| Provider Name | Brittany Lundy |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1407466121 PECOS PAC ID: 7214321439 Enrollment ID: I20220303000900 |
| Provider Name | Corinne E Novelli |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1366109225 PECOS PAC ID: 2264826494 Enrollment ID: I20220303001112 |
| Provider Name | Jeremy a Slivnick |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1831570118 PECOS PAC ID: 1951601897 Enrollment ID: I20220303002045 |
| Provider Name | Patrick R Johnson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497410583 PECOS PAC ID: 2062806227 Enrollment ID: I20220303002423 |
| Provider Name | Garrett Sawyer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063028017 PECOS PAC ID: 2961896170 Enrollment ID: I20220304001417 |
| Provider Name | Courtney K Gibney |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1932641776 PECOS PAC ID: 0446644553 Enrollment ID: I20220304001619 |
| Provider Name | Seana L Choe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477219962 PECOS PAC ID: 5698169704 Enrollment ID: I20220304001705 |
| Provider Name | Abid D Khan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1952622847 PECOS PAC ID: 3476854134 Enrollment ID: I20220304002013 |
| Provider Name | Noelle H Wallin-sanchez |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1194209718 PECOS PAC ID: 6507269438 Enrollment ID: I20220308000539 |
| Provider Name | Julie C Gruszczynski |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1225783061 PECOS PAC ID: 1254725211 Enrollment ID: I20220308002584 |
| Provider Name | Jack J Knight |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790931525 PECOS PAC ID: 5597150508 Enrollment ID: I20220309001915 |
| Provider Name | Bryan Kent Hendrickson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740675040 PECOS PAC ID: 6103107768 Enrollment ID: I20220310002881 |
| Provider Name | Kimberly L Kramer |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1013316835 PECOS PAC ID: 8426443367 Enrollment ID: I20220311001533 |
| Provider Name | Gilda G Rivera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003579541 PECOS PAC ID: 8729473335 Enrollment ID: I20220317002096 |
| Provider Name | Christina M Gasparian |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1831762855 PECOS PAC ID: 6608261219 Enrollment ID: I20220317002271 |
| Provider Name | Alisha R Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649936485 PECOS PAC ID: 6507251121 Enrollment ID: I20220317002375 |
| Provider Name | Jennifer a Vandevelde |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1669138475 PECOS PAC ID: 4587059100 Enrollment ID: I20220317002418 |
| Provider Name | Elizabeth J Lee-eng |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1851051189 PECOS PAC ID: 7416342969 Enrollment ID: I20220318001175 |
| Provider Name | Cynthia C Perez |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1174923452 PECOS PAC ID: 4688893316 Enrollment ID: I20220318002045 |
| Provider Name | Puja S Patel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1245990746 PECOS PAC ID: 5597150029 Enrollment ID: I20220321001598 |
| Provider Name | Aiyah Jandali |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689024903 PECOS PAC ID: 8123424462 Enrollment ID: I20220328000500 |
| Provider Name | Hiroto Kitahara |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1760930028 PECOS PAC ID: 2466733118 Enrollment ID: I20220328000775 |
| Provider Name | Syrii L Beyer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1225785298 PECOS PAC ID: 8921494865 Enrollment ID: I20220401001599 |
| Provider Name | Sean Patrick Polster |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1144666348 PECOS PAC ID: 2466755814 Enrollment ID: I20220401002004 |
| Provider Name | Alicia Marie Mcdaniel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225797863 PECOS PAC ID: 9537555313 Enrollment ID: I20220404000996 |
| Provider Name | Gabrielle R Woodman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1720659063 PECOS PAC ID: 3678969425 Enrollment ID: I20220405001062 |
| Provider Name | Melanie Claver |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1356092134 PECOS PAC ID: 0749676948 Enrollment ID: I20220414001344 |
| Provider Name | Emily a Socha |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1912650755 PECOS PAC ID: 5193111359 Enrollment ID: I20220415000886 |
| Provider Name | Ryan Mitacek |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639674211 PECOS PAC ID: 2365793940 Enrollment ID: I20220415001171 |
| Provider Name | Courtney Brown |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1760143317 PECOS PAC ID: 2466849526 Enrollment ID: I20220420002253 |
| Provider Name | Mary C Burke |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1497065312 PECOS PAC ID: 6800085010 Enrollment ID: I20220421001448 |
| Provider Name | Florence S Shin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245601343 PECOS PAC ID: 3678960010 Enrollment ID: I20220503002268 |
| Provider Name | Jamie O'connor Staudt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952895492 PECOS PAC ID: 5597012328 Enrollment ID: I20220504001530 |
| Provider Name | Sarah R Massey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881338895 PECOS PAC ID: 4486031499 Enrollment ID: I20220512002280 |
| Provider Name | Caitlyn M Schiek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386305795 PECOS PAC ID: 2567849375 Enrollment ID: I20220517002331 |
| Provider Name | Naiomi Gunaratne |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659865558 PECOS PAC ID: 6204173719 Enrollment ID: I20220518000217 |
| Provider Name | Amanda N Stachurski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124792734 PECOS PAC ID: 1355728098 Enrollment ID: I20220518000593 |
| Provider Name | Kelley M Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013674993 PECOS PAC ID: 4688051360 Enrollment ID: I20220518002436 |
| Provider Name | Keisha a Watts |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1174270649 PECOS PAC ID: 9739568080 Enrollment ID: I20220616003102 |
| Provider Name | Emily Mancewicz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1942816798 PECOS PAC ID: 6507245727 Enrollment ID: I20220618000262 |
| Provider Name | Jehad Zakaria |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1225455181 PECOS PAC ID: 3577942283 Enrollment ID: I20220625000312 |
| Provider Name | Megan Christine Elios |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043690282 PECOS PAC ID: 2860796265 Enrollment ID: I20220628003466 |
| Provider Name | Nithin Satya Pusapati |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1376005199 PECOS PAC ID: 8921332404 Enrollment ID: I20220630002451 |
| Provider Name | Brittany Brechbuhl |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1255929733 PECOS PAC ID: 4385047521 Enrollment ID: I20220701002360 |
| Provider Name | Karim Karim |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1871164673 PECOS PAC ID: 3476948605 Enrollment ID: I20220707002350 |
| Provider Name | Mark Thomas Ritter |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1306430392 PECOS PAC ID: 5193128163 Enrollment ID: I20220709000172 |
| Provider Name | Seema K Patel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306475819 PECOS PAC ID: 2860872645 Enrollment ID: I20220711002399 |
| Provider Name | Melissa S Pessin |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1083704753 PECOS PAC ID: 2668423617 Enrollment ID: I20220712004083 |
| Provider Name | Frederick M Howard |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1326427923 PECOS PAC ID: 7214249457 Enrollment ID: I20220713000194 |
| Provider Name | Matthew J Gayed |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114456902 PECOS PAC ID: 7214205293 Enrollment ID: I20220721002423 |
| Provider Name | Elizabeth C Chan |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1548622541 PECOS PAC ID: 5395083794 Enrollment ID: I20220721002791 |
| Provider Name | Emily a Beck |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1962023531 PECOS PAC ID: 6800299785 Enrollment ID: I20220725000117 |
| Provider Name | Jennifer Delmonaco |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1740800739 PECOS PAC ID: 8426439308 Enrollment ID: I20220725000435 |
| Provider Name | Mark C Korpics |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1407382526 PECOS PAC ID: 5991075509 Enrollment ID: I20220728003616 |
| Provider Name | Gabriela Gonzalez |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1790449056 PECOS PAC ID: 8729460001 Enrollment ID: I20220803000868 |
| Provider Name | Nicholas a Feinberg |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639609829 PECOS PAC ID: 8022387752 Enrollment ID: I20220804000124 |
| Provider Name | Melissa Y Tjota |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1033647615 PECOS PAC ID: 2567731334 Enrollment ID: I20220804000191 |
| Provider Name | Kari a Rognlien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932877008 PECOS PAC ID: 2365824521 Enrollment ID: I20220804000409 |
| Provider Name | Shalini E Jayawickrama |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497214753 PECOS PAC ID: 5496089963 Enrollment ID: I20220804000493 |
| Provider Name | Michael Thomas Czapka |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1295265262 PECOS PAC ID: 8527338862 Enrollment ID: I20220804000914 |
| Provider Name | Jennifer H Hwang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346746864 PECOS PAC ID: 2860741097 Enrollment ID: I20220804002640 |
| Provider Name | Lauren He |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821559394 PECOS PAC ID: 9436484730 Enrollment ID: I20220805001909 |
| Provider Name | Timothy C Carll |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1063941102 PECOS PAC ID: 8022387638 Enrollment ID: I20220805002482 |
| Provider Name | Daphne Li |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1457778599 PECOS PAC ID: 0345541843 Enrollment ID: I20220805002940 |
| Provider Name | Macy E Koepke |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1013652320 PECOS PAC ID: 8325420367 Enrollment ID: I20220808000809 |
| Provider Name | Suchi Lawrence |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720744329 PECOS PAC ID: 6406239003 Enrollment ID: I20220815002151 |
| Provider Name | Jessica Schultz |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1043798135 PECOS PAC ID: 5496138869 Enrollment ID: I20220817002644 |
| Provider Name | Ilayna K Mehrtens |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1548919632 PECOS PAC ID: 2860875275 Enrollment ID: I20220818000048 |
| Provider Name | Riley S Boland |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710412606 PECOS PAC ID: 6507136355 Enrollment ID: I20220818002572 |
| Provider Name | Lorin M Brown |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1376622936 PECOS PAC ID: 4587677927 Enrollment ID: I20220818003117 |
| Provider Name | Sarah Catherine Greene |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1407340466 PECOS PAC ID: 3870841265 Enrollment ID: I20220818003691 |
| Provider Name | Coleen M Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629647201 PECOS PAC ID: 1951784271 Enrollment ID: I20220819001086 |
| Provider Name | Lauren M Kloeppinger |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1376131870 PECOS PAC ID: 6709260045 Enrollment ID: I20220906000223 |
| Provider Name | Rebeca X Ortiz Worthington |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164952107 PECOS PAC ID: 9436428273 Enrollment ID: I20220906001016 |
| Provider Name | Vasyl I Hereha |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1649761842 PECOS PAC ID: 6608123450 Enrollment ID: I20220906001382 |
| Provider Name | Emily Scholl |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1962148411 PECOS PAC ID: 2365826641 Enrollment ID: I20220906001789 |
| Provider Name | Dedeepya Konuthula |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780176610 PECOS PAC ID: 3173879764 Enrollment ID: I20220907000587 |
| Provider Name | Suzette Smierciak |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1578719126 PECOS PAC ID: 1456411974 Enrollment ID: I20220907000747 |
| Provider Name | Vanessa L Buie |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1811377914 PECOS PAC ID: 4082917364 Enrollment ID: I20220907000837 |
| Provider Name | Sarah E Gardner Yelton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922492453 PECOS PAC ID: 6608124193 Enrollment ID: I20220912000152 |
| Provider Name | Jessica Figueroa |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013641539 PECOS PAC ID: 3678958626 Enrollment ID: I20220912003802 |
| Provider Name | Jehad Bittar |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1174029847 PECOS PAC ID: 1052644515 Enrollment ID: I20220913000831 |
| Provider Name | Catherine Borders |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1508360645 PECOS PAC ID: 1759766652 Enrollment ID: I20220913002827 |
| Provider Name | Umar M Kamal |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1518491463 PECOS PAC ID: 6305114430 Enrollment ID: I20220914001454 |
| Provider Name | Mary Mcmullan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386385649 PECOS PAC ID: 3274918057 Enrollment ID: I20220914002350 |
| Provider Name | Emily J Kivlehan |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1316300916 PECOS PAC ID: 3476836115 Enrollment ID: I20220915000811 |
| Provider Name | Ramez Nader Abdalla |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407410392 PECOS PAC ID: 9436484706 Enrollment ID: I20220915002173 |
| Provider Name | Jennifer Zoe Giannopoulos |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1255803888 PECOS PAC ID: 9638503089 Enrollment ID: I20220920002860 |
| Provider Name | Tyleranne Valerio |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1992436745 PECOS PAC ID: 7113302431 Enrollment ID: I20220922000290 |
| Provider Name | Anna M Lisowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578941407 PECOS PAC ID: 6002199825 Enrollment ID: I20220922001455 |
| Provider Name | Chen Lin |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1972959336 PECOS PAC ID: 5294020830 Enrollment ID: I20220930001862 |
| Provider Name | Rahaf Alkhateb |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1427587096 PECOS PAC ID: 1052797586 Enrollment ID: I20221006000202 |
| Provider Name | Beth A. Hirsley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487390795 PECOS PAC ID: 8820474323 Enrollment ID: I20221006003187 |
| Provider Name | Susan Elizabeth Pass |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1568955243 PECOS PAC ID: 5698029510 Enrollment ID: I20221007000266 |
| Provider Name | Jason P Lynch |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1982228912 PECOS PAC ID: 1658757927 Enrollment ID: I20221011000498 |
| Provider Name | Sierra Brook Kensinger |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1952838047 PECOS PAC ID: 3678844198 Enrollment ID: I20221012001897 |
| Provider Name | Samira Hameed |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1760048318 PECOS PAC ID: 2860821253 Enrollment ID: I20221018000166 |
| Provider Name | Darren S Bryan |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1306284138 PECOS PAC ID: 5294039939 Enrollment ID: I20221019003331 |
| Provider Name | Kaitlin Seibert |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1386172336 PECOS PAC ID: 0648540245 Enrollment ID: I20221020001148 |
| Provider Name | Vanessa Y NG |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1831622182 PECOS PAC ID: 4688040330 Enrollment ID: I20221020001241 |
| Provider Name | Mckenna E Robinette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720723018 PECOS PAC ID: 7315313004 Enrollment ID: I20221020002571 |
| Provider Name | Brady Still |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1972031607 PECOS PAC ID: 6709156300 Enrollment ID: I20221021000588 |
| Provider Name | Tenzin Choden |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1609261296 PECOS PAC ID: 5799194015 Enrollment ID: I20221021001303 |
| Provider Name | Courtney N Cripps |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1437561446 PECOS PAC ID: 7719223163 Enrollment ID: I20221021001743 |
| Provider Name | Elizabeth Zavala |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1164926010 PECOS PAC ID: 1658620166 Enrollment ID: I20221021002215 |
| Provider Name | Madhusudan Ganigara |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679957377 PECOS PAC ID: 0547504292 Enrollment ID: I20221021002584 |
| Provider Name | Daniel Tobes |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1649792839 PECOS PAC ID: 5799151353 Enrollment ID: I20221022000098 |
| Provider Name | Jennifer Van Swol |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023500154 PECOS PAC ID: 5991055667 Enrollment ID: I20221025000067 |
| Provider Name | Claudia Grace Crumrine |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629797089 PECOS PAC ID: 1557737988 Enrollment ID: I20221026000773 |
| Provider Name | Daniel John Klarr |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518427400 PECOS PAC ID: 2668715343 Enrollment ID: I20221026001685 |
| Provider Name | Annunziato Pirrotta |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1376032136 PECOS PAC ID: 7911254149 Enrollment ID: I20221026002566 |
| Provider Name | Jared Romer B Cruz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992304398 PECOS PAC ID: 5799152013 Enrollment ID: I20221030000014 |
| Provider Name | Amna B Buttar |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1396799094 PECOS PAC ID: 3678523610 Enrollment ID: I20221031000878 |
| Provider Name | Muhammad Raza Aftab |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386121218 PECOS PAC ID: 2466853999 Enrollment ID: I20221101000441 |
| Provider Name | William Zhuolei Gao |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1427492727 PECOS PAC ID: 1052667433 Enrollment ID: I20221101000943 |
| Provider Name | Felipe Torres |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1073274775 PECOS PAC ID: 9638546575 Enrollment ID: I20221104001754 |
| Provider Name | Mark Nathan Belkin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1023499498 PECOS PAC ID: 3476856584 Enrollment ID: I20221107000544 |
| Provider Name | Marco Bonilla |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1932636636 PECOS PAC ID: 0941677876 Enrollment ID: I20221107002432 |
| Provider Name | Irfan Hussain |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1386090009 PECOS PAC ID: 2163716713 Enrollment ID: I20221107002674 |
| Provider Name | Claudio S Rivera |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1083271191 PECOS PAC ID: 7517363443 Enrollment ID: I20221108001093 |
| Provider Name | Leena Yousef-diaz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407338858 PECOS PAC ID: 1850636200 Enrollment ID: I20221108001598 |
| Provider Name | Gregory S Chasson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1629239629 PECOS PAC ID: 2264619519 Enrollment ID: I20221108002058 |
| Provider Name | Moira Mcdowell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114659455 PECOS PAC ID: 2062889876 Enrollment ID: I20221108002504 |
| Provider Name | Patricia D Zuccaro |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1427580588 PECOS PAC ID: 3375812969 Enrollment ID: I20221108002532 |
| Provider Name | Mubina Isani |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1346502507 PECOS PAC ID: 1557586625 Enrollment ID: I20221109000366 |
| Provider Name | Ryan M Boudreau |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1770902074 PECOS PAC ID: 9638396971 Enrollment ID: I20221110000315 |
| Provider Name | Sarah Jacobson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1508585712 PECOS PAC ID: 1355718982 Enrollment ID: I20221110000833 |
| Provider Name | Mary Kate Erdman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1144682311 PECOS PAC ID: 7416248844 Enrollment ID: I20221110001464 |
| Provider Name | Claire E Nader |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1568180032 PECOS PAC ID: 9032586698 Enrollment ID: I20221110001918 |
| Provider Name | Kehinde S Ajede |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1285129650 PECOS PAC ID: 9436408564 Enrollment ID: I20221110002758 |
| Provider Name | Claire Hafter |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1700523412 PECOS PAC ID: 1052788601 Enrollment ID: I20221111000451 |
| Provider Name | Joshua C Pan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1346771201 PECOS PAC ID: 4688945389 Enrollment ID: I20221114001510 |
| Provider Name | Marcial D Delid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144949181 PECOS PAC ID: 2062880479 Enrollment ID: I20221116000589 |
| Provider Name | Andrea D Olivas |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1659693612 PECOS PAC ID: 0143510081 Enrollment ID: I20221116002005 |
| Provider Name | Arielle G Cimeno |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1679916704 PECOS PAC ID: 2961700109 Enrollment ID: I20221116002684 |
| Provider Name | Douglas William Rybar |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1093205981 PECOS PAC ID: 5799019394 Enrollment ID: I20221118002354 |
| Provider Name | Jennifer Khan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114257375 PECOS PAC ID: 7517335599 Enrollment ID: I20221122003469 |
| Provider Name | Emily Wang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801522644 PECOS PAC ID: 0547638652 Enrollment ID: I20221123000048 |
| Provider Name | Mohammed a Siddiqui |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508228669 PECOS PAC ID: 8820382328 Enrollment ID: I20221201001843 |
| Provider Name | Kimberly Sharon Cole |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1952540460 PECOS PAC ID: 8224208707 Enrollment ID: I20221201002283 |
| Provider Name | Jasmine R Hammerstad |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1245977461 PECOS PAC ID: 4587032131 Enrollment ID: I20221201002379 |
| Provider Name | Roshni Shah |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1518604784 PECOS PAC ID: 5395113948 Enrollment ID: I20221201002432 |
| Provider Name | Rachel Ruderman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285026013 PECOS PAC ID: 8921344235 Enrollment ID: I20221202000631 |
| Provider Name | Ted a Skolarus |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1063531457 PECOS PAC ID: 7416073275 Enrollment ID: I20221202002643 |
| Provider Name | Charlotte Louise Kvasnovsky |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639481476 PECOS PAC ID: 8325347545 Enrollment ID: I20221202002879 |
| Provider Name | Christopher Low |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1790152155 PECOS PAC ID: 1658664701 Enrollment ID: I20221203000085 |
| Provider Name | Jamie Natkin |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1144866351 PECOS PAC ID: 7810366416 Enrollment ID: I20221205000110 |
| Provider Name | Joseph Benjamin Meleca |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1538520465 PECOS PAC ID: 8224321773 Enrollment ID: I20221206000769 |
| Provider Name | Dena Ashley Oaklander |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316301864 PECOS PAC ID: 4183917727 Enrollment ID: I20221213002629 |
| Provider Name | Anthony V Christiano |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1316391212 PECOS PAC ID: 4082950332 Enrollment ID: I20221214000473 |
| Provider Name | Danielle J Daoud |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1669198776 PECOS PAC ID: 5294104295 Enrollment ID: I20221214001730 |
| Provider Name | Stephanie Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104552058 PECOS PAC ID: 9234508250 Enrollment ID: I20221214002626 |
| Provider Name | Samantha Winslow |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1174245179 PECOS PAC ID: 9335518141 Enrollment ID: I20221216000775 |
| Provider Name | Tovah Rachael Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801554118 PECOS PAC ID: 4587033329 Enrollment ID: I20221216002298 |
| Provider Name | Izabella Klima |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588281471 PECOS PAC ID: 0143690834 Enrollment ID: I20221220002689 |
| Provider Name | Kabirat O Tepede |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1154052819 PECOS PAC ID: 6507236114 Enrollment ID: I20221222002116 |
| Provider Name | Hannah Doherty |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1679235360 PECOS PAC ID: 9234509720 Enrollment ID: I20221227001319 |
| Provider Name | Lindsey M Eastman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811491269 PECOS PAC ID: 3971850900 Enrollment ID: I20221228002391 |
| Provider Name | Yangfeifei Gao |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1578217683 PECOS PAC ID: 2567832926 Enrollment ID: I20221228002733 |
| Provider Name | Marc G Sycip |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740693787 PECOS PAC ID: 7719357169 Enrollment ID: I20221230000944 |
| Provider Name | Sofia Buenaventura |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699272146 PECOS PAC ID: 6103175880 Enrollment ID: I20221230001313 |
| Provider Name | Christopher J Lehmann |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154717809 PECOS PAC ID: 6507177169 Enrollment ID: I20221230001955 |
| Provider Name | Katherine Rivlin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1487884946 PECOS PAC ID: 0941443014 Enrollment ID: I20221230002402 |
| Provider Name | Cara E O'brien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992414437 PECOS PAC ID: 1456721653 Enrollment ID: I20230104002679 |
| Provider Name | Jenna Marlett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932820800 PECOS PAC ID: 7214307321 Enrollment ID: I20230106001026 |
| Provider Name | Kathryn Groechel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1972210847 PECOS PAC ID: 6406226307 Enrollment ID: I20230111001162 |
| Provider Name | Hena S Arora |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427266220 PECOS PAC ID: 5496125205 Enrollment ID: I20230111002365 |
| Provider Name | Elizabeth C Cloughly |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1659089894 PECOS PAC ID: 7810367646 Enrollment ID: I20230111003123 |
| Provider Name | Katherine F Ligue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932732096 PECOS PAC ID: 0648641456 Enrollment ID: I20230113000412 |
| Provider Name | Rachel Yoakum |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1538882329 PECOS PAC ID: 7618348434 Enrollment ID: I20230113001147 |
| Provider Name | Nicole K Gazdzik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376284091 PECOS PAC ID: 7113398967 Enrollment ID: I20230113002224 |
| Provider Name | Amanda R Larrea |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1952024952 PECOS PAC ID: 2062883408 Enrollment ID: I20230124000337 |
| Provider Name | Katherine Wagner |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1508587148 PECOS PAC ID: 1355712654 Enrollment ID: I20230125000134 |
| Provider Name | Molly H Merrill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912626763 PECOS PAC ID: 4587035803 Enrollment ID: I20230125001001 |
| Provider Name | Brittany a Bindon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811346398 PECOS PAC ID: 7416249693 Enrollment ID: I20230125001125 |
| Provider Name | Kelli E Skvarenina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366165383 PECOS PAC ID: 5597136721 Enrollment ID: I20230125001961 |
| Provider Name | Kimberly N Huynh |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1043927098 PECOS PAC ID: 6901277193 Enrollment ID: I20230126001245 |
| Provider Name | Issa Alhamoud |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407231913 PECOS PAC ID: 6002164050 Enrollment ID: I20230202000216 |
| Provider Name | Sarah C Strehlau |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528779824 PECOS PAC ID: 8022480417 Enrollment ID: I20230213000907 |
| Provider Name | Caroline L Thomas |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1588058689 PECOS PAC ID: 5294083648 Enrollment ID: I20230215002637 |
| Provider Name | Xiaoyi Li |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1063754687 PECOS PAC ID: 2264853670 Enrollment ID: I20230216002703 |
| Provider Name | Matthew J Cummings |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801031547 PECOS PAC ID: 1456406594 Enrollment ID: I20230217001740 |
| Provider Name | Misba Farooqi |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1538815030 PECOS PAC ID: 5092188581 Enrollment ID: I20230303000574 |
| Provider Name | Perry C Morocco |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518357235 PECOS PAC ID: 2365744802 Enrollment ID: I20230306001131 |
| Provider Name | Brittany E Kamal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609597624 PECOS PAC ID: 8022481274 Enrollment ID: I20230308002879 |
| Provider Name | Dana L Hayes |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1033842570 PECOS PAC ID: 1355714536 Enrollment ID: I20230309000990 |
| Provider Name | Elizabeth M Kriz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1144931528 PECOS PAC ID: 5294108486 Enrollment ID: I20230309001331 |
| Provider Name | Julia T Maggioli |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891356218 PECOS PAC ID: 2567793144 Enrollment ID: I20230309001735 |
| Provider Name | Richard Torben Hansen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1083188650 PECOS PAC ID: 4880933118 Enrollment ID: I20230315003037 |
| Provider Name | Alia Kaakani |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1982066510 PECOS PAC ID: 6507156841 Enrollment ID: I20230316001611 |
| Provider Name | Julia K Woods |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235859273 PECOS PAC ID: 5698149813 Enrollment ID: I20230329001970 |
| Provider Name | Leziga Ture Obiyo |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1851822852 PECOS PAC ID: 5294009759 Enrollment ID: I20230329003211 |
| Provider Name | Tamisha a Novak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336851997 PECOS PAC ID: 8224402417 Enrollment ID: I20230330001669 |
| Provider Name | Misty C Morreyn |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1356056188 PECOS PAC ID: 1850765041 Enrollment ID: I20230330001732 |
| Provider Name | Omaimah S Mahrat |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508452764 PECOS PAC ID: 8426423617 Enrollment ID: I20230330002037 |
| Provider Name | Julieta Barroeta Lastra |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1194890764 PECOS PAC ID: 6305949405 Enrollment ID: I20230413001652 |
| Provider Name | Lira L Palen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548967813 PECOS PAC ID: 3678948072 Enrollment ID: I20230418000948 |
| Provider Name | Michael C Kurz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518998939 PECOS PAC ID: 0143224683 Enrollment ID: I20230418001037 |
| Provider Name | Dawn M Conway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023721156 PECOS PAC ID: 5597130898 Enrollment ID: I20230418001364 |
| Provider Name | Beatrice L Concepcion |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1518143551 PECOS PAC ID: 6406099092 Enrollment ID: I20230418001799 |
| Provider Name | Fatema Jahra |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1083133664 PECOS PAC ID: 4981942158 Enrollment ID: I20230418001910 |
| Provider Name | Jignesh V Unadkat |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1982869533 PECOS PAC ID: 3072787647 Enrollment ID: I20230418002597 |
| Provider Name | Michelle Galos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558901108 PECOS PAC ID: 0840656815 Enrollment ID: I20230517000954 |
| Provider Name | Lauren E Reno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336881770 PECOS PAC ID: 5991161903 Enrollment ID: I20230517002697 |
| Provider Name | Angela Whittington |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821528464 PECOS PAC ID: 0648543884 Enrollment ID: I20230517003507 |
| Provider Name | Shengen NP Yeh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538896907 PECOS PAC ID: 7719343672 Enrollment ID: I20230518001502 |
| Provider Name | Gina Bruscianelli |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1467076174 PECOS PAC ID: 4183028673 Enrollment ID: I20230518001674 |
| Provider Name | Frances E Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467164939 PECOS PAC ID: 8426414202 Enrollment ID: I20230522000417 |
| Provider Name | Kristen Marie Schmutzler |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1407517238 PECOS PAC ID: 8022474758 Enrollment ID: I20230522002910 |
| Provider Name | Hia Alazzam |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1760068167 PECOS PAC ID: 5698168631 Enrollment ID: I20230530002327 |
| Provider Name | Jayro Cortez |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1902509615 PECOS PAC ID: 5890152946 Enrollment ID: I20230605001081 |
| Provider Name | Scott Christopher Blaszak |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1265994925 PECOS PAC ID: 8921434929 Enrollment ID: I20230605002728 |
| Provider Name | Michelle a Mucasey |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1760136782 PECOS PAC ID: 7618335258 Enrollment ID: I20230614001619 |
| Provider Name | Katherine P Maher |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1275294696 PECOS PAC ID: 5890153472 Enrollment ID: I20230614003060 |
| Provider Name | Melissa Tumpich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457057333 PECOS PAC ID: 5991163446 Enrollment ID: I20230615002217 |
| Provider Name | Kathryn a Stigliano |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871028290 PECOS PAC ID: 6204234925 Enrollment ID: I20230620001704 |
| Provider Name | Caitlin Kairys |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1124361274 PECOS PAC ID: 7517101413 Enrollment ID: I20230630000676 |
| Provider Name | Angelica Moran |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1164878195 PECOS PAC ID: 5193059764 Enrollment ID: I20230703000699 |
| Provider Name | Stephanie C Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942990015 PECOS PAC ID: 4789043514 Enrollment ID: I20230711002404 |
| Provider Name | Alex Mauricio Pompa Gale |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558821199 PECOS PAC ID: 1153657283 Enrollment ID: I20230711003282 |
| Provider Name | Stacey Gusak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649859521 PECOS PAC ID: 4486014933 Enrollment ID: I20230717001159 |
| Provider Name | Baddr a Shakhsheer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1285865527 PECOS PAC ID: 1557664653 Enrollment ID: I20230719000192 |
| Provider Name | Steven M Hartzler |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1831724061 PECOS PAC ID: 1052771060 Enrollment ID: I20230721000531 |
| Provider Name | Joy N Newman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386350080 PECOS PAC ID: 4688034697 Enrollment ID: I20230721000570 |
| Provider Name | Insiyyah Y Patanwala |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043505027 PECOS PAC ID: 6800196528 Enrollment ID: I20230721002053 |
| Provider Name | Chana M Ungar |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1821792193 PECOS PAC ID: 2466812433 Enrollment ID: I20230721002866 |
| Provider Name | Amy M Fitzgibbon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194282061 PECOS PAC ID: 0244571404 Enrollment ID: I20230724000891 |
| Provider Name | Anne K Vanden Belt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154381648 PECOS PAC ID: 3971678640 Enrollment ID: I20230724001018 |
| Provider Name | Hannah Tomiko Ryles |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720547656 PECOS PAC ID: 8022346543 Enrollment ID: I20230725002964 |
| Provider Name | Hyung Sun Choi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1609028851 PECOS PAC ID: 7810135043 Enrollment ID: I20230726000374 |
| Provider Name | Eric Michael Montminy |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1528420569 PECOS PAC ID: 6204129026 Enrollment ID: I20230726001111 |
| Provider Name | Abena K Poku |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497441919 PECOS PAC ID: 3476914276 Enrollment ID: I20230726002011 |
| Provider Name | Nikola Aleksandar Lukic |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750079448 PECOS PAC ID: 3779944582 Enrollment ID: I20230726002306 |
| Provider Name | Kimberly Anne Schwartz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649333626 PECOS PAC ID: 3274598198 Enrollment ID: I20230728001726 |
| Provider Name | Gina a Frank |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487365219 PECOS PAC ID: 8123489432 Enrollment ID: I20230803000391 |
| Provider Name | Timothy Alan Williams |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124645700 PECOS PAC ID: 8224499348 Enrollment ID: I20230804001182 |
| Provider Name | Deborah Cuellar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558073387 PECOS PAC ID: 3476915018 Enrollment ID: I20230815001485 |
| Provider Name | Theiju Sebastian |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215465950 PECOS PAC ID: 9739424185 Enrollment ID: I20230816001739 |
| Provider Name | Rachael Balthazore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386336790 PECOS PAC ID: 7416319785 Enrollment ID: I20230817003929 |
| Provider Name | Jessica Garcia |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1467130898 PECOS PAC ID: 1052773165 Enrollment ID: I20230821003070 |
| Provider Name | Idia Arebanmhen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093276016 PECOS PAC ID: 8022348556 Enrollment ID: I20230823004001 |
| Provider Name | Tamer a Albataineh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801442298 PECOS PAC ID: 0648509695 Enrollment ID: I20230828000610 |
| Provider Name | Atsushi Nemoto |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1891214250 PECOS PAC ID: 4688037492 Enrollment ID: I20230828000887 |
| Provider Name | Bashar K Ramadan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952953028 PECOS PAC ID: 2466781455 Enrollment ID: I20230828001448 |
| Provider Name | Yvonne El Kassis |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1417202235 PECOS PAC ID: 9931457413 Enrollment ID: I20230828002288 |
| Provider Name | Benjamin C Krasity |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740710821 PECOS PAC ID: 2062781784 Enrollment ID: I20230828002446 |
| Provider Name | Caner Saygin |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1124559810 PECOS PAC ID: 3274804257 Enrollment ID: I20230828002460 |
| Provider Name | Sarah L Ashmore |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790274280 PECOS PAC ID: 6507104767 Enrollment ID: I20230828003978 |
| Provider Name | Jake Schaffer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396432027 PECOS PAC ID: 8921461625 Enrollment ID: I20230829000954 |
| Provider Name | Flor M Cerda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710663943 PECOS PAC ID: 6002279601 Enrollment ID: I20230830001239 |
| Provider Name | Taylor Petrusevski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689294654 PECOS PAC ID: 8022431147 Enrollment ID: I20230830002404 |
| Provider Name | Kurt Eugene Alberson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1538652920 PECOS PAC ID: 4880941624 Enrollment ID: I20230830003680 |
| Provider Name | Benjamin D Mcdonald |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1306374905 PECOS PAC ID: 6002185816 Enrollment ID: I20230831004149 |
| Provider Name | Ibett Colina Garcia |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1508249723 PECOS PAC ID: 7911201280 Enrollment ID: I20230904000271 |
| Provider Name | Courtney C Slabaugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386359933 PECOS PAC ID: 6204290380 Enrollment ID: I20230907002162 |
| Provider Name | Elizabeth R Yarbrough |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407559602 PECOS PAC ID: 7416311501 Enrollment ID: I20230907002374 |
| Provider Name | Jody Allan Sanchez Junia |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710065206 PECOS PAC ID: 1052312832 Enrollment ID: I20230907002450 |
| Provider Name | Shilpa D Kailas |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1104359454 PECOS PAC ID: 4688098700 Enrollment ID: I20230907003195 |
| Provider Name | Ariel Halper Stromberg |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1669902482 PECOS PAC ID: 7012287600 Enrollment ID: I20230907003507 |
| Provider Name | Joshua D Sevier |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1477053866 PECOS PAC ID: 5799037826 Enrollment ID: I20230908002322 |
| Provider Name | Rohan R Katipally |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1689168205 PECOS PAC ID: 1557619897 Enrollment ID: I20230908003213 |
| Provider Name | Tracey Fan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1174055784 PECOS PAC ID: 2860761327 Enrollment ID: I20230911002186 |
| Provider Name | Krystal J Agnew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699472308 PECOS PAC ID: 7315301041 Enrollment ID: I20230914001085 |
| Provider Name | Oluwasoore Akande |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063917953 PECOS PAC ID: 8729418397 Enrollment ID: I20230914001684 |
| Provider Name | Catherine Mary Groden |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790177590 PECOS PAC ID: 2062842578 Enrollment ID: I20230915000434 |
| Provider Name | Alexander Gall |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275068777 PECOS PAC ID: 0143598466 Enrollment ID: I20230918002270 |
| Provider Name | Serena Yin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1083106967 PECOS PAC ID: 9739438482 Enrollment ID: I20230920003508 |
| Provider Name | Brianna Dominique Cameron |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1770216095 PECOS PAC ID: 1759735848 Enrollment ID: I20230922002256 |
| Provider Name | Amy Elizabeth Espinal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1114380318 PECOS PAC ID: 1658615588 Enrollment ID: I20230922003043 |
| Provider Name | James E Siegler |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1104265529 PECOS PAC ID: 8527332394 Enrollment ID: I20230925000107 |
| Provider Name | Mecker G Moller |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1962601492 PECOS PAC ID: 1759479009 Enrollment ID: I20230925000161 |
| Provider Name | Allison J Law |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922636638 PECOS PAC ID: 4385098441 Enrollment ID: I20230925000914 |
| Provider Name | Bradford Chong |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1164886479 PECOS PAC ID: 4486997210 Enrollment ID: I20230925001013 |
| Provider Name | Penelope G Ruppert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366158529 PECOS PAC ID: 1355795311 Enrollment ID: I20230925001080 |
| Provider Name | Kylee Allen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1659063394 PECOS PAC ID: 9638523699 Enrollment ID: I20230925001499 |
| Provider Name | Gabrielle Frisenda |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1073177366 PECOS PAC ID: 2769836758 Enrollment ID: I20230925002733 |
| Provider Name | Alyssa Lauren Kinford |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659909489 PECOS PAC ID: 4486008489 Enrollment ID: I20230925002815 |
| Provider Name | Miriam Rose Ben Abdallah |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043741556 PECOS PAC ID: 7618219262 Enrollment ID: I20230925002835 |
| Provider Name | Mohammed Abdur Rafey |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1194750810 PECOS PAC ID: 4981705589 Enrollment ID: I20230925003237 |
| Provider Name | Robert B Hughey |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1871055897 PECOS PAC ID: 3577917434 Enrollment ID: I20230926002300 |
| Provider Name | Anna E Mccormick |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649624669 PECOS PAC ID: 8325385743 Enrollment ID: I20230926002698 |
| Provider Name | Thomas a Bielawiec |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1073076295 PECOS PAC ID: 4688098262 Enrollment ID: I20230926003165 |
| Provider Name | Sneha Bontu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760011803 PECOS PAC ID: 5991159816 Enrollment ID: I20230927000459 |
| Provider Name | Sho T Yano |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013279330 PECOS PAC ID: 1951604560 Enrollment ID: I20230927001211 |
| Provider Name | Amy Jacqueline Altenberger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881374700 PECOS PAC ID: 8426402264 Enrollment ID: I20230927001277 |
| Provider Name | Ellen L Maccracken |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1518132893 PECOS PAC ID: 2961856703 Enrollment ID: I20230927001321 |
| Provider Name | Erin E King |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245406339 PECOS PAC ID: 6204007941 Enrollment ID: I20230927002200 |
| Provider Name | Adam Benjamin Gorman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902429525 PECOS PAC ID: 4587085956 Enrollment ID: I20230928002483 |
| Provider Name | Gorav Ved Sharma |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1306293725 PECOS PAC ID: 8224374012 Enrollment ID: I20230928002871 |
| Provider Name | Vivian Doan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1770017816 PECOS PAC ID: 3173891603 Enrollment ID: I20230929002024 |
| Provider Name | Hannah Gielczyk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851023519 PECOS PAC ID: 8224482732 Enrollment ID: I20231002001381 |
| Provider Name | Olatunji Walter Williams |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952474710 PECOS PAC ID: 1759484140 Enrollment ID: I20231003001399 |
| Provider Name | Zoe Saavedra |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1215711619 PECOS PAC ID: 7214381623 Enrollment ID: I20231003002392 |
| Provider Name | Lestella Dorothy Bell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720609563 PECOS PAC ID: 8628492097 Enrollment ID: I20231011002092 |
| Provider Name | Jessica a Peterson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1013361666 PECOS PAC ID: 0446605349 Enrollment ID: I20231012002778 |
| Provider Name | Elizabeth Frances Bell |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1376034439 PECOS PAC ID: 2769731348 Enrollment ID: I20231012004034 |
| Provider Name | Han T Cun |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1649666942 PECOS PAC ID: 8224345160 Enrollment ID: I20231013000310 |
| Provider Name | Jamie Gallinati |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750084463 PECOS PAC ID: 2668827486 Enrollment ID: I20231016000435 |
| Provider Name | Megan K Applewhite |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1043449317 PECOS PAC ID: 7911204698 Enrollment ID: I20231016001045 |
| Provider Name | David Ryan Beam |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003443318 PECOS PAC ID: 4789003997 Enrollment ID: I20231016001300 |
| Provider Name | Stanley a Swat |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1598151409 PECOS PAC ID: 9335443431 Enrollment ID: I20231016001694 |
| Provider Name | Ibrahim Karademir |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699344994 PECOS PAC ID: 3678975455 Enrollment ID: I20231016002307 |
| Provider Name | Mohammad Atiq |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1851719967 PECOS PAC ID: 3577888361 Enrollment ID: I20231016002550 |
| Provider Name | Shubadra Priyadarshini |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1902301534 PECOS PAC ID: 4486990637 Enrollment ID: I20231016002954 |
| Provider Name | Lisa H Kang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871757252 PECOS PAC ID: 8628387677 Enrollment ID: I20231016003105 |
| Provider Name | Joseph W Franses |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1861830416 PECOS PAC ID: 7416184700 Enrollment ID: I20231016003612 |
| Provider Name | Dario M Villamar |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1548791437 PECOS PAC ID: 6709124217 Enrollment ID: I20231017000315 |
| Provider Name | Kaitlyn Mckenna |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1851086490 PECOS PAC ID: 1759736390 Enrollment ID: I20231017001661 |
| Provider Name | Lauren Michelle Mitchell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497382931 PECOS PAC ID: 7315309325 Enrollment ID: I20231017001734 |
| Provider Name | Simon L Parzen-johnson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710410345 PECOS PAC ID: 8921453572 Enrollment ID: I20231017001738 |
| Provider Name | Swapna Reddy |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1932424264 PECOS PAC ID: 3072730480 Enrollment ID: I20231017001946 |
| Provider Name | Lin Shen |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1518266006 PECOS PAC ID: 4789976317 Enrollment ID: I20231017002256 |
| Provider Name | Daniel L Maurer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306545678 PECOS PAC ID: 3971958554 Enrollment ID: I20231017003285 |
| Provider Name | Shannon L Casey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801591706 PECOS PAC ID: 6305291998 Enrollment ID: I20231017003578 |
| Provider Name | Sudha R Yarlagadda |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1467831552 PECOS PAC ID: 8325493885 Enrollment ID: I20231018003190 |
| Provider Name | Jessica Rose Long |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346779063 PECOS PAC ID: 1153690961 Enrollment ID: I20231019001924 |
| Provider Name | Lady Margarette Tan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063110369 PECOS PAC ID: 9335595792 Enrollment ID: I20231023000214 |
| Provider Name | Amber E Johnson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1265724074 PECOS PAC ID: 8921258385 Enrollment ID: I20231024002552 |
| Provider Name | Ashley a Mackey |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598392169 PECOS PAC ID: 5395191589 Enrollment ID: I20231024003247 |
| Provider Name | Krishna R Mudimbi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1477728475 PECOS PAC ID: 0042343618 Enrollment ID: I20231025002892 |
| Provider Name | Phillip Dowzicky |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1427469345 PECOS PAC ID: 1052610508 Enrollment ID: I20231025003327 |
| Provider Name | Kishan H Patel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1033678115 PECOS PAC ID: 9335472364 Enrollment ID: I20231031000633 |
| Provider Name | Abhinav Sidana |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1679899470 PECOS PAC ID: 4486884525 Enrollment ID: I20231031001682 |
| Provider Name | Ashley N Suah |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1720491772 PECOS PAC ID: 3971806779 Enrollment ID: I20231031001935 |
| Provider Name | Jocelyn a Ramadan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134477201 PECOS PAC ID: 8628385242 Enrollment ID: I20231031002005 |
| Provider Name | Charles F Mitchell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093334146 PECOS PAC ID: 0446606081 Enrollment ID: I20231102000605 |
| Provider Name | Joseph Wilson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861925257 PECOS PAC ID: 1951676709 Enrollment ID: I20231102000755 |
| Provider Name | Jocelyn Wascher |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285195362 PECOS PAC ID: 6002278876 Enrollment ID: I20231102000825 |
| Provider Name | Bernice M Fokum |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821618034 PECOS PAC ID: 1557785680 Enrollment ID: I20231102001006 |
| Provider Name | Jared D Williams |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770160137 PECOS PAC ID: 4082016696 Enrollment ID: I20231102001177 |
| Provider Name | Betty Fan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1669714895 PECOS PAC ID: 1658647771 Enrollment ID: I20231102001324 |
| Provider Name | Ahmed a Hamimi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063110120 PECOS PAC ID: 0941656508 Enrollment ID: I20231102001419 |
| Provider Name | Shiragi Patel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1942796826 PECOS PAC ID: 2365792355 Enrollment ID: I20231102001634 |
| Provider Name | Alexander R Boivin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1407479439 PECOS PAC ID: 9234550229 Enrollment ID: I20231102002505 |
| Provider Name | Laura Ann Williamson |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1962108639 PECOS PAC ID: 1557717147 Enrollment ID: I20231102003043 |
| Provider Name | Mahmoud Khalil |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1588210124 PECOS PAC ID: 0446580849 Enrollment ID: I20231102003730 |
| Provider Name | Lauren Sarah Singer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1720518723 PECOS PAC ID: 1355611690 Enrollment ID: I20231102004016 |
| Provider Name | Marissa Mullen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1215635214 PECOS PAC ID: 4284081886 Enrollment ID: I20231103000122 |
| Provider Name | Leanne M Schultz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225731797 PECOS PAC ID: 4385091990 Enrollment ID: I20231103000530 |
| Provider Name | Sara Abdelaziz |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1598258089 PECOS PAC ID: 7416304035 Enrollment ID: I20231103000802 |
| Provider Name | Raymond Marcus L De Guzman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922539089 PECOS PAC ID: 5597013920 Enrollment ID: I20231103001267 |
| Provider Name | Lilly H Cheng-immergluck |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114915055 PECOS PAC ID: 5395770531 Enrollment ID: I20231103001440 |
| Provider Name | William H Roth |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1124460803 PECOS PAC ID: 8729357504 Enrollment ID: I20231103001784 |
| Provider Name | Jasmine Dennis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1518666189 PECOS PAC ID: 2365899911 Enrollment ID: I20231103002179 |
| Provider Name | Kristin Pascoe |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063973188 PECOS PAC ID: 8325495989 Enrollment ID: I20231103002380 |
| Provider Name | Emily Sellers |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1881127769 PECOS PAC ID: 7214202183 Enrollment ID: I20231106001043 |
| Provider Name | Kevin Donald Smith |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649632993 PECOS PAC ID: 7214221423 Enrollment ID: I20231106001340 |
| Provider Name | Thuan D Dang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720489750 PECOS PAC ID: 4284938945 Enrollment ID: I20231106003110 |
| Provider Name | Denis J Lawlor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427519875 PECOS PAC ID: 9032566500 Enrollment ID: I20231106003185 |
| Provider Name | Phillip H Yun |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1568811289 PECOS PAC ID: 0244525178 Enrollment ID: I20231107002431 |
| Provider Name | So Lim Kim |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376036418 PECOS PAC ID: 4981951142 Enrollment ID: I20231107002544 |
| Provider Name | David Zhang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316332117 PECOS PAC ID: 1658628532 Enrollment ID: I20231107002636 |
| Provider Name | Christina Avgerinos-gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578274403 PECOS PAC ID: 4385091727 Enrollment ID: I20231107002724 |
| Provider Name | Abraham James Eastman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1275216392 PECOS PAC ID: 7113374430 Enrollment ID: I20231108001869 |
| Provider Name | Mary Ann Wolfe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376914499 PECOS PAC ID: 1052621141 Enrollment ID: I20231108002201 |
| Provider Name | Kristen Moore |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1750064259 PECOS PAC ID: 5395192645 Enrollment ID: I20231108003364 |
| Provider Name | Carley N Psik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982487724 PECOS PAC ID: 4981051935 Enrollment ID: I20231113001711 |
| Provider Name | Theresa Dunham |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497259295 PECOS PAC ID: 6103273156 Enrollment ID: I20231113001966 |
| Provider Name | Prateek Sharma |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1679831820 PECOS PAC ID: 9436382561 Enrollment ID: I20231113002440 |
| Provider Name | Sanghamitra Sinha |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992237945 PECOS PAC ID: 9032457189 Enrollment ID: I20231113002827 |
| Provider Name | Anh Quynh Nguyen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215471834 PECOS PAC ID: 3072848191 Enrollment ID: I20231114001240 |
| Provider Name | Lauren Baranowski |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1578166591 PECOS PAC ID: 0143637736 Enrollment ID: I20231114002682 |
| Provider Name | Hannah R Collao |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154047926 PECOS PAC ID: 7315394202 Enrollment ID: I20231115000355 |
| Provider Name | Abdul Sami Khan |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1417480419 PECOS PAC ID: 1355605577 Enrollment ID: I20231116000303 |
| Provider Name | Licette Priscilla Cuautle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871377713 PECOS PAC ID: 7810344512 Enrollment ID: I20231116002020 |
| Provider Name | Kurt M Drury |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609304666 PECOS PAC ID: 6002186236 Enrollment ID: I20231117001082 |
| Provider Name | Amelia Suzanne Kellar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750003620 PECOS PAC ID: 8224486998 Enrollment ID: I20231120001173 |
| Provider Name | Victoria Willis |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1174214282 PECOS PAC ID: 8921454356 Enrollment ID: I20231127001891 |
| Provider Name | Sujata Putatunda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144617846 PECOS PAC ID: 2062714363 Enrollment ID: I20231128001038 |
| Provider Name | Rachel Danzig |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174020820 PECOS PAC ID: 9739581646 Enrollment ID: I20231128001262 |
| Provider Name | Daniel Trif |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1124683552 PECOS PAC ID: 9638527872 Enrollment ID: I20231128002386 |
| Provider Name | Elizabeth J Mangen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1780369256 PECOS PAC ID: 2466800487 Enrollment ID: I20231130002278 |
| Provider Name | Cecilia Kattan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1912668237 PECOS PAC ID: 7315395258 Enrollment ID: I20231202000438 |
| Provider Name | Bora Kalaycioglu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356065155 PECOS PAC ID: 9133578990 Enrollment ID: I20231206000613 |
| Provider Name | Kristoff Gayle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902426554 PECOS PAC ID: 6002247673 Enrollment ID: I20231207002714 |
| Provider Name | Luke P Burns |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336631910 PECOS PAC ID: 7810364676 Enrollment ID: I20231207003152 |
| Provider Name | Cecilia Ong |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1013336734 PECOS PAC ID: 8628427234 Enrollment ID: I20231207003380 |
| Provider Name | Fatima Qamar Ajmal |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881125342 PECOS PAC ID: 2668808551 Enrollment ID: I20231215002884 |
| Provider Name | Matthew August Odenwald |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1720517816 PECOS PAC ID: 5890064414 Enrollment ID: I20231219003346 |
| Provider Name | Ema Loewen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1689266371 PECOS PAC ID: 0446600126 Enrollment ID: I20231220003480 |
| Provider Name | David Christian Edwards Philpott |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992200935 PECOS PAC ID: 9335599083 Enrollment ID: I20231221001848 |
| Provider Name | Eryn K Wanyonyi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1962962753 PECOS PAC ID: 8426412842 Enrollment ID: I20231226000065 |
| Provider Name | Shannon Barry |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1457086407 PECOS PAC ID: 9032569512 Enrollment ID: I20231226000275 |
| Provider Name | Craig Majcher |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306624390 PECOS PAC ID: 5698125185 Enrollment ID: I20231226000556 |
| Provider Name | Gowry Kulandaivel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962935668 PECOS PAC ID: 3577985498 Enrollment ID: I20231227001190 |
| Provider Name | Madeline Smith |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1528650918 PECOS PAC ID: 8224425756 Enrollment ID: I20240103002601 |
| Provider Name | Raina Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235705955 PECOS PAC ID: 4284037896 Enrollment ID: I20240103003461 |
| Provider Name | Clayton Brinster |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1497802573 PECOS PAC ID: 7113171257 Enrollment ID: I20240111001561 |
| Provider Name | James Yang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275198897 PECOS PAC ID: 4688092422 Enrollment ID: I20240111004575 |
| Provider Name | Robyn Michelle Gutierrez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326274812 PECOS PAC ID: 0244681385 Enrollment ID: I20240112002191 |
| Provider Name | Lauren M Bowles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174309678 PECOS PAC ID: 4880046929 Enrollment ID: I20240115000428 |
| Provider Name | Mary J Lee |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356118012 PECOS PAC ID: 3072965011 Enrollment ID: I20240116001710 |
| Provider Name | Mary B Rourke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164105193 PECOS PAC ID: 0143672113 Enrollment ID: I20240116002469 |
| Provider Name | Katie Elizabeth Rock |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1912788837 PECOS PAC ID: 8527410315 Enrollment ID: I20240117002385 |
| Provider Name | Laura M Kelso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457123226 PECOS PAC ID: 0042662843 Enrollment ID: I20240117002777 |
| Provider Name | Mohammad Nasser Kabbany |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326350984 PECOS PAC ID: 5991948028 Enrollment ID: I20240125001508 |
| Provider Name | Matthew Moehlmann |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730522723 PECOS PAC ID: 2961795588 Enrollment ID: I20240125001545 |
| Provider Name | Jacob Bonnema |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1720778988 PECOS PAC ID: 9335594985 Enrollment ID: I20240131004659 |
| Provider Name | Elizabeth Leigh Weber |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1710561923 PECOS PAC ID: 5496155715 Enrollment ID: I20240201002497 |
| Provider Name | Minghao Lu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730678970 PECOS PAC ID: 4981949997 Enrollment ID: I20240205003372 |
| Provider Name | Katherine Cavanaugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386429827 PECOS PAC ID: 6800239054 Enrollment ID: I20240205003954 |
| Provider Name | Craig Smuda |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1679962542 PECOS PAC ID: 9133423197 Enrollment ID: I20240207001281 |
| Provider Name | Samiya Razvi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770602153 PECOS PAC ID: 1951478643 Enrollment ID: I20240212002896 |
| Provider Name | Lavinia M Anzai |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1912430737 PECOS PAC ID: 1557603586 Enrollment ID: I20240213001183 |
| Provider Name | Sarah M Sebastian |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1841885050 PECOS PAC ID: 3072920867 Enrollment ID: I20240213001355 |
| Provider Name | Jaclyn Leibforth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356117253 PECOS PAC ID: 1850734211 Enrollment ID: I20240213002201 |
| Provider Name | Annalyse C Hubbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245019660 PECOS PAC ID: 0840634747 Enrollment ID: I20240220000105 |
| Provider Name | Mariana Montes |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1518387489 PECOS PAC ID: 8123384864 Enrollment ID: I20240220002237 |
| Provider Name | Anissa B Vachachira |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205603834 PECOS PAC ID: 8325482904 Enrollment ID: I20240222001549 |
| Provider Name | Muftawu-deen Iddrisu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1821627217 PECOS PAC ID: 0749646933 Enrollment ID: I20240223002566 |
| Provider Name | Noor Abdelrahman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1851012413 PECOS PAC ID: 5890130074 Enrollment ID: I20240227003510 |
| Provider Name | George J Wolf |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1194237081 PECOS PAC ID: 0749548857 Enrollment ID: I20240227004078 |
| Provider Name | Chinonye Sharon Imo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669001392 PECOS PAC ID: 5698110823 Enrollment ID: I20240228000454 |
| Provider Name | Shamail Butt |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1043531981 PECOS PAC ID: 5496871907 Enrollment ID: I20240229002819 |
| Provider Name | Deepa R Ramadurai |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1306208012 PECOS PAC ID: 7911290671 Enrollment ID: I20240306001862 |
| Provider Name | Furkan Ufuk |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225892144 PECOS PAC ID: 5193161602 Enrollment ID: I20240306003944 |
| Provider Name | Paige Kay Pacheco |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1003697095 PECOS PAC ID: 2668818709 Enrollment ID: I20240311003527 |
| Provider Name | Vanessa G Dicristofano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184305930 PECOS PAC ID: 4587000682 Enrollment ID: I20240312001203 |
| Provider Name | John J Hurley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1649879842 PECOS PAC ID: 1153734579 Enrollment ID: I20240320000230 |
| Provider Name | Patrick Walsh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003699307 PECOS PAC ID: 7517304058 Enrollment ID: I20240320001984 |
| Provider Name | Leigh Anne Lim Pena |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679350045 PECOS PAC ID: 3577900893 Enrollment ID: I20240322000747 |
| Provider Name | James William Griffith |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1689873960 PECOS PAC ID: 5991142127 Enrollment ID: I20240325001070 |
| Provider Name | Virginia O Shaffer |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1396921813 PECOS PAC ID: 9436328549 Enrollment ID: I20240325001317 |
| Provider Name | Jacob Trzaskos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992584031 PECOS PAC ID: 5395182430 Enrollment ID: I20240325001853 |
| Provider Name | Emily Daquioag |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1023739539 PECOS PAC ID: 0244677102 Enrollment ID: I20240327001984 |
| Provider Name | Megan M O'brien |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447739255 PECOS PAC ID: 8325390461 Enrollment ID: I20240403000320 |
| Provider Name | Clinton Liang |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386330991 PECOS PAC ID: 4284073008 Enrollment ID: I20240412002349 |
| Provider Name | Laurence R Gordon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942220900 PECOS PAC ID: 4486636354 Enrollment ID: I20240417001822 |
| Provider Name | Douglas J Russo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871154336 PECOS PAC ID: 5698000859 Enrollment ID: I20240417002066 |
| Provider Name | Shaji Pillai |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013228642 PECOS PAC ID: 7214161801 Enrollment ID: I20240417002208 |
| Provider Name | Caitlin Elizabeth Russell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861960296 PECOS PAC ID: 6305285842 Enrollment ID: I20240417002316 |
| Provider Name | Isabel Navarrete Polsky |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1477339869 PECOS PAC ID: 6103265244 Enrollment ID: I20240422002355 |
| Provider Name | Ebenezer Kio |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1164509535 PECOS PAC ID: 8224067756 Enrollment ID: I20240424000675 |
| Provider Name | Arash Rafiq |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457792061 PECOS PAC ID: 6103059597 Enrollment ID: I20240425000110 |
| Provider Name | Erhan Akpinar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235917741 PECOS PAC ID: 2163862632 Enrollment ID: I20240501000571 |
| Provider Name | Caroline a Rowland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376316604 PECOS PAC ID: 0345680633 Enrollment ID: I20240503001166 |
| Provider Name | Sydney E Solem |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811751555 PECOS PAC ID: 8123469673 Enrollment ID: I20240515000452 |
| Provider Name | Karan Nijhawan |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1992201560 PECOS PAC ID: 7719220326 Enrollment ID: I20240517001528 |
| Provider Name | Leah T Kania |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356054225 PECOS PAC ID: 9335581461 Enrollment ID: I20240521003381 |
| Provider Name | Ashley Christine Stark |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023514718 PECOS PAC ID: 0749622561 Enrollment ID: I20240524002046 |
| Provider Name | Pablo G Sanchez |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1629479795 PECOS PAC ID: 5890017560 Enrollment ID: I20240529000192 |
| Provider Name | Anita Goyal |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1801452552 PECOS PAC ID: 3274975792 Enrollment ID: I20240529001574 |
| Provider Name | Heather C Reinig |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1427810472 PECOS PAC ID: 4688011398 Enrollment ID: I20240617003679 |
| Provider Name | Scott Schlidt |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1063463719 PECOS PAC ID: 6608835145 Enrollment ID: I20240620002993 |
| Provider Name | Allie H Dakroub |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003174202 PECOS PAC ID: 5294036810 Enrollment ID: I20240621001465 |
| Provider Name | Gina K Carter |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1417711755 PECOS PAC ID: 2163965807 Enrollment ID: I20240621002596 |
| Provider Name | Nhue Lap DO |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1760646293 PECOS PAC ID: 8921235771 Enrollment ID: I20240627003597 |
| Provider Name | Shmuel Price |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356922272 PECOS PAC ID: 9133521537 Enrollment ID: I20240704000038 |
| Provider Name | Muzamil Arshad |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1518429570 PECOS PAC ID: 8325582018 Enrollment ID: I20240705001671 |
| Provider Name | Gabrielle P Kosh |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1922863729 PECOS PAC ID: 5698219392 Enrollment ID: I20240705002021 |
| Provider Name | Devi Jayan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1992564298 PECOS PAC ID: 4587109103 Enrollment ID: I20240708003303 |
| Provider Name | Molly K Hales |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1841828688 PECOS PAC ID: 8628470663 Enrollment ID: I20240710001481 |
| Provider Name | Daryll Hannah Amid Tahiyam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316705239 PECOS PAC ID: 2860937752 Enrollment ID: I20240716001390 |
| Provider Name | Thomas James Haferkamp |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1851913503 PECOS PAC ID: 4082039367 Enrollment ID: I20240717000151 |
| Provider Name | Seth S Himelhoch |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659393569 PECOS PAC ID: 5698943348 Enrollment ID: I20240717002631 |
| Provider Name | Louis G Baeseman |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1700346723 PECOS PAC ID: 6406205582 Enrollment ID: I20240717003087 |
| Provider Name | Frank Joseph Bailey |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1922628122 PECOS PAC ID: 4385067297 Enrollment ID: I20240717003915 |
| Provider Name | Nora Eileen Gollogly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801676572 PECOS PAC ID: 8527504018 Enrollment ID: I20240719003121 |
| Provider Name | Carlos Lara |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053816843 PECOS PAC ID: 5294084935 Enrollment ID: I20240722000768 |
| Provider Name | Maria Estela Martinez Escala |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1891257853 PECOS PAC ID: 1153655832 Enrollment ID: I20240722001668 |
| Provider Name | Leanne S Duge |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1609433234 PECOS PAC ID: 0143554709 Enrollment ID: I20240722001947 |
| Provider Name | Elizabeth E Carroll |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1982137618 PECOS PAC ID: 0042557175 Enrollment ID: I20240722002116 |
| Provider Name | Nabiel Mir |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1649795543 PECOS PAC ID: 6709159601 Enrollment ID: I20240722002767 |
| Provider Name | Clarence Wing-chung Chan |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1285173906 PECOS PAC ID: 9638592256 Enrollment ID: I20240722003831 |
| Provider Name | Stephan Andrew Olaya |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801477047 PECOS PAC ID: 3173925393 Enrollment ID: I20240723001068 |
| Provider Name | Michael Macklin |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1194287185 PECOS PAC ID: 2062745516 Enrollment ID: I20240723003833 |
| Provider Name | Carlos Vega |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1699331835 PECOS PAC ID: 5496178352 Enrollment ID: I20240724000201 |
| Provider Name | Melissa Chen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124525100 PECOS PAC ID: 6507104866 Enrollment ID: I20240724001674 |
| Provider Name | Irai Santana De Oliveira |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740976034 PECOS PAC ID: 8820453236 Enrollment ID: I20240724002512 |
| Provider Name | Austin Wesevich |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1558893370 PECOS PAC ID: 3173923588 Enrollment ID: I20240725001615 |
| Provider Name | Billi a Hyland |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1619740529 PECOS PAC ID: 8426594482 Enrollment ID: I20240725003949 |
| Provider Name | Douglas L Moss |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174158216 PECOS PAC ID: 9436550662 Enrollment ID: I20240725004001 |
| Provider Name | John Kimball |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1972066199 PECOS PAC ID: 8325584246 Enrollment ID: I20240726001644 |
| Provider Name | Anna Trzcinska |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1659620318 PECOS PAC ID: 3870832868 Enrollment ID: I20240729004156 |
| Provider Name | Zachary Elijah Andrew Bean |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326668310 PECOS PAC ID: 1658795141 Enrollment ID: I20240801001966 |
| Provider Name | Aranee P Sivananthan |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1538727912 PECOS PAC ID: 9335474865 Enrollment ID: I20240806001136 |
| Provider Name | Shahd Duzdar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710478276 PECOS PAC ID: 4688922677 Enrollment ID: I20240806002813 |
| Provider Name | Olufunmilayo Halimat Obisesan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356929004 PECOS PAC ID: 9436696556 Enrollment ID: I20240806003383 |
| Provider Name | Joshua W Lorenz |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1568921898 PECOS PAC ID: 2769717545 Enrollment ID: I20240807001864 |
| Provider Name | Emma I Brett |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1437902582 PECOS PAC ID: 1850687948 Enrollment ID: I20240807002681 |
| Provider Name | Ashlee M Ritter |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1881187797 PECOS PAC ID: 8820342215 Enrollment ID: I20240809003664 |
| Provider Name | Alice G Cheng |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1093079550 PECOS PAC ID: 5193979490 Enrollment ID: I20240812001941 |
| Provider Name | Neval Ozkaya |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1811474166 PECOS PAC ID: 9234677048 Enrollment ID: I20240812002189 |
| Provider Name | Joseph J Eid |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215516844 PECOS PAC ID: 4183026818 Enrollment ID: I20240812002811 |
| Provider Name | Gregory W Roloff |
|---|---|
| Provider Type | Practitioner - Hematopoietic Cell Transplantation And Cellular Therapy |
| Provider Identifiers | NPI Number: 1841795929 PECOS PAC ID: 1254689706 Enrollment ID: I20240812003113 |
| Provider Name | Mario III Candamo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902460397 PECOS PAC ID: 5395283139 Enrollment ID: I20240812003276 |
| Provider Name | Mingshan Lai |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184128456 PECOS PAC ID: 4183023542 Enrollment ID: I20240813003678 |
| Provider Name | Lawrencia D Abudjah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972368066 PECOS PAC ID: 8921546185 Enrollment ID: I20240819003167 |
| Provider Name | Sudarshawn N Damodharan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871029819 PECOS PAC ID: 6608146816 Enrollment ID: I20240821001332 |
| Provider Name | Noura J Choudhury |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1841649332 PECOS PAC ID: 3274825872 Enrollment ID: I20240821002264 |
| Provider Name | Aiman Altaqi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962896837 PECOS PAC ID: 5799031365 Enrollment ID: I20240821002352 |
| Provider Name | Ernest G Chan |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1467802371 PECOS PAC ID: 7618415670 Enrollment ID: I20240821003173 |
| Provider Name | Corynn M Ginnow |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295589885 PECOS PAC ID: 3173061140 Enrollment ID: I20240821003576 |
| Provider Name | Audrey K Fotouhi |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1811524721 PECOS PAC ID: 5193148203 Enrollment ID: I20240821003823 |
| Provider Name | Douglas R Nordli |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467956086 PECOS PAC ID: 8426419417 Enrollment ID: I20240821004154 |
| Provider Name | Anthony John Kanelidis |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1881122059 PECOS PAC ID: 1658640271 Enrollment ID: I20240821004205 |
| Provider Name | Leo T Gozdecki |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1649632118 PECOS PAC ID: 5496049942 Enrollment ID: I20240821004268 |
| Provider Name | Samantha Ikeda Ing |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1306328661 PECOS PAC ID: 3577002518 Enrollment ID: I20240822001334 |
| Provider Name | Rachel P Mehendale |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1235558842 PECOS PAC ID: 8426305756 Enrollment ID: I20240822001497 |
| Provider Name | Claudia Leung |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629467592 PECOS PAC ID: 4981004975 Enrollment ID: I20240822001613 |
| Provider Name | Liana N Kozanno |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1952937831 PECOS PAC ID: 9537505987 Enrollment ID: I20240822001772 |
| Provider Name | David Isaac Satzer |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1699121392 PECOS PAC ID: 6800186636 Enrollment ID: I20240822004180 |
| Provider Name | Jay Khambhati |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1427443712 PECOS PAC ID: 8820346737 Enrollment ID: I20240823000216 |
| Provider Name | Elzbieta Maria Kalata |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619558558 PECOS PAC ID: 9739581281 Enrollment ID: I20240826000711 |
| Provider Name | Adam S Vohra |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1811346455 PECOS PAC ID: 7911291570 Enrollment ID: I20240826001663 |
| Provider Name | Dylan S Yang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356908354 PECOS PAC ID: 1456686807 Enrollment ID: I20240826002373 |
| Provider Name | Christopher Tadeusz Kasia |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1346602778 PECOS PAC ID: 1153614532 Enrollment ID: I20240826002956 |
| Provider Name | Xiao Yi Zhou |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1578057543 PECOS PAC ID: 1254680846 Enrollment ID: I20240826003313 |
| Provider Name | Zachary Chen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1235759366 PECOS PAC ID: 1759705395 Enrollment ID: I20240828001281 |
| Provider Name | Tyler a Roche |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497595656 PECOS PAC ID: 3577002039 Enrollment ID: I20240828001884 |
| Provider Name | Katherine Elizabeth Shipley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1225890510 PECOS PAC ID: 3476092941 Enrollment ID: I20240828001971 |
| Provider Name | Derek Franco |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063919959 PECOS PAC ID: 7012240104 Enrollment ID: I20240828002734 |
| Provider Name | Omer M Doron |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1710550561 PECOS PAC ID: 8325445869 Enrollment ID: I20240828003361 |
| Provider Name | Michelle O Alle |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1144721184 PECOS PAC ID: 7315283918 Enrollment ID: I20240828003685 |
| Provider Name | Brandon Trinh |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1184405276 PECOS PAC ID: 8628517828 Enrollment ID: I20240903000893 |
| Provider Name | Sean R Thompson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790366128 PECOS PAC ID: 9335541341 Enrollment ID: I20240906001091 |
| Provider Name | Kristofer Bires |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1336700905 PECOS PAC ID: 9234465857 Enrollment ID: I20240909003280 |
| Provider Name | Tamara Glenda Kreindel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487485538 PECOS PAC ID: 8325588825 Enrollment ID: I20240911001775 |
| Provider Name | Camille Andrea Johnson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205456381 PECOS PAC ID: 5193148922 Enrollment ID: I20240911002250 |
| Provider Name | Giancarlo Pizzino |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1912584111 PECOS PAC ID: 9133522782 Enrollment ID: I20240911004552 |
| Provider Name | Cristina Mercedes Brea |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1124523626 PECOS PAC ID: 7214477546 Enrollment ID: I20240912002730 |
| Provider Name | Diane N Haddad |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1083091953 PECOS PAC ID: 0446552095 Enrollment ID: I20240917001038 |
| Provider Name | Justin Hatchimonji |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1881089373 PECOS PAC ID: 6305145046 Enrollment ID: I20240917001453 |
| Provider Name | Mark Biro |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1518464155 PECOS PAC ID: 3274074323 Enrollment ID: I20240917003039 |
| Provider Name | Purav T Desai |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861068678 PECOS PAC ID: 9234670399 Enrollment ID: I20240917003269 |
| Provider Name | Shravya Khambhati |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144761438 PECOS PAC ID: 4688944515 Enrollment ID: I20240918000573 |
| Provider Name | Ethan N Ungchusri |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437656683 PECOS PAC ID: 6800139759 Enrollment ID: I20240918001015 |
| Provider Name | Ashley Williamson |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1548640386 PECOS PAC ID: 7810290939 Enrollment ID: I20240918001144 |
| Provider Name | Piotr Jerzy Bachul |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1780321547 PECOS PAC ID: 8820452766 Enrollment ID: I20240920002899 |
| Provider Name | Vanessa Min Fu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366022352 PECOS PAC ID: 6901209527 Enrollment ID: I20240923000037 |
| Provider Name | Nathan Yu |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1679036040 PECOS PAC ID: 8224364492 Enrollment ID: I20240923000624 |
| Provider Name | Rodwan K Rajjoub |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1528033651 PECOS PAC ID: 9436299591 Enrollment ID: I20240923002492 |
| Provider Name | Shakeela Faulkner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104357821 PECOS PAC ID: 7719258524 Enrollment ID: I20240923003976 |
| Provider Name | Stephanie Marie Turcios |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215566351 PECOS PAC ID: 3678976305 Enrollment ID: I20240924002276 |
| Provider Name | Luis Sebastian Cartagenova |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972130730 PECOS PAC ID: 1456774470 Enrollment ID: I20240925000035 |
| Provider Name | Shareen George |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871342626 PECOS PAC ID: 9537600838 Enrollment ID: I20240925004175 |
| Provider Name | Rachel Grace Newman |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1902646771 PECOS PAC ID: 0446791131 Enrollment ID: I20240926002177 |
| Provider Name | Tierney S Grosskopf |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1851772347 PECOS PAC ID: 6901194851 Enrollment ID: I20240926003730 |
| Provider Name | Matthew William Lustig |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134707961 PECOS PAC ID: 1850793316 Enrollment ID: I20240927000988 |
| Provider Name | Faryal Shaikh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306473871 PECOS PAC ID: 8921420605 Enrollment ID: I20240927001188 |
| Provider Name | Sheila Rose Butler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740931864 PECOS PAC ID: 6507397866 Enrollment ID: I20240927001381 |
| Provider Name | Jong Wook Ban |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265467930 PECOS PAC ID: 1557316031 Enrollment ID: I20240927001757 |
| Provider Name | Scott T Vasher |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1003228735 PECOS PAC ID: 0244457612 Enrollment ID: I20240927001826 |
| Provider Name | Shruti Sakhuja |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912427907 PECOS PAC ID: 7214468586 Enrollment ID: I20240927001914 |
| Provider Name | Chukwunonyelum Obiageli Ekwempu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1013596733 PECOS PAC ID: 0840721114 Enrollment ID: I20240927001968 |
| Provider Name | Ramez Philips |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1053804781 PECOS PAC ID: 0345595971 Enrollment ID: I20240927002096 |
| Provider Name | Karly Farr |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215484662 PECOS PAC ID: 0244778405 Enrollment ID: I20240930000892 |
| Provider Name | Rohini Chakravarthy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063944668 PECOS PAC ID: 9335472810 Enrollment ID: I20240930002726 |
| Provider Name | Deborah Huang |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1225420961 PECOS PAC ID: 4082958426 Enrollment ID: I20240930003353 |
| Provider Name | Alex W Lois |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1437513504 PECOS PAC ID: 3274826854 Enrollment ID: I20241004002100 |
| Provider Name | Ayman Hamad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447218326 PECOS PAC ID: 4486708732 Enrollment ID: I20241008000727 |
| Provider Name | Laura Nanocchio |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447094461 PECOS PAC ID: 9133650666 Enrollment ID: I20241008001349 |
| Provider Name | Mary Rose Loftus |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154959054 PECOS PAC ID: 6901266253 Enrollment ID: I20241008001851 |
| Provider Name | Changgi Jung |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1275054082 PECOS PAC ID: 6901176486 Enrollment ID: I20241008002117 |
| Provider Name | Jayme Castillo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255951463 PECOS PAC ID: 7517380694 Enrollment ID: I20241008002258 |
| Provider Name | Sara a Gaines |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1972916294 PECOS PAC ID: 5193029726 Enrollment ID: I20241009000436 |
| Provider Name | Ioni Maria Kokodis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205332095 PECOS PAC ID: 3678973328 Enrollment ID: I20241009000582 |
| Provider Name | Rachel J Garfinkel |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1720583479 PECOS PAC ID: 3375899909 Enrollment ID: I20241014002641 |
| Provider Name | Hannah Cree Matthews |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861073256 PECOS PAC ID: 8325440928 Enrollment ID: I20241014002975 |
| Provider Name | Natalie M Simpson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1619724812 PECOS PAC ID: 2365974441 Enrollment ID: I20241014003699 |
| Provider Name | Sawsan Shimi |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1780254896 PECOS PAC ID: 1951833086 Enrollment ID: I20241015000801 |
| Provider Name | Lauren K Friend |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942837604 PECOS PAC ID: 4082039235 Enrollment ID: I20241015001097 |
| Provider Name | Jennifer Ann Schmaus |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1689359366 PECOS PAC ID: 9234661372 Enrollment ID: I20241015001135 |
| Provider Name | Martin Uwah |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1114451135 PECOS PAC ID: 2668836529 Enrollment ID: I20241015001521 |
| Provider Name | Reza Sirous |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851822092 PECOS PAC ID: 8325389737 Enrollment ID: I20241015001843 |
| Provider Name | Brittney Johanna Blackwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427676899 PECOS PAC ID: 1557893609 Enrollment ID: I20241015001874 |
| Provider Name | Leslie Loya |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1013636547 PECOS PAC ID: 1355873332 Enrollment ID: I20241015003378 |
| Provider Name | Sravanti Barla |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720650179 PECOS PAC ID: 5799217717 Enrollment ID: I20241016000684 |
| Provider Name | Jacob L Willen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1295239119 PECOS PAC ID: 5092108068 Enrollment ID: I20241016001714 |
| Provider Name | Sabina Siddiqui |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1275798712 PECOS PAC ID: 6507013604 Enrollment ID: I20241021001725 |
| Provider Name | Mark a Ubbens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578938213 PECOS PAC ID: 3173826815 Enrollment ID: I20241023002498 |
| Provider Name | Mathew Saab |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194280743 PECOS PAC ID: 5597198101 Enrollment ID: I20241023004871 |
| Provider Name | Sofia Bougioukli |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1093219776 PECOS PAC ID: 2264842657 Enrollment ID: I20241025003704 |
| Provider Name | Aobo Du |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619405248 PECOS PAC ID: 8628345220 Enrollment ID: I20241029004111 |
| Provider Name | Yazan Aljamal |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1942618970 PECOS PAC ID: 6901025717 Enrollment ID: I20241031003043 |
| Provider Name | Jeremy Spencer Cohen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427637412 PECOS PAC ID: 5193128973 Enrollment ID: I20241101000700 |
| Provider Name | Patrick Joseph Metke |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265161673 PECOS PAC ID: 4789117490 Enrollment ID: I20241101000714 |
| Provider Name | Stacy Marie Stibb |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1932348059 PECOS PAC ID: 1355575713 Enrollment ID: I20241101001499 |
| Provider Name | Jessica Shiming Dai |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811511363 PECOS PAC ID: 3072939800 Enrollment ID: I20241101001532 |
| Provider Name | Tara a Wenn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538991476 PECOS PAC ID: 7719410463 Enrollment ID: I20241101002479 |
| Provider Name | Marisol Martinez |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1679292106 PECOS PAC ID: 3577096106 Enrollment ID: I20241104002513 |
| Provider Name | Nikola Puffinbarger |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1821066176 PECOS PAC ID: 0749204196 Enrollment ID: I20241105002392 |
| Provider Name | Levi Daugherty |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1730620170 PECOS PAC ID: 2365712965 Enrollment ID: I20241106000083 |
| Provider Name | Gregory V Schimizzi |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1205323417 PECOS PAC ID: 4082968771 Enrollment ID: I20241107004030 |
| Provider Name | William James Moser |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750874103 PECOS PAC ID: 9830446442 Enrollment ID: I20241113002268 |
| Provider Name | Tiffany Nicole Snow |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1104681808 PECOS PAC ID: 3375077365 Enrollment ID: I20241113003242 |
| Provider Name | Tanush Narayan Sahay |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659959229 PECOS PAC ID: 6507391299 Enrollment ID: I20241118003038 |
| Provider Name | Phoebe K Nixon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205683885 PECOS PAC ID: 5698200392 Enrollment ID: I20241118003453 |
| Provider Name | Yourong Su |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1124414669 PECOS PAC ID: 1951785757 Enrollment ID: I20241120000335 |
| Provider Name | Sara Okner |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1275388498 PECOS PAC ID: 5395270474 Enrollment ID: I20241126002706 |
| Provider Name | Anna Emily Wroble |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700627577 PECOS PAC ID: 2466987573 Enrollment ID: I20241126004258 |
| Provider Name | Karen C Dilfer |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558504621 PECOS PAC ID: 2062947880 Enrollment ID: I20241203000321 |
| Provider Name | Brooke Nichols |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1861246589 PECOS PAC ID: 9032644877 Enrollment ID: I20241203001425 |
| Provider Name | Shannon M Grimes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669210522 PECOS PAC ID: 5991231722 Enrollment ID: I20241204000525 |
| Provider Name | William James Platt |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1942029798 PECOS PAC ID: 1951837780 Enrollment ID: I20241204000644 |
| Provider Name | Michael K Hawking |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1104274836 PECOS PAC ID: 5597057141 Enrollment ID: I20241212001756 |
| Provider Name | Sarah M Allam |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1831877349 PECOS PAC ID: 7012443195 Enrollment ID: I20241212002082 |
| Provider Name | Victoria a Moore |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1194574319 PECOS PAC ID: 2264968346 Enrollment ID: I20241212002248 |
| Provider Name | Kylie M Williams |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1033887252 PECOS PAC ID: 4385170232 Enrollment ID: I20241216001553 |
| Provider Name | Ishan Dahal |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164927208 PECOS PAC ID: 9638606171 Enrollment ID: I20241223002791 |
| Provider Name | Jennifer Friebel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699023283 PECOS PAC ID: 8729515119 Enrollment ID: I20241224001525 |
| Provider Name | Natassja Mae Laud |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811734858 PECOS PAC ID: 2466980164 Enrollment ID: I20250108003622 |
| Provider Name | Noelle Thele |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487252953 PECOS PAC ID: 9830627579 Enrollment ID: I20250109001109 |
| Provider Name | Elisabeth Venerus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336971845 PECOS PAC ID: 1557899291 Enrollment ID: I20250109001161 |
| Provider Name | Alexander James Foster |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1619598836 PECOS PAC ID: 9638598832 Enrollment ID: I20250109001701 |
| Provider Name | Nicole Jean Dougan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841028388 PECOS PAC ID: 4486182094 Enrollment ID: I20250110000239 |
| Provider Name | Alexandra Marie Jones |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1346076494 PECOS PAC ID: 0941738561 Enrollment ID: I20250110000674 |
| Provider Name | Amber Hatchett |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1861170482 PECOS PAC ID: 8426492109 Enrollment ID: I20250113000772 |
| Provider Name | Edward Metz Barksdale |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1871565762 PECOS PAC ID: 5799725636 Enrollment ID: I20250113002137 |
| Provider Name | Sara E Perisin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427865492 PECOS PAC ID: 7214465327 Enrollment ID: I20250116001386 |
| Provider Name | Irma T Ugalde |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043400211 PECOS PAC ID: 9234210113 Enrollment ID: I20250117001564 |
| Provider Name | Ryan W Kirdahy |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1316564453 PECOS PAC ID: 4486069184 Enrollment ID: I20250124002692 |
| Provider Name | Jingyuan Jiang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093537250 PECOS PAC ID: 6305375510 Enrollment ID: I20250131002472 |
| Provider Name | Meghan C Morrissette |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1437978863 PECOS PAC ID: 3274062401 Enrollment ID: I20250131003182 |
| Provider Name | Nicholas Anthony Russo |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1487282695 PECOS PAC ID: 6709321565 Enrollment ID: I20250214000149 |
| Provider Name | Jung Woo Kwon |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1194492496 PECOS PAC ID: 7214328814 Enrollment ID: I20250217000064 |
| Provider Name | Wonyong Lee |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1063938611 PECOS PAC ID: 5395162218 Enrollment ID: I20250217000853 |
| Provider Name | Bridget Kathleen Sullivan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1437972254 PECOS PAC ID: 7911437280 Enrollment ID: I20250217000940 |
| Provider Name | Bianca D Wells |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1700644630 PECOS PAC ID: 8820528193 Enrollment ID: I20250217000942 |
| Provider Name | Steven C Martin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619966058 PECOS PAC ID: 9537188511 Enrollment ID: I20250218000051 |
| Provider Name | Anh Kim Nguyen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1346873395 PECOS PAC ID: 7113310871 Enrollment ID: I20250218002082 |
| Provider Name | Aeleah L Mockler |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1912729187 PECOS PAC ID: 2365978368 Enrollment ID: I20250219001871 |
| Provider Name | Allison Nowak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710719612 PECOS PAC ID: 6800316514 Enrollment ID: I20250225003259 |
| Provider Name | Margaret Harrigan Clark |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962144840 PECOS PAC ID: 6800317967 Enrollment ID: I20250305001152 |
| Provider Name | Michelle Campbell |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1366971608 PECOS PAC ID: 7416226139 Enrollment ID: I20250305001933 |
| Provider Name | Chelsea Leigh Fournier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114581501 PECOS PAC ID: 9537567474 Enrollment ID: I20250305002368 |
| Provider Name | Elizabeth a Temple |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265252191 PECOS PAC ID: 7416481379 Enrollment ID: I20250305002436 |
| Provider Name | Shermi Sivaji |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1447822093 PECOS PAC ID: 1951822857 Enrollment ID: I20250307001948 |
| Provider Name | Jason P Sulkowski |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1760644330 PECOS PAC ID: 1153753116 Enrollment ID: I20250310001936 |
| Provider Name | Aaliyah Salibi |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1922867464 PECOS PAC ID: 8527580968 Enrollment ID: I20250314002766 |
| Provider Name | Lindsey a Holcomb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174358410 PECOS PAC ID: 3577085927 Enrollment ID: I20250314002986 |
| Provider Name | Mary Ellen Weeg |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1417765694 PECOS PAC ID: 4486176781 Enrollment ID: I20250317000885 |
| Provider Name | Anni Rajput |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1164252151 PECOS PAC ID: 8729500061 Enrollment ID: I20250317002044 |
| Provider Name | Nathan Nowalk |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1003298720 PECOS PAC ID: 8224373873 Enrollment ID: I20250319000657 |
| Provider Name | Manreet K Kanwar |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1477787257 PECOS PAC ID: 4082883764 Enrollment ID: I20250319001764 |
| Provider Name | Madihah Soheb Shaikh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558160689 PECOS PAC ID: 1254853997 Enrollment ID: I20250321002506 |
| Provider Name | Beverly a Black |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1518647346 PECOS PAC ID: 9931621521 Enrollment ID: I20250324003114 |
| Provider Name | Addison Chase Kirkland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619790201 PECOS PAC ID: 7315460920 Enrollment ID: I20250325000236 |
| Provider Name | Colleen Marie Pohl |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1912716465 PECOS PAC ID: 7214450881 Enrollment ID: I20250325002195 |
| Provider Name | John a Renkosik |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1861592743 PECOS PAC ID: 0648365742 Enrollment ID: I20250401003262 |
| Provider Name | Shreya Podder |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1871085175 PECOS PAC ID: 5092110122 Enrollment ID: I20250402003448 |
| Provider Name | Katrine M Lofberg |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1518162874 PECOS PAC ID: 5799922787 Enrollment ID: I20250410001233 |
| Provider Name | Michaela Andrini |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1235878737 PECOS PAC ID: 9931635778 Enrollment ID: I20250410001283 |
| Provider Name | Sean Alden T Marin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1821806589 PECOS PAC ID: 3577087675 Enrollment ID: I20250410001623 |
| Provider Name | Oloruntoba O Bolaji |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1437654316 PECOS PAC ID: 0749536431 Enrollment ID: I20250411000933 |
| Provider Name | Samantha Elise Deleeuw |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063242881 PECOS PAC ID: 2466976444 Enrollment ID: I20250411000977 |
| Provider Name | P Joseph Tobias |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1346774502 PECOS PAC ID: 7113290446 Enrollment ID: I20250415002606 |
| Provider Name | Carlie Shrupsha |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750150397 PECOS PAC ID: 4385169366 Enrollment ID: I20250423000083 |
| Provider Name | Alexander S Strader |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1972354777 PECOS PAC ID: 7810412897 Enrollment ID: I20250423000138 |
| Provider Name | Tanya N Thielen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1568913382 PECOS PAC ID: 8325321714 Enrollment ID: I20250423000195 |
| Provider Name | Jacquelyn M Kukulski |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215499249 PECOS PAC ID: 9537519301 Enrollment ID: I20250423001589 |
| Provider Name | Lauren E Wislocki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427866706 PECOS PAC ID: 5496270332 Enrollment ID: I20250423001590 |
| Provider Name | Addila Merrill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699440792 PECOS PAC ID: 0244629996 Enrollment ID: I20250424000077 |
| Provider Name | Kimberly E Freeman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1942976659 PECOS PAC ID: 5698148211 Enrollment ID: I20250424002419 |
| Provider Name | Paige Skopick |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1407686520 PECOS PAC ID: 7618493149 Enrollment ID: I20250429000058 |
| Provider Name | Abraham Olatunde Akande |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386461150 PECOS PAC ID: 8426574658 Enrollment ID: I20250430001201 |
| Provider Name | Courtney Dorsey |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1912712555 PECOS PAC ID: 9335667336 Enrollment ID: I20250514000269 |
| Provider Name | Caroline Rieser |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1619363173 PECOS PAC ID: 5991009037 Enrollment ID: I20250514000431 |
| Provider Name | Theodoros Michelakos |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1639609878 PECOS PAC ID: 2860765484 Enrollment ID: I20250514000459 |
| Provider Name | Jennifer Ghandhi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790245140 PECOS PAC ID: 5294144515 Enrollment ID: I20250514001340 |
| Provider Name | Karen Orjuela Traslavina |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1699060640 PECOS PAC ID: 6507168812 Enrollment ID: I20250520002639 |
| Provider Name | Saliha Celtik |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1609458462 PECOS PAC ID: 2365806114 Enrollment ID: I20250520004743 |
| Provider Name | Tanesha a Wheat |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255149332 PECOS PAC ID: 3971022609 Enrollment ID: I20250527002273 |
| Provider Name | Neha Hasan |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1043027253 PECOS PAC ID: 1951820380 Enrollment ID: I20250528003285 |
| Provider Name | Nazila Shafagati |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1700444882 PECOS PAC ID: 3678809464 Enrollment ID: I20250529003531 |
| Provider Name | Lauren Doak |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1376137257 PECOS PAC ID: 3375950959 Enrollment ID: I20250530001734 |
| Provider Name | Linda C Chen |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1104169515 PECOS PAC ID: 5991055907 Enrollment ID: I20250602001970 |
| Provider Name | Natasha Ahn |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598156259 PECOS PAC ID: 2466835731 Enrollment ID: I20250611002934 |
| Provider Name | Carrie Ann Sutherland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295543171 PECOS PAC ID: 0941710404 Enrollment ID: I20250612001399 |
| Provider Name | Carey M Pilo |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1497800379 PECOS PAC ID: 9537214705 Enrollment ID: I20250612002983 |
| Provider Name | Zayd Hayani |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1447815691 PECOS PAC ID: 0446659130 Enrollment ID: I20250613000463 |
| Provider Name | Serena a Joseph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639976640 PECOS PAC ID: 1153832589 Enrollment ID: I20250613000821 |
| Provider Name | Vivek Behera |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1063037208 PECOS PAC ID: 9739502766 Enrollment ID: I20250613002499 |
| Provider Name | Carmen T Ramos Irizarry |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1922081363 PECOS PAC ID: 1658346531 Enrollment ID: I20250616003157 |
| Provider Name | Megan C Lied |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1861117087 PECOS PAC ID: 1254796816 Enrollment ID: I20250619001127 |
| Provider Name | Trena Lynn Horn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568017101 PECOS PAC ID: 8628582202 Enrollment ID: I20250707002648 |
| Provider Name | Mohamad Bydon |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1871766022 PECOS PAC ID: 5395994313 Enrollment ID: I20250708003006 |
| Provider Name | Naomi Bloch |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689181422 PECOS PAC ID: 9032479720 Enrollment ID: I20250709001674 |
| Provider Name | Kelly L Strazzante |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1023462488 PECOS PAC ID: 1951690494 Enrollment ID: I20250709004163 |
| Provider Name | Tiffany Dyer |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1962082099 PECOS PAC ID: 2466855242 Enrollment ID: I20250721000515 |
| Provider Name | Grace Eunhye Kim |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1740786276 PECOS PAC ID: 4385980770 Enrollment ID: I20250721001337 |
| Provider Name | Alexandra Rae Mcnally |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1760063655 PECOS PAC ID: 4486160108 Enrollment ID: I20250721001646 |
| Provider Name | Laura Reizine |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1992580880 PECOS PAC ID: 8729594478 Enrollment ID: I20250721002188 |
| Provider Name | Taylor a Keating |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1770219909 PECOS PAC ID: 6204212335 Enrollment ID: I20250721002968 |
| Provider Name | Madalyn Mari Tegeler |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881406049 PECOS PAC ID: 2668988239 Enrollment ID: I20250721003090 |
| Provider Name | Andy Vazquez |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1487333415 PECOS PAC ID: 7517303332 Enrollment ID: I20250723001635 |
| Provider Name | Devina Fletcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326848037 PECOS PAC ID: 6507372729 Enrollment ID: I20250723001997 |
| Provider Name | Diana M Ohanian |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1992578439 PECOS PAC ID: 5092253989 Enrollment ID: I20250723002352 |
| Provider Name | Trevor Jellison |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1538955208 PECOS PAC ID: 9537675780 Enrollment ID: I20250723002626 |
| Provider Name | Shelby Ann Cain |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1144802364 PECOS PAC ID: 9739696733 Enrollment ID: I20250725000032 |
| Provider Name | Emily Smith Green |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093334088 PECOS PAC ID: 4688097421 Enrollment ID: I20250725000380 |
| Provider Name | Matthew Burke |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1396369047 PECOS PAC ID: 5597129346 Enrollment ID: I20250725000850 |
| Provider Name | Udoka Oji |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588303242 PECOS PAC ID: 9537540299 Enrollment ID: I20250725001803 |
| Provider Name | Omar K Jamil |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1275026197 PECOS PAC ID: 3375890684 Enrollment ID: I20250725002201 |
| Provider Name | Ziomara Jurado |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841935434 PECOS PAC ID: 9537540018 Enrollment ID: I20250725002544 |
| Provider Name | Matthew Bonomo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003551672 PECOS PAC ID: 6103206016 Enrollment ID: I20250725002817 |
| Provider Name | Paul J Fletcher |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1629655667 PECOS PAC ID: 5193128577 Enrollment ID: I20250725002844 |
| Provider Name | Alexandra Ewa Rojek |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1538620190 PECOS PAC ID: 5890029656 Enrollment ID: I20250728000697 |
| Provider Name | Yaman Kherallah |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1598343071 PECOS PAC ID: 4880003938 Enrollment ID: I20250728001368 |
| Provider Name | Eliot a Rapoport |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245989771 PECOS PAC ID: 5496262172 Enrollment ID: I20250728002905 |
| Provider Name | Susan Floyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982974275 PECOS PAC ID: 0143489211 Enrollment ID: I20250728003032 |
| Provider Name | John Charles Wolf |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1033732466 PECOS PAC ID: 0345662409 Enrollment ID: I20250729001337 |
| Provider Name | Emma Meetz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487235065 PECOS PAC ID: 8325444888 Enrollment ID: I20250729002063 |
| Provider Name | Nikita Deshpande |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972248524 PECOS PAC ID: 7012397896 Enrollment ID: I20250729004493 |
| Provider Name | Ryan M Song |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1518595487 PECOS PAC ID: 1850751470 Enrollment ID: I20250731001213 |
| Provider Name | Raven S Wright |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1033744214 PECOS PAC ID: 6901329903 Enrollment ID: I20250731001741 |
| Provider Name | Wenji Guo |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1538604392 PECOS PAC ID: 9436573482 Enrollment ID: I20250731002061 |
| Provider Name | Jacob Schulman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861057002 PECOS PAC ID: 1355743881 Enrollment ID: I20250801002557 |
| Provider Name | Adam Z Stepanovic |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1881156289 PECOS PAC ID: 1557695004 Enrollment ID: I20250801003092 |
| Provider Name | Yichun Fu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1568922359 PECOS PAC ID: 3971834268 Enrollment ID: I20250804000214 |
| Provider Name | Alan Louis Hutchison |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1770044919 PECOS PAC ID: 9638403447 Enrollment ID: I20250804000555 |
| Provider Name | Christina Marie Ziolkowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356139620 PECOS PAC ID: 7911405071 Enrollment ID: I20250808001764 |
| Provider Name | Renee N Siner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023498151 PECOS PAC ID: 5698081644 Enrollment ID: I20250814001744 |
| Provider Name | Joyce M Tam |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497384580 PECOS PAC ID: 9133543101 Enrollment ID: I20250814002687 |
| Provider Name | Ryan Sachar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083351878 PECOS PAC ID: 0345621835 Enrollment ID: I20250814002855 |
| Provider Name | Daniel Flood |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1376336347 PECOS PAC ID: 2961901103 Enrollment ID: I20250815001516 |
| Provider Name | Zoe Curry |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639818651 PECOS PAC ID: 2163804519 Enrollment ID: I20250815002222 |
| Provider Name | Frances Currier |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1649086406 PECOS PAC ID: 2264931393 Enrollment ID: I20250815003825 |
| Provider Name | Jamie L Bloom |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1609434265 PECOS PAC ID: 8628303856 Enrollment ID: I20250818001185 |
| Provider Name | Joshua Michael Brooks |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841829918 PECOS PAC ID: 7315338019 Enrollment ID: I20250818001428 |
| Provider Name | Kari Camille Tyler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639839251 PECOS PAC ID: 9537520291 Enrollment ID: I20250818001444 |
| Provider Name | Matthew D Heffernan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427568278 PECOS PAC ID: 0749684355 Enrollment ID: I20250818002574 |
| Provider Name | Cameron Dandridge |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235874736 PECOS PAC ID: 2365823796 Enrollment ID: I20250818004030 |
| Provider Name | Tate E Gilchrist |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1922685536 PECOS PAC ID: 4981007523 Enrollment ID: I20250819002323 |
| Provider Name | Ezinne U Agwaramgbo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780329953 PECOS PAC ID: 4385173913 Enrollment ID: I20250819002599 |
| Provider Name | Fiona Forde Murray |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063201176 PECOS PAC ID: 1850890567 Enrollment ID: I20250819003454 |
| Provider Name | Georgina Sorrentino |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861142895 PECOS PAC ID: 5092102236 Enrollment ID: I20250820001962 |
| Provider Name | Susan L Feldt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861137432 PECOS PAC ID: 2567843675 Enrollment ID: I20250821001223 |
| Provider Name | Connor M Lynch |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1114382355 PECOS PAC ID: 8325463540 Enrollment ID: I20250821002801 |
| Provider Name | Nimrod Deiss-yehiely |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1225525462 PECOS PAC ID: 9830446079 Enrollment ID: I20250821003133 |
| Provider Name | Martin Michael Gruca |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1144724774 PECOS PAC ID: 0749525905 Enrollment ID: I20250822001012 |
| Provider Name | Elizabeth F Ebbens |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750840997 PECOS PAC ID: 6901276989 Enrollment ID: I20250822003230 |
| Provider Name | Samuel W Reinhardt |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1790199362 PECOS PAC ID: 6204054125 Enrollment ID: I20250822003598 |
| Provider Name | Helen Wei |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376283994 PECOS PAC ID: 5294235115 Enrollment ID: I20250825003510 |
| Provider Name | Kimberly Lynne Howard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457246787 PECOS PAC ID: 0143721522 Enrollment ID: I20250828000325 |
| Provider Name | Jeremy R Winer |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1831696343 PECOS PAC ID: 6406104942 Enrollment ID: I20250828002552 |
| Provider Name | Cameron R Hatlevig |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1316519325 PECOS PAC ID: 0648625673 Enrollment ID: I20250828002722 |
| Provider Name | Mahum Ijaz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1861231094 PECOS PAC ID: 3577064807 Enrollment ID: I20250828003783 |
| Provider Name | Eesha Singh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1114546231 PECOS PAC ID: 7214470236 Enrollment ID: I20250828004306 |
| Provider Name | Gabriella Monteiro |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1952192593 PECOS PAC ID: 1850892019 Enrollment ID: I20250828004437 |
| Provider Name | Wei Zhao |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1033670906 PECOS PAC ID: 3678806478 Enrollment ID: I20250829000636 |
| Provider Name | Tiffany Ngoc Truong |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821748252 PECOS PAC ID: 2769861046 Enrollment ID: I20250829000884 |
| Provider Name | Amanda Temple Walborn |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1669035168 PECOS PAC ID: 2466875562 Enrollment ID: I20250829002904 |
| Provider Name | Dinanath P Attele |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1891315206 PECOS PAC ID: 6204259187 Enrollment ID: I20250901000201 |
| Provider Name | Mary Kathryn Dierks |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1700406832 PECOS PAC ID: 1153746052 Enrollment ID: I20250901000632 |
| Provider Name | Jeremy Samuel Treger |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1730672965 PECOS PAC ID: 3173870466 Enrollment ID: I20250902000086 |
| Provider Name | Rafael Madero-marroquin |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1245734391 PECOS PAC ID: 8921344243 Enrollment ID: I20250902001180 |
| Provider Name | Naina Mahngar |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1770994808 PECOS PAC ID: 6406157015 Enrollment ID: I20250903001593 |
| Provider Name | Alexander Gregory Ciesielski |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1598343808 PECOS PAC ID: 2860920634 Enrollment ID: I20250904001017 |
| Provider Name | Rainey L. Bloomquist |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114775152 PECOS PAC ID: 4789124819 Enrollment ID: I20250909002356 |
| Provider Name | Victoria Rendulic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083402119 PECOS PAC ID: 9032612452 Enrollment ID: I20250911003685 |
| Provider Name | Andrew Pierce Freggens |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1902686207 PECOS PAC ID: 6406359587 Enrollment ID: I20250912004307 |
| Provider Name | Aisha M Uraizee |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891358701 PECOS PAC ID: 8820329121 Enrollment ID: I20250912004328 |
| Provider Name | Kalli Marie Majewski |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902793334 PECOS PAC ID: 1254834294 Enrollment ID: I20250915000597 |
| Provider Name | Farrah S Malik |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194219675 PECOS PAC ID: 2466834569 Enrollment ID: I20250915001049 |
| Provider Name | Emmanuel Chimsaokwu Onyekwere Dike-udensi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568100360 PECOS PAC ID: 9436530631 Enrollment ID: I20250915001675 |
| Provider Name | Shannon Doyle Tonellato |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992265847 PECOS PAC ID: 1254860380 Enrollment ID: I20250916002156 |
| Provider Name | Margaret Sutton O'brien |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134700495 PECOS PAC ID: 9234531542 Enrollment ID: I20250916002210 |
| Provider Name | Michael Bird |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1942936943 PECOS PAC ID: 1850818816 Enrollment ID: I20250916003919 |
| Provider Name | Batoul Hammoud |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669099271 PECOS PAC ID: 5395141782 Enrollment ID: I20250917000309 |
| Provider Name | Andrew Ebanks |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629537873 PECOS PAC ID: 5799289377 Enrollment ID: I20250917001713 |
| Provider Name | Marta Kulich |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1821481540 PECOS PAC ID: 7113332370 Enrollment ID: I20250917001980 |
| Provider Name | Luther Chigumula Nyirenda |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1568252229 PECOS PAC ID: 0547764169 Enrollment ID: I20250917002624 |
| Provider Name | William Gy Wong |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1487146098 PECOS PAC ID: 0547768145 Enrollment ID: I20250918002804 |
| Provider Name | Margaret Alice Williams |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346875481 PECOS PAC ID: 0941602379 Enrollment ID: I20250919000748 |
| Provider Name | Raza Qadir |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1972182392 PECOS PAC ID: 0941601595 Enrollment ID: I20250919002045 |
| Provider Name | Eileen Davila |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447041207 PECOS PAC ID: 3779087713 Enrollment ID: I20250922001544 |
| Provider Name | Meaghan a Gibbons |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1619860723 PECOS PAC ID: 1254835226 Enrollment ID: I20250922002253 |
| Provider Name | Julie R Jennings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588164859 PECOS PAC ID: 1557794773 Enrollment ID: I20250922002641 |
| Provider Name | Nicole Taylor Hermes |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1255162574 PECOS PAC ID: 8224533237 Enrollment ID: I20250922003533 |
| Provider Name | Mallory Catherine Roushar |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1912791385 PECOS PAC ID: 3577068253 Enrollment ID: I20250924001599 |
| Provider Name | Gaurav Agnihotri |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1407432867 PECOS PAC ID: 3476917428 Enrollment ID: I20250925001689 |
| Provider Name | Todd M Chatlos |
|---|---|
| Provider Type | Practitioner - Epileptologists |
| Provider Identifiers | NPI Number: 1245792308 PECOS PAC ID: 4486027877 Enrollment ID: I20250925002611 |
| Provider Name | Brianna R Fram |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1326401399 PECOS PAC ID: 0345549481 Enrollment ID: I20250926000445 |
| Provider Name | Kevin K Yang |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1043660210 PECOS PAC ID: 4789087628 Enrollment ID: I20250926000748 |
| Provider Name | Brittany N Goldstein |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306472345 PECOS PAC ID: 5890118285 Enrollment ID: I20250926001496 |
| Provider Name | James Fan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376282467 PECOS PAC ID: 5193106771 Enrollment ID: I20250926001621 |
| Provider Name | Maria Rose Young |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235889171 PECOS PAC ID: 8820593064 Enrollment ID: I20250926002441 |
| Provider Name | Ali R Eltatawy |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1285263186 PECOS PAC ID: 5496154825 Enrollment ID: I20250926003023 |
| Provider Name | Cristin Coquillard |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1649773565 PECOS PAC ID: 3678973641 Enrollment ID: I20250926003226 |
| Provider Name | Saneeha Shahid |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932694502 PECOS PAC ID: 2668724956 Enrollment ID: I20250926003806 |
| Provider Name | Meghan a Whitmarsh-brown |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1356704910 PECOS PAC ID: 5193159390 Enrollment ID: I20250926003842 |
| Provider Name | Natasha Mehta |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467031336 PECOS PAC ID: 2062951031 Enrollment ID: I20250929000478 |
| Provider Name | Natalie Jacobs |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1679033518 PECOS PAC ID: 5890291983 Enrollment ID: I20250929001257 |
| Provider Name | Narmeen I Khan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992266167 PECOS PAC ID: 8820322688 Enrollment ID: I20250929001791 |
| Provider Name | Nisha Caroline Howarth |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1437996600 PECOS PAC ID: 4183152960 Enrollment ID: I20250929003580 |
| Provider Name | Kumaran Shanmugarajah |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1093207698 PECOS PAC ID: 4082964176 Enrollment ID: I20250930000186 |
| Provider Name | Brittany-lee Roberts |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801391479 PECOS PAC ID: 5890170815 Enrollment ID: I20250930000454 |
| Provider Name | Jacob E Tallman |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1386141174 PECOS PAC ID: 9133473432 Enrollment ID: I20250930001518 |
| Provider Name | Divya Singh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1821733817 PECOS PAC ID: 6406237916 Enrollment ID: I20250930001749 |
| Provider Name | Teona S Munteanu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1104441062 PECOS PAC ID: 8123443207 Enrollment ID: I20250930002872 |
| Provider Name | Rewais Hanna |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1043896772 PECOS PAC ID: 7315349925 Enrollment ID: I20251003000708 |
| Provider Name | Nishanth P Uli |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1114555273 PECOS PAC ID: 5698197598 Enrollment ID: I20251003001263 |
| Provider Name | Madeline Alaine Fallon |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1326778051 PECOS PAC ID: 7911403373 Enrollment ID: I20251003001792 |
| Provider Name | Natalie Kleeman Klapholz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457096497 PECOS PAC ID: 6103206883 Enrollment ID: I20251006000398 |
| Provider Name | Marcelo Ramirez |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1902423999 PECOS PAC ID: 4981014776 Enrollment ID: I20251006002929 |
| Provider Name | Leeseul Kim |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326713967 PECOS PAC ID: 2961941166 Enrollment ID: I20251007002647 |
| Provider Name | Nafiah Enayet |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457938474 PECOS PAC ID: 6901206093 Enrollment ID: I20251008000943 |
| Provider Name | Leah Ashley Huss |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1780469643 PECOS PAC ID: 3173020971 Enrollment ID: I20251008001647 |
| Provider Name | Pei-ning Hsu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1437775327 PECOS PAC ID: 3476971177 Enrollment ID: I20251009000358 |
| Provider Name | Zhana Smith |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851979678 PECOS PAC ID: 0648670570 Enrollment ID: I20251010000679 |
| Provider Name | Antonios Varelas |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1629536917 PECOS PAC ID: 3971838418 Enrollment ID: I20251010000698 |
| Provider Name | Emiko Yamada |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528707270 PECOS PAC ID: 3375925860 Enrollment ID: I20251010001470 |
| Provider Name | Brett Vanderlinden |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922848993 PECOS PAC ID: 7911494141 Enrollment ID: I20251013002170 |
| Provider Name | Christopher Jerome Kaperak |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1750901500 PECOS PAC ID: 1456774280 Enrollment ID: I20251013002798 |
| Provider Name | Linda Liu |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1487151460 PECOS PAC ID: 2163856311 Enrollment ID: I20251013002897 |
| Provider Name | Kimberly Nicole Baran |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447749163 PECOS PAC ID: 2466717335 Enrollment ID: I20251014000650 |
| Provider Name | Josef Newton Jackson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699352526 PECOS PAC ID: 8729586243 Enrollment ID: I20251014002271 |
| Provider Name | Elijah P Darnell |
|---|---|
| Provider Type | Practitioner - Hematopoietic Cell Transplantation And Cellular Therapy |
| Provider Identifiers | NPI Number: 1184114373 PECOS PAC ID: 5698026433 Enrollment ID: I20251015001307 |
| Provider Name | Julio Adrian Villegas |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1124815949 PECOS PAC ID: 8820585334 Enrollment ID: I20251016003707 |
| Provider Name | Steve Nguyen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1013800838 PECOS PAC ID: 4789171224 Enrollment ID: I20251016004461 |
| Provider Name | Karima Laadimi |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1699544254 PECOS PAC ID: 3476040973 Enrollment ID: I20251017000621 |
| Provider Name | Taylor M Herring |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1942960034 PECOS PAC ID: 1456745660 Enrollment ID: I20251017001824 |
| Provider Name | Alexander Mitchell Fried |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1386388627 PECOS PAC ID: 5294115838 Enrollment ID: I20251021002912 |
| Provider Name | Nicolette Tello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609524982 PECOS PAC ID: 8325536402 Enrollment ID: I20251021003070 |
| Provider Name | Shyamal Sheth |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134862675 PECOS PAC ID: 2062893431 Enrollment ID: I20251021003454 |
| Provider Name | Angela Teresa Gomez-lam |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891950051 PECOS PAC ID: 1355839457 Enrollment ID: I20251021003517 |
| Provider Name | Douglas Rovira |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1598767733 PECOS PAC ID: 9739071689 Enrollment ID: I20251021004550 |
| Provider Name | Maya Topps |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467190819 PECOS PAC ID: 4486142494 Enrollment ID: I20251022001211 |
| Provider Name | Krista Rae Zamora |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1366290306 PECOS PAC ID: 1951899400 Enrollment ID: I20251024003050 |
| Provider Name | Samuel Robert Bunting |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144801408 PECOS PAC ID: 4981006228 Enrollment ID: I20251027000505 |
| Provider Name | Asad Javed |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1427339928 PECOS PAC ID: 5799058178 Enrollment ID: I20251027001753 |
| Provider Name | Bo-chih Pan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1861020117 PECOS PAC ID: 3779908785 Enrollment ID: I20251027002441 |
| Provider Name | Daniel Y Hong |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1952862914 PECOS PAC ID: 5395073035 Enrollment ID: I20251027002461 |
| Provider Name | Daniel O Haines |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1568810612 PECOS PAC ID: 9830485473 Enrollment ID: I20251027002840 |
| Provider Name | Aya Kaddoura |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063162519 PECOS PAC ID: 1658860093 Enrollment ID: I20251027004137 |
| Provider Name | Chrystina L James |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1013477439 PECOS PAC ID: 6103363585 Enrollment ID: I20251028000891 |
| Provider Name | Farah Hussain |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1093343790 PECOS PAC ID: 3779914221 Enrollment ID: I20251028003190 |
| Provider Name | Caroline Elinor Vonck |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1871052811 PECOS PAC ID: 4284059502 Enrollment ID: I20251028003886 |
| Provider Name | Madalin Rose Berra |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649739749 PECOS PAC ID: 9234539073 Enrollment ID: I20251029001018 |
| Provider Name | Alisha Bouzaher |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942763602 PECOS PAC ID: 5799013330 Enrollment ID: I20251029001554 |
| Provider Name | Madeline Elizabeth Flynn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932997012 PECOS PAC ID: 6204325236 Enrollment ID: I20251030001300 |
| Provider Name | Hira Aamna Aslam |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861075020 PECOS PAC ID: 4183002876 Enrollment ID: I20251103000395 |
| Provider Name | Cheshire Hardcastle |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609764190 PECOS PAC ID: 8820587470 Enrollment ID: I20251103000440 |
| Provider Name | Prashant Angara |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1902368327 PECOS PAC ID: 3173851649 Enrollment ID: I20251103000482 |
| Provider Name | Kriya Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881331106 PECOS PAC ID: 9436663291 Enrollment ID: I20251103000560 |
| Provider Name | Grace M Lee |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447837927 PECOS PAC ID: 3274933049 Enrollment ID: I20251103002110 |
| Provider Name | Amy L Hanson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639330707 PECOS PAC ID: 3779715347 Enrollment ID: I20251103002367 |
| Provider Name | Brianna Lambert |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083359269 PECOS PAC ID: 0941682132 Enrollment ID: I20251103002877 |
| Provider Name | Patrick T Tran |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1104384791 PECOS PAC ID: 5294158150 Enrollment ID: I20251103003811 |
| Provider Name | Luis Capuchina |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598331712 PECOS PAC ID: 9638573249 Enrollment ID: I20251104000170 |
| Provider Name | Rae Leonor F Gumayan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912402694 PECOS PAC ID: 6507113404 Enrollment ID: I20251105000895 |
| Provider Name | Danielle Dougherty |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1285017905 PECOS PAC ID: 9133544463 Enrollment ID: I20251105001343 |
| Provider Name | Gary Altwerger |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1407114630 PECOS PAC ID: 2466769849 Enrollment ID: I20251105003308 |
| Provider Name | Margaret E Collins |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1346124054 PECOS PAC ID: 5193215424 Enrollment ID: I20251105003883 |
| Provider Name | Hannah Zuckerman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174268791 PECOS PAC ID: 3678954047 Enrollment ID: I20251113000400 |
| Provider Name | Kaveri B Chopra |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1427303957 PECOS PAC ID: 5698266054 Enrollment ID: I20251113000674 |
| Provider Name | Michael Papakonstantinou |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215673041 PECOS PAC ID: 8729579123 Enrollment ID: I20251113002284 |
| Provider Name | Michael Tatenda Gwede |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1942883749 PECOS PAC ID: 2567862238 Enrollment ID: I20251113002312 |
| Provider Name | Neal Michalik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669357638 PECOS PAC ID: 8527559889 Enrollment ID: I20251114000328 |
| Provider Name | Jameela Media |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366022667 PECOS PAC ID: 5092108944 Enrollment ID: I20251118002053 |
| Provider Name | Joseph Chapman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164985164 PECOS PAC ID: 1153812086 Enrollment ID: I20251118003350 |
| Provider Name | Jennifer a Hesser |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124115845 PECOS PAC ID: 0345732038 Enrollment ID: I20251120001533 |
| Provider Name | Rachel L Proch |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1407606833 PECOS PAC ID: 4082159694 Enrollment ID: I20251121002757 |
| Provider Name | Toluwalase Adeyemi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346137635 PECOS PAC ID: 6406348747 Enrollment ID: I20251124002354 |
| Provider Name | Bridget C Huysman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1487147948 PECOS PAC ID: 4587043252 Enrollment ID: I20251125000234 |
| Provider Name | Alejandra Maria Casar Berazaluce |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1518329077 PECOS PAC ID: 8820395981 Enrollment ID: I20251125002586 |
| Provider Name | Alyssa Bujnak |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265921688 PECOS PAC ID: 5294156519 Enrollment ID: I20251125002841 |
| Provider Name | Carol Yeojin Park |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568023166 PECOS PAC ID: 2860728193 Enrollment ID: I20251125002854 |
| Provider Name | Ryan M Naylor |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1215433206 PECOS PAC ID: 8527315613 Enrollment ID: I20251125002981 |
| Provider Name | Kristin M Kim |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871627406 PECOS PAC ID: 5890842850 Enrollment ID: I20251126000631 |
| Provider Name | Franco a Laghi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1255836144 PECOS PAC ID: 8820347834 Enrollment ID: I20251127000115 |
| Provider Name | Jordana Velazco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295095313 PECOS PAC ID: 4183913742 Enrollment ID: I20251201000481 |
| Provider Name | Christin L Hackney |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1689421679 PECOS PAC ID: 4981197837 Enrollment ID: I20251201001038 |
| Provider Name | Kyla Nicole Price-jauregui |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1215515176 PECOS PAC ID: 2163937699 Enrollment ID: I20251201001815 |
| Provider Name | Jessica L Bakker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104407840 PECOS PAC ID: 1658780549 Enrollment ID: I20251201003032 |
| Provider Name | Anthony Ward Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750262234 PECOS PAC ID: 5395238133 Enrollment ID: I20251201003497 |
| Provider Name | Suzan Jamal Fakhoury |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1215732144 PECOS PAC ID: 7719470574 Enrollment ID: I20251202000418 |
| Provider Name | Tessa Garcia Mcewen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952297160 PECOS PAC ID: 9638662406 Enrollment ID: I20251202000629 |
| Provider Name | Keith B Diamond |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1295364461 PECOS PAC ID: 9739685488 Enrollment ID: I20251202001030 |
| Provider Name | Courtney a Schuchmann |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1821516352 PECOS PAC ID: 5597258277 Enrollment ID: I20251202001099 |
| Provider Name | Robert Franklin Coffey |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1578322319 PECOS PAC ID: 5092208710 Enrollment ID: I20251202001620 |
| Provider Name | Lori Ann Welstead |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1598982639 PECOS PAC ID: 3072006667 Enrollment ID: I20251202003524 |
| Provider Name | Daviel Pilar Thomas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386065076 PECOS PAC ID: 8123511417 Enrollment ID: I20251204002771 |
| Provider Name | Todd David Deutch |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790945905 PECOS PAC ID: 2163915356 Enrollment ID: I20251205001628 |
| Provider Name | Chandler J Zolliecoffer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1952044356 PECOS PAC ID: 8921591066 Enrollment ID: I20251205002680 |
| Provider Name | Aqsa Sabir |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487935243 PECOS PAC ID: 7416268248 Enrollment ID: I20251208000380 |
| Provider Name | Abigail J Gerbers |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1801440516 PECOS PAC ID: 8426483066 Enrollment ID: I20251215000028 |
| Provider Name | Anthony Joseph Bell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336236132 PECOS PAC ID: 5890280903 Enrollment ID: I20251216003739 |
| Provider Name | Tyler Micheal Gunn |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1083023923 PECOS PAC ID: 5991018707 Enrollment ID: I20251217004500 |
| Provider Name | Kaitlin Z Ervin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639758311 PECOS PAC ID: 0547662777 Enrollment ID: I20251222003600 |
| Provider Name | Sherman Yu |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1649808064 PECOS PAC ID: 6608317144 Enrollment ID: I20251230001552 |
| Provider Name | Megan Dahle |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891538500 PECOS PAC ID: 2163918913 Enrollment ID: I20251231000790 |
| Provider Name | Elza Rachid |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1629757117 PECOS PAC ID: 4981190741 Enrollment ID: I20251231001118 |
| Provider Name | Michael R Poulson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1992236111 PECOS PAC ID: 9830465616 Enrollment ID: I20260110000235 |
| Provider Name | Emily Joy Klepitsch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487521118 PECOS PAC ID: 2668958018 Enrollment ID: I20260115001756 |
| Provider Name | Alexis Nicole Lott |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1134919418 PECOS PAC ID: 5193201572 Enrollment ID: I20260115002657 |
| Provider Name | Priyank Yadav |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1871459487 PECOS PAC ID: 4789160177 Enrollment ID: I20260115002866 |
| Provider Name | Andrew J Hudson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1801549886 PECOS PAC ID: 9234523432 Enrollment ID: I20260122003141 |
| Provider Name | Patricia Gina Lu |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1386203685 PECOS PAC ID: 9537495627 Enrollment ID: I20260123002067 |
| Provider Name | Robert Cameron |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1144840166 PECOS PAC ID: 5496178535 Enrollment ID: I20260128002478 |
| Provider Name | Kellie Sladkov |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1497615496 PECOS PAC ID: 1355829631 Enrollment ID: I20260128003225 |
| Provider Name | Norma Rodriguez |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1457569642 PECOS PAC ID: 6002973013 Enrollment ID: I20260128004079 |
| Provider Name | Amelia Katherine Utley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497553804 PECOS PAC ID: 5698253953 Enrollment ID: I20260129001072 |
| Provider Name | Natalie G Parks |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386528552 PECOS PAC ID: 9133607047 Enrollment ID: I20260202001741 |
| Provider Name | Megan B Harris |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1649146085 PECOS PAC ID: 2062990781 Enrollment ID: I20260203001231 |
| Provider Name | Michael Berken |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1508447996 PECOS PAC ID: 4880096486 Enrollment ID: I20260212000122 |
| Provider Name | Ilham a Algayed |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922173608 PECOS PAC ID: 0446730709 Enrollment ID: I20260216002699 |
| Provider Name | Michelle M Taylor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700482908 PECOS PAC ID: 7214418961 Enrollment ID: I20260220003111 |
| Provider Name | Daisy Ruiz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194692962 PECOS PAC ID: 1951882307 Enrollment ID: I20260224001240 |
| Provider Name | Erik M Olson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831867555 PECOS PAC ID: 1153776372 Enrollment ID: I20260224001798 |
| Provider Name | Joseph Michael Cannova |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1346860111 PECOS PAC ID: 2668895764 Enrollment ID: I20260224004287 |
| Provider Name | Hailey Krzyston |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467016220 PECOS PAC ID: 4082038252 Enrollment ID: I20260225000688 |
| Provider Name | Abigail Jane Goebel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386505162 PECOS PAC ID: 1456832757 Enrollment ID: I20260225001426 |
| Provider Name | Nicole M Reidy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831755768 PECOS PAC ID: 5597246819 Enrollment ID: I20260225001953 |
| Provider Name | Alexandra Lebiedzinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447110440 PECOS PAC ID: 4385125608 Enrollment ID: I20260225002107 |
| Provider Name | Uzoma Nwakibu |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1184253916 PECOS PAC ID: 4880175017 Enrollment ID: I20260225002321 |
| Provider Name | Kendall Gina Christenson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1750060398 PECOS PAC ID: 3173004207 Enrollment ID: I20260226000147 |
| Provider Name | Jessaly John |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699645358 PECOS PAC ID: 5496236556 Enrollment ID: I20260226001108 |
| Provider Name | Maria Agoris |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477316255 PECOS PAC ID: 9830631209 Enrollment ID: I20260227002595 |
| Provider Name | Julian B Schuenke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326746686 PECOS PAC ID: 0648645598 Enrollment ID: I20260302000385 |
| Provider Name | Camille-macie Rumph |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1710626940 PECOS PAC ID: 1052794369 Enrollment ID: I20260303000135 |
| Provider Name | Mary Kathleen Cummings |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1205654563 PECOS PAC ID: 8123500808 Enrollment ID: I20260303001704 |
| Provider Name | Jessica Marie Tremper |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1780421248 PECOS PAC ID: 3971085481 Enrollment ID: I20260304002366 |
| Provider Name | Alexandra Lee Lunneborg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114713146 PECOS PAC ID: 1759863160 Enrollment ID: I20260304003856 |
| Provider Name | Alexander L Chang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942705421 PECOS PAC ID: 2567711807 Enrollment ID: I20260305000467 |
| Provider Name | Selena Hindi |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306622212 PECOS PAC ID: 9638527344 Enrollment ID: I20260311003928 |
| Provider Name | Jose Vencedor Garcia Malicdem |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1447120464 PECOS PAC ID: 8123501624 Enrollment ID: I20260312002698 |
| Provider Name | Roxanne G Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023700838 PECOS PAC ID: 1759747322 Enrollment ID: I20260319000177 |
| Provider Name | Youssef G Comair |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1134152697 PECOS PAC ID: 5193729911 Enrollment ID: I20260319000756 |
| Provider Name | Marcela D Artiles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528510542 PECOS PAC ID: 8022380260 Enrollment ID: I20260319002021 |
| Provider Name | Jill Rebecca Froimson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1245723790 PECOS PAC ID: 8820345077 Enrollment ID: I20260319002440 |
| Provider Name | Rachel Joyce Dilla Felipe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154035384 PECOS PAC ID: 9032693858 Enrollment ID: I20260319002909 |
| Provider Name | Sandra Hyunsoo Park |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1306372057 PECOS PAC ID: 8224373253 Enrollment ID: I20260325000101 |
| Provider Name | Randa Fahed Jaber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598631731 PECOS PAC ID: 1759866940 Enrollment ID: I20260325003396 |
| Provider Name | Alyssa K Hrobat |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386329357 PECOS PAC ID: 1456836006 Enrollment ID: I20260331004338 |
| Provider Name | Lisa a Taitsman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1760524722 PECOS PAC ID: 1052435187 Enrollment ID: I20260401000637 |
| Provider Name | Molly Mccarthy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700505930 PECOS PAC ID: 9234505785 Enrollment ID: I20260401001534 |
| Provider Name | Maria Diana Cipriani |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1366285587 PECOS PAC ID: 4183109549 Enrollment ID: I20260402002924 |
| Provider Name | Tetyana Marshall |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1447886528 PECOS PAC ID: 3779982202 Enrollment ID: I20260403001367 |
| Provider Name | Elsa Chiyo a Iwai |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1457215667 PECOS PAC ID: 5092280339 Enrollment ID: I20260406000309 |
| Provider Name | Kristina Tomic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912417031 PECOS PAC ID: 2365709409 Enrollment ID: I20260406002289 |
| Provider Name | Ashraf M El-hinnawi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1841577087 PECOS PAC ID: 4981831872 Enrollment ID: I20260408001201 |
| Provider Name | Carlos Alphonse Zavala |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053035857 PECOS PAC ID: 9830664598 Enrollment ID: I20260409002862 |
| Provider Name | Thea Mauck |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013736115 PECOS PAC ID: 5395210058 Enrollment ID: I20260409003164 |
| Provider Name | Nicole Elizabeth Key |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104532506 PECOS PAC ID: 9133695521 Enrollment ID: I20260414001171 |
| Provider Name | Amelia Lamb |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1225621550 PECOS PAC ID: 2264830124 Enrollment ID: I20260415002464 |
| Provider Name | Jenna Dama |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1841149085 PECOS PAC ID: 6901372085 Enrollment ID: I20260416000734 |
| Provider Name | Timothy Witham |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1841236825 PECOS PAC ID: 0345285631 Enrollment ID: I20260416001568 |
| Provider Name | Randy Miles |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336430586 PECOS PAC ID: 3971803131 Enrollment ID: I20260417001072 |
| Provider Name | Maria Kataki |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1144304064 PECOS PAC ID: 5395729966 Enrollment ID: I20260417002306 |
| Provider Name | Lajoy Patrice Pitts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982560132 PECOS PAC ID: 5092284596 Enrollment ID: I20260514000101 |
| Provider Name | Jeffrey Michael Jacobson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861446874 PECOS PAC ID: 3870507288 Enrollment ID: I20260514000225 |
| Provider Name | Caroline Rose Brennan |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1154184133 PECOS PAC ID: 2466921374 Enrollment ID: I20260520000148 |
| Provider Name | Zaneta Rafferty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508749615 PECOS PAC ID: 0648749515 Enrollment ID: I20260520001944 |
| Provider Name | Logan Richard Dance |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740592823 PECOS PAC ID: 5698043651 Enrollment ID: I20260520002299 |
| Provider Name | Maggie Mcwithey |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1235010752 PECOS PAC ID: 4880163781 Enrollment ID: I20260520002706 |
| Provider Name | Catherine Gruenwald |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1649134578 PECOS PAC ID: 1759851421 Enrollment ID: I20260525000041 |
| Provider Name | Catherine Phillips |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1881564383 PECOS PAC ID: 4284104951 Enrollment ID: I20260525000123 |
| Provider Name | Daniel Antoniello |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1790851467 PECOS PAC ID: 4587732110 Enrollment ID: I20260527002801 |
| Provider Name | Jaclyn Edelson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1437736600 PECOS PAC ID: 9638533052 Enrollment ID: I20260528003075 |
| Provider Name | Joshua Kellman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811016504 PECOS PAC ID: 3870063043 Enrollment ID: I20260528003639 |
| Provider Name | Irene Isabel Lim-beutel |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1710278973 PECOS PAC ID: 6709376239 Enrollment ID: I20260608002298 |
| Provider Name | Lauren Alice Kirwan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851276075 PECOS PAC ID: 4587136486 Enrollment ID: I20260611002044 |
| Provider Name | Alexandra Marie Mccarthy |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1932811049 PECOS PAC ID: 9335511724 Enrollment ID: I20260612000271 |
| Provider Name | Bradley C Stolbach |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1114113487 PECOS PAC ID: 1759853294 Enrollment ID: I20260616000913 |
Pilsen Pediatrics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1952 W Cermak Rd, Chicago, IL 60608 Phone: 773-254-6611 Fax: 773-254-8590 |
A Kavaliunas MD SC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5540 S Pulaski Rd, Chicago, IL 60629 Phone: 773-585-2802 |
Doc Cam Medical Center SC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2315 E 93rd St Ste 337, Chicago, IL 60617 Phone: 773-731-2700 Fax: 773-373-1868 |
Excellent Eye Care Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5352 N Milwaukee Ave, Chicago, IL 60630 Phone: 773-777-7444 Fax: 773-775-4030 |
Pediatric General Care & Research Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4527 N Pulaski Rd, Chicago, IL 60630 Phone: 773-267-7060 Fax: 773-267-4752 |
Urban Family Health Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10830 S Halsted St, Chicago, IL 60628 Phone: 773-264-1400 Fax: 773-264-1401 |