| University Of Iowa Hospitals & Clinics/medical Service Plan | |
|
200 Hawkins Dr Iowa City IA 52242 | |
| (319) 356-1616 | |
| (319) 384-5164 |
| Full Name | University Of Iowa Hospitals & Clinics/medical Service Plan |
|---|---|
| Speciality | Family Medicine |
| Location | 200 Hawkins Dr, Iowa City, Iowa |
| Authorized Official Name and Position | Douglas J Vandaele (ASSOCIATE DEAN) |
| Authorized Official Contact | 3193538162 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| University Of Iowa Hospitals & Clinics/medical Service Plan 200 Hawkins Dr Iowa City IA 52242-1009 Ph: (319) 356-1616 | University Of Iowa Hospitals & Clinics/medical Service Plan 200 Hawkins Dr Iowa City IA 52242 Ph: (319) 356-1616 |
| NPI Number | 1477554814 |
|---|---|
| Provider Enumeration Date | 08/09/2005 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 7618884230 |
|---|---|
| Medicare Enrollment ID | O20031107000060 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477554814 | NPI | - | NPPES |
| 004246 | Medicaid | IA | |
| 33537 | Other | IA | WELLMARK BCBS OF IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Iowa) | Primary |
| 207R00000X | Internal Medicine | (Iowa) | Secondary |
| 208000000X | Pediatrics | (Iowa) | Secondary |
| 208600000X | Surgery | (Iowa) | Secondary |
| Provider Name | Douglas Jerry Vandaele |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1821082587 PECOS PAC ID: 0941105324 Enrollment ID: I20031201000128 |
| Provider Name | David A Stoltz |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1962425785 PECOS PAC ID: 9931004298 Enrollment ID: I20031201000546 |
| Provider Name | Alison C Lynch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528055886 PECOS PAC ID: 5799682969 Enrollment ID: I20031216000423 |
| Provider Name | Amy L Lukas |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1083601744 PECOS PAC ID: 5597663831 Enrollment ID: I20031223000796 |
| Provider Name | Michael L Nosbisch |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1295779627 PECOS PAC ID: 7214835289 Enrollment ID: I20031229000677 |
| Provider Name | Mary S Dirks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326021387 PECOS PAC ID: 7517868821 Enrollment ID: I20040120000136 |
| Provider Name | Michael R Muellerleile |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1255316444 PECOS PAC ID: 7517852908 Enrollment ID: I20040216000771 |
| Provider Name | Robert A Beck |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568561710 PECOS PAC ID: 9537054770 Enrollment ID: I20040217001040 |
| Provider Name | Scott J Sheets |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1982699260 PECOS PAC ID: 9032005566 Enrollment ID: I20040223000995 |
| Provider Name | Stuart L Weinstein |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1952393332 PECOS PAC ID: 0244126209 Enrollment ID: I20040225001209 |
| Provider Name | Aliye Uc |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1215923925 PECOS PAC ID: 5395632459 Enrollment ID: I20040303000112 |
| Provider Name | Jean T Hogan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962561456 PECOS PAC ID: 8325930076 Enrollment ID: I20040326001049 |
| Provider Name | Thomas D Scholz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1588650246 PECOS PAC ID: 3274425947 Enrollment ID: I20040326001148 |
| Provider Name | Mark C Wilson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356323786 PECOS PAC ID: 1850288044 Enrollment ID: I20040402001138 |
| Provider Name | Sergei I Syrbu |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1043208846 PECOS PAC ID: 0547253254 Enrollment ID: I20040407001128 |
| Provider Name | Donald E Macfarlane |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1013905181 PECOS PAC ID: 7012901499 Enrollment ID: I20040408001509 |
| Provider Name | Dionne Allison Skeete |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1952393787 PECOS PAC ID: 6608860549 Enrollment ID: I20040413000802 |
| Provider Name | Geeta Lal |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1073514147 PECOS PAC ID: 4981699519 Enrollment ID: I20040414001869 |
| Provider Name | Thomas H Haugen |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1164410965 PECOS PAC ID: 0042205056 Enrollment ID: I20040419001031 |
| Provider Name | Anita J Moonjely |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649255035 PECOS PAC ID: 3173510963 Enrollment ID: I20040426000808 |
| Provider Name | Michelle T Weckmann |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1134196025 PECOS PAC ID: 8224025044 Enrollment ID: I20040426001075 |
| Provider Name | Jerilyn S Lundberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447245493 PECOS PAC ID: 6204824006 Enrollment ID: I20040503000023 |
| Provider Name | Jeffrey K Powers |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801992888 PECOS PAC ID: 3375538176 Enrollment ID: I20040503001492 |
| Provider Name | Clark J Obr |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1003885971 PECOS PAC ID: 3173511425 Enrollment ID: I20040504001635 |
| Provider Name | Nidal H Harb |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1871572677 PECOS PAC ID: 4082603725 Enrollment ID: I20040508000287 |
| Provider Name | Natalie L Lanternier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205823556 PECOS PAC ID: 0143210047 Enrollment ID: I20040513000774 |
| Provider Name | Vanessa A Kimm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013969435 PECOS PAC ID: 5799776522 Enrollment ID: I20040520001009 |
| Provider Name | Edward F Bell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548255326 PECOS PAC ID: 0446241095 Enrollment ID: I20040521000425 |
| Provider Name | Brenda L Hoskins-mein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336121755 PECOS PAC ID: 3072594951 Enrollment ID: I20040526001227 |
| Provider Name | Mark Charles Smith |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1487656971 PECOS PAC ID: 5395727754 Enrollment ID: I20040601001238 |
| Provider Name | Anjana Aggarwal |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1467436899 PECOS PAC ID: 4789666405 Enrollment ID: I20040604000790 |
| Provider Name | Melinda S Brokaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659593572 PECOS PAC ID: 7416930854 Enrollment ID: I20040608000965 |
| Provider Name | Jill L Liesveld |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134114804 PECOS PAC ID: 3870576978 Enrollment ID: I20040610000278 |
| Provider Name | Jonathan S Simmons |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1154317857 PECOS PAC ID: 3375527732 Enrollment ID: I20040615000521 |
| Provider Name | Philip M Polgreen |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1710975750 PECOS PAC ID: 7315921004 Enrollment ID: I20040618000213 |
| Provider Name | Tracy L Shaw |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306868526 PECOS PAC ID: 7618952490 Enrollment ID: I20040624000377 |
| Provider Name | Jeremy D Greenlee |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1053304170 PECOS PAC ID: 8224016464 Enrollment ID: I20040713000661 |
| Provider Name | Kelly K Ward |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790774818 PECOS PAC ID: 1557349727 Enrollment ID: I20040713000879 |
| Provider Name | John H Fingert |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1306847454 PECOS PAC ID: 3779561881 Enrollment ID: I20040713001205 |
| Provider Name | Kristen M Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518952720 PECOS PAC ID: 4183603160 Enrollment ID: I20040714000859 |
| Provider Name | Enrique C Leira |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1619960085 PECOS PAC ID: 6507845443 Enrollment ID: I20040715000346 |
| Provider Name | Michael P Miller |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447240874 PECOS PAC ID: 9931188273 Enrollment ID: I20040719001317 |
| Provider Name | Rebecca G Chackalackal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609863323 PECOS PAC ID: 6406826429 Enrollment ID: I20040728000357 |
| Provider Name | Barbara J Freyenberger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891780748 PECOS PAC ID: 0042281586 Enrollment ID: I20040805001347 |
| Provider Name | Henning Gerke |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1588644207 PECOS PAC ID: 5395716849 Enrollment ID: I20040805001356 |
| Provider Name | Ronda K Dennis Smithart |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316926785 PECOS PAC ID: 6901878529 Enrollment ID: I20040817000685 |
| Provider Name | Brian Phillip Daniel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609864271 PECOS PAC ID: 1557334497 Enrollment ID: I20040818000344 |
| Provider Name | Jose V G Angel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255449070 PECOS PAC ID: 2163327859 Enrollment ID: I20040825000333 |
| Provider Name | Kokila N Thenuwara |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1447239777 PECOS PAC ID: 2163498304 Enrollment ID: I20040908001294 |
| Provider Name | Tarah Colaizy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386639227 PECOS PAC ID: 3072573377 Enrollment ID: I20041012000712 |
| Provider Name | Timothy J Holton |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1942278551 PECOS PAC ID: 5395706766 Enrollment ID: I20041020000480 |
| Provider Name | Moshe Wald |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1205808433 PECOS PAC ID: 7719948488 Enrollment ID: I20041026000196 |
| Provider Name | Hiroyuki Oya |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1689667701 PECOS PAC ID: 7416910179 Enrollment ID: I20041104000640 |
| Provider Name | Michael D Abramoff |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1578564639 PECOS PAC ID: 0446213755 Enrollment ID: I20041108001010 |
| Provider Name | Benjamin E Reinking |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1972579233 PECOS PAC ID: 5496718736 Enrollment ID: I20041124000395 |
| Provider Name | Gagan D Kamal |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1124090980 PECOS PAC ID: 6507814878 Enrollment ID: I20050104000680 |
| Provider Name | Larry E Lenth |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1528173838 PECOS PAC ID: 3274582192 Enrollment ID: I20050118001023 |
| Provider Name | Christina C Charis-donelson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053388686 PECOS PAC ID: 8325098064 Enrollment ID: I20050131000159 |
| Provider Name | Jack Charles Kademian |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407832140 PECOS PAC ID: 4082667746 Enrollment ID: I20050223000278 |
| Provider Name | Natalie R Vanwaning |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013903368 PECOS PAC ID: 6709831449 Enrollment ID: I20050316000260 |
| Provider Name | Srinivasan Rajagopal |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1457347163 PECOS PAC ID: 1153377585 Enrollment ID: I20050329000307 |
| Provider Name | Erwei Gao |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1245276245 PECOS PAC ID: 9335195791 Enrollment ID: I20050329000611 |
| Provider Name | Ann K Mindock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346220431 PECOS PAC ID: 6709826894 Enrollment ID: I20050509000369 |
| Provider Name | Jason H Barker |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1730161050 PECOS PAC ID: 9537105382 Enrollment ID: I20050630001150 |
| Provider Name | Samuel E Kinzer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417942350 PECOS PAC ID: 2961448345 Enrollment ID: I20050707000565 |
| Provider Name | Dawn R Ebach |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1457346231 PECOS PAC ID: 4284670662 Enrollment ID: I20050707000602 |
| Provider Name | Heather Lucy Bair |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1992795694 PECOS PAC ID: 5395771653 Enrollment ID: I20050709000040 |
| Provider Name | Brad Heithoff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437137239 PECOS PAC ID: 6406838424 Enrollment ID: I20050725000320 |
| Provider Name | William J Sharp |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1497756050 PECOS PAC ID: 7618904152 Enrollment ID: I20050726000844 |
| Provider Name | Robert D Roghair |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497740104 PECOS PAC ID: 3971531476 Enrollment ID: I20050727000030 |
| Provider Name | Scott M Eberly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013982347 PECOS PAC ID: 2466353636 Enrollment ID: I20050812000528 |
| Provider Name | Wendy W Shen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902896707 PECOS PAC ID: 2163452814 Enrollment ID: I20050812000899 |
| Provider Name | Jeanenne M Suneja |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922072958 PECOS PAC ID: 9739111865 Enrollment ID: I20050908001140 |
| Provider Name | James J Schuh |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1487713533 PECOS PAC ID: 7214998475 Enrollment ID: I20050915000976 |
| Provider Name | Vincent Liu |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1871574814 PECOS PAC ID: 1557358546 Enrollment ID: I20050915000996 |
| Provider Name | Andrew Norris |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922080134 PECOS PAC ID: 0042243255 Enrollment ID: I20050916000649 |
| Provider Name | Azeemuddin Ahmed |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609850148 PECOS PAC ID: 6204860067 Enrollment ID: I20050921000407 |
| Provider Name | Brian K Link |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1487635793 PECOS PAC ID: 0042244790 Enrollment ID: I20050921001095 |
| Provider Name | Ronald J Weigel |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1265416705 PECOS PAC ID: 8628027927 Enrollment ID: I20051010000955 |
| Provider Name | Gayle M Wallace |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1679552871 PECOS PAC ID: 7416973342 Enrollment ID: I20051024000113 |
| Provider Name | Thad E Abrams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326022385 PECOS PAC ID: 1951328657 Enrollment ID: I20051101000971 |
| Provider Name | Abdullah Thayyil |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1922088582 PECOS PAC ID: 1850384314 Enrollment ID: I20051121000119 |
| Provider Name | Kilee Dunham |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1730166166 PECOS PAC ID: 6103846910 Enrollment ID: I20051122000832 |
| Provider Name | Rebecca J Boscaljon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023095379 PECOS PAC ID: 3971524471 Enrollment ID: I20051213000161 |
| Provider Name | Tess M Judge Ellis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902996382 PECOS PAC ID: 2062433170 Enrollment ID: I20051215000730 |
| Provider Name | Tina L Davenport |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952363624 PECOS PAC ID: 1850315771 Enrollment ID: I20060118000920 |
| Provider Name | Tammy Lynn Wilgenbusch |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1770532558 PECOS PAC ID: 5991729998 Enrollment ID: I20060118001015 |
| Provider Name | John E Femino |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1467421487 PECOS PAC ID: 5698789691 Enrollment ID: I20060130000305 |
| Provider Name | Gregory A Schmidt |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1073582102 PECOS PAC ID: 9830127364 Enrollment ID: I20060130000688 |
| Provider Name | Jodi J Bloxham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790737880 PECOS PAC ID: 1759396534 Enrollment ID: I20060215000501 |
| Provider Name | Nancy Ellen Beyer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831274547 PECOS PAC ID: 2264447705 Enrollment ID: I20060220000519 |
| Provider Name | Robert S Rossi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1518918317 PECOS PAC ID: 0840244430 Enrollment ID: I20060313000255 |
| Provider Name | Mario B Sy |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1447210638 PECOS PAC ID: 2860409893 Enrollment ID: I20060315000467 |
| Provider Name | Bradley J Vanvoorhis |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1144214339 PECOS PAC ID: 2860409562 Enrollment ID: I20060321000089 |
| Provider Name | Paula A Giudici |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1679538086 PECOS PAC ID: 3779591458 Enrollment ID: I20060323000109 |
| Provider Name | Karen M Gehrs |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1669473732 PECOS PAC ID: 4183632672 Enrollment ID: I20060324000230 |
| Provider Name | Britt L Marcussen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205824000 PECOS PAC ID: 8224046693 Enrollment ID: I20060327000324 |
| Provider Name | Scott Alan Larson |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1992757991 PECOS PAC ID: 5890758346 Enrollment ID: I20060425000648 |
| Provider Name | Lynda A Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104878958 PECOS PAC ID: 2961412622 Enrollment ID: I20060426000477 |
| Provider Name | Frederick M Frank |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396707733 PECOS PAC ID: 5092725283 Enrollment ID: I20060503000074 |
| Provider Name | Selden E Spencer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1275514606 PECOS PAC ID: 5890705099 Enrollment ID: I20060503000182 |
| Provider Name | Michael J Goodheart |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1811985666 PECOS PAC ID: 3072526250 Enrollment ID: I20060712000008 |
| Provider Name | James R Hopson |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1699755777 PECOS PAC ID: 1951341056 Enrollment ID: I20060717000130 |
| Provider Name | Linda M Lee |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1649250267 PECOS PAC ID: 5597705699 Enrollment ID: I20060717000161 |
| Provider Name | John P Mehegan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1114907292 PECOS PAC ID: 2860432952 Enrollment ID: I20060717000172 |
| Provider Name | Amy Marie Stier |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447290770 PECOS PAC ID: 5890708127 Enrollment ID: I20060803000015 |
| Provider Name | Bridget M Watters |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1144260480 PECOS PAC ID: 5698778850 Enrollment ID: I20060809000185 |
| Provider Name | Michael E Takacs |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427029529 PECOS PAC ID: 1557330834 Enrollment ID: I20060809000230 |
| Provider Name | Melissa A Gambrall |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1346291267 PECOS PAC ID: 7618980939 Enrollment ID: I20060811000375 |
| Provider Name | Shawn T Simmons |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1033105168 PECOS PAC ID: 4385647312 Enrollment ID: I20060814000046 |
| Provider Name | Michael E Ohl |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1518903509 PECOS PAC ID: 0648239681 Enrollment ID: I20060818000041 |
| Provider Name | Visweswara Tatini |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578500401 PECOS PAC ID: 6608857289 Enrollment ID: I20060823000255 |
| Provider Name | Archana T Laroia |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588600548 PECOS PAC ID: 9436153616 Enrollment ID: I20060830000273 |
| Provider Name | Patricia Beth Espe Pfeifer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1205887882 PECOS PAC ID: 7517961733 Enrollment ID: I20060831000044 |
| Provider Name | Rachel A Maassen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770535593 PECOS PAC ID: 4688678816 Enrollment ID: I20060831000072 |
| Provider Name | Amani Abdall Bashir |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1063448686 PECOS PAC ID: 5294739421 Enrollment ID: I20060831000096 |
| Provider Name | Manish Suneja |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1558396655 PECOS PAC ID: 7315941325 Enrollment ID: I20060906000233 |
| Provider Name | Isabella M Grumbach |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1730108879 PECOS PAC ID: 7113921628 Enrollment ID: I20060913000667 |
| Provider Name | Bruno A Policeni |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306879069 PECOS PAC ID: 2961407705 Enrollment ID: I20060928000547 |
| Provider Name | Nancy A Williams |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093701625 PECOS PAC ID: 9335145341 Enrollment ID: I20061016000218 |
| Provider Name | Umashankar Subramaniam |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487768032 PECOS PAC ID: 6608872627 Enrollment ID: I20061016000312 |
| Provider Name | Kathleen Sue Wittich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538100508 PECOS PAC ID: 3173567815 Enrollment ID: I20061018000172 |
| Provider Name | Laura M Dellos |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1609871649 PECOS PAC ID: 5799704763 Enrollment ID: I20061018000219 |
| Provider Name | Debra K Schnoor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194735167 PECOS PAC ID: 7416954128 Enrollment ID: I20061021000038 |
| Provider Name | Amal A Shibli Rahhal |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1760596357 PECOS PAC ID: 8426055146 Enrollment ID: I20061023000097 |
| Provider Name | Andrea L Greiner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427016716 PECOS PAC ID: 0648222109 Enrollment ID: I20061025000196 |
| Provider Name | Kalpaj R Parekh |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1396849675 PECOS PAC ID: 3173520517 Enrollment ID: I20061027000453 |
| Provider Name | Renee C Meade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376536581 PECOS PAC ID: 8921007105 Enrollment ID: I20061218000029 |
| Provider Name | Lori Beireis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275568875 PECOS PAC ID: 3476553330 Enrollment ID: I20061228000232 |
| Provider Name | Steven W Anderson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1184790560 PECOS PAC ID: 8628078482 Enrollment ID: I20070102000268 |
| Provider Name | Denice M Hodgson Zingman |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1497729271 PECOS PAC ID: 2163422841 Enrollment ID: I20070102000453 |
| Provider Name | Antonio J Sanchez |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1467441238 PECOS PAC ID: 9335155852 Enrollment ID: I20070104000066 |
| Provider Name | Robert D Jones |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1740351485 PECOS PAC ID: 9638179104 Enrollment ID: I20070105000477 |
| Provider Name | Jeannett T Wu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497705594 PECOS PAC ID: 3274563952 Enrollment ID: I20070116000124 |
| Provider Name | Soe Nyunt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457301640 PECOS PAC ID: 3173524279 Enrollment ID: I20070116000128 |
| Provider Name | Ann M Aschoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578632154 PECOS PAC ID: 5698776755 Enrollment ID: I20070117000019 |
| Provider Name | John S Chase |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1487642013 PECOS PAC ID: 7416958582 Enrollment ID: I20070117000102 |
| Provider Name | Michael A Odonnell |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1124029582 PECOS PAC ID: 9234130303 Enrollment ID: I20070117000104 |
| Provider Name | David P Bender |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1487641247 PECOS PAC ID: 6406857572 Enrollment ID: I20070117000111 |
| Provider Name | Janet A Fairley |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1023069929 PECOS PAC ID: 9931119773 Enrollment ID: I20070129000420 |
| Provider Name | Vickie Diamandakis Pyevich |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1003882374 PECOS PAC ID: 6002717436 Enrollment ID: I20070130000715 |
| Provider Name | Julia A Klesney Tait |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1679631204 PECOS PAC ID: 7214939289 Enrollment ID: I20070203000036 |
| Provider Name | Daniel T Tranel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1528147774 PECOS PAC ID: 0648272617 Enrollment ID: I20070203000067 |
| Provider Name | Donna M D Alessandro |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396730248 PECOS PAC ID: 0042212029 Enrollment ID: I20070203000124 |
| Provider Name | Amy M Yoder Dowden |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1235204496 PECOS PAC ID: 2668474644 Enrollment ID: I20070203000146 |
| Provider Name | Leonid V Zingman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285709899 PECOS PAC ID: 2264534411 Enrollment ID: I20070219000802 |
| Provider Name | Sherry R Timmons |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1427152420 PECOS PAC ID: 8325140312 Enrollment ID: I20070221000639 |
| Provider Name | Lucy A Wibbenmeyer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1346242906 PECOS PAC ID: 3274535372 Enrollment ID: I20070223000006 |
| Provider Name | Theresa M Brennan |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1063400620 PECOS PAC ID: 1052413564 Enrollment ID: I20070301000000 |
| Provider Name | Agustin Aguilar |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649252503 PECOS PAC ID: 8921100439 Enrollment ID: I20070301000025 |
| Provider Name | Asif Ahmed |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1881673499 PECOS PAC ID: 3870695307 Enrollment ID: I20070301000168 |
| Provider Name | Vera M Howe |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1437124989 PECOS PAC ID: 8527161934 Enrollment ID: I20070305000585 |
| Provider Name | Hisakazu Hoshi |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1841355096 PECOS PAC ID: 6204939325 Enrollment ID: I20070310000045 |
| Provider Name | Joel Shilyansky |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1942251368 PECOS PAC ID: 6204939994 Enrollment ID: I20070319000227 |
| Provider Name | Mohammed M Milhem |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1558429100 PECOS PAC ID: 2466556402 Enrollment ID: I20070330000199 |
| Provider Name | Lisa M Antes |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1174511026 PECOS PAC ID: 6709981137 Enrollment ID: I20070413000306 |
| Provider Name | John A Bertolatus |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1720075831 PECOS PAC ID: 1557466760 Enrollment ID: I20070417000547 |
| Provider Name | Haroon R Afridi |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1033154620 PECOS PAC ID: 7911002639 Enrollment ID: I20070424000680 |
| Provider Name | Francois M Abboud |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1598753113 PECOS PAC ID: 2466559463 Enrollment ID: I20070529000187 |
| Provider Name | Nicholas E Walker |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1437241221 PECOS PAC ID: 6709986672 Enrollment ID: I20070705000665 |
| Provider Name | Judy Streit |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1124141528 PECOS PAC ID: 9739167495 Enrollment ID: I20070719000452 |
| Provider Name | Kimberly S Staffey |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1184634099 PECOS PAC ID: 6507967213 Enrollment ID: I20070725000378 |
| Provider Name | Amy N Vahrenwald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518179001 PECOS PAC ID: 1355442617 Enrollment ID: I20070731000276 |
| Provider Name | Sandy D Hong |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1245353242 PECOS PAC ID: 3779674064 Enrollment ID: I20070731000573 |
| Provider Name | Olivia E Bailey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558563163 PECOS PAC ID: 6103917497 Enrollment ID: I20070731000609 |
| Provider Name | Carla M Nester |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1538387873 PECOS PAC ID: 8729179973 Enrollment ID: I20070802000424 |
| Provider Name | Gretchen E Vigil |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407842735 PECOS PAC ID: 6608967625 Enrollment ID: I20070806000615 |
| Provider Name | Mark K Santillan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114137668 PECOS PAC ID: 0547351397 Enrollment ID: I20070808000145 |
| Provider Name | Cynthia M Burr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669519377 PECOS PAC ID: 3375634074 Enrollment ID: I20070810000401 |
| Provider Name | Rebecca S Davis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508823105 PECOS PAC ID: 6901998301 Enrollment ID: I20070815000136 |
| Provider Name | Eric A Epping |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447468343 PECOS PAC ID: 8820180946 Enrollment ID: I20070822000160 |
| Provider Name | Eyad M Hanna |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1306041660 PECOS PAC ID: 5890887913 Enrollment ID: I20070822000184 |
| Provider Name | Nicolas O Noiseux |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1124127865 PECOS PAC ID: 5890792550 Enrollment ID: I20070822000218 |
| Provider Name | Riad M Rahhal |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1073722112 PECOS PAC ID: 6103918164 Enrollment ID: I20070822000647 |
| Provider Name | James S Klutts |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1124112719 PECOS PAC ID: 6901999432 Enrollment ID: I20070829000606 |
| Provider Name | Alexander G Bassuk |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1679549737 PECOS PAC ID: 7012986292 Enrollment ID: I20070829000976 |
| Provider Name | Brian Lester Swick |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1811942840 PECOS PAC ID: 7416989181 Enrollment ID: I20070905000108 |
| Provider Name | Mirac N Ince |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1285844217 PECOS PAC ID: 4880787787 Enrollment ID: I20070910000218 |
| Provider Name | Julie K Osterhaus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235124942 PECOS PAC ID: 4284728320 Enrollment ID: I20070919000818 |
| Provider Name | Ingrid M Lizarraga |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1750590907 PECOS PAC ID: 3476647348 Enrollment ID: I20070922000114 |
| Provider Name | Sandeep T Laroia |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1154403632 PECOS PAC ID: 6608960497 Enrollment ID: I20070925000076 |
| Provider Name | Alan I Reed |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1174623599 PECOS PAC ID: 6800981242 Enrollment ID: I20071001000567 |
| Provider Name | Amy L Newton |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1376639914 PECOS PAC ID: 1759381486 Enrollment ID: I20071002000621 |
| Provider Name | Jeffrey J Nichols |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1710910559 PECOS PAC ID: 2860587649 Enrollment ID: I20071009000553 |
| Provider Name | Margaret S Guither |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881747897 PECOS PAC ID: 5890881403 Enrollment ID: I20071012000160 |
| Provider Name | Danielle J Wendel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437345857 PECOS PAC ID: 5991892234 Enrollment ID: I20071102000053 |
| Provider Name | Mary M Drury |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174677074 PECOS PAC ID: 3971690918 Enrollment ID: I20071107000511 |
| Provider Name | Margarida M Silverman |
|---|---|
| Provider Type | Practitioner - Hematopoietic Cell Transplantation And Cellular Therapy |
| Provider Identifiers | NPI Number: 1295724821 PECOS PAC ID: 5597853689 Enrollment ID: I20071127000362 |
| Provider Name | Angela Jo Schadler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356326581 PECOS PAC ID: 4981601366 Enrollment ID: I20071213000445 |
| Provider Name | Gregory Bell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841305042 PECOS PAC ID: 9638077159 Enrollment ID: I20071228000376 |
| Provider Name | Julie E Lindower |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669435145 PECOS PAC ID: 8628158847 Enrollment ID: I20071231000092 |
| Provider Name | Melhem J Sharafuddin |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1326118332 PECOS PAC ID: 8921189432 Enrollment ID: I20080122000543 |
| Provider Name | Merle H Muller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891770350 PECOS PAC ID: 2163505983 Enrollment ID: I20080215000578 |
| Provider Name | Richard G Burton |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1083699920 PECOS PAC ID: 1456434281 Enrollment ID: I20080215000647 |
| Provider Name | Maheen Rajput |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1316064637 PECOS PAC ID: 7416031893 Enrollment ID: I20080223000082 |
| Provider Name | Mishelle L Paullus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528247368 PECOS PAC ID: 4688758014 Enrollment ID: I20080225000354 |
| Provider Name | Todd G Kopelman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1063699668 PECOS PAC ID: 3476637513 Enrollment ID: I20080227000562 |
| Provider Name | John M Buatti |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1205829058 PECOS PAC ID: 5395848246 Enrollment ID: I20080404000831 |
| Provider Name | Susan R Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013049691 PECOS PAC ID: 3678650314 Enrollment ID: I20080404000847 |
| Provider Name | Edward J Melcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831368935 PECOS PAC ID: 3072690122 Enrollment ID: I20080414000442 |
| Provider Name | Charles F Grose |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1184610206 PECOS PAC ID: 8820177074 Enrollment ID: I20080430000085 |
| Provider Name | Barbara L Patrick |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538153457 PECOS PAC ID: 9234218629 Enrollment ID: I20080509000671 |
| Provider Name | Daniel Fick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457347049 PECOS PAC ID: 3779662168 Enrollment ID: I20080509000674 |
| Provider Name | Jean M Ryan |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1538335930 PECOS PAC ID: 2567532971 Enrollment ID: I20080528000255 |
| Provider Name | Michele L Jones Mcleod |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255316923 PECOS PAC ID: 4789754854 Enrollment ID: I20080602000016 |
| Provider Name | Kristine M Bonnett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184897001 PECOS PAC ID: 6901977891 Enrollment ID: I20080620000134 |
| Provider Name | Amy Rebecca Ulring Larson Calhoun |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1477761328 PECOS PAC ID: 4688745581 Enrollment ID: I20080620000173 |
| Provider Name | Martin Mueller |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1205036282 PECOS PAC ID: 4880782911 Enrollment ID: I20080627000129 |
| Provider Name | Mudassir Ilyas Malik |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1457553653 PECOS PAC ID: 0840362984 Enrollment ID: I20080707000075 |
| Provider Name | Arlene V Drack |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1598855264 PECOS PAC ID: 5395722003 Enrollment ID: I20080707000192 |
| Provider Name | Elizabeth A Newell |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1467661124 PECOS PAC ID: 9739251885 Enrollment ID: I20080707000201 |
| Provider Name | Liuska Maria Pesce |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1972638864 PECOS PAC ID: 4981776069 Enrollment ID: I20080707000410 |
| Provider Name | Alejandro P Comellas |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1104926617 PECOS PAC ID: 8729057039 Enrollment ID: I20080710000238 |
| Provider Name | Byron Ford Vandenberg |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1386614170 PECOS PAC ID: 1759283708 Enrollment ID: I20080710000268 |
| Provider Name | Andrea J Swenson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1164630216 PECOS PAC ID: 7618040445 Enrollment ID: I20080725000754 |
| Provider Name | Kimberly M Baker-el Abiad |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1033275052 PECOS PAC ID: 8527131358 Enrollment ID: I20080725000755 |
| Provider Name | Viktor Hanak |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114905999 PECOS PAC ID: 4981684776 Enrollment ID: I20080726000100 |
| Provider Name | Rashmi N Mueller |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1336209121 PECOS PAC ID: 8022182260 Enrollment ID: I20080805000901 |
| Provider Name | Savita Vishny Hegde |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932239332 PECOS PAC ID: 8224043872 Enrollment ID: I20080806000758 |
| Provider Name | Susan L Roeder |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1487615340 PECOS PAC ID: 7416021548 Enrollment ID: I20080807000091 |
| Provider Name | Anil A Marian |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1760609846 PECOS PAC ID: 1456445824 Enrollment ID: I20080807000169 |
| Provider Name | Carryn M Anderson |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1891987392 PECOS PAC ID: 3072688977 Enrollment ID: I20080812000240 |
| Provider Name | Evgeny V Arshava |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1326257585 PECOS PAC ID: 9931274123 Enrollment ID: I20080822000428 |
| Provider Name | Aimee F Foster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720279086 PECOS PAC ID: 3870669328 Enrollment ID: I20080905000636 |
| Provider Name | Nitin A Pagedar |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1144433962 PECOS PAC ID: 6406922723 Enrollment ID: I20080910000036 |
| Provider Name | Emily J Griffin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952566390 PECOS PAC ID: 9931113701 Enrollment ID: I20080918000601 |
| Provider Name | Kate D Hanrahan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134338965 PECOS PAC ID: 4284701681 Enrollment ID: I20080926000622 |
| Provider Name | Shauna L Lafleur |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285834408 PECOS PAC ID: 6800963208 Enrollment ID: I20080926000642 |
| Provider Name | Sailesh Chandur Harwani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669682407 PECOS PAC ID: 8628145992 Enrollment ID: I20080929000426 |
| Provider Name | Heather L Bingham |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1588644983 PECOS PAC ID: 2264469246 Enrollment ID: I20081001000317 |
| Provider Name | Maya J Mathews |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1750539334 PECOS PAC ID: 0749358679 Enrollment ID: I20081006000425 |
| Provider Name | Kathryn J Allen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1376574954 PECOS PAC ID: 1456454891 Enrollment ID: I20081103000208 |
| Provider Name | Michael J Tansey |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1285620583 PECOS PAC ID: 4688733868 Enrollment ID: I20081103000238 |
| Provider Name | Sharon L Marguglio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033360284 PECOS PAC ID: 9436218153 Enrollment ID: I20081110000212 |
| Provider Name | Mark T Haas |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1942241138 PECOS PAC ID: 5597739128 Enrollment ID: I20081112000345 |
| Provider Name | Holly N Maas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033159660 PECOS PAC ID: 4981764487 Enrollment ID: I20081113000300 |
| Provider Name | Kristin E Marsh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831307701 PECOS PAC ID: 1355401605 Enrollment ID: I20081117000822 |
| Provider Name | Cynthia A Haas |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1790802957 PECOS PAC ID: 1052378122 Enrollment ID: I20081120000605 |
| Provider Name | Karin Weber Gasparoni |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1003915679 PECOS PAC ID: 2769544154 Enrollment ID: I20081218000487 |
| Provider Name | Brenda M Shafer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689819500 PECOS PAC ID: 2062574148 Enrollment ID: I20081224000321 |
| Provider Name | Alicia K Gerke |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1053520759 PECOS PAC ID: 2163586314 Enrollment ID: I20090203000129 |
| Provider Name | Bruce E Headings |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1982890406 PECOS PAC ID: 5799867941 Enrollment ID: I20090204000029 |
| Provider Name | Sarah S Titler |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1881805562 PECOS PAC ID: 8022174911 Enrollment ID: I20090302000086 |
| Provider Name | Graeme J Pitcher |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1831338755 PECOS PAC ID: 1658437298 Enrollment ID: I20090305000263 |
| Provider Name | Erica S Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922247808 PECOS PAC ID: 6406912039 Enrollment ID: I20090306000250 |
| Provider Name | Christoph Oskar Randak |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1407065469 PECOS PAC ID: 8921164153 Enrollment ID: I20090312000528 |
| Provider Name | Nicola Jane Stickney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942445937 PECOS PAC ID: 3476610585 Enrollment ID: I20090317000217 |
| Provider Name | James F Carillo |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1366426678 PECOS PAC ID: 0143219873 Enrollment ID: I20090423000070 |
| Provider Name | Mony Fraer |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1497845960 PECOS PAC ID: 4284674821 Enrollment ID: I20090423000652 |
| Provider Name | Deborah S Kacmarynski |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1457557704 PECOS PAC ID: 9537217849 Enrollment ID: I20090424000296 |
| Provider Name | Joseph J Ehle |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457337453 PECOS PAC ID: 1951459403 Enrollment ID: I20090511000467 |
| Provider Name | Daniel E Wesemann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366435125 PECOS PAC ID: 5193707172 Enrollment ID: I20090512000425 |
| Provider Name | Denisa M Haret |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1740370212 PECOS PAC ID: 3274682331 Enrollment ID: I20090519000621 |
| Provider Name | Jody Jones |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1851421853 PECOS PAC ID: 0840244307 Enrollment ID: I20090521000066 |
| Provider Name | Joseph Francis Szot |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881682441 PECOS PAC ID: 4587713524 Enrollment ID: I20090521000130 |
| Provider Name | Mark W Karwal |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1891770616 PECOS PAC ID: 3375693641 Enrollment ID: I20090608000307 |
| Provider Name | Brent A Hadder |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1245449016 PECOS PAC ID: 6608927132 Enrollment ID: I20090624000100 |
| Provider Name | Jon N Vanheukelom |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467547604 PECOS PAC ID: 3971654419 Enrollment ID: I20090624000201 |
| Provider Name | Matthew David Krasowski |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1003880436 PECOS PAC ID: 2365481249 Enrollment ID: I20090625000118 |
| Provider Name | Rami G El Abiad |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1003025032 PECOS PAC ID: 9032260450 Enrollment ID: I20090625000136 |
| Provider Name | Rachael Michelle Nicholson |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1376746354 PECOS PAC ID: 6800948514 Enrollment ID: I20090710000042 |
| Provider Name | Chad R Tracy |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1710191408 PECOS PAC ID: 5294898524 Enrollment ID: I20090710000057 |
| Provider Name | D Lowell Yoder |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881689545 PECOS PAC ID: 4789736679 Enrollment ID: I20090724000028 |
| Provider Name | Hussain Banu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063622637 PECOS PAC ID: 9032262811 Enrollment ID: I20090727000245 |
| Provider Name | Colleen K Stockdale |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841287604 PECOS PAC ID: 1153475041 Enrollment ID: I20090811000678 |
| Provider Name | Lina M Moreno Uribe |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1770734873 PECOS PAC ID: 2668526575 Enrollment ID: I20090812000152 |
| Provider Name | Dilek Ince |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1336358019 PECOS PAC ID: 4587718077 Enrollment ID: I20090818000588 |
| Provider Name | Boulos S Nassar |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1043420730 PECOS PAC ID: 4486709409 Enrollment ID: I20090827000098 |
| Provider Name | Jason M Powers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467440263 PECOS PAC ID: 5698820918 Enrollment ID: I20090909000597 |
| Provider Name | Nicole Elizabeth Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932343001 PECOS PAC ID: 8426103706 Enrollment ID: I20090910000373 |
| Provider Name | Sharon Kay Cozad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396776308 PECOS PAC ID: 1951457126 Enrollment ID: I20090914000571 |
| Provider Name | Melinda Suoboda Seering |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1275631970 PECOS PAC ID: 0941208011 Enrollment ID: I20090923000026 |
| Provider Name | Steven J Bailin |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1689656258 PECOS PAC ID: 4789720665 Enrollment ID: I20091007000037 |
| Provider Name | Dawn M Flynn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962498659 PECOS PAC ID: 4688710460 Enrollment ID: I20091008000193 |
| Provider Name | Molly M Bauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902139363 PECOS PAC ID: 6305982190 Enrollment ID: I20091008000210 |
| Provider Name | Teresa A Morgan |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1356327712 PECOS PAC ID: 0143366674 Enrollment ID: I20091014000015 |
| Provider Name | Kirk Fridrich |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1174508022 PECOS PAC ID: 8729181607 Enrollment ID: I20091014000056 |
| Provider Name | William J Synan |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1518061514 PECOS PAC ID: 9830235381 Enrollment ID: I20091014000123 |
| Provider Name | Kevin A Glenn |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972591402 PECOS PAC ID: 9537205943 Enrollment ID: I20091014000740 |
| Provider Name | Joy A Hesse |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1306001037 PECOS PAC ID: 1850438193 Enrollment ID: I20091020000066 |
| Provider Name | Jessica Kyle Smith |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1154460160 PECOS PAC ID: 7911065693 Enrollment ID: I20091028000282 |
| Provider Name | Kellen A Kraber |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1174666721 PECOS PAC ID: 0244335784 Enrollment ID: I20091029000100 |
| Provider Name | Kevin Doerschug |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1134109846 PECOS PAC ID: 9436297884 Enrollment ID: I20091105000365 |
| Provider Name | Gerald H Clamon |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1114902913 PECOS PAC ID: 3870631237 Enrollment ID: I20091105000389 |
| Provider Name | Jill J Endres |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356338610 PECOS PAC ID: 6103964499 Enrollment ID: I20091106000074 |
| Provider Name | Thoru Yamada |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1154313070 PECOS PAC ID: 3870631112 Enrollment ID: I20091106000401 |
| Provider Name | Joseph A. Buckwalter |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1790777167 PECOS PAC ID: 7113020066 Enrollment ID: I20091109000167 |
| Provider Name | Bobby X Peters |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467434324 PECOS PAC ID: 7113065384 Enrollment ID: I20091109000200 |
| Provider Name | William D Clark |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1083639140 PECOS PAC ID: 8426196643 Enrollment ID: I20091109000640 |
| Provider Name | Michael K Maharry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073509436 PECOS PAC ID: 2062550189 Enrollment ID: I20091111000084 |
| Provider Name | George R Bergus |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811983414 PECOS PAC ID: 2860530821 Enrollment ID: I20091111000478 |
| Provider Name | Joseph J Cullen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1396746616 PECOS PAC ID: 0547308520 Enrollment ID: I20091111000631 |
| Provider Name | Richard C Dobyns |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912993387 PECOS PAC ID: 2163560038 Enrollment ID: I20091113000133 |
| Provider Name | David A Bedell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588650956 PECOS PAC ID: 7012055999 Enrollment ID: I20091113000187 |
| Provider Name | Mark E Dyken |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1699768440 PECOS PAC ID: 3072651819 Enrollment ID: I20091116000118 |
| Provider Name | Marcus B Nashelsky |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1629066485 PECOS PAC ID: 1658419437 Enrollment ID: I20091116000491 |
| Provider Name | Bryan Dean Hested |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1942536057 PECOS PAC ID: 7810035581 Enrollment ID: I20091118000054 |
| Provider Name | Matthew L Lanternier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437148285 PECOS PAC ID: 2961540653 Enrollment ID: I20091118000209 |
| Provider Name | Carlyn M Christensen-szalanski |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639151509 PECOS PAC ID: 8022157569 Enrollment ID: I20091123000473 |
| Provider Name | Dana M King |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255316303 PECOS PAC ID: 8527107069 Enrollment ID: I20091123000512 |
| Provider Name | Daniel J Berg |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1841289790 PECOS PAC ID: 0143369686 Enrollment ID: I20091123000532 |
| Provider Name | Larisa A Sharp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346397619 PECOS PAC ID: 2163561234 Enrollment ID: I20091202000579 |
| Provider Name | Jose A Morcuende |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1790777985 PECOS PAC ID: 3274672969 Enrollment ID: I20091210000093 |
| Provider Name | James V Nepola |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1972597037 PECOS PAC ID: 7416097001 Enrollment ID: I20091211000361 |
| Provider Name | Catherine S Bradley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225022486 PECOS PAC ID: 7113968470 Enrollment ID: I20091211000381 |
| Provider Name | Bruce J. Gantz |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1730173592 PECOS PAC ID: 3173626058 Enrollment ID: I20091211000385 |
| Provider Name | Kristi E Chang |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1639160781 PECOS PAC ID: 6103966676 Enrollment ID: I20091214000374 |
| Provider Name | Henry T Hoffman |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1326031709 PECOS PAC ID: 6709926124 Enrollment ID: I20091216000229 |
| Provider Name | Stephen K Hunter |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790779866 PECOS PAC ID: 5799825139 Enrollment ID: I20091216000341 |
| Provider Name | Jason K Wilbur |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265428858 PECOS PAC ID: 6103967864 Enrollment ID: I20100104000503 |
| Provider Name | Barcey T Levy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588650402 PECOS PAC ID: 5294876652 Enrollment ID: I20100107000106 |
| Provider Name | Kelly S Skelly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194711770 PECOS PAC ID: 2860533239 Enrollment ID: I20100107000180 |
| Provider Name | Lakshmi Durairaj |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1447232871 PECOS PAC ID: 6204977606 Enrollment ID: I20100107000380 |
| Provider Name | Charles A Jennissen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033194188 PECOS PAC ID: 8921149329 Enrollment ID: I20100107000401 |
| Provider Name | Thomas A Oetting |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1144221599 PECOS PAC ID: 6406997824 Enrollment ID: I20100107000522 |
| Provider Name | Kenjirou Ohashi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932197894 PECOS PAC ID: 4981745213 Enrollment ID: I20100108000777 |
| Provider Name | Joan E Maley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689662579 PECOS PAC ID: 4789725011 Enrollment ID: I20100108000803 |
| Provider Name | Richard J Smith |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1194718213 PECOS PAC ID: 3476694704 Enrollment ID: I20100108000852 |
| Provider Name | Michael Wall |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1538152665 PECOS PAC ID: 6103967435 Enrollment ID: I20100108000857 |
| Provider Name | Andrew S Nugent |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679567648 PECOS PAC ID: 0446353320 Enrollment ID: I20100114000832 |
| Provider Name | Katherine Dianne Mathews |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1326034984 PECOS PAC ID: 9032251970 Enrollment ID: I20100115000151 |
| Provider Name | Margo L Schilling |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1255314563 PECOS PAC ID: 2860534708 Enrollment ID: I20100115000252 |
| Provider Name | James R Howe |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1336140409 PECOS PAC ID: 6709928518 Enrollment ID: I20100116000038 |
| Provider Name | Deborah C Lin Dyken |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932196698 PECOS PAC ID: 3678615481 Enrollment ID: I20100116000073 |
| Provider Name | Dianne M Mcbrien |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063407757 PECOS PAC ID: 0941342752 Enrollment ID: I20100116000082 |
| Provider Name | Brian P Wayson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467449579 PECOS PAC ID: 8022150846 Enrollment ID: I20100116000105 |
| Provider Name | Elizabeth A Faine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043545080 PECOS PAC ID: 3173665908 Enrollment ID: I20100116000283 |
| Provider Name | William I Sivitz |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1891783445 PECOS PAC ID: 7315089158 Enrollment ID: I20100116000345 |
| Provider Name | Paul B Mccray |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1417943747 PECOS PAC ID: 9830231679 Enrollment ID: I20100116000374 |
| Provider Name | Robert L. Rodnitzky |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801889936 PECOS PAC ID: 3072616952 Enrollment ID: I20100116000410 |
| Provider Name | Mark E Wilkinson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1568463826 PECOS PAC ID: 5496897241 Enrollment ID: I20100118000027 |
| Provider Name | Thomas J Gross |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1861489973 PECOS PAC ID: 8123160975 Enrollment ID: I20100118000030 |
| Provider Name | Young Ha Kwon |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1891788915 PECOS PAC ID: 1850433608 Enrollment ID: I20100118000034 |
| Provider Name | Jack Thomas Stapleton |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1083603773 PECOS PAC ID: 9830231604 Enrollment ID: I20100118000219 |
| Provider Name | Louis V Kirchhoff |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1174510283 PECOS PAC ID: 5193867885 Enrollment ID: I20100119000156 |
| Provider Name | Zuhair K Ballas |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1316935943 PECOS PAC ID: 3476695172 Enrollment ID: I20100119000237 |
| Provider Name | Darus Lee Bennett |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952399800 PECOS PAC ID: 3072655711 Enrollment ID: I20100119000653 |
| Provider Name | Thomas J Barloon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811985799 PECOS PAC ID: 8426190174 Enrollment ID: I20100119000668 |
| Provider Name | Scott M Graham |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1508850678 PECOS PAC ID: 2961544614 Enrollment ID: I20100119000679 |
| Provider Name | John L Marsh |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1871585273 PECOS PAC ID: 1658413307 Enrollment ID: I20100119000708 |
| Provider Name | Georges Y El Khoury |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861480717 PECOS PAC ID: 3072655729 Enrollment ID: I20100119000733 |
| Provider Name | Marta J Hemmingson-vanbeek |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1467446765 PECOS PAC ID: 7416099031 Enrollment ID: I20100120000670 |
| Provider Name | Raymond T Wiblin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609858034 PECOS PAC ID: 5698817229 Enrollment ID: I20100120000681 |
| Provider Name | Joel N Kline |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1871584201 PECOS PAC ID: 6103968730 Enrollment ID: I20100120000731 |
| Provider Name | Steven R Lentz |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1316934318 PECOS PAC ID: 4284776816 Enrollment ID: I20100120000742 |
| Provider Name | Douglas B Hornick |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1437147386 PECOS PAC ID: 5092857623 Enrollment ID: I20100120000754 |
| Provider Name | Emily S Herzig |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1578891958 PECOS PAC ID: 1456493840 Enrollment ID: I20100122000704 |
| Provider Name | Ian H Law |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1093700783 PECOS PAC ID: 2163492448 Enrollment ID: I20100123000112 |
| Provider Name | Michael M Graham |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1205824174 PECOS PAC ID: 1254473663 Enrollment ID: I20100123000125 |
| Provider Name | Arnold H Menezes |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1881687903 PECOS PAC ID: 8921140344 Enrollment ID: I20100123000201 |
| Provider Name | Christie P Thomas |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1760470611 PECOS PAC ID: 2567504988 Enrollment ID: I20100123000203 |
| Provider Name | Melinda J Johnson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497739403 PECOS PAC ID: 8820130248 Enrollment ID: I20100123000214 |
| Provider Name | Rebecca S Tuetken |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1174512859 PECOS PAC ID: 2466594882 Enrollment ID: I20100123000218 |
| Provider Name | David A Katz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023090321 PECOS PAC ID: 6901948322 Enrollment ID: I20100123000221 |
| Provider Name | Douglas L Somers |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1609858919 PECOS PAC ID: 1456493873 Enrollment ID: I20100123000227 |
| Provider Name | Arlan T Johnson |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1134111339 PECOS PAC ID: 7012059280 Enrollment ID: I20100126000755 |
| Provider Name | James D Rossen |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1134100514 PECOS PAC ID: 4981746187 Enrollment ID: I20100127000227 |
| Provider Name | Edward A Aul |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1538151105 PECOS PAC ID: 5991847030 Enrollment ID: I20100127000604 |
| Provider Name | Brian R Wolf |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1255326732 PECOS PAC ID: 8820130909 Enrollment ID: I20100128000016 |
| Provider Name | Patrick W Hitchon |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1043203177 PECOS PAC ID: 9537201611 Enrollment ID: I20100128000034 |
| Provider Name | Matthew A. Howard |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1770576803 PECOS PAC ID: 6800999780 Enrollment ID: I20100128000042 |
| Provider Name | Christopher J Benson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1225026859 PECOS PAC ID: 7416099502 Enrollment ID: I20100128000074 |
| Provider Name | Donald D Heistad |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1982692505 PECOS PAC ID: 9133261225 Enrollment ID: I20100128000085 |
| Provider Name | Peter M Snyder |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1073501698 PECOS PAC ID: 8729121777 Enrollment ID: I20100130000066 |
| Provider Name | Jeffrey S Wilson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1962485326 PECOS PAC ID: 7416090485 Enrollment ID: I20100130000230 |
| Provider Name | Bradley S Dixon |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1053393363 PECOS PAC ID: 1759424724 Enrollment ID: I20100130000268 |
| Provider Name | Hans R House |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760464622 PECOS PAC ID: 3375686348 Enrollment ID: I20100130000279 |
| Provider Name | Ann E Smith |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1437146990 PECOS PAC ID: 5294878047 Enrollment ID: I20100202000935 |
| Provider Name | Christine W Sindt |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1346241916 PECOS PAC ID: 9830232685 Enrollment ID: I20100202000939 |
| Provider Name | James A Brown |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1467562181 PECOS PAC ID: 2264584440 Enrollment ID: I20100206000166 |
| Provider Name | Loreen A Herwaldt |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1811979131 PECOS PAC ID: 9436292836 Enrollment ID: I20100208000430 |
| Provider Name | Javier H Campos Torres |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1861488991 PECOS PAC ID: 8729121876 Enrollment ID: I20100211000416 |
| Provider Name | Mary S Stone |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1194719401 PECOS PAC ID: 7618011404 Enrollment ID: I20100217000346 |
| Provider Name | David E Swanson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1962490581 PECOS PAC ID: 0749324564 Enrollment ID: I20100217000624 |
| Provider Name | Margery J Amelon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427045186 PECOS PAC ID: 4587708227 Enrollment ID: I20100219000143 |
| Provider Name | Steven A Moore |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1174511935 PECOS PAC ID: 2860536406 Enrollment ID: I20100219000253 |
| Provider Name | Petar S Lenert |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1790772846 PECOS PAC ID: 8628112299 Enrollment ID: I20100219000573 |
| Provider Name | Michael G Kienzle |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1407830888 PECOS PAC ID: 2264576834 Enrollment ID: I20100219000576 |
| Provider Name | Herbert A Berger |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1366439473 PECOS PAC ID: 4789728353 Enrollment ID: I20100219000596 |
| Provider Name | Shawna J Westermann |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114909413 PECOS PAC ID: 2961546536 Enrollment ID: I20100219000604 |
| Provider Name | David E Elliott |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1881668689 PECOS PAC ID: 3678617248 Enrollment ID: I20100219000611 |
| Provider Name | William B Silverman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1811971849 PECOS PAC ID: 8123162799 Enrollment ID: I20100219000621 |
| Provider Name | Lauris C Kaldjian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790772051 PECOS PAC ID: 6406990092 Enrollment ID: I20100220000075 |
| Provider Name | Joseph S Dillon |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1710960026 PECOS PAC ID: 3779627377 Enrollment ID: I20100220000082 |
| Provider Name | Joseph L Zabner |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1689658692 PECOS PAC ID: 0042354649 Enrollment ID: I20100220000090 |
| Provider Name | John T Kelley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871567131 PECOS PAC ID: 7517948631 Enrollment ID: I20100220000304 |
| Provider Name | Randy Herbert Kardon |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1134120371 PECOS PAC ID: 7719021252 Enrollment ID: I20100222000156 |
| Provider Name | Keith D. Carter |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1942201082 PECOS PAC ID: 1759484603 Enrollment ID: I20100222000204 |
| Provider Name | Karl J Kreder |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1487655700 PECOS PAC ID: 1153466263 Enrollment ID: I20100301000492 |
| Provider Name | Mary Gwen Zmolek Beck |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174597116 PECOS PAC ID: 4789729898 Enrollment ID: I20100301000495 |
| Provider Name | Margaret A Smollen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255325189 PECOS PAC ID: 3375605256 Enrollment ID: I20100303001048 |
| Provider Name | Lori S Wenzel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1144214073 PECOS PAC ID: 5193887073 Enrollment ID: I20100303001066 |
| Provider Name | Simon C Kao |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710975669 PECOS PAC ID: 0840335600 Enrollment ID: I20100304000100 |
| Provider Name | Michael Patrick D Alessandro |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871582718 PECOS PAC ID: 2466597224 Enrollment ID: I20100304000126 |
| Provider Name | Christopher Scott Cooper |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1982606547 PECOS PAC ID: 8820133697 Enrollment ID: I20100304000132 |
| Provider Name | John W Cromwell |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1174535504 PECOS PAC ID: 7719089705 Enrollment ID: I20100304000226 |
| Provider Name | Robert A Robinson |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1184612988 PECOS PAC ID: 1153466990 Enrollment ID: I20100304000830 |
| Provider Name | Annette Jean Schlueter |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1497743686 PECOS PAC ID: 2567507304 Enrollment ID: I20100304000873 |
| Provider Name | Steven F Polyak |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1932141660 PECOS PAC ID: 8820051394 Enrollment ID: I20100306000292 |
| Provider Name | Merete Ibsen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1174510416 PECOS PAC ID: 1254476856 Enrollment ID: I20100308000367 |
| Provider Name | Yasser M El Hattab |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1922094630 PECOS PAC ID: 5799820304 Enrollment ID: I20100308000379 |
| Provider Name | David P Papworth |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1740260363 PECOS PAC ID: 9234274846 Enrollment ID: I20100308000392 |
| Provider Name | Yasser M Karim |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1275520611 PECOS PAC ID: 7214072826 Enrollment ID: I20100308000413 |
| Provider Name | Mark A Granner |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1528051653 PECOS PAC ID: 4284779794 Enrollment ID: I20100309000464 |
| Provider Name | Laila Dahmoush |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1861480667 PECOS PAC ID: 9234274648 Enrollment ID: I20100309000533 |
| Provider Name | Daniel Kahn |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1568450419 PECOS PAC ID: 3779628037 Enrollment ID: I20100311000137 |
| Provider Name | Mahmoud H Abou Alaiwa |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1609860006 PECOS PAC ID: 9537105192 Enrollment ID: I20100312000495 |
| Provider Name | Paul D Lindower |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1609863752 PECOS PAC ID: 1153456355 Enrollment ID: I20100312000593 |
| Provider Name | Samuel Kuperman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336137298 PECOS PAC ID: 2567597776 Enrollment ID: I20100312000645 |
| Provider Name | James H Beeghly |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710954813 PECOS PAC ID: 4880729003 Enrollment ID: I20100312000793 |
| Provider Name | Jennifer Lynn Noeller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730172867 PECOS PAC ID: 8325173917 Enrollment ID: I20100322000426 |
| Provider Name | Cormac T Osullivan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1427044577 PECOS PAC ID: 1951436542 Enrollment ID: I20100322000438 |
| Provider Name | Patrick G Hartley |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1003893702 PECOS PAC ID: 2567597156 Enrollment ID: I20100322000464 |
| Provider Name | Robert M Weiss |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1063494870 PECOS PAC ID: 3870629025 Enrollment ID: I20100327000119 |
| Provider Name | Kathleen M Fear |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1346237799 PECOS PAC ID: 2365578515 Enrollment ID: I20100327000194 |
| Provider Name | Yutaka Sato |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063400919 PECOS PAC ID: 6709989684 Enrollment ID: I20100330000349 |
| Provider Name | Tyrone B Whitter |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1942297056 PECOS PAC ID: 7618003294 Enrollment ID: I20100408000025 |
| Provider Name | Tad R Mabry |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1558424051 PECOS PAC ID: 3072649656 Enrollment ID: I20100408000033 |
| Provider Name | Robert P From |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1194711218 PECOS PAC ID: 9335275916 Enrollment ID: I20100408000038 |
| Provider Name | Yusuf Menda |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1538157425 PECOS PAC ID: 0042346637 Enrollment ID: I20100408000068 |
| Provider Name | Deema A Fattal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1982696803 PECOS PAC ID: 5395871982 Enrollment ID: I20100408000096 |
| Provider Name | James Grant Mccoy |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1417958638 PECOS PAC ID: 6608977939 Enrollment ID: I20100421000452 |
| Provider Name | George J. Weiner |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1407826456 PECOS PAC ID: 2163525049 Enrollment ID: I20100421000465 |
| Provider Name | Jeffery L Meier |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1760470678 PECOS PAC ID: 7911034095 Enrollment ID: I20100421000502 |
| Provider Name | Kyle E Brown |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1851388904 PECOS PAC ID: 2365579448 Enrollment ID: I20100421000521 |
| Provider Name | Patricia L Winokur |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1568444883 PECOS PAC ID: 1951438035 Enrollment ID: I20100421000608 |
| Provider Name | Edwin M Stone |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1831182237 PECOS PAC ID: 9638206725 Enrollment ID: I20100421000673 |
| Provider Name | Nasreen A Syed |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1427059872 PECOS PAC ID: 3678600764 Enrollment ID: I20100421000726 |
| Provider Name | Herbert Boldt |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1558362871 PECOS PAC ID: 0749317840 Enrollment ID: I20100421000745 |
| Provider Name | Molly R Burma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134115488 PECOS PAC ID: 6204963242 Enrollment ID: I20100422000424 |
| Provider Name | Warren N Schmidt |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1760464143 PECOS PAC ID: 4385771336 Enrollment ID: I20100422000570 |
| Provider Name | William L Iverson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346238904 PECOS PAC ID: 6901933969 Enrollment ID: I20100422000610 |
| Provider Name | Jose M Manaligod |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1265429609 PECOS PAC ID: 3476680448 Enrollment ID: I20100422000723 |
| Provider Name | Ergun Yassar Uc |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1609851054 PECOS PAC ID: 7113054107 Enrollment ID: I20100422000968 |
| Provider Name | Isaac Samuel |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1447244413 PECOS PAC ID: 5890822886 Enrollment ID: I20100422001045 |
| Provider Name | Paul A Leonard |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1528056371 PECOS PAC ID: 6406983410 Enrollment ID: I20100423000049 |
| Provider Name | William M Nauseef |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1992793848 PECOS PAC ID: 0840327599 Enrollment ID: I20100428000782 |
| Provider Name | Megan S Davis Degeus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093043580 PECOS PAC ID: 5799812442 Enrollment ID: I20100428000846 |
| Provider Name | Diane E Elas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447247200 PECOS PAC ID: 4082741665 Enrollment ID: I20100430000335 |
| Provider Name | Minako Hayakawa |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891784674 PECOS PAC ID: 1850428442 Enrollment ID: I20100430000404 |
| Provider Name | Noelle C Bowdler |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396732160 PECOS PAC ID: 7113054701 Enrollment ID: I20100430000413 |
| Provider Name | Ann Struve |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134455702 PECOS PAC ID: 0143358564 Enrollment ID: I20100505000955 |
| Provider Name | Lana Jane Goldsmith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487643235 PECOS PAC ID: 6800924234 Enrollment ID: I20100505001047 |
| Provider Name | Cassim M Igram |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1700846615 PECOS PAC ID: 6406925957 Enrollment ID: I20100506000983 |
| Provider Name | Phillip A Horwitz |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1124016787 PECOS PAC ID: 6103954383 Enrollment ID: I20100507000770 |
| Provider Name | Eva Tsalikian |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1619963949 PECOS PAC ID: 9335242213 Enrollment ID: I20100512000080 |
| Provider Name | Marlan R Hansen |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1326031733 PECOS PAC ID: 8022146984 Enrollment ID: I20100513000509 |
| Provider Name | James Yuknam Choi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1144216805 PECOS PAC ID: 0345378204 Enrollment ID: I20100513000554 |
| Provider Name | Stephen R Russell |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1235130584 PECOS PAC ID: 9739217605 Enrollment ID: I20100513000648 |
| Provider Name | Val Cowley Sheffield |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1437146909 PECOS PAC ID: 0042348930 Enrollment ID: I20100513000878 |
| Provider Name | Hiroto Kawasaki |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1982697009 PECOS PAC ID: 4486782372 Enrollment ID: I20100513000907 |
| Provider Name | Mary K Obrien |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1982692711 PECOS PAC ID: 2365570272 Enrollment ID: I20100514000040 |
| Provider Name | Delwyn Deon Miller |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285620815 PECOS PAC ID: 9436287133 Enrollment ID: I20100517000131 |
| Provider Name | David L Bushnell |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1104814094 PECOS PAC ID: 9830228519 Enrollment ID: I20100519000529 |
| Provider Name | Curtis T Poor |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1942260732 PECOS PAC ID: 3072693555 Enrollment ID: I20100520000145 |
| Provider Name | Judith H W Crossett |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639164320 PECOS PAC ID: 4284763780 Enrollment ID: I20100521000042 |
| Provider Name | Alan F Ross |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1518947175 PECOS PAC ID: 0143359695 Enrollment ID: I20100521000663 |
| Provider Name | Thomas H Wassink |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760470637 PECOS PAC ID: 1850420274 Enrollment ID: I20100524000571 |
| Provider Name | Michael A Flaum |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700872348 PECOS PAC ID: 2567591985 Enrollment ID: I20100524000601 |
| Provider Name | Rebecca J Winnike |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1205003928 PECOS PAC ID: 7214066562 Enrollment ID: I20100525000140 |
| Provider Name | Jessica Stevens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295728400 PECOS PAC ID: 4981733219 Enrollment ID: I20100526000045 |
| Provider Name | Molly J Bock |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1962483909 PECOS PAC ID: 1456480631 Enrollment ID: I20100526000637 |
| Provider Name | Charles Michael Knudson |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1144218926 PECOS PAC ID: 3476682352 Enrollment ID: I20100602000847 |
| Provider Name | Mary E Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518953629 PECOS PAC ID: 7214066018 Enrollment ID: I20100603000100 |
| Provider Name | Eileen Frances Yeisley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477882439 PECOS PAC ID: 9234269333 Enrollment ID: I20100616000812 |
| Provider Name | Beng Choon Ho |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407841174 PECOS PAC ID: 9537299649 Enrollment ID: I20100617000038 |
| Provider Name | Robert Alan Philibert |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023003787 PECOS PAC ID: 7618007626 Enrollment ID: I20100617000054 |
| Provider Name | Donald Wayne Black |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528053220 PECOS PAC ID: 3072643089 Enrollment ID: I20100617000063 |
| Provider Name | Jodi T Tate |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225023971 PECOS PAC ID: 0042340051 Enrollment ID: I20100617000090 |
| Provider Name | Shobha Chitneni |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1184684987 PECOS PAC ID: 9234154386 Enrollment ID: I20100618000637 |
| Provider Name | Janice Marie Rose Staber |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1013126705 PECOS PAC ID: 1850421710 Enrollment ID: I20100621000004 |
| Provider Name | Hristina K Koleva |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962607358 PECOS PAC ID: 1557491412 Enrollment ID: I20100621000036 |
| Provider Name | Lynn R Fitzpatrick |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1891783155 PECOS PAC ID: 0648301580 Enrollment ID: I20100622000101 |
| Provider Name | Dawn Annette Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588650832 PECOS PAC ID: 4587795125 Enrollment ID: I20100626000129 |
| Provider Name | Marion Lee Sanders |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1932305331 PECOS PAC ID: 4789715939 Enrollment ID: I20100701000617 |
| Provider Name | Justin Wade Smock |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720284128 PECOS PAC ID: 0749311710 Enrollment ID: I20100708000689 |
| Provider Name | Kathy L Kyser |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740266329 PECOS PAC ID: 8729119714 Enrollment ID: I20100708001000 |
| Provider Name | Michael John Jung |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023093580 PECOS PAC ID: 2365573359 Enrollment ID: I20100708001006 |
| Provider Name | David Michael Kuehn |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922096874 PECOS PAC ID: 3375675309 Enrollment ID: I20100709000492 |
| Provider Name | Rebecca Joy Timmer Benson |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1023213030 PECOS PAC ID: 8224160833 Enrollment ID: I20100717000077 |
| Provider Name | Daniel A Katz |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1023019676 PECOS PAC ID: 8123150513 Enrollment ID: I20100721000087 |
| Provider Name | Jennifer J Smith Gordon |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1568672988 PECOS PAC ID: 7810020690 Enrollment ID: I20100730000097 |
| Provider Name | Abbey Joy Hardy Fairbanks |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619073988 PECOS PAC ID: 6901939784 Enrollment ID: I20100730000112 |
| Provider Name | Matthew J Bollier |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1881897676 PECOS PAC ID: 5890828677 Enrollment ID: I20100730000133 |
| Provider Name | Kelly Elizabeth Wood |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1407901283 PECOS PAC ID: 0042343824 Enrollment ID: I20100730000160 |
| Provider Name | Peggy C Nopoulos |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326033002 PECOS PAC ID: 6507999117 Enrollment ID: I20100803000999 |
| Provider Name | Vicki J Kijewski |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417942178 PECOS PAC ID: 5496888000 Enrollment ID: I20100803001024 |
| Provider Name | David J Moser |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164417820 PECOS PAC ID: 3476686080 Enrollment ID: I20100803001050 |
| Provider Name | Adrian N Holm |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1093794844 PECOS PAC ID: 5890725105 Enrollment ID: I20100804000722 |
| Provider Name | Malcolm H Yeh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1407848336 PECOS PAC ID: 1557494929 Enrollment ID: I20100805000468 |
| Provider Name | Steven Lloyd Fletcher |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1841407756 PECOS PAC ID: 8820121189 Enrollment ID: I20100806000415 |
| Provider Name | Aaron C Smith |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1871614149 PECOS PAC ID: 5496889388 Enrollment ID: I20100813000690 |
| Provider Name | Veeratrishul Allareddy |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1023268430 PECOS PAC ID: 0244364156 Enrollment ID: I20100813000911 |
| Provider Name | Kristen F Walker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760687628 PECOS PAC ID: 1951435874 Enrollment ID: I20100813000940 |
| Provider Name | Cynthia Darlene Waters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194043190 PECOS PAC ID: 9335273259 Enrollment ID: I20100813001036 |
| Provider Name | Christine M Mcnair |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1811151103 PECOS PAC ID: 5698809515 Enrollment ID: I20100813001059 |
| Provider Name | Douglas E Laux |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1295946218 PECOS PAC ID: 1759415409 Enrollment ID: I20100817000336 |
| Provider Name | Douglas M Kinscherff |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1770603086 PECOS PAC ID: 8123152840 Enrollment ID: I20100817001179 |
| Provider Name | Thomas D Striegel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578898615 PECOS PAC ID: 9739221649 Enrollment ID: I20100817001314 |
| Provider Name | Carolyn Louise Turvey |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1487640751 PECOS PAC ID: 4486788023 Enrollment ID: I20100817001668 |
| Provider Name | Benjamin James Miller |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1427284512 PECOS PAC ID: 8729112396 Enrollment ID: I20100818000290 |
| Provider Name | Kenneth G Nepple |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1659580678 PECOS PAC ID: 2264566835 Enrollment ID: I20100818000320 |
| Provider Name | Rodrigo Bayon |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1700079480 PECOS PAC ID: 9032261672 Enrollment ID: I20100818000930 |
| Provider Name | Sarah E Polk |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1063666089 PECOS PAC ID: 4880728369 Enrollment ID: I20100819000491 |
| Provider Name | Daniel J Leary |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1083819742 PECOS PAC ID: 0345374831 Enrollment ID: I20100819000617 |
| Provider Name | Jessica D Kresowik |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801006242 PECOS PAC ID: 5890829253 Enrollment ID: I20100820000294 |
| Provider Name | Chris S Jensen |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1841288552 PECOS PAC ID: 4981738366 Enrollment ID: I20100820000588 |
| Provider Name | George B Richerson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1164404802 PECOS PAC ID: 1557485604 Enrollment ID: I20100826000840 |
| Provider Name | Mandy L Harris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720277692 PECOS PAC ID: 7618091760 Enrollment ID: I20100826000859 |
| Provider Name | Katherine I Harris |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306040472 PECOS PAC ID: 6507934791 Enrollment ID: I20100826000868 |
| Provider Name | Paramesh B Ramadugu |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1871563858 PECOS PAC ID: 6507888252 Enrollment ID: I20100831000020 |
| Provider Name | Bradley A Erickson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1164679262 PECOS PAC ID: 9032265855 Enrollment ID: I20100831000683 |
| Provider Name | Jennifer R Doyle |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1679560171 PECOS PAC ID: 3870617384 Enrollment ID: I20100903000537 |
| Provider Name | Eyup Hakan Duran |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780846287 PECOS PAC ID: 6204951510 Enrollment ID: I20100909001137 |
| Provider Name | Frederick C Johlin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1821085960 PECOS PAC ID: 3971628207 Enrollment ID: I20100910000059 |
| Provider Name | Dennis J Firchau |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1437236429 PECOS PAC ID: 6305913591 Enrollment ID: I20100910000170 |
| Provider Name | John W Hellstein |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1396837050 PECOS PAC ID: 3476678566 Enrollment ID: I20100913000889 |
| Provider Name | Tameem A Shoukih |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992790273 PECOS PAC ID: 0244355717 Enrollment ID: I20100921000907 |
| Provider Name | Sarah R Kluesner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679889661 PECOS PAC ID: 5395861868 Enrollment ID: I20100922000617 |
| Provider Name | Jodi Beth Stedman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447416011 PECOS PAC ID: 9436275765 Enrollment ID: I20100923001516 |
| Provider Name | Tamara J Crawford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639490600 PECOS PAC ID: 0749472140 Enrollment ID: I20101004000983 |
| Provider Name | Andrew R Peterson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528023504 PECOS PAC ID: 8022118173 Enrollment ID: I20101007000007 |
| Provider Name | Elliott H Sohn |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1467563312 PECOS PAC ID: 9830246370 Enrollment ID: I20101011000786 |
| Provider Name | John M Dagle |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942299060 PECOS PAC ID: 1759574387 Enrollment ID: I20101014001464 |
| Provider Name | Joy E Moel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518106509 PECOS PAC ID: 4688867088 Enrollment ID: I20101019000652 |
| Provider Name | Dean A Abramson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1275517658 PECOS PAC ID: 6103018775 Enrollment ID: I20101020001198 |
| Provider Name | Gregory L Gullickson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1023120276 PECOS PAC ID: 3072706191 Enrollment ID: I20101021001011 |
| Provider Name | Luong M Banh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457560609 PECOS PAC ID: 1557416179 Enrollment ID: I20101103001005 |
| Provider Name | Joe Moonjely |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215021753 PECOS PAC ID: 0042405607 Enrollment ID: I20101109001409 |
| Provider Name | Christopher Paul Hogrefe |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184881401 PECOS PAC ID: 7214122456 Enrollment ID: I20101112000653 |
| Provider Name | Steven R Armstrong |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1598869505 PECOS PAC ID: 4183810716 Enrollment ID: I20101122001220 |
| Provider Name | Georgia K Johnson |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1932203627 PECOS PAC ID: 1153517610 Enrollment ID: I20101123000229 |
| Provider Name | Andrea A Timmerman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174824205 PECOS PAC ID: 7618163007 Enrollment ID: I20101124000665 |
| Provider Name | Sarah Thomas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225071772 PECOS PAC ID: 4587851852 Enrollment ID: I20101213000534 |
| Provider Name | Matthew James Thurtell |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1194904169 PECOS PAC ID: 2668660754 Enrollment ID: I20101215000966 |
| Provider Name | Milena A Gebska |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1780850313 PECOS PAC ID: 2961690128 Enrollment ID: I20110103000950 |
| Provider Name | Ron O Abrons |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1104874742 PECOS PAC ID: 7214095363 Enrollment ID: I20110210000755 |
| Provider Name | Melissa Erin Tvedte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336444140 PECOS PAC ID: 2567642200 Enrollment ID: I20110211000727 |
| Provider Name | Marina Y Usacheva |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821085549 PECOS PAC ID: 0143401448 Enrollment ID: I20110218000986 |
| Provider Name | Michael M Hummel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891757225 PECOS PAC ID: 4587554571 Enrollment ID: I20110304000305 |
| Provider Name | Carla J Pies |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326297359 PECOS PAC ID: 0648453456 Enrollment ID: I20110331000340 |
| Provider Name | Yulia N Matveeva |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114101201 PECOS PAC ID: 0345424768 Enrollment ID: I20110411000013 |
| Provider Name | Parren Scott Mcneely |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1841369022 PECOS PAC ID: 1850576497 Enrollment ID: I20110426000536 |
| Provider Name | Tricia Eileen Michna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568761849 PECOS PAC ID: 3173708716 Enrollment ID: I20110426000591 |
| Provider Name | Kara R Dierikx |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407149891 PECOS PAC ID: 6608053509 Enrollment ID: I20110601000673 |
| Provider Name | Manuel R Gomez |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1417051418 PECOS PAC ID: 5092992826 Enrollment ID: I20110603000575 |
| Provider Name | Carol Holman |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1023042595 PECOS PAC ID: 1254368632 Enrollment ID: I20110606000307 |
| Provider Name | Holly-marie Bolger |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972709814 PECOS PAC ID: 0547447294 Enrollment ID: I20110606000339 |
| Provider Name | Sarah E Haskell |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1780893503 PECOS PAC ID: 9537346291 Enrollment ID: I20110606000366 |
| Provider Name | Katie M U Larson Ode |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1104029008 PECOS PAC ID: 0547447211 Enrollment ID: I20110606000465 |
| Provider Name | Satoshi Hanada |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1134329345 PECOS PAC ID: 4284811837 Enrollment ID: I20110607000731 |
| Provider Name | Mederic Hall |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1093836728 PECOS PAC ID: 6901999648 Enrollment ID: I20110620000094 |
| Provider Name | Michael Akwantsin Kwofie |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669633608 PECOS PAC ID: 1557549573 Enrollment ID: I20110622000328 |
| Provider Name | Padmalatha K Collappakkam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790983989 PECOS PAC ID: 4981882925 Enrollment ID: I20110622000601 |
| Provider Name | Millicent V Oracion |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891902235 PECOS PAC ID: 7517145469 Enrollment ID: I20110624000317 |
| Provider Name | Melissa D Gonzalez |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1760623391 PECOS PAC ID: 3971781824 Enrollment ID: I20110624000325 |
| Provider Name | Lindsay N Boyum |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1801037494 PECOS PAC ID: 7416135363 Enrollment ID: I20110624000332 |
| Provider Name | Eugenia Mazur |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407147911 PECOS PAC ID: 1052599909 Enrollment ID: I20110624000337 |
| Provider Name | Andrea L Porter |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760774608 PECOS PAC ID: 4880872621 Enrollment ID: I20110627000783 |
| Provider Name | Nicholas Matthew Mohr |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467654566 PECOS PAC ID: 2769536572 Enrollment ID: I20110628000169 |
| Provider Name | Dmitriy Acherkan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952565368 PECOS PAC ID: 4082892450 Enrollment ID: I20110707000446 |
| Provider Name | Vanessa A Curtis |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1750348496 PECOS PAC ID: 6103004460 Enrollment ID: I20110711000263 |
| Provider Name | Praveen Vikas |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1619162435 PECOS PAC ID: 7214003037 Enrollment ID: I20110711000446 |
| Provider Name | Jami L Shepard |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730386582 PECOS PAC ID: 8527236827 Enrollment ID: I20110712000227 |
| Provider Name | Wenqing Sun |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1619187036 PECOS PAC ID: 6305015710 Enrollment ID: I20110801000582 |
| Provider Name | April D Hubbard |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1407134349 PECOS PAC ID: 9830368208 Enrollment ID: I20110802000269 |
| Provider Name | Benjamin W Darbro |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669671814 PECOS PAC ID: 3971772948 Enrollment ID: I20110808000741 |
| Provider Name | Brian Kent Gehlbach |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1285797704 PECOS PAC ID: 0446432926 Enrollment ID: I20110815000114 |
| Provider Name | Matthew D Karam |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1790993160 PECOS PAC ID: 8022141571 Enrollment ID: I20110815000937 |
| Provider Name | Ravinder K Dervesh |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1013107291 PECOS PAC ID: 5890964464 Enrollment ID: I20110816000790 |
| Provider Name | Rhonda Jean Dunn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013205657 PECOS PAC ID: 9436329588 Enrollment ID: I20110826000444 |
| Provider Name | Rami Adnan Boutros |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063477024 PECOS PAC ID: 8022020338 Enrollment ID: I20110909002674 |
| Provider Name | Erin Marianne Crocker |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609075944 PECOS PAC ID: 5698828754 Enrollment ID: I20110919000055 |
| Provider Name | Changhyun Lee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407137193 PECOS PAC ID: 0648441956 Enrollment ID: I20110919000074 |
| Provider Name | Danielle Mr Kelsay |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1558513127 PECOS PAC ID: 5294906434 Enrollment ID: I20110920000902 |
| Provider Name | Anne M Wallace |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1982849634 PECOS PAC ID: 2163693243 Enrollment ID: I20110921000475 |
| Provider Name | Matthew K Geneser |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1205006061 PECOS PAC ID: 2163693912 Enrollment ID: I20110927000692 |
| Provider Name | Stephanie M Fleckenstein |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1285886853 PECOS PAC ID: 8123290830 Enrollment ID: I20110930000237 |
| Provider Name | Katherine L Imborek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902069875 PECOS PAC ID: 6406028877 Enrollment ID: I20111006000406 |
| Provider Name | Khadija Shahid |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1710929526 PECOS PAC ID: 8325021405 Enrollment ID: I20111006000575 |
| Provider Name | Jaclyn Roman |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1639459902 PECOS PAC ID: 9335311638 Enrollment ID: I20111011000025 |
| Provider Name | Randi J Key |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295016210 PECOS PAC ID: 5092987305 Enrollment ID: I20111011000134 |
| Provider Name | Deqin Ma |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1407175359 PECOS PAC ID: 4183896095 Enrollment ID: I20111018000495 |
| Provider Name | Brianne M Foulker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689954489 PECOS PAC ID: 3274705041 Enrollment ID: I20111020000776 |
| Provider Name | Sarat C Kuppachi |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1093983629 PECOS PAC ID: 0749356798 Enrollment ID: I20111026000781 |
| Provider Name | Elizabeth R Cullen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316221708 PECOS PAC ID: 7315111903 Enrollment ID: I20111116000668 |
| Provider Name | Lindsay R Shedek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871877316 PECOS PAC ID: 8325212939 Enrollment ID: I20111116000937 |
| Provider Name | Michelle L Schnack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972812097 PECOS PAC ID: 1557536554 Enrollment ID: I20111202000075 |
| Provider Name | Krista M Ford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225311012 PECOS PAC ID: 3274708748 Enrollment ID: I20111212000455 |
| Provider Name | Daniel G Miller |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538324819 PECOS PAC ID: 4981772522 Enrollment ID: I20111219000562 |
| Provider Name | Kimberly K Sprague |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1629044755 PECOS PAC ID: 6002083821 Enrollment ID: I20120119000509 |
| Provider Name | Allison E Wynes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952678161 PECOS PAC ID: 8022285501 Enrollment ID: I20120124000769 |
| Provider Name | Unyime S Ituk |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1871809616 PECOS PAC ID: 4981729944 Enrollment ID: I20120206000678 |
| Provider Name | Brynna L Vanwyk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679841142 PECOS PAC ID: 4587821152 Enrollment ID: I20120209000227 |
| Provider Name | Andrew M Bellizzi |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1215159199 PECOS PAC ID: 7113079922 Enrollment ID: I20120210000279 |
| Provider Name | Adisa Tokaca |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659654028 PECOS PAC ID: 6002074234 Enrollment ID: I20120220000811 |
| Provider Name | Dina N Al-zubeidi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1245448232 PECOS PAC ID: 3971761008 Enrollment ID: I20120221000837 |
| Provider Name | Barbara Coffman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912284258 PECOS PAC ID: 5294993234 Enrollment ID: I20120222000959 |
| Provider Name | Courtney E Kremer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669740957 PECOS PAC ID: 3678731593 Enrollment ID: I20120223000697 |
| Provider Name | Elizabeth M Giedt |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023380755 PECOS PAC ID: 2860650553 Enrollment ID: I20120227000677 |
| Provider Name | Matthew Thomas Spragg |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164425963 PECOS PAC ID: 1759351190 Enrollment ID: I20120227000773 |
| Provider Name | Krista M Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457412280 PECOS PAC ID: 4789714304 Enrollment ID: I20120321000820 |
| Provider Name | Michael E Shy |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1982642617 PECOS PAC ID: 1951313170 Enrollment ID: I20120405000421 |
| Provider Name | Jessica B Upah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104190057 PECOS PAC ID: 2466613625 Enrollment ID: I20120416000013 |
| Provider Name | Gretchen M Kass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376809251 PECOS PAC ID: 0941461933 Enrollment ID: I20120418000807 |
| Provider Name | Jennifer E Hrabe |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1619139839 PECOS PAC ID: 9931361409 Enrollment ID: I20120427000673 |
| Provider Name | Jade L Runge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174880744 PECOS PAC ID: 6204098171 Enrollment ID: I20120510000516 |
| Provider Name | Lisa Renee Kongable |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336158666 PECOS PAC ID: 9335301209 Enrollment ID: I20120510000561 |
| Provider Name | Cheryl A Conrad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568647303 PECOS PAC ID: 1052574498 Enrollment ID: I20120522000782 |
| Provider Name | Ramzi N El Accaoui |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1316157241 PECOS PAC ID: 1658534664 Enrollment ID: I20120531000118 |
| Provider Name | Megan I Samuelson |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1316157902 PECOS PAC ID: 1456515105 Enrollment ID: I20120611000273 |
| Provider Name | William M Rockey |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1043416548 PECOS PAC ID: 7012171499 Enrollment ID: I20120614000721 |
| Provider Name | Douglas W Storm |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1720257678 PECOS PAC ID: 3870774680 Enrollment ID: I20120620000247 |
| Provider Name | Nkanyezi Ngwenyama Ferguson |
|---|---|
| Provider Type | Practitioner - Micrographic Dermatologic Surgery (mds) |
| Provider Identifiers | NPI Number: 1366755530 PECOS PAC ID: 8628232733 Enrollment ID: I20120620000606 |
| Provider Name | Kathryn A Steffen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891052445 PECOS PAC ID: 3779748652 Enrollment ID: I20120626000760 |
| Provider Name | Kristin J Foster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982962619 PECOS PAC ID: 8123283009 Enrollment ID: I20120626000764 |
| Provider Name | Eilene M Swartz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689933731 PECOS PAC ID: 6406011246 Enrollment ID: I20120629000299 |
| Provider Name | Barry London |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1356315501 PECOS PAC ID: 6507758430 Enrollment ID: I20120629000391 |
| Provider Name | Howard O Rourke |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194915413 PECOS PAC ID: 1951587468 Enrollment ID: I20120717000389 |
| Provider Name | Eric W Aschenbrenner |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1811960230 PECOS PAC ID: 8921035999 Enrollment ID: I20120725000446 |
| Provider Name | Elizabeth S Cramer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386870483 PECOS PAC ID: 6608032198 Enrollment ID: I20120727000620 |
| Provider Name | Jessie E Marks |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1912134339 PECOS PAC ID: 6204092711 Enrollment ID: I20120727000777 |
| Provider Name | James J Kellen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1619906336 PECOS PAC ID: 3072610567 Enrollment ID: I20120727000780 |
| Provider Name | Sudhakar Subramani |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1558641241 PECOS PAC ID: 5597921817 Enrollment ID: I20120731000528 |
| Provider Name | Sathvika Velur |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1932339413 PECOS PAC ID: 0042476335 Enrollment ID: I20120801000419 |
| Provider Name | Rebecca L Zwanziger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609121748 PECOS PAC ID: 3577719111 Enrollment ID: I20120814000257 |
| Provider Name | Breanna C Herring |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1578828406 PECOS PAC ID: 3870740046 Enrollment ID: I20120822000505 |
| Provider Name | Linda M Cadaret |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1437121407 PECOS PAC ID: 2668666587 Enrollment ID: I20120827000503 |
| Provider Name | Himena V Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801157854 PECOS PAC ID: 4789832163 Enrollment ID: I20120910000055 |
| Provider Name | Jerrod N Keith |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1528105889 PECOS PAC ID: 3577711951 Enrollment ID: I20120910000093 |
| Provider Name | Bradley A Ford |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1942490156 PECOS PAC ID: 1850549981 Enrollment ID: I20120914000655 |
| Provider Name | Ivy R Burns |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104149392 PECOS PAC ID: 1254589385 Enrollment ID: I20120914000725 |
| Provider Name | Rachel R Butler |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1043449689 PECOS PAC ID: 5294984951 Enrollment ID: I20121012000645 |
| Provider Name | Natalie L Denburg |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1336440031 PECOS PAC ID: 1153570817 Enrollment ID: I20121012000681 |
| Provider Name | Katherine M White |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518903731 PECOS PAC ID: 8123164803 Enrollment ID: I20121018000546 |
| Provider Name | David C Jensen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1902152176 PECOS PAC ID: 5991955130 Enrollment ID: I20121023000785 |
| Provider Name | Hyung-sub Shim |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1407064785 PECOS PAC ID: 3476742982 Enrollment ID: I20121023000799 |
| Provider Name | Stacie A Kasper |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124389176 PECOS PAC ID: 8820248800 Enrollment ID: I20121029000447 |
| Provider Name | Nathan A Shaw |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053604868 PECOS PAC ID: 8628228533 Enrollment ID: I20121030000017 |
| Provider Name | Sarah L Miller |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346443306 PECOS PAC ID: 4981854833 Enrollment ID: I20121030000466 |
| Provider Name | Tiffany K Rickertsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699024497 PECOS PAC ID: 2860643392 Enrollment ID: I20121109000625 |
| Provider Name | Laura L Fuller |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1982813150 PECOS PAC ID: 8921037722 Enrollment ID: I20121109000630 |
| Provider Name | Nandakumar Narayanan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831349620 PECOS PAC ID: 8921259359 Enrollment ID: I20121113000379 |
| Provider Name | Mark A Greiner |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1194992958 PECOS PAC ID: 2961680848 Enrollment ID: I20121113000403 |
| Provider Name | Dacia Nicole Watts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467747782 PECOS PAC ID: 8325299613 Enrollment ID: I20121114000424 |
| Provider Name | Lori A Christensen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639165285 PECOS PAC ID: 5193978625 Enrollment ID: I20130114000282 |
| Provider Name | Jill M Kain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780933440 PECOS PAC ID: 8527212042 Enrollment ID: I20130211000335 |
| Provider Name | Erin M Shriver |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1750325932 PECOS PAC ID: 6002811700 Enrollment ID: I20130221000327 |
| Provider Name | Kendra K Struck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124364948 PECOS PAC ID: 0547415689 Enrollment ID: I20130221000356 |
| Provider Name | Melissa M Collier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356692131 PECOS PAC ID: 9638324502 Enrollment ID: I20130226000043 |
| Provider Name | Abbie L Volz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528304763 PECOS PAC ID: 3072768613 Enrollment ID: I20130305000014 |
| Provider Name | David G Gratton |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1962506667 PECOS PAC ID: 3476798612 Enrollment ID: I20130318000362 |
| Provider Name | Natasha L Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609120815 PECOS PAC ID: 2264678218 Enrollment ID: I20130417000163 |
| Provider Name | Paul G Vanheukelom |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700044849 PECOS PAC ID: 7517137219 Enrollment ID: I20130423000017 |
| Provider Name | Regina M Randall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366783805 PECOS PAC ID: 1850538349 Enrollment ID: I20130430000236 |
| Provider Name | Nitin J Karandikar |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1679542138 PECOS PAC ID: 4385717933 Enrollment ID: I20130506000326 |
| Provider Name | Karin F Hoth |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1578754784 PECOS PAC ID: 9234223660 Enrollment ID: I20130522000674 |
| Provider Name | Bruce Cary Justman |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1639273329 PECOS PAC ID: 4981843141 Enrollment ID: I20130619000114 |
| Provider Name | Polly J Ferguson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154316842 PECOS PAC ID: 0547400426 Enrollment ID: I20130717000867 |
| Provider Name | Christopher Callahan Schuster |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437479771 PECOS PAC ID: 0446491336 Enrollment ID: I20130718000086 |
| Provider Name | Lastascia N Coleman |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1205173440 PECOS PAC ID: 4587805338 Enrollment ID: I20130722000129 |
| Provider Name | Bryan Golden Allen |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1689832081 PECOS PAC ID: 6204077662 Enrollment ID: I20130726000569 |
| Provider Name | Amy Lynn Conrad |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1942646195 PECOS PAC ID: 7315188562 Enrollment ID: I20130730000905 |
| Provider Name | Jeffrey E Senasu |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1962718007 PECOS PAC ID: 8729229851 Enrollment ID: I20130731000840 |
| Provider Name | Tejinder Singh Swaran Singh |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1215197660 PECOS PAC ID: 3274774310 Enrollment ID: I20130801000116 |
| Provider Name | Michael A Ciliberto |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1043418809 PECOS PAC ID: 4183801491 Enrollment ID: I20130805000023 |
| Provider Name | Catherine D Degeeter |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1982860185 PECOS PAC ID: 1850533811 Enrollment ID: I20130805000416 |
| Provider Name | Kaikobad Irani |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1699748335 PECOS PAC ID: 3779521695 Enrollment ID: I20130805000516 |
| Provider Name | Scott M Lieberman |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1447440698 PECOS PAC ID: 8921137803 Enrollment ID: I20130805000568 |
| Provider Name | Rachel Beth Mejia Sounhein |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336374768 PECOS PAC ID: 8022257153 Enrollment ID: I20130813000238 |
| Provider Name | Sandra D Abramoff |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952519993 PECOS PAC ID: 3779725916 Enrollment ID: I20130816000797 |
| Provider Name | Satsuki Matsumoto |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1609072818 PECOS PAC ID: 4183867955 Enrollment ID: I20130826000877 |
| Provider Name | Nicholas R Butler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427285071 PECOS PAC ID: 6800035155 Enrollment ID: I20130827000408 |
| Provider Name | Ethan F Kuperman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528225042 PECOS PAC ID: 2769650993 Enrollment ID: I20130827000769 |
| Provider Name | Brian James Dlouhy |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1619175148 PECOS PAC ID: 0345480505 Enrollment ID: I20130829000509 |
| Provider Name | Arwa Aburizik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356559298 PECOS PAC ID: 2466691670 Enrollment ID: I20130829000557 |
| Provider Name | Katherine G Keech |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1811001274 PECOS PAC ID: 9436204179 Enrollment ID: I20130829000644 |
| Provider Name | Osamah T Aldoss |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1104043710 PECOS PAC ID: 2062655590 Enrollment ID: I20130830000263 |
| Provider Name | Eiyu Matsumoto |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1366606162 PECOS PAC ID: 4789821265 Enrollment ID: I20130830000346 |
| Provider Name | Erin P Martin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780846790 PECOS PAC ID: 9436399961 Enrollment ID: I20130904000483 |
| Provider Name | John C Keech |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1770685604 PECOS PAC ID: 0648413021 Enrollment ID: I20130904000529 |
| Provider Name | Kiran Annam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477993830 PECOS PAC ID: 7618110958 Enrollment ID: I20130905000388 |
| Provider Name | Janet H Pollard |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1780842450 PECOS PAC ID: 1850530304 Enrollment ID: I20130906000743 |
| Provider Name | Luis J Garcia |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1386858751 PECOS PAC ID: 4183880016 Enrollment ID: I20130911000675 |
| Provider Name | Heather A Hoffman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1518308121 PECOS PAC ID: 6709020621 Enrollment ID: I20130916000556 |
| Provider Name | Lauren Elizabeth Graham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780820860 PECOS PAC ID: 6800045691 Enrollment ID: I20130917000094 |
| Provider Name | Peter N Nau |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1073727087 PECOS PAC ID: 7719143924 Enrollment ID: I20130918000257 |
| Provider Name | Catherine Melissa Metz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1942462437 PECOS PAC ID: 6507005949 Enrollment ID: I20130918000362 |
| Provider Name | Peter Densen |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1518949825 PECOS PAC ID: 0446494801 Enrollment ID: I20130925000298 |
| Provider Name | Meghan A Connett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215258538 PECOS PAC ID: 0547494510 Enrollment ID: I20131004000344 |
| Provider Name | Angela T Farrell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871814194 PECOS PAC ID: 4385881028 Enrollment ID: I20131009001956 |
| Provider Name | Vicki C Jensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548601610 PECOS PAC ID: 3678707205 Enrollment ID: I20131014001188 |
| Provider Name | Michael J Herzig |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1487950671 PECOS PAC ID: 0042445074 Enrollment ID: I20131029001975 |
| Provider Name | Sara J Kraus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851725238 PECOS PAC ID: 8921233834 Enrollment ID: I20131031000972 |
| Provider Name | Jenna K Herrig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861831265 PECOS PAC ID: 4880829670 Enrollment ID: I20131104000239 |
| Provider Name | Jennifer A Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699744045 PECOS PAC ID: 1658399373 Enrollment ID: I20131107000744 |
| Provider Name | Amanda J Pitts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407280654 PECOS PAC ID: 4486881810 Enrollment ID: I20131210002086 |
| Provider Name | Nidhi Handoo |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1093150658 PECOS PAC ID: 3678700820 Enrollment ID: I20131213000070 |
| Provider Name | Amanda J Grafft |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1427482850 PECOS PAC ID: 1456588631 Enrollment ID: I20131213000928 |
| Provider Name | Melissa Anne Bognar |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1679870661 PECOS PAC ID: 1153558333 Enrollment ID: I20131213001013 |
| Provider Name | Anne C Gentil Archer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356774798 PECOS PAC ID: 7810124849 Enrollment ID: I20131218000658 |
| Provider Name | Eri Shinozaki |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841467115 PECOS PAC ID: 9739340720 Enrollment ID: I20131220001443 |
| Provider Name | Mohammad A Bashir |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1790994960 PECOS PAC ID: 0244468908 Enrollment ID: I20140102001435 |
| Provider Name | Ferhaan Ahmad |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1699747881 PECOS PAC ID: 1254399686 Enrollment ID: I20140108001862 |
| Provider Name | Claudia L Corwin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164717989 PECOS PAC ID: 9335158799 Enrollment ID: I20140115000670 |
| Provider Name | Kang Yu K Lee Son |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1487083911 PECOS PAC ID: 8820226780 Enrollment ID: I20140122001881 |
| Provider Name | Sarah M Cisco |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063840320 PECOS PAC ID: 7517195381 Enrollment ID: I20140124001766 |
| Provider Name | Lance A Lalonde |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1336446913 PECOS PAC ID: 0648409862 Enrollment ID: I20140211001849 |
| Provider Name | Christina M Shutters |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1396172862 PECOS PAC ID: 9931338985 Enrollment ID: I20140214001370 |
| Provider Name | Megan M Vanotterloo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720401961 PECOS PAC ID: 8022248020 Enrollment ID: I20140312001316 |
| Provider Name | Bailey J Noble |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871915710 PECOS PAC ID: 9739310632 Enrollment ID: I20140318000193 |
| Provider Name | Monika R Jindal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598050023 PECOS PAC ID: 4385884493 Enrollment ID: I20140325001695 |
| Provider Name | Samantha B Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326375551 PECOS PAC ID: 6305980681 Enrollment ID: I20140327001599 |
| Provider Name | Laura J Ramsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255393997 PECOS PAC ID: 6901038165 Enrollment ID: I20140422002271 |
| Provider Name | David W Kaczka |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1760423396 PECOS PAC ID: 0446225742 Enrollment ID: I20140429001031 |
| Provider Name | Stacey A Appenheimer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225357585 PECOS PAC ID: 2769626142 Enrollment ID: I20140508001295 |
| Provider Name | Umar Farooq |
|---|---|
| Provider Type | Practitioner - Hematopoietic Cell Transplantation And Cellular Therapy |
| Provider Identifiers | NPI Number: 1336333673 PECOS PAC ID: 2860625258 Enrollment ID: I20140509001555 |
| Provider Name | Michihiko Goto |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1578703898 PECOS PAC ID: 4284871765 Enrollment ID: I20140509001960 |
| Provider Name | John C Selby |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1356662621 PECOS PAC ID: 5496994790 Enrollment ID: I20140512000830 |
| Provider Name | Aaron J Kauer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811123318 PECOS PAC ID: 1951541507 Enrollment ID: I20140522001781 |
| Provider Name | Fabiana C Policeni |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033372149 PECOS PAC ID: 9234370727 Enrollment ID: I20140527001871 |
| Provider Name | Muhammad Furqan |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1306090220 PECOS PAC ID: 3678796281 Enrollment ID: I20140529002082 |
| Provider Name | David J Gordon |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1336321330 PECOS PAC ID: 6507999323 Enrollment ID: I20140606001036 |
| Provider Name | Derek J Zhorne |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134428451 PECOS PAC ID: 9436323821 Enrollment ID: I20140606001808 |
| Provider Name | Thomas W Woodward |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932137353 PECOS PAC ID: 0648337758 Enrollment ID: I20140617002108 |
| Provider Name | Leah M Zhorne |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1639483407 PECOS PAC ID: 9830331552 Enrollment ID: I20140618001178 |
| Provider Name | Naomi H Rodgers |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1336406537 PECOS PAC ID: 9830313592 Enrollment ID: I20140619000879 |
| Provider Name | Sara Nesler |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1467460238 PECOS PAC ID: 8123025749 Enrollment ID: I20140625000350 |
| Provider Name | Amanda C Elliott |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972739894 PECOS PAC ID: 3072753524 Enrollment ID: I20140626000136 |
| Provider Name | Jesus Gonzalez Bosquet |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1427023175 PECOS PAC ID: 5294707147 Enrollment ID: I20140627001722 |
| Provider Name | Samantha M Schutt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700207008 PECOS PAC ID: 3971728346 Enrollment ID: I20140627001876 |
| Provider Name | Erin R Howe |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104118892 PECOS PAC ID: 4183864283 Enrollment ID: I20140630000228 |
| Provider Name | Yousef N Zakharia |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1871756163 PECOS PAC ID: 1557509254 Enrollment ID: I20140708000927 |
| Provider Name | Brigit E Ray |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396038261 PECOS PAC ID: 8224279468 Enrollment ID: I20140709001094 |
| Provider Name | Meredith L Fishbane-gordon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417165614 PECOS PAC ID: 4284859836 Enrollment ID: I20140715002110 |
| Provider Name | Daniel P Runde |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255567095 PECOS PAC ID: 1052561149 Enrollment ID: I20140716000807 |
| Provider Name | Anthony N Snow |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1891958245 PECOS PAC ID: 2062638695 Enrollment ID: I20140717000258 |
| Provider Name | Erik C Milbrandt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437565793 PECOS PAC ID: 7618193145 Enrollment ID: I20140718001339 |
| Provider Name | Susan M Duffy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851509749 PECOS PAC ID: 6507904927 Enrollment ID: I20140724001166 |
| Provider Name | Diana K Bayer-bowstead |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1730318205 PECOS PAC ID: 5193941995 Enrollment ID: I20140731001950 |
| Provider Name | Spas V Kotev |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1881879971 PECOS PAC ID: 7012134588 Enrollment ID: I20140806001339 |
| Provider Name | Jacob H Shields |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1336450279 PECOS PAC ID: 6103040886 Enrollment ID: I20140811002719 |
| Provider Name | Lauren M Ringe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285041871 PECOS PAC ID: 4284851213 Enrollment ID: I20140814001187 |
| Provider Name | Jessie R Alex |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801200530 PECOS PAC ID: 2961629944 Enrollment ID: I20140814002786 |
| Provider Name | Munir-zakary R Tanas |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1891805842 PECOS PAC ID: 2365589306 Enrollment ID: I20140815000335 |
| Provider Name | Carissa B Gunderson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760616437 PECOS PAC ID: 8921222316 Enrollment ID: I20140815000389 |
| Provider Name | Lynn R Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982019063 PECOS PAC ID: 2365669363 Enrollment ID: I20140815000553 |
| Provider Name | John L Blau |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1871757690 PECOS PAC ID: 9133346141 Enrollment ID: I20140815000745 |
| Provider Name | Michael D Colburn |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720370810 PECOS PAC ID: 6103066204 Enrollment ID: I20140818002502 |
| Provider Name | Lillian M Erdahl |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1336353705 PECOS PAC ID: 1557501749 Enrollment ID: I20140819000106 |
| Provider Name | Kimberly S Delcour |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1932201597 PECOS PAC ID: 0648498329 Enrollment ID: I20140821000290 |
| Provider Name | Alan E Gunderson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1942404785 PECOS PAC ID: 4789870254 Enrollment ID: I20140825001025 |
| Provider Name | Michael C Willey |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1598991085 PECOS PAC ID: 2860632163 Enrollment ID: I20140828001730 |
| Provider Name | Jamie L Elizalde |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1104171511 PECOS PAC ID: 3779701099 Enrollment ID: I20140828001777 |
| Provider Name | Michael G Pomeroy |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1215202122 PECOS PAC ID: 0446478762 Enrollment ID: I20140828001938 |
| Provider Name | Katherine L Browne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609282862 PECOS PAC ID: 3577781731 Enrollment ID: I20140829001085 |
| Provider Name | Mohamad Mokadem |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1386803187 PECOS PAC ID: 5496974305 Enrollment ID: I20140908001912 |
| Provider Name | Andrea E Achenbach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881975910 PECOS PAC ID: 5698994523 Enrollment ID: I20140908002460 |
| Provider Name | Patrick O Oben |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255617700 PECOS PAC ID: 4082833769 Enrollment ID: I20140910002449 |
| Provider Name | Jamison D Prickett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861808602 PECOS PAC ID: 7012136500 Enrollment ID: I20140916000312 |
| Provider Name | Abbey S Merryman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1487972451 PECOS PAC ID: 9638398134 Enrollment ID: I20140916000757 |
| Provider Name | Shilpa C Balikai |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1720265044 PECOS PAC ID: 8022237338 Enrollment ID: I20140918002550 |
| Provider Name | Heather R Elmore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265832323 PECOS PAC ID: 1355560400 Enrollment ID: I20140922002756 |
| Provider Name | Amy L Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629486592 PECOS PAC ID: 8123248051 Enrollment ID: I20140927000328 |
| Provider Name | Michael Mural |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1346675477 PECOS PAC ID: 7012149495 Enrollment ID: I20141002001459 |
| Provider Name | Howard Jeffrey Cowen |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1073617072 PECOS PAC ID: 5597985929 Enrollment ID: I20141006001995 |
| Provider Name | Santiago Ortega Gutierrez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629148010 PECOS PAC ID: 4082746482 Enrollment ID: I20141007001188 |
| Provider Name | Poorani Sekar |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1740441807 PECOS PAC ID: 8820222391 Enrollment ID: I20141014002424 |
| Provider Name | Heather Kowalski |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1386809374 PECOS PAC ID: 8123249281 Enrollment ID: I20141015000981 |
| Provider Name | Jennifer Elizabeth Hartshorn |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1912252420 PECOS PAC ID: 4385865179 Enrollment ID: I20141020002025 |
| Provider Name | Kevin M Mcgrane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316355985 PECOS PAC ID: 1759502354 Enrollment ID: I20141023002570 |
| Provider Name | Daniel Caplan |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1205840287 PECOS PAC ID: 6406077015 Enrollment ID: I20141024000215 |
| Provider Name | Amy L Bradley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427450378 PECOS PAC ID: 1456572981 Enrollment ID: I20141024001728 |
| Provider Name | Rolando Sanchez Sanchez |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1043455215 PECOS PAC ID: 5395966733 Enrollment ID: I20141028001202 |
| Provider Name | Lovkesh Arora |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1700029857 PECOS PAC ID: 3476774811 Enrollment ID: I20141028001242 |
| Provider Name | Kristin J Carne |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1710244652 PECOS PAC ID: 2567684723 Enrollment ID: I20141104001410 |
| Provider Name | Rachel Beiler-funmilayo |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1467854018 PECOS PAC ID: 7012139041 Enrollment ID: I20141106002242 |
| Provider Name | Annalisa M Cochran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144623422 PECOS PAC ID: 3072735927 Enrollment ID: I20141110002189 |
| Provider Name | Rahul Rastogi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1811913031 PECOS PAC ID: 7618008160 Enrollment ID: I20141119000899 |
| Provider Name | Nicole H Goff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912345844 PECOS PAC ID: 2365664711 Enrollment ID: I20141119001478 |
| Provider Name | April Np Schmitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558764449 PECOS PAC ID: 6002038478 Enrollment ID: I20141119002204 |
| Provider Name | Surangama Sharma |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1124349857 PECOS PAC ID: 5597987974 Enrollment ID: I20141119002485 |
| Provider Name | Rebecca L Mccann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417350257 PECOS PAC ID: 5698097632 Enrollment ID: I20141203000166 |
| Provider Name | Prerna Rastogi |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1205064748 PECOS PAC ID: 7618299348 Enrollment ID: I20141208000111 |
| Provider Name | Jennifer J Becker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679977482 PECOS PAC ID: 3476875121 Enrollment ID: I20141208001133 |
| Provider Name | Tassie A Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023399011 PECOS PAC ID: 3072836485 Enrollment ID: I20141216000281 |
| Provider Name | Lori D Winborn |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1992846489 PECOS PAC ID: 0244553493 Enrollment ID: I20141219001703 |
| Provider Name | Andrea Nicole Weber |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205194370 PECOS PAC ID: 9830339969 Enrollment ID: I20150105000741 |
| Provider Name | Gordon Buchanan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1558543595 PECOS PAC ID: 8820275613 Enrollment ID: I20150106002087 |
| Provider Name | Samuel L Johnston |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1184832271 PECOS PAC ID: 8527182245 Enrollment ID: I20150115000660 |
| Provider Name | Lama Noureddine |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1013176817 PECOS PAC ID: 8527382654 Enrollment ID: I20150121001152 |
| Provider Name | Alyaman Saeed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609820158 PECOS PAC ID: 1456333772 Enrollment ID: I20150121002045 |
| Provider Name | Sindhura Allareddy |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1801190657 PECOS PAC ID: 6507180155 Enrollment ID: I20150130001342 |
| Provider Name | Molly E Heitman |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1043616691 PECOS PAC ID: 3173848314 Enrollment ID: I20150211001464 |
| Provider Name | Julia N Freel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053718437 PECOS PAC ID: 8628394319 Enrollment ID: I20150223000944 |
| Provider Name | Jaime E Bonner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649669698 PECOS PAC ID: 7719203025 Enrollment ID: I20150304001476 |
| Provider Name | Elizabeth J Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982005096 PECOS PAC ID: 8628394863 Enrollment ID: I20150305000229 |
| Provider Name | Jennifer J Coreas |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1780072678 PECOS PAC ID: 6507182755 Enrollment ID: I20150305000559 |
| Provider Name | Anjali A Sharathkumar |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1194945691 PECOS PAC ID: 4385668805 Enrollment ID: I20150421000506 |
| Provider Name | Rup K Sainju |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1033362504 PECOS PAC ID: 8820317712 Enrollment ID: I20150427001277 |
| Provider Name | Amer El Sayed |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1457745937 PECOS PAC ID: 2466771142 Enrollment ID: I20150430001024 |
| Provider Name | Ali S Nasr |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1417221524 PECOS PAC ID: 1355660036 Enrollment ID: I20150430001092 |
| Provider Name | Tahuanty A Pena |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1790986925 PECOS PAC ID: 5698953404 Enrollment ID: I20150513000958 |
| Provider Name | Charles A Rappaport |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1528326089 PECOS PAC ID: 7416277538 Enrollment ID: I20150513001100 |
| Provider Name | Temitope M Awelewa |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194012815 PECOS PAC ID: 2769702885 Enrollment ID: I20150513001161 |
| Provider Name | Hanna Stevens |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255528196 PECOS PAC ID: 1254409584 Enrollment ID: I20150513001245 |
| Provider Name | Spyridon Fortis |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1831329630 PECOS PAC ID: 4981924016 Enrollment ID: I20150513001447 |
| Provider Name | John A Bernat |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1609003011 PECOS PAC ID: 3779803762 Enrollment ID: I20150514001076 |
| Provider Name | Daniel J Livorsi |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1720240237 PECOS PAC ID: 6305024225 Enrollment ID: I20150518001403 |
| Provider Name | Elaine Michele Binkley |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1114219078 PECOS PAC ID: 8325289143 Enrollment ID: I20150520001385 |
| Provider Name | Anthony J Fischer |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1952539447 PECOS PAC ID: 2567783327 Enrollment ID: I20150604001735 |
| Provider Name | Raul A Villacreses Rada |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1386901817 PECOS PAC ID: 2466773221 Enrollment ID: I20150604001757 |
| Provider Name | Jeydith Traeger Gutierrez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982968830 PECOS PAC ID: 4183945777 Enrollment ID: I20150608002461 |
| Provider Name | Stephanie J Chen |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1891080032 PECOS PAC ID: 0648591131 Enrollment ID: I20150609002552 |
| Provider Name | Shona S Lenss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497728240 PECOS PAC ID: 3072702414 Enrollment ID: I20150611002516 |
| Provider Name | Ilonka D Molano De Pena |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1407051030 PECOS PAC ID: 4587893060 Enrollment ID: I20150616001568 |
| Provider Name | Wendy L Fiordellisi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982962122 PECOS PAC ID: 1951612761 Enrollment ID: I20150622000053 |
| Provider Name | Jeniece M Nott |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093941460 PECOS PAC ID: 1557501053 Enrollment ID: I20150624000413 |
| Provider Name | Lindsey G Behrens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568843910 PECOS PAC ID: 8729399100 Enrollment ID: I20150626000202 |
| Provider Name | Emily Lanzel |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1497002620 PECOS PAC ID: 7911219167 Enrollment ID: I20150701001289 |
| Provider Name | Caryn M Berkowitz |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1780625301 PECOS PAC ID: 6002900669 Enrollment ID: I20150702001541 |
| Provider Name | Douglas Edward Kendrick |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1245550003 PECOS PAC ID: 4082926704 Enrollment ID: I20150708001991 |
| Provider Name | Emily K Hill |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1487984589 PECOS PAC ID: 4486966173 Enrollment ID: I20150709000928 |
| Provider Name | Bradley L Manning |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881642049 PECOS PAC ID: 1052495801 Enrollment ID: I20150709001098 |
| Provider Name | Jason M Misurac |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1205061900 PECOS PAC ID: 9739326141 Enrollment ID: I20150710000604 |
| Provider Name | Sarah A Shaffer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336312560 PECOS PAC ID: 3375708217 Enrollment ID: I20150714002201 |
| Provider Name | Lauren M Partyka |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1750692976 PECOS PAC ID: 8426361627 Enrollment ID: I20150716002827 |
| Provider Name | Pavlina S Kemp |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1780900597 PECOS PAC ID: 4082854211 Enrollment ID: I20150723007138 |
| Provider Name | Julia S Shelton |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1871640698 PECOS PAC ID: 2961715628 Enrollment ID: I20150723009039 |
| Provider Name | Karen N Bryant |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1962656710 PECOS PAC ID: 6507170172 Enrollment ID: I20150728003640 |
| Provider Name | Wesley R Benn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174905772 PECOS PAC ID: 5496069619 Enrollment ID: I20150731016975 |
| Provider Name | Allan Michael Andersen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457524332 PECOS PAC ID: 3870743438 Enrollment ID: I20150803001455 |
| Provider Name | Anu Subramanian |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1265612626 PECOS PAC ID: 2769797448 Enrollment ID: I20150811004308 |
| Provider Name | Philip Chen |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1861781049 PECOS PAC ID: 0648585158 Enrollment ID: I20150812008832 |
| Provider Name | Lauren Coyne |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063724979 PECOS PAC ID: 3375794316 Enrollment ID: I20150813009562 |
| Provider Name | Irena Gribovskaja-rupp |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1659494482 PECOS PAC ID: 2264747609 Enrollment ID: I20150814012988 |
| Provider Name | Bianca A Strack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124400221 PECOS PAC ID: 9537474838 Enrollment ID: I20150817000123 |
| Provider Name | Sarina M Martini |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548559701 PECOS PAC ID: 4688989726 Enrollment ID: I20150818005216 |
| Provider Name | Samuel Gallo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578944724 PECOS PAC ID: 3678889375 Enrollment ID: I20150826000252 |
| Provider Name | Bradley W Zeithamel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1568768752 PECOS PAC ID: 4486960119 Enrollment ID: I20150826001044 |
| Provider Name | Kelly L Preuninger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417339755 PECOS PAC ID: 0244546984 Enrollment ID: I20150826001666 |
| Provider Name | Cody R Tigges |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1043474505 PECOS PAC ID: 4688844335 Enrollment ID: I20150826001700 |
| Provider Name | Alina V Dumitrescu |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1942442231 PECOS PAC ID: 2365758869 Enrollment ID: I20150828001349 |
| Provider Name | David R Sheff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508111402 PECOS PAC ID: 2668610338 Enrollment ID: I20150901000084 |
| Provider Name | Kecia Suzanne Leary |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1902923576 PECOS PAC ID: 9335455583 Enrollment ID: I20150902001170 |
| Provider Name | Matthew J Landherr |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1033554498 PECOS PAC ID: 3870809098 Enrollment ID: I20150903000111 |
| Provider Name | Fatma Simsek-duran |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528353208 PECOS PAC ID: 2365685294 Enrollment ID: I20150903000532 |
| Provider Name | Kelly M Vinquist |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558641753 PECOS PAC ID: 9133436835 Enrollment ID: I20150914000143 |
| Provider Name | Benjamin P Davis |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1467616326 PECOS PAC ID: 1052542891 Enrollment ID: I20150914000260 |
| Provider Name | Sara E Wertz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1053756270 PECOS PAC ID: 8325355522 Enrollment ID: I20150921002704 |
| Provider Name | Tacie Clark |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1346685757 PECOS PAC ID: 0648587840 Enrollment ID: I20150921002867 |
| Provider Name | Alyssa M Donahue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245606193 PECOS PAC ID: 6800104704 Enrollment ID: I20150925001373 |
| Provider Name | Andrew Pugely |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1508185521 PECOS PAC ID: 3971742289 Enrollment ID: I20150928000190 |
| Provider Name | Anna M Arens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639470511 PECOS PAC ID: 7113235912 Enrollment ID: I20150928002585 |
| Provider Name | Ina Bardhoshi |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1992106587 PECOS PAC ID: 1951521368 Enrollment ID: I20151006002358 |
| Provider Name | Kimberly J Hart |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1891030557 PECOS PAC ID: 7113151333 Enrollment ID: I20151006002853 |
| Provider Name | Sarah C Dailey |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1902241847 PECOS PAC ID: 7810205192 Enrollment ID: I20151006002970 |
| Provider Name | Lesley J Haro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891808697 PECOS PAC ID: 8628214137 Enrollment ID: I20151014000332 |
| Provider Name | Cara Drew |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699189639 PECOS PAC ID: 5294951661 Enrollment ID: I20151014002554 |
| Provider Name | Allison C Voss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881064665 PECOS PAC ID: 8022327881 Enrollment ID: I20151016001450 |
| Provider Name | Edgar A Samaniego |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093771511 PECOS PAC ID: 3971776410 Enrollment ID: I20151016001915 |
| Provider Name | Dana L Lotempio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295104446 PECOS PAC ID: 8921317496 Enrollment ID: I20151023000254 |
| Provider Name | Eva G Schoen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1194122127 PECOS PAC ID: 4385953850 Enrollment ID: I20151023000270 |
| Provider Name | Sarah M Fees |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104293570 PECOS PAC ID: 8820307093 Enrollment ID: I20151029001132 |
| Provider Name | Lynette P Cooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972973881 PECOS PAC ID: 9133438310 Enrollment ID: I20151029001412 |
| Provider Name | Emily S Rockafellow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477922052 PECOS PAC ID: 5294045977 Enrollment ID: I20151109001857 |
| Provider Name | Alexander W Thompson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740380922 PECOS PAC ID: 8921005042 Enrollment ID: I20151110002267 |
| Provider Name | Susan Joy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629446521 PECOS PAC ID: 8729398383 Enrollment ID: I20151110003047 |
| Provider Name | Carlos H Chan |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1659711661 PECOS PAC ID: 4587808696 Enrollment ID: I20151120000109 |
| Provider Name | Brian J Howe |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1003945437 PECOS PAC ID: 7911207055 Enrollment ID: I20151123000645 |
| Provider Name | Shannon M Kussatz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255701660 PECOS PAC ID: 2961702782 Enrollment ID: I20151201001511 |
| Provider Name | Sandra K Koppes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891167367 PECOS PAC ID: 7214237858 Enrollment ID: I20151203001353 |
| Provider Name | Jamie S Hada |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093188872 PECOS PAC ID: 2466752811 Enrollment ID: I20151208000565 |
| Provider Name | Maia H Hightower |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770603946 PECOS PAC ID: 5294822177 Enrollment ID: I20151208001582 |
| Provider Name | Tomohiro Tanaka |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1184098667 PECOS PAC ID: 5395046353 Enrollment ID: I20151216000540 |
| Provider Name | Saima Sharif |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1548258940 PECOS PAC ID: 1850311366 Enrollment ID: I20151228000447 |
| Provider Name | Cynthia A Wong |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1790703882 PECOS PAC ID: 1456263722 Enrollment ID: I20151228000868 |
| Provider Name | Heidi A Rossow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134591829 PECOS PAC ID: 7315248903 Enrollment ID: I20151228000882 |
| Provider Name | Lane Strathearn |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487734828 PECOS PAC ID: 8729051966 Enrollment ID: I20160129002379 |
| Provider Name | Mehul R Adhaduk |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649534769 PECOS PAC ID: 7214168897 Enrollment ID: I20160201000363 |
| Provider Name | Sara D Spiva |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053727487 PECOS PAC ID: 7810115458 Enrollment ID: I20160208000370 |
| Provider Name | Michael S Hoffman |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1124310172 PECOS PAC ID: 9335365642 Enrollment ID: I20160209001402 |
| Provider Name | Amber L Goodrich |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1043676166 PECOS PAC ID: 5890090658 Enrollment ID: I20160217000256 |
| Provider Name | Steven Michael Kelly |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1821178377 PECOS PAC ID: 8729383385 Enrollment ID: I20160219001910 |
| Provider Name | Danielle R Sparks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083935480 PECOS PAC ID: 1456657857 Enrollment ID: I20160310002383 |
| Provider Name | Teresa Hoffman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477578615 PECOS PAC ID: 7315952504 Enrollment ID: I20160420001174 |
| Provider Name | Stephanie M Atkinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891157285 PECOS PAC ID: 1557660578 Enrollment ID: I20160426001151 |
| Provider Name | Aditya V Badheka |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1467712869 PECOS PAC ID: 7214176809 Enrollment ID: I20160505000997 |
| Provider Name | Haleigh M Skaggs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619336856 PECOS PAC ID: 6002105368 Enrollment ID: I20160510002069 |
| Provider Name | Brandy M Leclere |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932563061 PECOS PAC ID: 6800185042 Enrollment ID: I20160511002299 |
| Provider Name | Timothy W Thomsen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063770097 PECOS PAC ID: 7911146493 Enrollment ID: I20160512000392 |
| Provider Name | Shruti N Tewar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477787638 PECOS PAC ID: 8729377858 Enrollment ID: I20160512002330 |
| Provider Name | Vesselin T Tenev |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104105139 PECOS PAC ID: 0244470342 Enrollment ID: I20160513000107 |
| Provider Name | Archit Sharma |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1174753503 PECOS PAC ID: 2163646118 Enrollment ID: I20160517001427 |
| Provider Name | Nanette J Brokaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790120673 PECOS PAC ID: 6800036450 Enrollment ID: I20160523002601 |
| Provider Name | Ana A Cary |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902032444 PECOS PAC ID: 7315236734 Enrollment ID: I20160525000235 |
| Provider Name | Lyndsay A Harshman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730473315 PECOS PAC ID: 8022258284 Enrollment ID: I20160525000314 |
| Provider Name | Alpheus B Appenheimer |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1083932909 PECOS PAC ID: 0547403677 Enrollment ID: I20160525001247 |
| Provider Name | Katherine D Patrick |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649533092 PECOS PAC ID: 6800025677 Enrollment ID: I20160602001344 |
| Provider Name | Rashi Khanna |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518308840 PECOS PAC ID: 2264721026 Enrollment ID: I20160603000348 |
| Provider Name | Emily F Morton |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1598190035 PECOS PAC ID: 9830489756 Enrollment ID: I20160606002131 |
| Provider Name | Takashi S Sato |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023245115 PECOS PAC ID: 8123266038 Enrollment ID: I20160607001800 |
| Provider Name | Dionne Fan Peacher |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1669797577 PECOS PAC ID: 0446474845 Enrollment ID: I20160608002396 |
| Provider Name | Carly A Kuehn |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1073952883 PECOS PAC ID: 1658515630 Enrollment ID: I20160609000095 |
| Provider Name | Christopher Scott Nance |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649370065 PECOS PAC ID: 7315977931 Enrollment ID: I20160615000158 |
| Provider Name | Sangil Lee |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003022237 PECOS PAC ID: 8123143450 Enrollment ID: I20160615002301 |
| Provider Name | Christopher S Strouse |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1295078533 PECOS PAC ID: 4082933312 Enrollment ID: I20160616001002 |
| Provider Name | Hanna D Zembrzuska |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1336346352 PECOS PAC ID: 8921288069 Enrollment ID: I20160623000807 |
| Provider Name | Andrew J Feider |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1245551555 PECOS PAC ID: 9537318548 Enrollment ID: I20160705001270 |
| Provider Name | Chandrikha Chandrasekharan |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1780814491 PECOS PAC ID: 9436306685 Enrollment ID: I20160705001431 |
| Provider Name | Nathan M Blair |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1164711511 PECOS PAC ID: 4880906932 Enrollment ID: I20160706001157 |
| Provider Name | Stephanie M Radke |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497989784 PECOS PAC ID: 7012134224 Enrollment ID: I20160708001863 |
| Provider Name | Esperanza G Ingersoll Weng |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1477550424 PECOS PAC ID: 9335040849 Enrollment ID: I20160708001991 |
| Provider Name | Brandy L Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295973444 PECOS PAC ID: 8022202779 Enrollment ID: I20160708002034 |
| Provider Name | Joshua B Radke |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700014453 PECOS PAC ID: 4183888456 Enrollment ID: I20160711001159 |
| Provider Name | Elayne J Gustoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154779361 PECOS PAC ID: 2961794060 Enrollment ID: I20160711001834 |
| Provider Name | Justin G Wikle |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1912292152 PECOS PAC ID: 3678865631 Enrollment ID: I20160712001542 |
| Provider Name | Jessica R Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467802124 PECOS PAC ID: 1850683830 Enrollment ID: I20160712001882 |
| Provider Name | Stephanie L Stauffer |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1609160548 PECOS PAC ID: 7618110628 Enrollment ID: I20160715001620 |
| Provider Name | Melissa S Willis |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1386902682 PECOS PAC ID: 3274775457 Enrollment ID: I20160720002174 |
| Provider Name | D Anand Rajan Kanagasabapathy |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1548540834 PECOS PAC ID: 7618260191 Enrollment ID: I20160720002436 |
| Provider Name | Aaron D Boes |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770880387 PECOS PAC ID: 4981862349 Enrollment ID: I20160725000321 |
| Provider Name | Patrick William Mcgonagill |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1639497530 PECOS PAC ID: 1557681582 Enrollment ID: I20160725000842 |
| Provider Name | Erica M Carlisle |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649508037 PECOS PAC ID: 1658674080 Enrollment ID: I20160728000923 |
| Provider Name | Channa Z Davenport |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932559275 PECOS PAC ID: 0244523157 Enrollment ID: I20160728002232 |
| Provider Name | Marcelo L Correia |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1235421140 PECOS PAC ID: 8628208964 Enrollment ID: I20160803001421 |
| Provider Name | Brian T Oneill |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1477720357 PECOS PAC ID: 3971744426 Enrollment ID: I20160803003056 |
| Provider Name | Catherina T Pinnaro |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1487091518 PECOS PAC ID: 3476796558 Enrollment ID: I20160805001923 |
| Provider Name | Aaron R Kunz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609119791 PECOS PAC ID: 8921327735 Enrollment ID: I20160808000238 |
| Provider Name | Joseph D Boysen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215959432 PECOS PAC ID: 3971897075 Enrollment ID: I20160812000639 |
| Provider Name | Ian Han |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1285861187 PECOS PAC ID: 2668622028 Enrollment ID: I20160812001094 |
| Provider Name | Susan A Shea |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356791610 PECOS PAC ID: 0840585444 Enrollment ID: I20160822001388 |
| Provider Name | Ann E Killoran |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1619196565 PECOS PAC ID: 1456506997 Enrollment ID: I20160822001736 |
| Provider Name | Christina J L Michels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174974315 PECOS PAC ID: 2961797576 Enrollment ID: I20160822001880 |
| Provider Name | Kaytee L Knoop |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770934671 PECOS PAC ID: 8123313764 Enrollment ID: I20160822002731 |
| Provider Name | Kelcee K Jarrard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558711465 PECOS PAC ID: 7315232584 Enrollment ID: I20160826001462 |
| Provider Name | Chiranjeev Saha |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1699921684 PECOS PAC ID: 8325234289 Enrollment ID: I20160829003243 |
| Provider Name | Bijoy D Thattaliyath |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1043482912 PECOS PAC ID: 9032404090 Enrollment ID: I20160830000975 |
| Provider Name | Sneha D Phadke |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1437460482 PECOS PAC ID: 3072803634 Enrollment ID: I20160901000415 |
| Provider Name | Megan J Greve |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275985848 PECOS PAC ID: 0042506149 Enrollment ID: I20160915000387 |
| Provider Name | Cheryl M Byrnes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861844516 PECOS PAC ID: 7012203169 Enrollment ID: I20160915001874 |
| Provider Name | Jessie T Koch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649623091 PECOS PAC ID: 7214224161 Enrollment ID: I20160921001406 |
| Provider Name | Yumi Imai |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1376634543 PECOS PAC ID: 2860476421 Enrollment ID: I20160926001487 |
| Provider Name | Lindsey K Kudej |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1891105250 PECOS PAC ID: 5193012797 Enrollment ID: I20160926001578 |
| Provider Name | Kristin A Hansen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1134539505 PECOS PAC ID: 8628365913 Enrollment ID: I20160930000691 |
| Provider Name | Sara Defurio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205380524 PECOS PAC ID: 1951699842 Enrollment ID: I20161010000269 |
| Provider Name | Kathleen L Wild |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649248378 PECOS PAC ID: 3476841040 Enrollment ID: I20161013002294 |
| Provider Name | Shandi A Peters |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1437569894 PECOS PAC ID: 9638467210 Enrollment ID: I20161014000033 |
| Provider Name | Christine M Harlander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205380110 PECOS PAC ID: 1456649037 Enrollment ID: I20161014000034 |
| Provider Name | Brady J Thomas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306158456 PECOS PAC ID: 7113165325 Enrollment ID: I20161017002044 |
| Provider Name | Katherine Hadlandsmyth |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1003363227 PECOS PAC ID: 7618265091 Enrollment ID: I20161018002189 |
| Provider Name | Michael H Tomasson |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1841216157 PECOS PAC ID: 2163556713 Enrollment ID: I20161018002427 |
| Provider Name | Rachael M Stadlen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306296959 PECOS PAC ID: 9638457880 Enrollment ID: I20161024001203 |
| Provider Name | Joyce L Chouinard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770033888 PECOS PAC ID: 8224316112 Enrollment ID: I20161027001550 |
| Provider Name | Hong Chen |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1760593669 PECOS PAC ID: 0345255527 Enrollment ID: I20161027001655 |
| Provider Name | Emily M Garcia |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1497205470 PECOS PAC ID: 5799063491 Enrollment ID: I20161101001105 |
| Provider Name | Michael Hajdu |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1912955683 PECOS PAC ID: 5496740169 Enrollment ID: I20161101002521 |
| Provider Name | Joel Geerling |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1578706628 PECOS PAC ID: 3971739723 Enrollment ID: I20161102000399 |
| Provider Name | Jenna M Nielsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649723446 PECOS PAC ID: 2668750225 Enrollment ID: I20161102000478 |
| Provider Name | Kristen Caraher |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1336697085 PECOS PAC ID: 6709164247 Enrollment ID: I20161103000840 |
| Provider Name | Jin Zhou |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902356330 PECOS PAC ID: 2567741481 Enrollment ID: I20161117001028 |
| Provider Name | Jane K Rosen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558628495 PECOS PAC ID: 5890075865 Enrollment ID: I20161208001236 |
| Provider Name | Gena R Ghearing |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1154307114 PECOS PAC ID: 3870692106 Enrollment ID: I20161212002052 |
| Provider Name | Haley D Stoll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174862148 PECOS PAC ID: 7911287735 Enrollment ID: I20161213000426 |
| Provider Name | Samuel D Andrews |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1851508337 PECOS PAC ID: 5496940181 Enrollment ID: I20170112000946 |
| Provider Name | Mary Jean Haas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255779054 PECOS PAC ID: 3577794536 Enrollment ID: I20170118002096 |
| Provider Name | Matthew J Obrien |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1871805838 PECOS PAC ID: 1153603527 Enrollment ID: I20170119000663 |
| Provider Name | Mahi L Ashwath |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1235154154 PECOS PAC ID: 0840263943 Enrollment ID: I20170120000513 |
| Provider Name | Brian L Harlan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760579585 PECOS PAC ID: 4284656216 Enrollment ID: I20170202002619 |
| Provider Name | Ali Jabbari |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1427258367 PECOS PAC ID: 6507050903 Enrollment ID: I20170203001312 |
| Provider Name | Alindsey J Kramer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386095297 PECOS PAC ID: 0547543944 Enrollment ID: I20170209000648 |
| Provider Name | Linda Mcdermott |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841297629 PECOS PAC ID: 6608159900 Enrollment ID: I20170213000315 |
| Provider Name | Megan G Heesch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982076295 PECOS PAC ID: 7416230727 Enrollment ID: I20170213000348 |
| Provider Name | Amy M Hammerstrom |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003103169 PECOS PAC ID: 5496039281 Enrollment ID: I20170222001564 |
| Provider Name | Emily E Morse |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619394715 PECOS PAC ID: 3577789411 Enrollment ID: I20170227001254 |
| Provider Name | Julie C Lensing |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588108138 PECOS PAC ID: 5193009348 Enrollment ID: I20170307001072 |
| Provider Name | Suzanne M Hennings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952308348 PECOS PAC ID: 2163481417 Enrollment ID: I20170307001195 |
| Provider Name | Marcia Campos |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1245699875 PECOS PAC ID: 1052696879 Enrollment ID: I20170317001485 |
| Provider Name | Joseph A Buckwalter |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1952693129 PECOS PAC ID: 1759521057 Enrollment ID: I20170324000324 |
| Provider Name | Robert W Westermann |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1841585239 PECOS PAC ID: 4981844271 Enrollment ID: I20170324000341 |
| Provider Name | Ann-marie H Berg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790769552 PECOS PAC ID: 6800171182 Enrollment ID: I20170329001017 |
| Provider Name | Karen I Hammes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154868149 PECOS PAC ID: 7517243256 Enrollment ID: I20170413000125 |
| Provider Name | Jimmy J Windsor |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1255380523 PECOS PAC ID: 9436142205 Enrollment ID: I20170426001457 |
| Provider Name | Joseph T Kowalski |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1487975918 PECOS PAC ID: 8628218799 Enrollment ID: I20170509001152 |
| Provider Name | Shannon L Findlay |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578975645 PECOS PAC ID: 0749406171 Enrollment ID: I20170509001261 |
| Provider Name | Grerk Sutamtewagul |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1003103383 PECOS PAC ID: 4789961376 Enrollment ID: I20170509001389 |
| Provider Name | Sudeepta Dandapat |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1073801882 PECOS PAC ID: 8527206044 Enrollment ID: I20170511000077 |
| Provider Name | Kunatum Prasidthrathsint |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1417268244 PECOS PAC ID: 3870735632 Enrollment ID: I20170511001664 |
| Provider Name | Scott T Larson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639516685 PECOS PAC ID: 7911137229 Enrollment ID: I20170517002460 |
| Provider Name | Brooks J Obr |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528479060 PECOS PAC ID: 1557587912 Enrollment ID: I20170526000171 |
| Provider Name | Jaclyn M Haugsdal |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1134567498 PECOS PAC ID: 3779727771 Enrollment ID: I20170601002615 |
| Provider Name | Jarrett E Walsh |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1104110709 PECOS PAC ID: 7315187242 Enrollment ID: I20170609000779 |
| Provider Name | Katie S Melton |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1184982613 PECOS PAC ID: 4385913847 Enrollment ID: I20170627002199 |
| Provider Name | Alejandro A Pezzulo Colmenares |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1942569355 PECOS PAC ID: 2668699158 Enrollment ID: I20170630000916 |
| Provider Name | Maria A Pawlak |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1467691477 PECOS PAC ID: 0547539801 Enrollment ID: I20170630001097 |
| Provider Name | Gina M Lockwood |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1962727750 PECOS PAC ID: 2365744968 Enrollment ID: I20170717000100 |
| Provider Name | Marco M Hefti |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1568600468 PECOS PAC ID: 6103196688 Enrollment ID: I20170717000204 |
| Provider Name | Georgina M Aldridge |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053750802 PECOS PAC ID: 3173757788 Enrollment ID: I20170717001301 |
| Provider Name | Natasha L Madhoo Reynolds |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811309107 PECOS PAC ID: 2769608751 Enrollment ID: I20170718001044 |
| Provider Name | Stephanie Jane Houston |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1235497090 PECOS PAC ID: 0941440069 Enrollment ID: I20170718001953 |
| Provider Name | Joseph M Caster |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1033470604 PECOS PAC ID: 1759505811 Enrollment ID: I20170719002166 |
| Provider Name | Nathaniel C Sears |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1306103577 PECOS PAC ID: 5597055798 Enrollment ID: I20170719003139 |
| Provider Name | Nicholas Thomas Trapp |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093155400 PECOS PAC ID: 0941438972 Enrollment ID: I20170721001414 |
| Provider Name | Michael L Haugsdal |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1073951059 PECOS PAC ID: 1254574866 Enrollment ID: I20170721001745 |
| Provider Name | Aaron Daniel Figueroa |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1508124785 PECOS PAC ID: 9931493913 Enrollment ID: I20170727000055 |
| Provider Name | Brittany A Bettendorf |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1487943908 PECOS PAC ID: 7214256775 Enrollment ID: I20170727003098 |
| Provider Name | Paul Thomas Gellhaus |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1104113117 PECOS PAC ID: 8729223268 Enrollment ID: I20170727003165 |
| Provider Name | Yuya Hagiwara |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1083811087 PECOS PAC ID: 8527155977 Enrollment ID: I20170727003286 |
| Provider Name | Anureet K Walia |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1376821116 PECOS PAC ID: 2163653775 Enrollment ID: I20170728001502 |
| Provider Name | Krista R Davidson |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1699295865 PECOS PAC ID: 9638440373 Enrollment ID: I20170731000231 |
| Provider Name | Lauren M Thomann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730609629 PECOS PAC ID: 5193096709 Enrollment ID: I20170731003539 |
| Provider Name | Ashley N Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821527862 PECOS PAC ID: 3072884626 Enrollment ID: I20170801001492 |
| Provider Name | Allison M Boardman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700224136 PECOS PAC ID: 6507187192 Enrollment ID: I20170807001824 |
| Provider Name | Michael Alan Strong |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699153098 PECOS PAC ID: 3173835071 Enrollment ID: I20170808000376 |
| Provider Name | Ashley Umoren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437671120 PECOS PAC ID: 7315218229 Enrollment ID: I20170810000421 |
| Provider Name | Avraham D Levin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1982096632 PECOS PAC ID: 6103197017 Enrollment ID: I20170810000606 |
| Provider Name | Amalia Gedney-lose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245751833 PECOS PAC ID: 0840561775 Enrollment ID: I20170810001393 |
| Provider Name | Stephany L Walk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275055212 PECOS PAC ID: 7113298985 Enrollment ID: I20170814000336 |
| Provider Name | Joseph A Kussatz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487175691 PECOS PAC ID: 8527339399 Enrollment ID: I20170814000516 |
| Provider Name | Douglas A Powell |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1356310387 PECOS PAC ID: 5890608137 Enrollment ID: I20170816003500 |
| Provider Name | Mariko Hagiwara |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679899157 PECOS PAC ID: 6103054952 Enrollment ID: I20170824001985 |
| Provider Name | Lanae D Gibson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720508310 PECOS PAC ID: 9436421534 Enrollment ID: I20170824002068 |
| Provider Name | Kirstin M Brainard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669997268 PECOS PAC ID: 6709158801 Enrollment ID: I20170824002088 |
| Provider Name | Lisa M Mertens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851830459 PECOS PAC ID: 1153693262 Enrollment ID: I20170824002119 |
| Provider Name | Valerie J Keffala |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1386781672 PECOS PAC ID: 5799057626 Enrollment ID: I20170828000682 |
| Provider Name | Carrie Mcknight |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1669576674 PECOS PAC ID: 6002189925 Enrollment ID: I20170829000304 |
| Provider Name | Bilal G Rahim |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1568756682 PECOS PAC ID: 8022238542 Enrollment ID: I20170905001530 |
| Provider Name | Satoshi Yamaguchi |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1730604034 PECOS PAC ID: 2860765005 Enrollment ID: I20170908002982 |
| Provider Name | Alpa Sidhu |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1700015864 PECOS PAC ID: 6204159957 Enrollment ID: I20170908003119 |
| Provider Name | Jun Xu |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1144541681 PECOS PAC ID: 6507139649 Enrollment ID: I20170912000710 |
| Provider Name | Laura E Langholdt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053832626 PECOS PAC ID: 1951675800 Enrollment ID: I20170915003131 |
| Provider Name | Sima M Tran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336665751 PECOS PAC ID: 9931473881 Enrollment ID: I20170915003197 |
| Provider Name | Trang L Duong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073033619 PECOS PAC ID: 4486928330 Enrollment ID: I20170915003206 |
| Provider Name | Breanne M Orr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821515602 PECOS PAC ID: 5294009148 Enrollment ID: I20170915003239 |
| Provider Name | Anne K Nielsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558883769 PECOS PAC ID: 9739453689 Enrollment ID: I20170915003263 |
| Provider Name | Bharat Kumar |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1952694309 PECOS PAC ID: 6901022607 Enrollment ID: I20170915003265 |
| Provider Name | Nabeel Y Hamzeh |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1437193745 PECOS PAC ID: 3779507512 Enrollment ID: I20170915003292 |
| Provider Name | Scott R Owen |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1255626685 PECOS PAC ID: 5890935753 Enrollment ID: I20170915003303 |
| Provider Name | Abey Eapen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437675550 PECOS PAC ID: 3072887942 Enrollment ID: I20170918000043 |
| Provider Name | Natalie E Brodersen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467430983 PECOS PAC ID: 8123392941 Enrollment ID: I20170918002339 |
| Provider Name | Brendan C Patterson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1912226929 PECOS PAC ID: 3971897943 Enrollment ID: I20170921000655 |
| Provider Name | Anita Joseph Chazhikattu |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1104184126 PECOS PAC ID: 8729229596 Enrollment ID: I20170921002018 |
| Provider Name | Jennifer Hutchinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538699806 PECOS PAC ID: 6305110651 Enrollment ID: I20170925003478 |
| Provider Name | Tinu Bastian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790226629 PECOS PAC ID: 3779857867 Enrollment ID: I20170928002012 |
| Provider Name | Andrew C Potts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942725593 PECOS PAC ID: 9537434626 Enrollment ID: I20170928002329 |
| Provider Name | Jennifer G Powers |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1831355627 PECOS PAC ID: 5698922219 Enrollment ID: I20171004001857 |
| Provider Name | Christopher Wolf |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396195970 PECOS PAC ID: 6608162011 Enrollment ID: I20171009000684 |
| Provider Name | Cassandra K Palasiewicz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871017657 PECOS PAC ID: 1153697305 Enrollment ID: I20171017000192 |
| Provider Name | Aislinn J Williams |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235440249 PECOS PAC ID: 8628381068 Enrollment ID: I20171017002532 |
| Provider Name | Alycia L Elkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952810178 PECOS PAC ID: 5496011728 Enrollment ID: I20171102001019 |
| Provider Name | Josiah An |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053791517 PECOS PAC ID: 6406168145 Enrollment ID: I20171109003039 |
| Provider Name | Brittany C Pechous |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902317688 PECOS PAC ID: 8224394952 Enrollment ID: I20171113000871 |
| Provider Name | Marcio Leyser |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811406838 PECOS PAC ID: 2769748490 Enrollment ID: I20171113000946 |
| Provider Name | Melanie A Wellington |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1619908191 PECOS PAC ID: 9032293816 Enrollment ID: I20171113001058 |
| Provider Name | Juanita M Buks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396260204 PECOS PAC ID: 6901162635 Enrollment ID: I20171113001150 |
| Provider Name | Kyle J Ewald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538408638 PECOS PAC ID: 5597088344 Enrollment ID: I20171113001178 |
| Provider Name | Melissa L Swee |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1184919375 PECOS PAC ID: 3375760564 Enrollment ID: I20171113001362 |
| Provider Name | Lauren A Garvin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1407368780 PECOS PAC ID: 5799041489 Enrollment ID: I20171114000360 |
| Provider Name | Lawrence D Horwitz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1669562336 PECOS PAC ID: 4688651748 Enrollment ID: I20171115003580 |
| Provider Name | Fabricio B Teixeira |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1588788756 PECOS PAC ID: 1850574070 Enrollment ID: I20171122002346 |
| Provider Name | Chou-long Huang |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1396704425 PECOS PAC ID: 2668517798 Enrollment ID: I20171127000656 |
| Provider Name | Eleanor A Lingo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720597800 PECOS PAC ID: 1557628773 Enrollment ID: I20171127000903 |
| Provider Name | Kristen J Eastlund |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285143438 PECOS PAC ID: 3274890496 Enrollment ID: I20171127000940 |
| Provider Name | Diana Ibrahim Jalal |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1033142096 PECOS PAC ID: 0042266140 Enrollment ID: I20171127001863 |
| Provider Name | Lauren Elizabeth Jensen |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1629484613 PECOS PAC ID: 6608133772 Enrollment ID: I20171127003235 |
| Provider Name | Alisa Kindig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124440102 PECOS PAC ID: 0345545844 Enrollment ID: I20171204000118 |
| Provider Name | Damian J Krysan |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1942237763 PECOS PAC ID: 9335167634 Enrollment ID: I20171214000387 |
| Provider Name | Shirley K Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336129816 PECOS PAC ID: 4688736523 Enrollment ID: I20171214000407 |
| Provider Name | Julie A Wieland |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1720594252 PECOS PAC ID: 5698033322 Enrollment ID: I20171229000416 |
| Provider Name | Shea L Becker |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1881100329 PECOS PAC ID: 5597023226 Enrollment ID: I20171229000461 |
| Provider Name | Lynette M Rice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548770084 PECOS PAC ID: 3870851579 Enrollment ID: I20180102001132 |
| Provider Name | Maen S Aboul Hosn |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1578962189 PECOS PAC ID: 6103045067 Enrollment ID: I20180103003070 |
| Provider Name | Diane L Eastman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699760314 PECOS PAC ID: 9638438252 Enrollment ID: I20180104001988 |
| Provider Name | Jodie L Grout |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063657369 PECOS PAC ID: 5799849618 Enrollment ID: I20180124002883 |
| Provider Name | Chaitra Mukundan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1013265990 PECOS PAC ID: 9133488869 Enrollment ID: I20180125001515 |
| Provider Name | Martha O Herbst |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1659632230 PECOS PAC ID: 6507098381 Enrollment ID: I20180131000705 |
| Provider Name | Kyle R Duchman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1609133107 PECOS PAC ID: 9133369424 Enrollment ID: I20180205000138 |
| Provider Name | Mary P Greteman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053547471 PECOS PAC ID: 0143358473 Enrollment ID: I20180214002871 |
| Provider Name | Sharon G Berkowitz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225065238 PECOS PAC ID: 9931137874 Enrollment ID: I20180215000166 |
| Provider Name | Robert J Blount |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1023154242 PECOS PAC ID: 9537053384 Enrollment ID: I20180215000286 |
| Provider Name | Hao P Tran |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679664726 PECOS PAC ID: 2466347679 Enrollment ID: I20180216000248 |
| Provider Name | Miranda Kelly Maday |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841590544 PECOS PAC ID: 5597026237 Enrollment ID: I20180221000599 |
| Provider Name | Thomas K Nickl-jockschat |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740789734 PECOS PAC ID: 7517229370 Enrollment ID: I20180315001081 |
| Provider Name | Hildegard Janouschek |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942702501 PECOS PAC ID: 9234491093 Enrollment ID: I20180315001133 |
| Provider Name | Jessie L Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770091266 PECOS PAC ID: 3577825256 Enrollment ID: I20180316000067 |
| Provider Name | Abigail A Bartolo Costello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548666274 PECOS PAC ID: 4981962446 Enrollment ID: I20180320003151 |
| Provider Name | Megan M Dietzel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538676150 PECOS PAC ID: 4880956036 Enrollment ID: I20180328000090 |
| Provider Name | Umang Gupta |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1336346782 PECOS PAC ID: 1153592746 Enrollment ID: I20180328000098 |
| Provider Name | Bruno Cavalcanti |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1023400132 PECOS PAC ID: 2860707759 Enrollment ID: I20180419001908 |
| Provider Name | Peter K Georgakakos |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932588225 PECOS PAC ID: 7315259413 Enrollment ID: I20180420001946 |
| Provider Name | Alka C Walter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831503564 PECOS PAC ID: 1951528488 Enrollment ID: I20180423001393 |
| Provider Name | Mark Niciu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659534865 PECOS PAC ID: 7012271133 Enrollment ID: I20180425002276 |
| Provider Name | Matthew H Hogue |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1619235561 PECOS PAC ID: 1052550530 Enrollment ID: I20180504000693 |
| Provider Name | Brooke A Harrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386145530 PECOS PAC ID: 3577827773 Enrollment ID: I20180515001783 |
| Provider Name | Elizabeth A Hynek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992208938 PECOS PAC ID: 6305100512 Enrollment ID: I20180515002233 |
| Provider Name | Heidi R Fincham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013414820 PECOS PAC ID: 8921362153 Enrollment ID: I20180515002866 |
| Provider Name | Lisa M Harmon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629400122 PECOS PAC ID: 7315171055 Enrollment ID: I20180516000262 |
| Provider Name | Jinha Park |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811036619 PECOS PAC ID: 2365546934 Enrollment ID: I20180518001891 |
| Provider Name | Jay Brooks Jackson |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1972542652 PECOS PAC ID: 5092848945 Enrollment ID: I20180518001906 |
| Provider Name | Joshua B Holt |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1073870572 PECOS PAC ID: 6507006665 Enrollment ID: I20180521000471 |
| Provider Name | Prompom Suksaranjit |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1154632982 PECOS PAC ID: 0143452805 Enrollment ID: I20180521002078 |
| Provider Name | Nicole M Fleege |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1609255991 PECOS PAC ID: 7416260807 Enrollment ID: I20180521002150 |
| Provider Name | Rohit Unni Nair |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1912425943 PECOS PAC ID: 2264797273 Enrollment ID: I20180522002160 |
| Provider Name | Megan E Mcdonald |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1043505852 PECOS PAC ID: 4183863269 Enrollment ID: I20180523002766 |
| Provider Name | Carly Anne Theiler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114284775 PECOS PAC ID: 2961704713 Enrollment ID: I20180530001487 |
| Provider Name | Paul F Mazzocco |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1629199237 PECOS PAC ID: 4486842705 Enrollment ID: I20180604000821 |
| Provider Name | Christopher L Groth |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1447516083 PECOS PAC ID: 0042449621 Enrollment ID: I20180604002208 |
| Provider Name | Piriya Boonsiriphant |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1386012847 PECOS PAC ID: 7618232000 Enrollment ID: I20180606002087 |
| Provider Name | Richard Bruce Wagner |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1629014485 PECOS PAC ID: 0648535047 Enrollment ID: I20180606002527 |
| Provider Name | Heidi M Harmon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356541684 PECOS PAC ID: 8123115466 Enrollment ID: I20180607003182 |
| Provider Name | Ion Syrbu |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1942610696 PECOS PAC ID: 5597010793 Enrollment ID: I20180612000537 |
| Provider Name | Xi Chen |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1194971879 PECOS PAC ID: 2668727868 Enrollment ID: I20180612000632 |
| Provider Name | Kelly M Schieltz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1811488943 PECOS PAC ID: 4385999549 Enrollment ID: I20180612003191 |
| Provider Name | Sandra Guzmon-armstrong |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1386748036 PECOS PAC ID: 5496000523 Enrollment ID: I20180613002965 |
| Provider Name | Julie Christine Reynolds |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1073896536 PECOS PAC ID: 8022363167 Enrollment ID: I20180614000034 |
| Provider Name | Kari E Maas |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1285792770 PECOS PAC ID: 2668727660 Enrollment ID: I20180614002791 |
| Provider Name | Amy Barbara Lesch |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1639557028 PECOS PAC ID: 1759636541 Enrollment ID: I20180619002618 |
| Provider Name | Maria Marcela Hernandez |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1235233925 PECOS PAC ID: 4789939414 Enrollment ID: I20180620001059 |
| Provider Name | Kevin C Tseng |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1215100144 PECOS PAC ID: 6204181936 Enrollment ID: I20180620001165 |
| Provider Name | Mary Kay Hill |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1730477167 PECOS PAC ID: 9739434465 Enrollment ID: I20180620001225 |
| Provider Name | Marcos A Vargas |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1235233230 PECOS PAC ID: 6901151661 Enrollment ID: I20180620002123 |
| Provider Name | Josalyn Leah Olsen Cho |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1679554331 PECOS PAC ID: 4880617851 Enrollment ID: I20180627000673 |
| Provider Name | Erica C Teixeira |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1124395108 PECOS PAC ID: 7315293743 Enrollment ID: I20180627002285 |
| Provider Name | Zeina Al Salihi |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1376838524 PECOS PAC ID: 7719292895 Enrollment ID: I20180627002287 |
| Provider Name | Aubrey C Chan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700223971 PECOS PAC ID: 5193969152 Enrollment ID: I20180629002118 |
| Provider Name | Mohammad Amarneh |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1134437726 PECOS PAC ID: 4082854294 Enrollment ID: I20180630000024 |
| Provider Name | Bashar H.h. Abuqayas |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710474259 PECOS PAC ID: 3375899354 Enrollment ID: I20180705000833 |
| Provider Name | Ana M Diaz-arnold |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1346344348 PECOS PAC ID: 5698021293 Enrollment ID: I20180712001640 |
| Provider Name | David A Claassen |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1871892455 PECOS PAC ID: 7618196205 Enrollment ID: I20180716002565 |
| Provider Name | Megan M Rohlf |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1275890709 PECOS PAC ID: 2264672369 Enrollment ID: I20180716002644 |
| Provider Name | Keely E Pelzel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1417117219 PECOS PAC ID: 9931456407 Enrollment ID: I20180716002717 |
| Provider Name | Patrick J Mcnamara |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558851766 PECOS PAC ID: 7618224098 Enrollment ID: I20180716003296 |
| Provider Name | Erin A Boese |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1821431651 PECOS PAC ID: 8729205984 Enrollment ID: I20180717000040 |
| Provider Name | Julianne S Torres |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831570951 PECOS PAC ID: 9931413267 Enrollment ID: I20180718001101 |
| Provider Name | Kristen E Sandgren |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720466113 PECOS PAC ID: 8921312109 Enrollment ID: I20180720001655 |
| Provider Name | Kari A Wellnitz |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1952690828 PECOS PAC ID: 6901037050 Enrollment ID: I20180725000601 |
| Provider Name | Lauren A Kanner |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1972879625 PECOS PAC ID: 8022327386 Enrollment ID: I20180725000858 |
| Provider Name | Kristin A Plichta |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1326305038 PECOS PAC ID: 4284850637 Enrollment ID: I20180727000638 |
| Provider Name | Adam L Brown |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649246083 PECOS PAC ID: 9234487760 Enrollment ID: I20180731002895 |
| Provider Name | Kati A Carpenter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619461357 PECOS PAC ID: 3476801838 Enrollment ID: I20180801003997 |
| Provider Name | Salahaldeen M Abuhammoud |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1083083943 PECOS PAC ID: 9830447143 Enrollment ID: I20180802002235 |
| Provider Name | Qiang Zhang |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1083027403 PECOS PAC ID: 6709001423 Enrollment ID: I20180807001912 |
| Provider Name | Kimberly A Kenne |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407168305 PECOS PAC ID: 3678725199 Enrollment ID: I20180813001419 |
| Provider Name | Mikhail P Shkiryak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750867248 PECOS PAC ID: 5597013268 Enrollment ID: I20180813002036 |
| Provider Name | Cassie J Wagner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134523269 PECOS PAC ID: 0941558613 Enrollment ID: I20180813002055 |
| Provider Name | Natalie Sofia Weger |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1205090339 PECOS PAC ID: 7214086610 Enrollment ID: I20180813002178 |
| Provider Name | Kristin L Rood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922590132 PECOS PAC ID: 0648529354 Enrollment ID: I20180814000524 |
| Provider Name | James Muse Davis |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1194042382 PECOS PAC ID: 8123250701 Enrollment ID: I20180827002735 |
| Provider Name | Tracey A Cho |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992787915 PECOS PAC ID: 6709977309 Enrollment ID: I20180827003434 |
| Provider Name | Alexandra B Iannone |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760775233 PECOS PAC ID: 3274772736 Enrollment ID: I20180912001076 |
| Provider Name | Erin Marie Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871803312 PECOS PAC ID: 0547510539 Enrollment ID: I20180913000063 |
| Provider Name | Carolina Cucco |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1568813780 PECOS PAC ID: 3375894215 Enrollment ID: I20180917000934 |
| Provider Name | Alberto Gasparoni |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1508960501 PECOS PAC ID: 7911258678 Enrollment ID: I20180920000116 |
| Provider Name | Sarah Elizabeth Cyr |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1932639713 PECOS PAC ID: 6305197930 Enrollment ID: I20180920003060 |
| Provider Name | Lisa M Woodroffe |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578976155 PECOS PAC ID: 2264659754 Enrollment ID: I20180924000048 |
| Provider Name | Michelle Renee Mcquistan |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1942304951 PECOS PAC ID: 7113278631 Enrollment ID: I20180924000055 |
| Provider Name | Satheesh Elangovan |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1962660274 PECOS PAC ID: 0244581635 Enrollment ID: I20180925000436 |
| Provider Name | Cristina De Mattos Pimenta Vidal |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1659817872 PECOS PAC ID: 7012268436 Enrollment ID: I20180925001604 |
| Provider Name | Aditi Jain |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1871924530 PECOS PAC ID: 5496006827 Enrollment ID: I20180925002021 |
| Provider Name | Ashley A Wilkens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780062299 PECOS PAC ID: 5193033009 Enrollment ID: I20180926002747 |
| Provider Name | David A Axelrod |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1477574820 PECOS PAC ID: 1355379132 Enrollment ID: I20181002001421 |
| Provider Name | Megumi Aita Williamson |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1205212792 PECOS PAC ID: 0345592275 Enrollment ID: I20181004000539 |
| Provider Name | Galen Belmont Schneider |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1487740270 PECOS PAC ID: 0345592150 Enrollment ID: I20181005001235 |
| Provider Name | Matthew Nels Negaard |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265881569 PECOS PAC ID: 4284926601 Enrollment ID: I20181005002072 |
| Provider Name | Madhuradhar Mbbs Chegondi |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1104173103 PECOS PAC ID: 8123308285 Enrollment ID: I20181010002383 |
| Provider Name | Claire E Harapat |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942670781 PECOS PAC ID: 7517265002 Enrollment ID: I20181010002549 |
| Provider Name | Beth L Dinoff |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760425839 PECOS PAC ID: 9537133988 Enrollment ID: I20181010002600 |
| Provider Name | Peter Cosimo Damiano |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1871697870 PECOS PAC ID: 5799037222 Enrollment ID: I20181011001626 |
| Provider Name | Michael James Kanellis |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1518061209 PECOS PAC ID: 0547512907 Enrollment ID: I20181012000239 |
| Provider Name | David Charles Holmes |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1952405649 PECOS PAC ID: 0446502819 Enrollment ID: I20181012000663 |
| Provider Name | Shaoping Zhang |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1346723475 PECOS PAC ID: 6608128822 Enrollment ID: I20181016001706 |
| Provider Name | Justine Lane Kolker |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1396849089 PECOS PAC ID: 6800148982 Enrollment ID: I20181018001040 |
| Provider Name | Gregory Adam Farris |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1306392253 PECOS PAC ID: 3577816636 Enrollment ID: I20181019001386 |
| Provider Name | Katie R Hasler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144716986 PECOS PAC ID: 5597018580 Enrollment ID: I20181020000724 |
| Provider Name | Melissa D Mohling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285128033 PECOS PAC ID: 9739432568 Enrollment ID: I20181025000276 |
| Provider Name | Brittany M Mcgraw |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033697586 PECOS PAC ID: 1153674817 Enrollment ID: I20181025001931 |
| Provider Name | Natalia Restrepo-kennedy |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1053627786 PECOS PAC ID: 6709139397 Enrollment ID: I20181029002495 |
| Provider Name | Cassie M Doolady |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497241293 PECOS PAC ID: 2163775628 Enrollment ID: I20181030002543 |
| Provider Name | Kyungsup Shin |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1023446853 PECOS PAC ID: 6406109727 Enrollment ID: I20181101003391 |
| Provider Name | Christopher Andrew Barwacz |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1912163957 PECOS PAC ID: 9830238997 Enrollment ID: I20181102000700 |
| Provider Name | Tarek K El-kerdani |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1629378807 PECOS PAC ID: 2062765308 Enrollment ID: I20181102000766 |
| Provider Name | Olivia Marie Croskey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801373808 PECOS PAC ID: 9234482514 Enrollment ID: I20181102002137 |
| Provider Name | Terry J Lindquist |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1114021128 PECOS PAC ID: 8224381520 Enrollment ID: I20181105000229 |
| Provider Name | Sven W Steen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952716714 PECOS PAC ID: 3577856368 Enrollment ID: I20181105002466 |
| Provider Name | Abimbola Olayinka |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1851705099 PECOS PAC ID: 1850518648 Enrollment ID: I20181105002688 |
| Provider Name | Katie A Halbmaier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669958922 PECOS PAC ID: 3072867654 Enrollment ID: I20181117000481 |
| Provider Name | Sara J Downes |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1578850038 PECOS PAC ID: 8820266521 Enrollment ID: I20181119000038 |
| Provider Name | Shannon M Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205316775 PECOS PAC ID: 7012261605 Enrollment ID: I20181119000195 |
| Provider Name | Ikami Sasa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619460201 PECOS PAC ID: 4789928318 Enrollment ID: I20181207001020 |
| Provider Name | Ily Kristine T Yumul |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1598077307 PECOS PAC ID: 4284861857 Enrollment ID: I20181210001585 |
| Provider Name | Priya D Larson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346699808 PECOS PAC ID: 0840583910 Enrollment ID: I20181210003203 |
| Provider Name | Joyce E Goins-fernandez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1326422650 PECOS PAC ID: 3779828090 Enrollment ID: I20181214000915 |
| Provider Name | Natalie M Petersen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982183836 PECOS PAC ID: 5294070561 Enrollment ID: I20181214002990 |
| Provider Name | Sophia M Chung |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1336169762 PECOS PAC ID: 3779628623 Enrollment ID: I20181214003027 |
| Provider Name | Erin Elizabeth Hayward |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598004392 PECOS PAC ID: 6901195056 Enrollment ID: I20181215000207 |
| Provider Name | David S Dickens |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1720058092 PECOS PAC ID: 7012184641 Enrollment ID: I20181215000249 |
| Provider Name | Martha Lydia Carvour |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1619235553 PECOS PAC ID: 0749421253 Enrollment ID: I20181219001679 |
| Provider Name | Ryan Keegan Lehmann |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1508072190 PECOS PAC ID: 8426342817 Enrollment ID: I20190110000187 |
| Provider Name | Taylor J Hull |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104399146 PECOS PAC ID: 4688910755 Enrollment ID: I20190110000546 |
| Provider Name | Nicole J Schneider |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871064345 PECOS PAC ID: 7416293543 Enrollment ID: I20190110002922 |
| Provider Name | Joseph C Glykys |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629204136 PECOS PAC ID: 6800057027 Enrollment ID: I20190117002698 |
| Provider Name | Tyler Paul Rasmussen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265880454 PECOS PAC ID: 1052604659 Enrollment ID: I20190118000752 |
| Provider Name | Pixie Plummer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972603793 PECOS PAC ID: 4486745445 Enrollment ID: I20190121000472 |
| Provider Name | Christina R Kopp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164894432 PECOS PAC ID: 0941507032 Enrollment ID: I20190131002626 |
| Provider Name | Joan Marie Tuberty |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285074310 PECOS PAC ID: 8426396532 Enrollment ID: I20190215000855 |
| Provider Name | Rachel Mcquade Leach |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073959961 PECOS PAC ID: 1951543420 Enrollment ID: I20190219002746 |
| Provider Name | Shankar Rengasamy Venugopalan |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1831486356 PECOS PAC ID: 1557600137 Enrollment ID: I20190226000928 |
| Provider Name | Laurie L Mclaughlin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1194280438 PECOS PAC ID: 9739428335 Enrollment ID: I20190226001411 |
| Provider Name | Hatem I El-shanti |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1801881685 PECOS PAC ID: 1153660568 Enrollment ID: I20190301001864 |
| Provider Name | Sarah L Averill |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003137522 PECOS PAC ID: 1658512504 Enrollment ID: I20190312000534 |
| Provider Name | Jonathan Michael Nizar |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1104083815 PECOS PAC ID: 1658557483 Enrollment ID: I20190314000269 |
| Provider Name | Edward M Powers |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1184019895 PECOS PAC ID: 6608146899 Enrollment ID: I20190402000673 |
| Provider Name | Harmony Genelle Tamboura |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033674981 PECOS PAC ID: 8123369501 Enrollment ID: I20190411002582 |
| Provider Name | Kristen Elizabeth Harring |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881952356 PECOS PAC ID: 2264657378 Enrollment ID: I20190416002109 |
| Provider Name | Steven Brooks Mobley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1316424930 PECOS PAC ID: 8325380918 Enrollment ID: I20190501000990 |
| Provider Name | Prashob Porayette |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1851551428 PECOS PAC ID: 4486934601 Enrollment ID: I20190513000593 |
| Provider Name | Ashley N Greiner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194183756 PECOS PAC ID: 8527301639 Enrollment ID: I20190513001338 |
| Provider Name | Jhanvi Desai |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1073090213 PECOS PAC ID: 6204179179 Enrollment ID: I20190516000138 |
| Provider Name | Chandni Desai |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1770838880 PECOS PAC ID: 8325381205 Enrollment ID: I20190516000404 |
| Provider Name | Kellsie A Busho |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1255831525 PECOS PAC ID: 7012259898 Enrollment ID: I20190607000100 |
| Provider Name | Arun K Singhal |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1578551446 PECOS PAC ID: 1052217148 Enrollment ID: I20190613000195 |
| Provider Name | Jacob Matthias Elkins |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1194163972 PECOS PAC ID: 1052553344 Enrollment ID: I20190702002126 |
| Provider Name | Eun Kyung Jeon |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1417516980 PECOS PAC ID: 8022343581 Enrollment ID: I20190706000058 |
| Provider Name | Jaron D Lassen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1144887944 PECOS PAC ID: 2163757626 Enrollment ID: I20190706000184 |
| Provider Name | Corrie J Swartzentruber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275984783 PECOS PAC ID: 5597090951 Enrollment ID: I20190709000170 |
| Provider Name | Anna H Schmitz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093132086 PECOS PAC ID: 6103105846 Enrollment ID: I20190709002906 |
| Provider Name | Sreenath Thati Ganganna |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1609131770 PECOS PAC ID: 3678878105 Enrollment ID: I20190709002933 |
| Provider Name | Lemuel Benedict R Non |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1013205285 PECOS PAC ID: 3375764012 Enrollment ID: I20190709002986 |
| Provider Name | Rebecca Larie Weiner |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1295091510 PECOS PAC ID: 0143509935 Enrollment ID: I20190710003176 |
| Provider Name | Amir Shaban |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1740695865 PECOS PAC ID: 0648495457 Enrollment ID: I20190710003361 |
| Provider Name | Shannon Jans |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053845677 PECOS PAC ID: 2860761822 Enrollment ID: I20190711000515 |
| Provider Name | Sangini Punia |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1396151353 PECOS PAC ID: 1355568692 Enrollment ID: I20190711003138 |
| Provider Name | Mohammad S Ansari |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1902257405 PECOS PAC ID: 2466745153 Enrollment ID: I20190712000667 |
| Provider Name | Daniel Joseph Mccabe |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366888356 PECOS PAC ID: 3375836430 Enrollment ID: I20190712000750 |
| Provider Name | Ayotunde O Dokun |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1548463078 PECOS PAC ID: 7113019464 Enrollment ID: I20190712000772 |
| Provider Name | Bryan P Koestner |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043669393 PECOS PAC ID: 1951692813 Enrollment ID: I20190712000837 |
| Provider Name | Holly Marie Van Den Beldt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881072247 PECOS PAC ID: 0042522807 Enrollment ID: I20190712000857 |
| Provider Name | Lukasz Dobromir Weiner |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1205271954 PECOS PAC ID: 4284938317 Enrollment ID: I20190712000859 |
| Provider Name | Ernesto Anibal Ruiz Duque |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1215439708 PECOS PAC ID: 1254681489 Enrollment ID: I20190712000900 |
| Provider Name | James C Willey |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134579774 PECOS PAC ID: 2567754252 Enrollment ID: I20190712000992 |
| Provider Name | Devin L Shrock |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1619358876 PECOS PAC ID: 8426363938 Enrollment ID: I20190712001004 |
| Provider Name | Samuel K Shultz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629459417 PECOS PAC ID: 6800108713 Enrollment ID: I20190712001021 |
| Provider Name | Andrew D Bryant |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902268972 PECOS PAC ID: 5890087696 Enrollment ID: I20190715000830 |
| Provider Name | Joshua Kevin Stopak |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1093133779 PECOS PAC ID: 0648571968 Enrollment ID: I20190715003224 |
| Provider Name | Aric W Aldrich |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1821400102 PECOS PAC ID: 0446576904 Enrollment ID: I20190715003458 |
| Provider Name | Donna Ann Cheung |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1144662123 PECOS PAC ID: 1254666019 Enrollment ID: I20190716002182 |
| Provider Name | Robert Paul Bertellotti |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1013120740 PECOS PAC ID: 9234282898 Enrollment ID: I20190716002265 |
| Provider Name | Mohsen Karimi |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1366400129 PECOS PAC ID: 6608808902 Enrollment ID: I20190716003292 |
| Provider Name | Anthony L. Panos |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1538123393 PECOS PAC ID: 2163315706 Enrollment ID: I20190718001760 |
| Provider Name | Timothy Michael Boyce |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1962880393 PECOS PAC ID: 2769778109 Enrollment ID: I20190718002918 |
| Provider Name | Cody R. Gremore |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1164810727 PECOS PAC ID: 5991031478 Enrollment ID: I20190722000547 |
| Provider Name | Benjamin R Griffin |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1568726529 PECOS PAC ID: 5496991242 Enrollment ID: I20190724000091 |
| Provider Name | Marisa Rae Buchakjian |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1699068122 PECOS PAC ID: 1658511589 Enrollment ID: I20190724000195 |
| Provider Name | Francisco Donato Junior |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356878425 PECOS PAC ID: 6406182856 Enrollment ID: I20190724000213 |
| Provider Name | Aprajita Singh |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1528333473 PECOS PAC ID: 9830471390 Enrollment ID: I20190725001633 |
| Provider Name | Sukirth Murthy Ganesan |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1437531795 PECOS PAC ID: 2365716693 Enrollment ID: I20190726001281 |
| Provider Name | Paul C Pierson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649686890 PECOS PAC ID: 4880810860 Enrollment ID: I20190727000386 |
| Provider Name | Rupesh Kshetri |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1871926444 PECOS PAC ID: 2264710656 Enrollment ID: I20190729002396 |
| Provider Name | Jessica Mary Rockafellow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063860690 PECOS PAC ID: 6103118526 Enrollment ID: I20190731001425 |
| Provider Name | Kathryn Joyce Huber-keener |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457764730 PECOS PAC ID: 2961629001 Enrollment ID: I20190801000922 |
| Provider Name | Miriam Esther Weiner Murray |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1326433038 PECOS PAC ID: 6305172008 Enrollment ID: I20190801000931 |
| Provider Name | Michael Wayne Klein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790133288 PECOS PAC ID: 6406149194 Enrollment ID: I20190801001717 |
| Provider Name | Amanda Lee Hoffman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336597525 PECOS PAC ID: 4981996675 Enrollment ID: I20190801001885 |
| Provider Name | Malesse B Waje |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790138451 PECOS PAC ID: 6800140682 Enrollment ID: I20190802001089 |
| Provider Name | Kathleen Elizabeth Dlouhy |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1801182977 PECOS PAC ID: 8628207818 Enrollment ID: I20190809002508 |
| Provider Name | Christine M Gill |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1255743928 PECOS PAC ID: 7113142928 Enrollment ID: I20190812000070 |
| Provider Name | Emily R Welder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538517024 PECOS PAC ID: 5294027595 Enrollment ID: I20190812002164 |
| Provider Name | Marcus Richard Noyes |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1093206096 PECOS PAC ID: 9739416637 Enrollment ID: I20190815001987 |
| Provider Name | Pantip Henprasert |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1013463660 PECOS PAC ID: 7618205444 Enrollment ID: I20190819000454 |
| Provider Name | William Andrew Zeitler |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1013356096 PECOS PAC ID: 0648414649 Enrollment ID: I20190819002715 |
| Provider Name | Jennifer Leah Miksanek Strouse |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1750739868 PECOS PAC ID: 0840583530 Enrollment ID: I20190819003213 |
| Provider Name | Rakesh Sondekoppam Vijayashankar |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1083269187 PECOS PAC ID: 9638407331 Enrollment ID: I20190819003665 |
| Provider Name | Jessica Rose Parkhurst |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1699188664 PECOS PAC ID: 2567687346 Enrollment ID: I20190820001424 |
| Provider Name | Allyson L Wolcott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639737596 PECOS PAC ID: 3870821515 Enrollment ID: I20190820001636 |
| Provider Name | James R Kinney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942852454 PECOS PAC ID: 5799013306 Enrollment ID: I20190821000256 |
| Provider Name | Pascale F Doresca |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023678042 PECOS PAC ID: 9234467846 Enrollment ID: I20190821000270 |
| Provider Name | Nichole M Harklau |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1093360323 PECOS PAC ID: 5799013108 Enrollment ID: I20190822004314 |
| Provider Name | Kendra L Tracy |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1912476177 PECOS PAC ID: 2264761931 Enrollment ID: I20190905000135 |
| Provider Name | Rebecca A Schafer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306493630 PECOS PAC ID: 3971832650 Enrollment ID: I20190905000681 |
| Provider Name | Kristen G. Berrebi |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1740608280 PECOS PAC ID: 6507174976 Enrollment ID: I20190905001407 |
| Provider Name | Katie Lynn Lutz |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1356753859 PECOS PAC ID: 3870719909 Enrollment ID: I20190916000508 |
| Provider Name | Theresa M Czech |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1386938447 PECOS PAC ID: 6608105796 Enrollment ID: I20190916001834 |
| Provider Name | Adam John Arendt |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1497072987 PECOS PAC ID: 0446491310 Enrollment ID: I20190916001882 |
| Provider Name | Shannon Jo Schroetter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982025680 PECOS PAC ID: 8527296342 Enrollment ID: I20190916002030 |
| Provider Name | Lisa E Koonce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184270506 PECOS PAC ID: 5294064200 Enrollment ID: I20190916003442 |
| Provider Name | Lindsay Marie Brown Crandall |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588196422 PECOS PAC ID: 9032448089 Enrollment ID: I20190917001145 |
| Provider Name | Johanna Theresa Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750942892 PECOS PAC ID: 8729317771 Enrollment ID: I20190917001352 |
| Provider Name | Whitney Ks Kaefring |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548619349 PECOS PAC ID: 1456643873 Enrollment ID: I20190917001845 |
| Provider Name | Alyssa K Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679129530 PECOS PAC ID: 1355671389 Enrollment ID: I20190918000637 |
| Provider Name | Connie M Moffit |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093368425 PECOS PAC ID: 4688904923 Enrollment ID: I20190930000479 |
| Provider Name | Scott Kevin Sherman |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1942521265 PECOS PAC ID: 2567735442 Enrollment ID: I20191002002677 |
| Provider Name | Elizabeth Mary Highland-fonder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083089189 PECOS PAC ID: 3072891233 Enrollment ID: I20191003001492 |
| Provider Name | Emily Lu Struble |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104473172 PECOS PAC ID: 1850622952 Enrollment ID: I20191003001645 |
| Provider Name | Masaaki Yamada |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1962766139 PECOS PAC ID: 0840590139 Enrollment ID: I20191003002772 |
| Provider Name | Brandon C Dozier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730731977 PECOS PAC ID: 4486551090 Enrollment ID: I20191014001236 |
| Provider Name | Brooke Marie Hewer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821642646 PECOS PAC ID: 0941531149 Enrollment ID: I20191018000474 |
| Provider Name | Ryan C Kruse |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1588000798 PECOS PAC ID: 1153541453 Enrollment ID: I20191018000640 |
| Provider Name | Danielle Rae Rios |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225394042 PECOS PAC ID: 2668636317 Enrollment ID: I20191018000665 |
| Provider Name | Alan W Hemming |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1073529426 PECOS PAC ID: 4082753561 Enrollment ID: I20191018001820 |
| Provider Name | Michelle Margaret Manternach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356824072 PECOS PAC ID: 9931430170 Enrollment ID: I20191018001899 |
| Provider Name | Rebekah A Siegert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447805320 PECOS PAC ID: 6709118870 Enrollment ID: I20191023001924 |
| Provider Name | Katharine A Robb |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1083970925 PECOS PAC ID: 9234379405 Enrollment ID: I20191029000443 |
| Provider Name | Emily M Schultz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376193342 PECOS PAC ID: 9830421437 Enrollment ID: I20191031001990 |
| Provider Name | Yousef Ismael |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1922657337 PECOS PAC ID: 8729410733 Enrollment ID: I20191113001274 |
| Provider Name | Aleksander Lenert |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1770716193 PECOS PAC ID: 0547488488 Enrollment ID: I20191113002678 |
| Provider Name | Carissa Marie Brown |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1861036840 PECOS PAC ID: 8628400371 Enrollment ID: I20191118002166 |
| Provider Name | Audrey L Watkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992355895 PECOS PAC ID: 0446682140 Enrollment ID: I20191119001176 |
| Provider Name | Tami Lynn Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669015640 PECOS PAC ID: 6709219702 Enrollment ID: I20191205001068 |
| Provider Name | Paul A Dicamillo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831341007 PECOS PAC ID: 2860767639 Enrollment ID: I20191211000318 |
| Provider Name | Anne M Daggett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548692585 PECOS PAC ID: 1355636598 Enrollment ID: I20191216001895 |
| Provider Name | Loreen R Curley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992340863 PECOS PAC ID: 7810321189 Enrollment ID: I20191218003145 |
| Provider Name | Stephanie Catherine Sands |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740823079 PECOS PAC ID: 4789018946 Enrollment ID: I20191220000610 |
| Provider Name | Mallory Ann Lukan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467996041 PECOS PAC ID: 9638452899 Enrollment ID: I20191230000252 |
| Provider Name | Kara Wood |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1518504547 PECOS PAC ID: 7315371325 Enrollment ID: I20191230000338 |
| Provider Name | Darrick Jonathan Zirker |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1205031986 PECOS PAC ID: 0547695868 Enrollment ID: I20200115000588 |
| Provider Name | Jessica Marie Becker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700422854 PECOS PAC ID: 2365877511 Enrollment ID: I20200115002541 |
| Provider Name | Amy Sue Bader Takes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457994360 PECOS PAC ID: 2769817691 Enrollment ID: I20200122002389 |
| Provider Name | Eden Ariel Oconnor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831738749 PECOS PAC ID: 8325473010 Enrollment ID: I20200128000751 |
| Provider Name | Brooke M Salter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184265738 PECOS PAC ID: 1951737634 Enrollment ID: I20200129001768 |
| Provider Name | Anna Elyse Spykerman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902444284 PECOS PAC ID: 2567898828 Enrollment ID: I20200204002434 |
| Provider Name | Adrianna N Vanduyne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396388302 PECOS PAC ID: 4789010190 Enrollment ID: I20200214001950 |
| Provider Name | Carissa R Gehl |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1780872374 PECOS PAC ID: 3971930553 Enrollment ID: I20200220000103 |
| Provider Name | April Lynn Haven |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528609070 PECOS PAC ID: 7810324449 Enrollment ID: I20200220002349 |
| Provider Name | Jamie L Duffy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356981518 PECOS PAC ID: 0840627352 Enrollment ID: I20200224000088 |
| Provider Name | Kristin Nicole Bermeo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780092312 PECOS PAC ID: 7517289465 Enrollment ID: I20200228001581 |
| Provider Name | Mark P Atcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205473808 PECOS PAC ID: 7416384342 Enrollment ID: I20200305000680 |
| Provider Name | Hiroyuki Suzuki |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1891223665 PECOS PAC ID: 7911277454 Enrollment ID: I20200305001562 |
| Provider Name | Gina M Rottinghaus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396225041 PECOS PAC ID: 8224360169 Enrollment ID: I20200309000367 |
| Provider Name | Delores S Fitton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184702235 PECOS PAC ID: 9537169966 Enrollment ID: I20200311001622 |
| Provider Name | Pilar G. Fleshman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477986479 PECOS PAC ID: 0244468742 Enrollment ID: I20200311002050 |
| Provider Name | Alexandra M Telford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528698966 PECOS PAC ID: 4486082013 Enrollment ID: I20200313002137 |
| Provider Name | Allison M Donovan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306486030 PECOS PAC ID: 3274961545 Enrollment ID: I20200319002299 |
| Provider Name | Kathryn L Crawford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497388243 PECOS PAC ID: 2860820859 Enrollment ID: I20200325003542 |
| Provider Name | Nataliya Grandt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538799903 PECOS PAC ID: 5799114021 Enrollment ID: I20200407002074 |
| Provider Name | Hela Kotob |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831500230 PECOS PAC ID: 9436427580 Enrollment ID: I20200408003969 |
| Provider Name | Cathy J Hostettler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174504310 PECOS PAC ID: 5698794691 Enrollment ID: I20200409003572 |
| Provider Name | Cory Allen Wittrock |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720255409 PECOS PAC ID: 4486708377 Enrollment ID: I20200411000713 |
| Provider Name | Katherine Y Ignacio |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134215270 PECOS PAC ID: 5496752032 Enrollment ID: I20200414000469 |
| Provider Name | Alysha Reese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447800685 PECOS PAC ID: 6901236553 Enrollment ID: I20200422000394 |
| Provider Name | Jyoti Mago |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1841714920 PECOS PAC ID: 9436424009 Enrollment ID: I20200427000126 |
| Provider Name | Michael A Callan |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1124385448 PECOS PAC ID: 6800226259 Enrollment ID: I20200427000143 |
| Provider Name | Sung H Kim |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1649653577 PECOS PAC ID: 7719293414 Enrollment ID: I20200429002643 |
| Provider Name | Silvia Villagomez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124418678 PECOS PAC ID: 7012236078 Enrollment ID: I20200430000555 |
| Provider Name | Mark Pedersen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1275948283 PECOS PAC ID: 9032336409 Enrollment ID: I20200505000070 |
| Provider Name | Sally M Roushdy |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1073029591 PECOS PAC ID: 4486085354 Enrollment ID: I20200508000774 |
| Provider Name | Laura M Fisher |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1548556830 PECOS PAC ID: 3678904414 Enrollment ID: I20200512002451 |
| Provider Name | Paige Burden |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1669637450 PECOS PAC ID: 0648601484 Enrollment ID: I20200512002574 |
| Provider Name | Debora Downey |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1043475767 PECOS PAC ID: 9537590278 Enrollment ID: I20200512002685 |
| Provider Name | Pena Lynn V Lubrica |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1811152564 PECOS PAC ID: 3971934613 Enrollment ID: I20200512002780 |
| Provider Name | Gwen Elise Mcnatt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134610140 PECOS PAC ID: 2062843691 Enrollment ID: I20200514000176 |
| Provider Name | Ramon L Ignacio |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043405814 PECOS PAC ID: 5193918605 Enrollment ID: I20200526001955 |
| Provider Name | Gregory J Beiermann |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386838506 PECOS PAC ID: 9133212954 Enrollment ID: I20200527002057 |
| Provider Name | Barbara Jean Kane |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1538187760 PECOS PAC ID: 4789645805 Enrollment ID: I20200601001813 |
| Provider Name | Erika B Detweiler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437498698 PECOS PAC ID: 6507088176 Enrollment ID: I20200610000418 |
| Provider Name | Jonathan J Davick |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1932595295 PECOS PAC ID: 6800219395 Enrollment ID: I20200630001848 |
| Provider Name | Junjie Liu |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1619356383 PECOS PAC ID: 4284947482 Enrollment ID: I20200630001950 |
| Provider Name | Tyler G Slayman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336501402 PECOS PAC ID: 9234465899 Enrollment ID: I20200706000813 |
| Provider Name | Abigail C Mancuso |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1376980524 PECOS PAC ID: 8224271820 Enrollment ID: I20200706000975 |
| Provider Name | Meenakshi Sambharia |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1346623055 PECOS PAC ID: 4880997261 Enrollment ID: I20200706001004 |
| Provider Name | Jessica Ann Odendahl Zimmerman |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1730591975 PECOS PAC ID: 6800013392 Enrollment ID: I20200706001049 |
| Provider Name | Gerard P Clancy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346210747 PECOS PAC ID: 7911928833 Enrollment ID: I20200707002049 |
| Provider Name | Michelle Ouyang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255726329 PECOS PAC ID: 4688976012 Enrollment ID: I20200709001547 |
| Provider Name | Mitchell A Luangrath |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1568881027 PECOS PAC ID: 3274843164 Enrollment ID: I20200714001069 |
| Provider Name | Matthew D Soltys |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013441773 PECOS PAC ID: 2163791849 Enrollment ID: I20200714002838 |
| Provider Name | Katherine Lynn Schroeder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487271102 PECOS PAC ID: 5193149714 Enrollment ID: I20200715002861 |
| Provider Name | Carolyn Verna Kay-buckelew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699391441 PECOS PAC ID: 8325462963 Enrollment ID: I20200716000110 |
| Provider Name | Brandon S Janss |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1508363177 PECOS PAC ID: 5991129579 Enrollment ID: I20200716001573 |
| Provider Name | Adeyinka A Taiwo |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1841398278 PECOS PAC ID: 4688560139 Enrollment ID: I20200716002519 |
| Provider Name | Leon B Jons |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1821109224 PECOS PAC ID: 9234172933 Enrollment ID: I20200717000627 |
| Provider Name | Courtney Jo Reinsmoen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164058863 PECOS PAC ID: 8022432434 Enrollment ID: I20200717002332 |
| Provider Name | Stephanie Si-tang Lee |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427324334 PECOS PAC ID: 7911321328 Enrollment ID: I20200717002408 |
| Provider Name | Samuel W Wong |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598059198 PECOS PAC ID: 2961628151 Enrollment ID: I20200721000293 |
| Provider Name | Richard W Russillo |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1740630938 PECOS PAC ID: 0941593255 Enrollment ID: I20200721000697 |
| Provider Name | Austin K Blay |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1518464163 PECOS PAC ID: 1658795851 Enrollment ID: I20200721002831 |
| Provider Name | Lindsay Mcconnell De Andrade |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1386055895 PECOS PAC ID: 6103043203 Enrollment ID: I20200723001132 |
| Provider Name | Andrew E Pouw |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1497139075 PECOS PAC ID: 8527352384 Enrollment ID: I20200728002724 |
| Provider Name | Michael L Santucci |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1003031477 PECOS PAC ID: 3870813082 Enrollment ID: I20200729003385 |
| Provider Name | Elias B Hanna |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1124215173 PECOS PAC ID: 9032303599 Enrollment ID: I20200731000354 |
| Provider Name | Mark L Marz |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1184772238 PECOS PAC ID: 2769666858 Enrollment ID: I20200803002390 |
| Provider Name | Chad O Paisley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1972669729 PECOS PAC ID: 7719954411 Enrollment ID: I20200806000451 |
| Provider Name | Ryan Lawrence Steinberg |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1598021545 PECOS PAC ID: 9133366032 Enrollment ID: I20200806003351 |
| Provider Name | Akhila Ramakrishna |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1427464379 PECOS PAC ID: 4082905609 Enrollment ID: I20200810001785 |
| Provider Name | Adrianne Rahde Bischoff |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447808340 PECOS PAC ID: 7315277639 Enrollment ID: I20200810002004 |
| Provider Name | Mark Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710508130 PECOS PAC ID: 6002231909 Enrollment ID: I20200810002325 |
| Provider Name | Maria Tessa Witt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528683638 PECOS PAC ID: 0042635864 Enrollment ID: I20200810003204 |
| Provider Name | David Villanueva |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1578060240 PECOS PAC ID: 6901221746 Enrollment ID: I20200810003656 |
| Provider Name | Jane Fischer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457889149 PECOS PAC ID: 2769751726 Enrollment ID: I20200811000181 |
| Provider Name | Laura C Johnston |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093212607 PECOS PAC ID: 2163848946 Enrollment ID: I20200812000135 |
| Provider Name | Victoria J Tann |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467832238 PECOS PAC ID: 1254639636 Enrollment ID: I20200812002363 |
| Provider Name | Valery L Tran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861050262 PECOS PAC ID: 5799019295 Enrollment ID: I20200813000663 |
| Provider Name | Bassel Mohammad Nijres |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1083011613 PECOS PAC ID: 4688968142 Enrollment ID: I20200814001414 |
| Provider Name | Xiaoyang Hua |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1780942946 PECOS PAC ID: 9032359955 Enrollment ID: I20200814002145 |
| Provider Name | Christopher S Sales |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1790005064 PECOS PAC ID: 1557588225 Enrollment ID: I20200817000708 |
| Provider Name | Pollyanne Iben |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1164504726 PECOS PAC ID: 6305262791 Enrollment ID: I20200817000800 |
| Provider Name | Emily Frances Lambrecht |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356969612 PECOS PAC ID: 0042636342 Enrollment ID: I20200818000471 |
| Provider Name | Andrea H Gjerde Rohl |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1164989836 PECOS PAC ID: 9537585799 Enrollment ID: I20200818003101 |
| Provider Name | Aliza Scarlett Barkdoll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841800091 PECOS PAC ID: 5395161434 Enrollment ID: I20200819002476 |
| Provider Name | Eirene Georgia Alexandrou |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1619382942 PECOS PAC ID: 0345666400 Enrollment ID: I20200819003109 |
| Provider Name | Jennifer K Paternostro |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1811398266 PECOS PAC ID: 5991058133 Enrollment ID: I20200820002991 |
| Provider Name | Vaishali S Lafita |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053583633 PECOS PAC ID: 3476626847 Enrollment ID: I20200821000950 |
| Provider Name | Asad Javed |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1427339928 PECOS PAC ID: 5799058178 Enrollment ID: I20200821000979 |
| Provider Name | Brianne R Benjamin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164049680 PECOS PAC ID: 6305263229 Enrollment ID: I20200824002392 |
| Provider Name | Chau Pham |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1447693692 PECOS PAC ID: 5193954626 Enrollment ID: I20200826002374 |
| Provider Name | Kristina Linnea Guyton |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1356605125 PECOS PAC ID: 8921300708 Enrollment ID: I20200826003188 |
| Provider Name | Allison Judge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326679937 PECOS PAC ID: 9638596216 Enrollment ID: I20200827001160 |
| Provider Name | Jennifer R Bermick |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790988517 PECOS PAC ID: 5799929121 Enrollment ID: I20200827003702 |
| Provider Name | Angelena Brittany Edwards |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1073856860 PECOS PAC ID: 6709203045 Enrollment ID: I20200901000766 |
| Provider Name | Quanhathai Kaewpoowat |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1780995506 PECOS PAC ID: 4880011055 Enrollment ID: I20200902001772 |
| Provider Name | Courtney E Fahrer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1801393244 PECOS PAC ID: 8426475500 Enrollment ID: I20200903002320 |
| Provider Name | Kimberly Jean Gregorich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033746896 PECOS PAC ID: 9335566314 Enrollment ID: I20200908000237 |
| Provider Name | Ashley A Hui |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1356728778 PECOS PAC ID: 2961772835 Enrollment ID: I20200908002720 |
| Provider Name | Jeffrey Duane Quinlan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710967138 PECOS PAC ID: 0244462513 Enrollment ID: I20200911000147 |
| Provider Name | James Pereira De Andrade |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1780979468 PECOS PAC ID: 6305070178 Enrollment ID: I20200911000288 |
| Provider Name | Stephanie King Steffen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740802305 PECOS PAC ID: 9830517143 Enrollment ID: I20200918001521 |
| Provider Name | Hua Sun |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1487065934 PECOS PAC ID: 8426274325 Enrollment ID: I20200921001332 |
| Provider Name | Kevin D Sanchez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992233324 PECOS PAC ID: 9133490717 Enrollment ID: I20200921001830 |
| Provider Name | Megan Rae Hansen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295347490 PECOS PAC ID: 9739508771 Enrollment ID: I20200924002579 |
| Provider Name | Kelly Danielle Ledbetter |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1073855128 PECOS PAC ID: 3971810227 Enrollment ID: I20200928002765 |
| Provider Name | Skyler L Rathkamp |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457842882 PECOS PAC ID: 0446670533 Enrollment ID: I20201010000097 |
| Provider Name | Tera L Noard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023393311 PECOS PAC ID: 3173786795 Enrollment ID: I20201012001761 |
| Provider Name | Jasmine J Kayvani |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1548767106 PECOS PAC ID: 2062832009 Enrollment ID: I20201013003602 |
| Provider Name | Kara Morningstar |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1124497219 PECOS PAC ID: 5092024620 Enrollment ID: I20201014003377 |
| Provider Name | Logan West Sardzinski |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1902419070 PECOS PAC ID: 7810317443 Enrollment ID: I20201020001018 |
| Provider Name | Nicole Pauline Safina |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1144308156 PECOS PAC ID: 8325108079 Enrollment ID: I20201022003669 |
| Provider Name | Jillian Rae Reiher |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558849174 PECOS PAC ID: 9436579729 Enrollment ID: I20201027000959 |
| Provider Name | Allison Sara Wampler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508359753 PECOS PAC ID: 1355751629 Enrollment ID: I20201028001593 |
| Provider Name | Rebecca Ann Mischel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649897190 PECOS PAC ID: 8123438363 Enrollment ID: I20201029001487 |
| Provider Name | Jolene M Mcadam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679187108 PECOS PAC ID: 8921418740 Enrollment ID: I20201106001333 |
| Provider Name | Lindy Mae Pelzer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972101533 PECOS PAC ID: 3375953045 Enrollment ID: I20201109001009 |
| Provider Name | Jannet S Eastman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144821794 PECOS PAC ID: 9537579909 Enrollment ID: I20201113002286 |
| Provider Name | Christopher A Iverson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366970097 PECOS PAC ID: 5890064570 Enrollment ID: I20201117001045 |
| Provider Name | Joan Marie Sieren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972119071 PECOS PAC ID: 9537570817 Enrollment ID: I20201117001060 |
| Provider Name | Kathleen M Vonderhaar |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1679991038 PECOS PAC ID: 0648575183 Enrollment ID: I20201123000249 |
| Provider Name | Chantal J Rozmus |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477045797 PECOS PAC ID: 2567718182 Enrollment ID: I20201125001274 |
| Provider Name | Shea Marie Jorgensen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396272233 PECOS PAC ID: 7214206275 Enrollment ID: I20201130002124 |
| Provider Name | Nina C Pletcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679176218 PECOS PAC ID: 3870905235 Enrollment ID: I20201209002054 |
| Provider Name | Jennifer Renee Manternach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205437951 PECOS PAC ID: 1759793110 Enrollment ID: I20201209002195 |
| Provider Name | Steven M Udelhofen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1457581308 PECOS PAC ID: 2961799796 Enrollment ID: I20201214001897 |
| Provider Name | Erin C Maetzold |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518378488 PECOS PAC ID: 0446597892 Enrollment ID: I20201217001113 |
| Provider Name | Alexandra Ann Lacarte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871198382 PECOS PAC ID: 5193137800 Enrollment ID: I20201221002267 |
| Provider Name | Giovanni E Lorenz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114196185 PECOS PAC ID: 7719258904 Enrollment ID: I20201222001178 |
| Provider Name | Katelin Hildreth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811591498 PECOS PAC ID: 0749693331 Enrollment ID: I20201228000877 |
| Provider Name | Keatyn Renee Mcvietty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669019964 PECOS PAC ID: 0749617629 Enrollment ID: I20210107000959 |
| Provider Name | Masaaki Kurahashi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1568058329 PECOS PAC ID: 1759794803 Enrollment ID: I20210108001453 |
| Provider Name | Eric Yu Mou |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1184044398 PECOS PAC ID: 3577976638 Enrollment ID: I20210108002014 |
| Provider Name | Amr A Mourad |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588763635 PECOS PAC ID: 7012348147 Enrollment ID: I20210112003064 |
| Provider Name | Alpana Garg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922530682 PECOS PAC ID: 2466720453 Enrollment ID: I20210121002594 |
| Provider Name | Hope E Breitbach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568075331 PECOS PAC ID: 1052725553 Enrollment ID: I20210125000995 |
| Provider Name | Erin S Cullen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821684564 PECOS PAC ID: 5294149704 Enrollment ID: I20210125001185 |
| Provider Name | Sarah Jorgensen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073593703 PECOS PAC ID: 4587762356 Enrollment ID: I20210129000537 |
| Provider Name | Michael J Dimarco |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265878193 PECOS PAC ID: 6800197088 Enrollment ID: I20210208002775 |
| Provider Name | Daniel J Crawford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609158930 PECOS PAC ID: 3971779919 Enrollment ID: I20210218000992 |
| Provider Name | Amarjit S Virdi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1669541702 PECOS PAC ID: 2860544848 Enrollment ID: I20210222002478 |
| Provider Name | Yashant Aswani |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194387225 PECOS PAC ID: 8921439365 Enrollment ID: I20210225000668 |
| Provider Name | Amy Louise Pinkerton |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1053854968 PECOS PAC ID: 3779863899 Enrollment ID: I20210226000586 |
| Provider Name | Robert Bowers |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1659724656 PECOS PAC ID: 1951717636 Enrollment ID: I20210303002460 |
| Provider Name | Ariene Arcas Leme-kraus |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1831793744 PECOS PAC ID: 8325454580 Enrollment ID: I20210312001247 |
| Provider Name | James Marlow Blum |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1497874762 PECOS PAC ID: 8426116955 Enrollment ID: I20210316000539 |
| Provider Name | Julia Catalina Parra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942899869 PECOS PAC ID: 1355758236 Enrollment ID: I20210319000690 |
| Provider Name | Amanda R Karanikolas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184209314 PECOS PAC ID: 9436567500 Enrollment ID: I20210412000185 |
| Provider Name | Roy R Zhou |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689068116 PECOS PAC ID: 5799034542 Enrollment ID: I20210414001523 |
| Provider Name | Justin Ganz |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1073909313 PECOS PAC ID: 6608110622 Enrollment ID: I20210503000876 |
| Provider Name | Erin Cline |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972197929 PECOS PAC ID: 0244649317 Enrollment ID: I20210503001484 |
| Provider Name | Nabil Jose Khoury |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1881272946 PECOS PAC ID: 8527477124 Enrollment ID: I20210512000880 |
| Provider Name | Marika R Raff |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093168775 PECOS PAC ID: 7618262387 Enrollment ID: I20210514000121 |
| Provider Name | Rachel L Becker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912531369 PECOS PAC ID: 8325447675 Enrollment ID: I20210519000954 |
| Provider Name | Eric Thomas Barnes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104415140 PECOS PAC ID: 4789083924 Enrollment ID: I20210520001951 |
| Provider Name | Anece Hong Adam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346814779 PECOS PAC ID: 4688073695 Enrollment ID: I20210525000903 |
| Provider Name | Dustin Eli Bosch |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1952797177 PECOS PAC ID: 3274846670 Enrollment ID: I20210525000973 |
| Provider Name | Bryan Stephen Brindeiro |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1871727578 PECOS PAC ID: 3476784729 Enrollment ID: I20210602000659 |
| Provider Name | Mohammad A Kotob |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538726617 PECOS PAC ID: 4284969395 Enrollment ID: I20210603000841 |
| Provider Name | Steven D Marshall |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1063737237 PECOS PAC ID: 4486053972 Enrollment ID: I20210603002218 |
| Provider Name | Meaghan E Foody |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1619358520 PECOS PAC ID: 1153630652 Enrollment ID: I20210607000805 |
| Provider Name | Steven Baxter Means |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1871660282 PECOS PAC ID: 2466731849 Enrollment ID: I20210610001896 |
| Provider Name | Jason Edward Allen |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1225471816 PECOS PAC ID: 8224350558 Enrollment ID: I20210616002320 |
| Provider Name | Justin Jensen |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1356918353 PECOS PAC ID: 1557762267 Enrollment ID: I20210701000300 |
| Provider Name | Elyse Nicole Brock |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851659403 PECOS PAC ID: 4880833003 Enrollment ID: I20210712000322 |
| Provider Name | Keely Ulmer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942720875 PECOS PAC ID: 5092086777 Enrollment ID: I20210712000459 |
| Provider Name | Hannah Roeder |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1982067013 PECOS PAC ID: 2961804174 Enrollment ID: I20210712000554 |
| Provider Name | Munish Ashat |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1649687831 PECOS PAC ID: 2264738327 Enrollment ID: I20210712000848 |
| Provider Name | Amy Hc Stanford |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457764391 PECOS PAC ID: 5193943702 Enrollment ID: I20210712000932 |
| Provider Name | Ashlee Lafontaine Enzinger |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1992141907 PECOS PAC ID: 3375782766 Enrollment ID: I20210712000959 |
| Provider Name | Kaila Ann Pomeranz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962930115 PECOS PAC ID: 7517236276 Enrollment ID: I20210712000999 |
| Provider Name | Anthony Purgianto |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891236212 PECOS PAC ID: 6800165846 Enrollment ID: I20210712001612 |
| Provider Name | Jacob Taylor Hodges |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1215162110 PECOS PAC ID: 8022255504 Enrollment ID: I20210712004076 |
| Provider Name | Angela R Wild |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497106348 PECOS PAC ID: 4587959325 Enrollment ID: I20210713001140 |
| Provider Name | Lindsey Knake |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376930271 PECOS PAC ID: 6002218138 Enrollment ID: I20210713001303 |
| Provider Name | Matthew Christopher Hanewich |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437649795 PECOS PAC ID: 9537561568 Enrollment ID: I20210713001387 |
| Provider Name | David Patrick Shaha |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1679912778 PECOS PAC ID: 5698900819 Enrollment ID: I20210713001516 |
| Provider Name | Sarv Priya |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538612056 PECOS PAC ID: 8325326770 Enrollment ID: I20210713003202 |
| Provider Name | Ashmita Banerjee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023462843 PECOS PAC ID: 9234423542 Enrollment ID: I20210714001110 |
| Provider Name | James Donald Byrne |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1386091148 PECOS PAC ID: 1850683483 Enrollment ID: I20210714001331 |
| Provider Name | Akimasa Tsujimoto |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1376113407 PECOS PAC ID: 5395147243 Enrollment ID: I20210714002595 |
| Provider Name | Aimee Carswell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619156635 PECOS PAC ID: 4981755279 Enrollment ID: I20210714003374 |
| Provider Name | Yacoub Sallam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407333065 PECOS PAC ID: 6901142231 Enrollment ID: I20210714003517 |
| Provider Name | Jackie Kaye Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831789882 PECOS PAC ID: 8224430087 Enrollment ID: I20210715003352 |
| Provider Name | Mary K Gallagher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972094837 PECOS PAC ID: 0143576769 Enrollment ID: I20210715003406 |
| Provider Name | Amie Ogunsakin |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1952533580 PECOS PAC ID: 2163661729 Enrollment ID: I20210715003523 |
| Provider Name | Edward Fort Linton |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1144754946 PECOS PAC ID: 2466854245 Enrollment ID: I20210715004026 |
| Provider Name | Majekodunmi V Olaleye |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528556644 PECOS PAC ID: 0042563330 Enrollment ID: I20210719001779 |
| Provider Name | Bethany M Bryant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992980098 PECOS PAC ID: 6406093400 Enrollment ID: I20210719002520 |
| Provider Name | Danielle Renee' Howsare |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699269431 PECOS PAC ID: 1850647066 Enrollment ID: I20210720002966 |
| Provider Name | Melika Farshad |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1215545959 PECOS PAC ID: 3779986252 Enrollment ID: I20210721001335 |
| Provider Name | Jie Xin Tang |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1073967311 PECOS PAC ID: 2860784279 Enrollment ID: I20210722000800 |
| Provider Name | Ji Yang Kim |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174194583 PECOS PAC ID: 9830592260 Enrollment ID: I20210722003568 |
| Provider Name | Elizabeth Cusick |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1033641196 PECOS PAC ID: 7719389527 Enrollment ID: I20210726001217 |
| Provider Name | Naomi Fei |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1760878755 PECOS PAC ID: 0244532802 Enrollment ID: I20210726001982 |
| Provider Name | Fabiola P Kestelman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780256586 PECOS PAC ID: 6800299942 Enrollment ID: I20210727000906 |
| Provider Name | Jonathan Foster Russell |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1013301910 PECOS PAC ID: 1254668577 Enrollment ID: I20210727000958 |
| Provider Name | Taraz Imani Ramos |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700382090 PECOS PAC ID: 1850794991 Enrollment ID: I20210727001077 |
| Provider Name | Mikhael Sebaaly |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851877112 PECOS PAC ID: 4486902723 Enrollment ID: I20210727001165 |
| Provider Name | Annah Jean Vollstedt |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1942629274 PECOS PAC ID: 5294093829 Enrollment ID: I20210729001017 |
| Provider Name | Christopher Terrence Hogden |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1275099756 PECOS PAC ID: 1951704857 Enrollment ID: I20210729003457 |
| Provider Name | Brian T Andrews |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1245449701 PECOS PAC ID: 4789717364 Enrollment ID: I20210802001224 |
| Provider Name | Joel K Bricker |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629427711 PECOS PAC ID: 7618260902 Enrollment ID: I20210802001368 |
| Provider Name | Margaret Mcginn Byrne |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1295027696 PECOS PAC ID: 6305064767 Enrollment ID: I20210803001431 |
| Provider Name | Jennifer L Streeter |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1811379118 PECOS PAC ID: 5193038677 Enrollment ID: I20210804003938 |
| Provider Name | Karissa L Soltys |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891286811 PECOS PAC ID: 5597010082 Enrollment ID: I20210805000445 |
| Provider Name | John H Wilde |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1932620630 PECOS PAC ID: 6507260080 Enrollment ID: I20210805000550 |
| Provider Name | Yiqin Xiong |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1912369125 PECOS PAC ID: 3476844374 Enrollment ID: I20210806001811 |
| Provider Name | Joseph G Curtis |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1912133414 PECOS PAC ID: 6204118631 Enrollment ID: I20210806002239 |
| Provider Name | Aniket Mittal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427554351 PECOS PAC ID: 9739583147 Enrollment ID: I20210806002540 |
| Provider Name | Sayed Tauseef Ahmad Jan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578050142 PECOS PAC ID: 0446654743 Enrollment ID: I20210809003285 |
| Provider Name | Nanmeng Yu |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1265813612 PECOS PAC ID: 7810200391 Enrollment ID: I20210810003158 |
| Provider Name | Elizabeth R Bowen |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1003264185 PECOS PAC ID: 8426341116 Enrollment ID: I20210811001021 |
| Provider Name | Jennifer Lynn Franzwa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063083269 PECOS PAC ID: 1850795980 Enrollment ID: I20210811001119 |
| Provider Name | Prajwal Dhakal |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1578946406 PECOS PAC ID: 4183974330 Enrollment ID: I20210811001246 |
| Provider Name | Katie Ann Sander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073180998 PECOS PAC ID: 7113321258 Enrollment ID: I20210811001609 |
| Provider Name | Dawn Dillman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1861437212 PECOS PAC ID: 1355240631 Enrollment ID: I20210811001718 |
| Provider Name | Jordyn I Schaper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972170611 PECOS PAC ID: 8921402074 Enrollment ID: I20210811001719 |
| Provider Name | Allister E Wilton |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437538931 PECOS PAC ID: 3375856750 Enrollment ID: I20210811003933 |
| Provider Name | Lama Abdel Wahed |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1861927204 PECOS PAC ID: 2961771654 Enrollment ID: I20210812001273 |
| Provider Name | I-ching Wang |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1184216756 PECOS PAC ID: 2466856406 Enrollment ID: I20210812001398 |
| Provider Name | Paula Kyungjung Lee |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972985596 PECOS PAC ID: 9032405998 Enrollment ID: I20210812001923 |
| Provider Name | Carlos-andres Garaicoa-pazmino |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1962929497 PECOS PAC ID: 2961806807 Enrollment ID: I20210813002392 |
| Provider Name | Brandon James Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124339031 PECOS PAC ID: 4880099456 Enrollment ID: I20210819001296 |
| Provider Name | Allison Leigh Aird |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043875396 PECOS PAC ID: 9335544956 Enrollment ID: I20210819003714 |
| Provider Name | Paige Owen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497150106 PECOS PAC ID: 7517281728 Enrollment ID: I20210820000321 |
| Provider Name | Mary Terese Whipple |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215399506 PECOS PAC ID: 2163704453 Enrollment ID: I20210824001489 |
| Provider Name | Minjeong Seo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205509924 PECOS PAC ID: 8820493158 Enrollment ID: I20210824002474 |
| Provider Name | Kelly Lynne Ferroni |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659799914 PECOS PAC ID: 3274883418 Enrollment ID: I20210827000626 |
| Provider Name | Karen I Cyndari |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598243636 PECOS PAC ID: 7719212828 Enrollment ID: I20210831000463 |
| Provider Name | Kaley Samantha Boress |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1992378400 PECOS PAC ID: 6800292830 Enrollment ID: I20210831000868 |
| Provider Name | Meaghan Elaine Peters |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831470244 PECOS PAC ID: 0042616021 Enrollment ID: I20210831002793 |
| Provider Name | Upneet Kaur Nijjar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396947107 PECOS PAC ID: 5991980955 Enrollment ID: I20210901000757 |
| Provider Name | Catherine Renee Olinger |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1417342536 PECOS PAC ID: 0244550739 Enrollment ID: I20210901000832 |
| Provider Name | Than Pham |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1316327778 PECOS PAC ID: 3375833734 Enrollment ID: I20210903001554 |
| Provider Name | Adeola T Odugbesi |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1275983801 PECOS PAC ID: 7719270446 Enrollment ID: I20210903001732 |
| Provider Name | Chih-jen Cheng |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1073281705 PECOS PAC ID: 7113323841 Enrollment ID: I20210904000016 |
| Provider Name | Kevin Huang |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1255751087 PECOS PAC ID: 9234483678 Enrollment ID: I20210908001028 |
| Provider Name | Hao Mckenna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093388225 PECOS PAC ID: 2365848835 Enrollment ID: I20210908002924 |
| Provider Name | Angela L Smith |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1982890240 PECOS PAC ID: 6204232721 Enrollment ID: I20210909000782 |
| Provider Name | Dennis M Kivlighan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1922771708 PECOS PAC ID: 7618373135 Enrollment ID: I20210909000938 |
| Provider Name | Michael Halyko |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1134501745 PECOS PAC ID: 6002121936 Enrollment ID: I20210913000584 |
| Provider Name | William Joseph Welsh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639736234 PECOS PAC ID: 2163757261 Enrollment ID: I20210916001602 |
| Provider Name | Sreedevi K Jenigiri |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1598930257 PECOS PAC ID: 2365680451 Enrollment ID: I20210917000638 |
| Provider Name | Mckenzie D Woodyard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104590686 PECOS PAC ID: 5294132254 Enrollment ID: I20210920000366 |
| Provider Name | Kylie Loretta Costello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891469342 PECOS PAC ID: 8022415876 Enrollment ID: I20210922001035 |
| Provider Name | Gina M Cetta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689345670 PECOS PAC ID: 0446657985 Enrollment ID: I20210924002609 |
| Provider Name | Danielle N Hodge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285309484 PECOS PAC ID: 0446657886 Enrollment ID: I20210927003374 |
| Provider Name | Melissa B Ludgate |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336590140 PECOS PAC ID: 2264724954 Enrollment ID: I20210928002076 |
| Provider Name | Mohammed O Ali |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1144532409 PECOS PAC ID: 0749581312 Enrollment ID: I20210929002073 |
| Provider Name | Gabrielle Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659045441 PECOS PAC ID: 4385042555 Enrollment ID: I20211004000391 |
| Provider Name | Nicole Ann Alsaker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992479679 PECOS PAC ID: 8022416593 Enrollment ID: I20211013003169 |
| Provider Name | Abdullah Sohail |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124518600 PECOS PAC ID: 0446501837 Enrollment ID: I20211020002870 |
| Provider Name | Dimah Nayef Saade |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1114214541 PECOS PAC ID: 0648410191 Enrollment ID: I20211025000956 |
| Provider Name | Rajat Sharma |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1043972763 PECOS PAC ID: 1557759552 Enrollment ID: I20211025001285 |
| Provider Name | Lauren Kirkpatrick |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1174028898 PECOS PAC ID: 9739512948 Enrollment ID: I20211027002394 |
| Provider Name | David A Hamon |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1487317061 PECOS PAC ID: 7810385507 Enrollment ID: I20211029000917 |
| Provider Name | Jenna L Marlow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215699814 PECOS PAC ID: 8022407204 Enrollment ID: I20211109001759 |
| Provider Name | Evan Gattey |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1366104358 PECOS PAC ID: 4486043643 Enrollment ID: I20211110001530 |
| Provider Name | Emmarie Febe Poolman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467123315 PECOS PAC ID: 2163811753 Enrollment ID: I20211122000573 |
| Provider Name | Marina Del Rios |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689615585 PECOS PAC ID: 7113025602 Enrollment ID: I20211122000860 |
| Provider Name | Helen Prathiba Gnanapragasam |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1750738654 PECOS PAC ID: 2860729118 Enrollment ID: I20211122001901 |
| Provider Name | Andrea G. Lamphiear |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982892220 PECOS PAC ID: 2264602853 Enrollment ID: I20211122002048 |
| Provider Name | Ahmad Shariftabrizi |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1053727313 PECOS PAC ID: 5092085928 Enrollment ID: I20211122002279 |
| Provider Name | Simon Vinarsky |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1245268838 PECOS PAC ID: 5890786792 Enrollment ID: I20211124002092 |
| Provider Name | Kristen Caviness Sihler |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1023194990 PECOS PAC ID: 8921008699 Enrollment ID: I20211207000945 |
| Provider Name | Shareef Mansour |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1063068732 PECOS PAC ID: 8628489390 Enrollment ID: I20211207000952 |
| Provider Name | Rahul M Bijlani |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1528441078 PECOS PAC ID: 9234540592 Enrollment ID: I20211208003396 |
| Provider Name | Elena Garrido |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1669067641 PECOS PAC ID: 2567853195 Enrollment ID: I20211215001637 |
| Provider Name | Blake A. Stephenson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588040356 PECOS PAC ID: 5890186183 Enrollment ID: I20211221001206 |
| Provider Name | Stephanie K Rayner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558020289 PECOS PAC ID: 6800287111 Enrollment ID: I20211221002110 |
| Provider Name | Tarun Patel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1912285255 PECOS PAC ID: 9739307968 Enrollment ID: I20211222000706 |
| Provider Name | Nadia Naz |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1215333091 PECOS PAC ID: 7911398110 Enrollment ID: I20211223000420 |
| Provider Name | Cassie J Limoges |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679761431 PECOS PAC ID: 3375625361 Enrollment ID: I20211227000367 |
| Provider Name | Kacy Leigh Carew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811656333 PECOS PAC ID: 9739570789 Enrollment ID: I20211229001649 |
| Provider Name | Shanna Spies |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013679703 PECOS PAC ID: 0840681847 Enrollment ID: I20211230001166 |
| Provider Name | Lillian M Lai |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477866614 PECOS PAC ID: 5799929790 Enrollment ID: I20220104000653 |
| Provider Name | Nicole C Stein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407529563 PECOS PAC ID: 8921499658 Enrollment ID: I20220106001305 |
| Provider Name | Guiling Tong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760093504 PECOS PAC ID: 1456743186 Enrollment ID: I20220110000666 |
| Provider Name | Caroline J Mcmahon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811657133 PECOS PAC ID: 5395137418 Enrollment ID: I20220124001627 |
| Provider Name | Jennifer L Kuhle |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1003576042 PECOS PAC ID: 2062804867 Enrollment ID: I20220127001115 |
| Provider Name | Heidi Marie Steinkamp |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1699174391 PECOS PAC ID: 4486047081 Enrollment ID: I20220203000195 |
| Provider Name | Melanie Sue Rock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730849647 PECOS PAC ID: 3173916608 Enrollment ID: I20220207000265 |
| Provider Name | Claire Ann Goeke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376183582 PECOS PAC ID: 6709215932 Enrollment ID: I20220207001415 |
| Provider Name | Jeffrey H Goldman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1316942212 PECOS PAC ID: 1254234297 Enrollment ID: I20220210001505 |
| Provider Name | Victoria Elnora Grandinetti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801555859 PECOS PAC ID: 4486047479 Enrollment ID: I20220216000668 |
| Provider Name | Megan C Sprecher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689334880 PECOS PAC ID: 3476947177 Enrollment ID: I20220223000303 |
| Provider Name | Stephanie Scheffler James |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043586076 PECOS PAC ID: 2769793223 Enrollment ID: I20220223000824 |
| Provider Name | Megan E Drey |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1336892660 PECOS PAC ID: 1456745181 Enrollment ID: I20220223001633 |
| Provider Name | Ronit Sternberg |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1457510323 PECOS PAC ID: 3870837784 Enrollment ID: I20220223002852 |
| Provider Name | Thu A Hoang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558891408 PECOS PAC ID: 6305116302 Enrollment ID: I20220307000358 |
| Provider Name | Andrina Mary Timmins |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1124620216 PECOS PAC ID: 1153734520 Enrollment ID: I20220307001723 |
| Provider Name | Kelly N Marine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508281619 PECOS PAC ID: 5597172577 Enrollment ID: I20220309000488 |
| Provider Name | Mary Colleen Burton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346910502 PECOS PAC ID: 1355736323 Enrollment ID: I20220310001099 |
| Provider Name | Jacqueline Jo Klossing |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1790262822 PECOS PAC ID: 5193110781 Enrollment ID: I20220317001227 |
| Provider Name | Alea A Meyer |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1508476771 PECOS PAC ID: 2365868874 Enrollment ID: I20220318001279 |
| Provider Name | Theresa Whalen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861153017 PECOS PAC ID: 3678968187 Enrollment ID: I20220321000756 |
| Provider Name | Kayla Lynn Frazier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649931973 PECOS PAC ID: 3779978846 Enrollment ID: I20220328002097 |
| Provider Name | Kathleen M Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518574730 PECOS PAC ID: 5991191058 Enrollment ID: I20220330000866 |
| Provider Name | Rachel Anne Dawson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265188346 PECOS PAC ID: 8426444886 Enrollment ID: I20220412000715 |
| Provider Name | Gary S Beasley |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1669764106 PECOS PAC ID: 1557502952 Enrollment ID: I20220412001657 |
| Provider Name | Antonio S Zafred Marcelino |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245972843 PECOS PAC ID: 1355737644 Enrollment ID: I20220414000615 |
| Provider Name | Rodrigo Moreira Bello |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326780826 PECOS PAC ID: 8325434582 Enrollment ID: I20220415001033 |
| Provider Name | Ogechukwu Obiano |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891222840 PECOS PAC ID: 2264701028 Enrollment ID: I20220419001705 |
| Provider Name | Jesse M Branscomb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255097820 PECOS PAC ID: 5294122347 Enrollment ID: I20220420001728 |
| Provider Name | Amy L Lemke |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396488227 PECOS PAC ID: 1153718036 Enrollment ID: I20220422001638 |
| Provider Name | Elvis Kasi |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1972000438 PECOS PAC ID: 4789007774 Enrollment ID: I20220427001147 |
| Provider Name | Cara L Christianson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629712500 PECOS PAC ID: 5092102400 Enrollment ID: I20220503000921 |
| Provider Name | Amy E Galecio |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326404120 PECOS PAC ID: 1557748886 Enrollment ID: I20220506000800 |
| Provider Name | Sarah Lynn Jones |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1104051523 PECOS PAC ID: 9931251337 Enrollment ID: I20220506001515 |
| Provider Name | Yair Rubin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1043969272 PECOS PAC ID: 4880071984 Enrollment ID: I20220511000566 |
| Provider Name | Nicole Y Ito |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134863608 PECOS PAC ID: 5799162897 Enrollment ID: I20220511000570 |
| Provider Name | Megan Nicole Weems Wubben |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447741129 PECOS PAC ID: 4284981366 Enrollment ID: I20220512000608 |
| Provider Name | William J Mohr |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1407822463 PECOS PAC ID: 1951590421 Enrollment ID: I20220517000702 |
| Provider Name | Lauren L Bodilly |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1508251745 PECOS PAC ID: 2860879418 Enrollment ID: I20220519002301 |
| Provider Name | Mary Zaye Elliott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164174058 PECOS PAC ID: 8729465208 Enrollment ID: I20220523002023 |
| Provider Name | Nicole Ann Payne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194469486 PECOS PAC ID: 3072990555 Enrollment ID: I20220523002109 |
| Provider Name | Jaime P. Murphy |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1659340016 PECOS PAC ID: 1658384698 Enrollment ID: I20220527000359 |
| Provider Name | Tiffany Bee |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1811953607 PECOS PAC ID: 8628102001 Enrollment ID: I20220527001784 |
| Provider Name | Laura T Brown |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1770744823 PECOS PAC ID: 4183889504 Enrollment ID: I20220607000877 |
| Provider Name | Jenna Marie Gedminas |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1639516768 PECOS PAC ID: 5294031597 Enrollment ID: I20220609002429 |
| Provider Name | Elyana R Wohl |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1194454892 PECOS PAC ID: 3577941160 Enrollment ID: I20220610000801 |
| Provider Name | Alexander Dale Claussen |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1659719235 PECOS PAC ID: 8921486499 Enrollment ID: I20220613001122 |
| Provider Name | Alison Uhl |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1326368952 PECOS PAC ID: 1557667722 Enrollment ID: I20220615001622 |
| Provider Name | Karen Blanton Brust |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1558568717 PECOS PAC ID: 5799876504 Enrollment ID: I20220616001027 |
| Provider Name | Osorio Lopes Abath Neto |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1134668635 PECOS PAC ID: 9931589124 Enrollment ID: I20220706000943 |
| Provider Name | Kathryn Lynne Eschbacher |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1669867693 PECOS PAC ID: 3577810126 Enrollment ID: I20220706003818 |
| Provider Name | Joanna Bomkamp Gebhardt |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1730467549 PECOS PAC ID: 5799931127 Enrollment ID: I20220707000627 |
| Provider Name | Jarrod K Bang |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1275064701 PECOS PAC ID: 8426328071 Enrollment ID: I20220707002069 |
| Provider Name | Ashley Paige Patrick |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1245737097 PECOS PAC ID: 9234487208 Enrollment ID: I20220707002873 |
| Provider Name | Matthew T Fleege |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1710428123 PECOS PAC ID: 7719219492 Enrollment ID: I20220707003025 |
| Provider Name | Emily K Ford |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1598384786 PECOS PAC ID: 6901286830 Enrollment ID: I20220708001853 |
| Provider Name | Matthew R. Hoffman |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1992106355 PECOS PAC ID: 5294048708 Enrollment ID: I20220711000967 |
| Provider Name | Andrew P Groves |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1891158275 PECOS PAC ID: 1052791894 Enrollment ID: I20220711001135 |
| Provider Name | Kathleen M Robinson |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1215385596 PECOS PAC ID: 6608169305 Enrollment ID: I20220711001919 |
| Provider Name | Linda J Cooper-brown |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1770690646 PECOS PAC ID: 9234519976 Enrollment ID: I20220712001097 |
| Provider Name | Quentin E Adams |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1679923270 PECOS PAC ID: 9335431220 Enrollment ID: I20220712001350 |
| Provider Name | Kyle A Merrill |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1437506342 PECOS PAC ID: 4880984517 Enrollment ID: I20220713000396 |
| Provider Name | Peter Kim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154989291 PECOS PAC ID: 2264761014 Enrollment ID: I20220713000509 |
| Provider Name | Molly L Dahm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083343453 PECOS PAC ID: 4688055346 Enrollment ID: I20220713001389 |
| Provider Name | Rupak K Bhuyan |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1609363829 PECOS PAC ID: 8729319041 Enrollment ID: I20220713002927 |
| Provider Name | Anthony M Swatek |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1457641789 PECOS PAC ID: 1355575705 Enrollment ID: I20220714000489 |
| Provider Name | Arsenije Kojadinovic |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871155994 PECOS PAC ID: 5193106748 Enrollment ID: I20220714000549 |
| Provider Name | Nathaniel A Justice |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366646846 PECOS PAC ID: 1153565528 Enrollment ID: I20220714003758 |
| Provider Name | Jessica Jasper |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1760001358 PECOS PAC ID: 8921489469 Enrollment ID: I20220715000252 |
| Provider Name | Emma Cook |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1144858655 PECOS PAC ID: 0345621702 Enrollment ID: I20220715001153 |
| Provider Name | Erin Grace Steinbach |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1780316810 PECOS PAC ID: 9335520717 Enrollment ID: I20220715002170 |
| Provider Name | Allison Barrale |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1487295291 PECOS PAC ID: 5092147009 Enrollment ID: I20220715002204 |
| Provider Name | Kaitlyn Erin Schrader |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1750013876 PECOS PAC ID: 7012398407 Enrollment ID: I20220715002407 |
| Provider Name | Paul F Mester |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215464847 PECOS PAC ID: 6800168535 Enrollment ID: I20220715002483 |
| Provider Name | Taylor Cox |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619590213 PECOS PAC ID: 4082038567 Enrollment ID: I20220718003528 |
| Provider Name | Marielle Alyssa Brenner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508398124 PECOS PAC ID: 6103150859 Enrollment ID: I20220719002401 |
| Provider Name | Chetana Daniels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649948605 PECOS PAC ID: 6800277971 Enrollment ID: I20220720002775 |
| Provider Name | Takaaki Kobayashi |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1689060295 PECOS PAC ID: 1456608934 Enrollment ID: I20220720003063 |
| Provider Name | Matthew D Gosse |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1245722891 PECOS PAC ID: 5395094130 Enrollment ID: I20220725000313 |
| Provider Name | Samuel D Zetumer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588225650 PECOS PAC ID: 0244565901 Enrollment ID: I20220726001743 |
| Provider Name | Alex M Hugi |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023637857 PECOS PAC ID: 6204218092 Enrollment ID: I20220726001969 |
| Provider Name | Daniel Hinds |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174970453 PECOS PAC ID: 7618266313 Enrollment ID: I20220726002875 |
| Provider Name | Jeffrey David Karduck |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1124480454 PECOS PAC ID: 9032499769 Enrollment ID: I20220727000442 |
| Provider Name | Amy E Strong |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1861840761 PECOS PAC ID: 3678867207 Enrollment ID: I20220727004106 |
| Provider Name | Sarah Adalie Auerbach |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1003279423 PECOS PAC ID: 0143503128 Enrollment ID: I20220728001516 |
| Provider Name | Hannah P Lassise |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1346819216 PECOS PAC ID: 2365824943 Enrollment ID: I20220728001934 |
| Provider Name | Brandon Michael Wubben |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205327111 PECOS PAC ID: 3971912452 Enrollment ID: I20220804003724 |
| Provider Name | Caitlin R Lindaman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477110245 PECOS PAC ID: 5597091512 Enrollment ID: I20220805001724 |
| Provider Name | Trudy Ann Pierick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528055639 PECOS PAC ID: 8325420417 Enrollment ID: I20220805002270 |
| Provider Name | Lauren Marie Burchette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972254407 PECOS PAC ID: 7911389010 Enrollment ID: I20220805002871 |
| Provider Name | Yaseen B Adam |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932278587 PECOS PAC ID: 3577562164 Enrollment ID: I20220808002524 |
| Provider Name | Rostislav Dimitrov Ranguelov |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1699744193 PECOS PAC ID: 3173557832 Enrollment ID: I20220810002220 |
| Provider Name | Joshua Digennaro Trebach |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306260799 PECOS PAC ID: 8224320007 Enrollment ID: I20220810003470 |
| Provider Name | Su Jin Kim Hsieh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205560745 PECOS PAC ID: 6901289719 Enrollment ID: I20220811001265 |
| Provider Name | Rintaro Hashimoto |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1780318501 PECOS PAC ID: 8527441351 Enrollment ID: I20220811002213 |
| Provider Name | Farzad Jamshidi |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1235617051 PECOS PAC ID: 4789929175 Enrollment ID: I20220811002294 |
| Provider Name | Sara Claire Horton |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1902268592 PECOS PAC ID: 9032404660 Enrollment ID: I20220812002755 |
| Provider Name | Nicole N Kamps |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1467848184 PECOS PAC ID: 9133414204 Enrollment ID: I20220815000703 |
| Provider Name | Michael P Demoss |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114546371 PECOS PAC ID: 3173906591 Enrollment ID: I20220818000662 |
| Provider Name | Allison W Lorenzen |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1346500485 PECOS PAC ID: 6608018155 Enrollment ID: I20220822001286 |
| Provider Name | Vishnu Raj Kumar Mani |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1174964951 PECOS PAC ID: 3476956095 Enrollment ID: I20220822002798 |
| Provider Name | Jennifer Leigh Yuska |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790455061 PECOS PAC ID: 8527441617 Enrollment ID: I20220823002303 |
| Provider Name | Ratdanai Yodsuwan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457905564 PECOS PAC ID: 0143603241 Enrollment ID: I20220823002426 |
| Provider Name | Harrison John Gerdes |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1518462209 PECOS PAC ID: 9335496256 Enrollment ID: I20220823002493 |
| Provider Name | Eileen F O'connor |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063919017 PECOS PAC ID: 0345598546 Enrollment ID: I20220825000567 |
| Provider Name | Taryn A Wisor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881202745 PECOS PAC ID: 7810371879 Enrollment ID: I20220825001878 |
| Provider Name | Mariellen E Krischel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093055782 PECOS PAC ID: 8921247883 Enrollment ID: I20220826002166 |
| Provider Name | Ahisan Ansari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124680566 PECOS PAC ID: 4082942347 Enrollment ID: I20220829002417 |
| Provider Name | Andrew M Schwartz |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1114380524 PECOS PAC ID: 8022301670 Enrollment ID: I20220829003475 |
| Provider Name | Julie A Gabrielson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407452261 PECOS PAC ID: 1658755129 Enrollment ID: I20220901000202 |
| Provider Name | Elizabeth R Hinders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043938814 PECOS PAC ID: 1153705587 Enrollment ID: I20220901002980 |
| Provider Name | Daniel Thomas Griffin |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1386006310 PECOS PAC ID: 9032485701 Enrollment ID: I20220903000342 |
| Provider Name | Renee I Fields-hu |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1841918224 PECOS PAC ID: 0143604397 Enrollment ID: I20220907002024 |
| Provider Name | Bilal Saeed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548824865 PECOS PAC ID: 8527442631 Enrollment ID: I20220908000712 |
| Provider Name | Brett Allan Rosauer |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1447740287 PECOS PAC ID: 5991059008 Enrollment ID: I20220909000789 |
| Provider Name | Emira Deumic Shultz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114454543 PECOS PAC ID: 5395014351 Enrollment ID: I20220914002109 |
| Provider Name | Laura Lorraine Steers |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114412947 PECOS PAC ID: 7810243722 Enrollment ID: I20220916001795 |
| Provider Name | Kirk Andrew Sidey |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1013446780 PECOS PAC ID: 8426327552 Enrollment ID: I20220916001908 |
| Provider Name | Jerry Alan Horak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174295729 PECOS PAC ID: 6901281641 Enrollment ID: I20220916002149 |
| Provider Name | Kumi Yuki |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255869269 PECOS PAC ID: 8022388651 Enrollment ID: I20220917000331 |
| Provider Name | Carolina Quintana Grijalba |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1235549189 PECOS PAC ID: 7214257021 Enrollment ID: I20220919002617 |
| Provider Name | Hassan Aziz |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1356781363 PECOS PAC ID: 6901161082 Enrollment ID: I20220922000782 |
| Provider Name | Corbin Anne Weaver |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841797636 PECOS PAC ID: 5092190298 Enrollment ID: I20220923000168 |
| Provider Name | Maja A Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790410157 PECOS PAC ID: 5395120547 Enrollment ID: I20220923001899 |
| Provider Name | Christopher Michael Kepros |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1154511434 PECOS PAC ID: 4082936612 Enrollment ID: I20220926001035 |
| Provider Name | Divya Ashat |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1831504380 PECOS PAC ID: 8628295904 Enrollment ID: I20220927001006 |
| Provider Name | Anna Moldysz |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1962922500 PECOS PAC ID: 8820368442 Enrollment ID: I20220927001921 |
| Provider Name | Adeeb Oweidat |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1295347706 PECOS PAC ID: 5991181968 Enrollment ID: I20220928000761 |
| Provider Name | Evelyn J Ross-shapiro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053979757 PECOS PAC ID: 9739414400 Enrollment ID: I20220928000962 |
| Provider Name | Hira Ghazal Shaikh |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1336591759 PECOS PAC ID: 3971891359 Enrollment ID: I20220929000752 |
| Provider Name | Leeanne P Flygt |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1871949552 PECOS PAC ID: 5698066652 Enrollment ID: I20220929003226 |
| Provider Name | Peter James Szachowicz |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1417310053 PECOS PAC ID: 7719278134 Enrollment ID: I20220930001689 |
| Provider Name | Michelle M Aderhold |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1932831849 PECOS PAC ID: 0648656447 Enrollment ID: I20221003000145 |
| Provider Name | Waqas J Siddiqui |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1386061729 PECOS PAC ID: 3678977717 Enrollment ID: I20221004000599 |
| Provider Name | Alexandra Dvorak |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1336571363 PECOS PAC ID: 6709262314 Enrollment ID: I20221005002962 |
| Provider Name | Katharine Celia Ruestow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053076976 PECOS PAC ID: 1052797420 Enrollment ID: I20221008000297 |
| Provider Name | Maggie Diane Seblani |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1699195818 PECOS PAC ID: 5991181216 Enrollment ID: I20221010002000 |
| Provider Name | Moon Ley Tung |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1023625142 PECOS PAC ID: 3173933884 Enrollment ID: I20221010002185 |
| Provider Name | Bharatendu Chandra |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1114534237 PECOS PAC ID: 3870903594 Enrollment ID: I20221010002999 |
| Provider Name | Kimberly Chantelle Diah |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619521465 PECOS PAC ID: 4385076744 Enrollment ID: I20221011000319 |
| Provider Name | Miriam Clarke Gardner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124040340 PECOS PAC ID: 9032585294 Enrollment ID: I20221013001783 |
| Provider Name | Michelle D Miller |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851313076 PECOS PAC ID: 9537535703 Enrollment ID: I20221013002491 |
| Provider Name | Chelsea M Owen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1376162578 PECOS PAC ID: 6608242631 Enrollment ID: I20221017002451 |
| Provider Name | Balarama Krishna Surapaneni |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003311648 PECOS PAC ID: 0941676985 Enrollment ID: I20221017002580 |
| Provider Name | Katie Elizabeth Barreras |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194746503 PECOS PAC ID: 3476877218 Enrollment ID: I20221019003221 |
| Provider Name | Helen K Neumann |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114543683 PECOS PAC ID: 2769858406 Enrollment ID: I20221020000777 |
| Provider Name | Pierre Yves Palo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548825599 PECOS PAC ID: 7315270733 Enrollment ID: I20221020003015 |
| Provider Name | Mahil Rao |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700206372 PECOS PAC ID: 5890118921 Enrollment ID: I20221021001785 |
| Provider Name | Melinda Sue White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033855804 PECOS PAC ID: 6800262445 Enrollment ID: I20221021001839 |
| Provider Name | Justine Marie Wood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649927864 PECOS PAC ID: 1456727056 Enrollment ID: I20221024001379 |
| Provider Name | Annika Storey |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1174751689 PECOS PAC ID: 4082851084 Enrollment ID: I20221027001539 |
| Provider Name | Ingrid Goldenstein |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871519249 PECOS PAC ID: 2163899535 Enrollment ID: I20221028000692 |
| Provider Name | Stacey A Sokol |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649722422 PECOS PAC ID: 6709253024 Enrollment ID: I20221029000319 |
| Provider Name | Stacy Ann Granner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487670840 PECOS PAC ID: 7012384209 Enrollment ID: I20221101000370 |
| Provider Name | Anna Lee Weikamp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063134872 PECOS PAC ID: 7517334733 Enrollment ID: I20221101001557 |
| Provider Name | Rachel Alyse Posey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447748975 PECOS PAC ID: 4385047612 Enrollment ID: I20221101003243 |
| Provider Name | Nathaniel Wise |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1871083857 PECOS PAC ID: 5597168047 Enrollment ID: I20221107000970 |
| Provider Name | Alison E Seline |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1700248291 PECOS PAC ID: 7214260157 Enrollment ID: I20221108001991 |
| Provider Name | Shelly Sue Eisbach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396116828 PECOS PAC ID: 0749582971 Enrollment ID: I20221108002082 |
| Provider Name | Josephine Marie Thurmond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700501343 PECOS PAC ID: 8022485820 Enrollment ID: I20221108002200 |
| Provider Name | Caitlin E Sapp |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1760917652 PECOS PAC ID: 8224300470 Enrollment ID: I20221114001279 |
| Provider Name | Melissa S Schnackenberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801503578 PECOS PAC ID: 7911375076 Enrollment ID: I20221121001714 |
| Provider Name | Amanda Christine Brant |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881199578 PECOS PAC ID: 1850649583 Enrollment ID: I20221121001907 |
| Provider Name | Juhi Raju Uttamani |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1033845359 PECOS PAC ID: 9335517333 Enrollment ID: I20221123000707 |
| Provider Name | Loredana Cornelia Militaru |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194742841 PECOS PAC ID: 9335113083 Enrollment ID: I20221201002172 |
| Provider Name | Max J Snow |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902366743 PECOS PAC ID: 2769850346 Enrollment ID: I20221202000230 |
| Provider Name | Steven Andrew Zehring |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1265894000 PECOS PAC ID: 9537459177 Enrollment ID: I20221205002368 |
| Provider Name | Christopher D Otteni |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1073969713 PECOS PAC ID: 2961795612 Enrollment ID: I20221205002873 |
| Provider Name | Emma J Stammeyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205553690 PECOS PAC ID: 4981073459 Enrollment ID: I20221206002012 |
| Provider Name | Zagum A Bhatti |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1053577890 PECOS PAC ID: 8527370998 Enrollment ID: I20221207001336 |
| Provider Name | Lesley Anna Green |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225656556 PECOS PAC ID: 0840616363 Enrollment ID: I20221207002742 |
| Provider Name | Jordan S Miller |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689175200 PECOS PAC ID: 9739436981 Enrollment ID: I20221212002796 |
| Provider Name | Hope Elise Tribbey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740907187 PECOS PAC ID: 7012386097 Enrollment ID: I20221214000605 |
| Provider Name | Rupinderjit Singh Dhillon |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619167483 PECOS PAC ID: 6002940822 Enrollment ID: I20221215001671 |
| Provider Name | Bryan D Struck |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1831167667 PECOS PAC ID: 3779597984 Enrollment ID: I20221221002803 |
| Provider Name | John N Jensen |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1003867854 PECOS PAC ID: 6608904768 Enrollment ID: I20221224000078 |
| Provider Name | Alyssa Marie Wood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942917836 PECOS PAC ID: 0446620629 Enrollment ID: I20230104001527 |
| Provider Name | Meredith Ann Parizek |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1548971435 PECOS PAC ID: 0345610465 Enrollment ID: I20230106001331 |
| Provider Name | Heather A Highly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295443067 PECOS PAC ID: 2466823281 Enrollment ID: I20230113001042 |
| Provider Name | Ciara M Demings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255048229 PECOS PAC ID: 4385015692 Enrollment ID: I20230125000494 |
| Provider Name | Samuel J Irving |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790309847 PECOS PAC ID: 2062835846 Enrollment ID: I20230125002383 |
| Provider Name | Christine N Ries |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972214567 PECOS PAC ID: 7113398363 Enrollment ID: I20230125003206 |
| Provider Name | Nathan Porter Schulz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922419811 PECOS PAC ID: 4385944321 Enrollment ID: I20230127001939 |
| Provider Name | Melvin T Donaldson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710509781 PECOS PAC ID: 4486077146 Enrollment ID: I20230130000100 |
| Provider Name | Michaela A Meyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578217857 PECOS PAC ID: 6507237468 Enrollment ID: I20230201001024 |
| Provider Name | Mallory Janene Mckay Heath |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316655939 PECOS PAC ID: 2769854454 Enrollment ID: I20230206002214 |
| Provider Name | Paari Dominic |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1134328958 PECOS PAC ID: 6406076405 Enrollment ID: I20230207002483 |
| Provider Name | Stephanie Y Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255049409 PECOS PAC ID: 1557733110 Enrollment ID: I20230207003031 |
| Provider Name | Shady Neematallah Al-hayek |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1376736686 PECOS PAC ID: 6103298732 Enrollment ID: I20230208001955 |
| Provider Name | Chandra Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669184511 PECOS PAC ID: 3173995701 Enrollment ID: I20230208002058 |
| Provider Name | Jennifer Michele Mcgee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548977655 PECOS PAC ID: 6103298740 Enrollment ID: I20230208002431 |
| Provider Name | Robert Wyatt Love |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1396992137 PECOS PAC ID: 8123285491 Enrollment ID: I20230213000038 |
| Provider Name | Jennifer Nihei |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740775790 PECOS PAC ID: 2567718885 Enrollment ID: I20230223000656 |
| Provider Name | Catherine E Vander Zee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093412694 PECOS PAC ID: 8123491040 Enrollment ID: I20230223002459 |
| Provider Name | Grant C. Bullock |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1467680223 PECOS PAC ID: 4981757853 Enrollment ID: I20230306000533 |
| Provider Name | Jacquelyn M Ronnfeldt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912618976 PECOS PAC ID: 5294109393 Enrollment ID: I20230313000464 |
| Provider Name | Catherine A Dostal |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1427756394 PECOS PAC ID: 2567836448 Enrollment ID: I20230315002336 |
| Provider Name | Kimberly Ann Tritz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225269574 PECOS PAC ID: 2163576935 Enrollment ID: I20230315002885 |
| Provider Name | Sujana Madathil |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1508219841 PECOS PAC ID: 5193121705 Enrollment ID: I20230321002414 |
| Provider Name | Abieyuwa Eweka |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1144647272 PECOS PAC ID: 2365864865 Enrollment ID: I20230404000910 |
| Provider Name | Juan Pablo Castro Cuellar |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1912600263 PECOS PAC ID: 1951776806 Enrollment ID: I20230407000731 |
| Provider Name | Megan A Mobley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841994704 PECOS PAC ID: 7214302819 Enrollment ID: I20230413000753 |
| Provider Name | Serhan Karvar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1992209167 PECOS PAC ID: 9436406063 Enrollment ID: I20230413000767 |
| Provider Name | Maryn Kanter |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1326494097 PECOS PAC ID: 6901197201 Enrollment ID: I20230414001480 |
| Provider Name | Rahul N Sawlani |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1790096592 PECOS PAC ID: 1456645431 Enrollment ID: I20230414002134 |
| Provider Name | Andrew Chase Williams |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1790488369 PECOS PAC ID: 6406211796 Enrollment ID: I20230419002532 |
| Provider Name | Erika R Rodriguez |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1467710459 PECOS PAC ID: 7517322894 Enrollment ID: I20230421000273 |
| Provider Name | Bruna Maria Thompson Jacinto |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922704659 PECOS PAC ID: 9638534654 Enrollment ID: I20230426003013 |
| Provider Name | Chen S Tan |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1285898494 PECOS PAC ID: 3476621962 Enrollment ID: I20230428002459 |
| Provider Name | Brittney Noel Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679235717 PECOS PAC ID: 1254796014 Enrollment ID: I20230430000076 |
| Provider Name | Audrey Lee Wood |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1619591658 PECOS PAC ID: 3173988706 Enrollment ID: I20230503001474 |
| Provider Name | Ashley J Ash |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730874785 PECOS PAC ID: 6002271673 Enrollment ID: I20230503003478 |
| Provider Name | Rachel Renae Weigel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760181796 PECOS PAC ID: 7517323983 Enrollment ID: I20230510002043 |
| Provider Name | Rehan Zahid |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1144831975 PECOS PAC ID: 3476919507 Enrollment ID: I20230516002366 |
| Provider Name | Richard L Catalan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194771097 PECOS PAC ID: 8426047010 Enrollment ID: I20230523001044 |
| Provider Name | Crystal Lynn Shramek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689362410 PECOS PAC ID: 9537526801 Enrollment ID: I20230531002408 |
| Provider Name | Richard John Russell |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1861471443 PECOS PAC ID: 1052352846 Enrollment ID: I20230531003128 |
| Provider Name | Pratibha Sharma Kandel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770279358 PECOS PAC ID: 0143688739 Enrollment ID: I20230613003498 |
| Provider Name | Chris R Link |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1710936786 PECOS PAC ID: 6507757440 Enrollment ID: I20230613003550 |
| Provider Name | Xiaoxi Yang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578068375 PECOS PAC ID: 2860748480 Enrollment ID: I20230622002825 |
| Provider Name | Laura J Hanna-bergen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477740074 PECOS PAC ID: 0446558084 Enrollment ID: I20230625000060 |
| Provider Name | Pedro Hsieh |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1700561826 PECOS PAC ID: 2668830464 Enrollment ID: I20230627001977 |
| Provider Name | Stephen J Statz |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1710544754 PECOS PAC ID: 9032445788 Enrollment ID: I20230628000784 |
| Provider Name | Bemen Habashi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487159877 PECOS PAC ID: 4688079031 Enrollment ID: I20230703000385 |
| Provider Name | Rachael M Hyland |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831549054 PECOS PAC ID: 6002298007 Enrollment ID: I20230707000535 |
| Provider Name | Alexander A Garza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194349522 PECOS PAC ID: 4981028461 Enrollment ID: I20230707001195 |
| Provider Name | Sami Koro |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1730822925 PECOS PAC ID: 8628455318 Enrollment ID: I20230707001708 |
| Provider Name | Ryan J Lechtenberg |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1306402904 PECOS PAC ID: 2567797251 Enrollment ID: I20230707002380 |
| Provider Name | Ram Reddy Katpally |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1316285372 PECOS PAC ID: 7315235645 Enrollment ID: I20230707002623 |
| Provider Name | Morton Malcom Machir |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851951636 PECOS PAC ID: 9234463704 Enrollment ID: I20230707002880 |
| Provider Name | Erin Lynn Sternhagen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497371140 PECOS PAC ID: 0648694125 Enrollment ID: I20230708000515 |
| Provider Name | Kathie Q Zhang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225652761 PECOS PAC ID: 4284058769 Enrollment ID: I20230708000536 |
| Provider Name | Megan R Oberbillig |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851914485 PECOS PAC ID: 3476976531 Enrollment ID: I20230710000518 |
| Provider Name | Reed A Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497378939 PECOS PAC ID: 3971927450 Enrollment ID: I20230710000662 |
| Provider Name | Tmothy J Boly |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427586494 PECOS PAC ID: 9739459934 Enrollment ID: I20230710001306 |
| Provider Name | Kyle M Green |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1013479427 PECOS PAC ID: 0547629438 Enrollment ID: I20230711000714 |
| Provider Name | Rupin Nitin Parikh |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1336643022 PECOS PAC ID: 2860851763 Enrollment ID: I20230711000939 |
| Provider Name | Lindsay Youngmi Chun |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1063972370 PECOS PAC ID: 3971838582 Enrollment ID: I20230711001260 |
| Provider Name | Rahul D Gulati |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1427554047 PECOS PAC ID: 1850638974 Enrollment ID: I20230711001724 |
| Provider Name | Christian Andrew Mays |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1003470352 PECOS PAC ID: 5092131458 Enrollment ID: I20230711002556 |
| Provider Name | Adriana C Rodriguez Leon |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1841727211 PECOS PAC ID: 1850660549 Enrollment ID: I20230711002904 |
| Provider Name | Hanna Rafaela Ferreira Dalla Pria |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164157731 PECOS PAC ID: 4587023346 Enrollment ID: I20230711003388 |
| Provider Name | Ramandeep Singh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003431842 PECOS PAC ID: 5496113649 Enrollment ID: I20230711004040 |
| Provider Name | Kittika Poonsombudlert |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1386174217 PECOS PAC ID: 2860813904 Enrollment ID: I20230712000387 |
| Provider Name | Thomas M Panicucci |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033735295 PECOS PAC ID: 8426469149 Enrollment ID: I20230712000523 |
| Provider Name | Aamer Imdad |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1922386994 PECOS PAC ID: 0547532483 Enrollment ID: I20230712001793 |
| Provider Name | Nitesh Shekhrajka |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255858577 PECOS PAC ID: 5395124879 Enrollment ID: I20230712002006 |
| Provider Name | Breethaa Janani Selvamani |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1083100226 PECOS PAC ID: 2769730894 Enrollment ID: I20230712002396 |
| Provider Name | Alexandra A Flanagan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043833486 PECOS PAC ID: 5890117865 Enrollment ID: I20230712004244 |
| Provider Name | Rebecca Anne Reynolds |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1285020446 PECOS PAC ID: 3678875507 Enrollment ID: I20230713001549 |
| Provider Name | Robert Michael Humble |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1518526284 PECOS PAC ID: 1052771631 Enrollment ID: I20230713003284 |
| Provider Name | Margaret Ruth Strampe |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1013575711 PECOS PAC ID: 0143555805 Enrollment ID: I20230714000726 |
| Provider Name | Ashlyn R Smith |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1316624810 PECOS PAC ID: 3870953375 Enrollment ID: I20230715000436 |
| Provider Name | Abby Mae Kerker |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1073299707 PECOS PAC ID: 4385004829 Enrollment ID: I20230717000852 |
| Provider Name | Malik Ghannam |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1669995528 PECOS PAC ID: 9436423696 Enrollment ID: I20230717001729 |
| Provider Name | Shahana Prakash |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548883218 PECOS PAC ID: 0143644625 Enrollment ID: I20230719002492 |
| Provider Name | Alysa D Lerud |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1447819925 PECOS PAC ID: 1951761147 Enrollment ID: I20230719003353 |
| Provider Name | Sriya Subramani |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336636760 PECOS PAC ID: 4880941962 Enrollment ID: I20230720000517 |
| Provider Name | Michael Corbett |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194074682 PECOS PAC ID: 6901048941 Enrollment ID: I20230720001291 |
| Provider Name | John M Rieth |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1528559937 PECOS PAC ID: 3971852419 Enrollment ID: I20230720002296 |
| Provider Name | Peter D Farjo |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1144615469 PECOS PAC ID: 3274835848 Enrollment ID: I20230720002674 |
| Provider Name | Marina Peskina |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1487113486 PECOS PAC ID: 2365802451 Enrollment ID: I20230720003930 |
| Provider Name | Laura Lb Schmitt |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1700282647 PECOS PAC ID: 3476890427 Enrollment ID: I20230721001022 |
| Provider Name | Mahak Saad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720577729 PECOS PAC ID: 8224452701 Enrollment ID: I20230725001954 |
| Provider Name | Aunum P Akhter |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124548813 PECOS PAC ID: 1557637436 Enrollment ID: I20230725002081 |
| Provider Name | Benjamin William Hale |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1124464599 PECOS PAC ID: 7214232313 Enrollment ID: I20230726001197 |
| Provider Name | Miles David Hagner |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1619409331 PECOS PAC ID: 5890066435 Enrollment ID: I20230726003582 |
| Provider Name | Latha Yalodahalli Shankar Naik |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1487209896 PECOS PAC ID: 3870821374 Enrollment ID: I20230727001923 |
| Provider Name | Sarah Elizabeth Weber |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1316522857 PECOS PAC ID: 3577924265 Enrollment ID: I20230727002111 |
| Provider Name | Kartik Mani |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1689869885 PECOS PAC ID: 6901987445 Enrollment ID: I20230727003482 |
| Provider Name | Taariq Mohammed |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1275094435 PECOS PAC ID: 5496168999 Enrollment ID: I20230727003491 |
| Provider Name | Christopher E Moreau |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609371434 PECOS PAC ID: 6507112125 Enrollment ID: I20230728002240 |
| Provider Name | Nicole A Negbenebor |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1740773597 PECOS PAC ID: 4385071000 Enrollment ID: I20230731000164 |
| Provider Name | Yasameen Emad Muzahim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639666340 PECOS PAC ID: 6406184910 Enrollment ID: I20230731001500 |
| Provider Name | Taylor C Becker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154943900 PECOS PAC ID: 9537583976 Enrollment ID: I20230731003329 |
| Provider Name | Jeffrey C Zavala |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1023539848 PECOS PAC ID: 8820367535 Enrollment ID: I20230801000747 |
| Provider Name | Meredith G Parsons |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1497247662 PECOS PAC ID: 7012267826 Enrollment ID: I20230801003275 |
| Provider Name | Daniel J Kohn |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1053850149 PECOS PAC ID: 1456696434 Enrollment ID: I20230802000949 |
| Provider Name | Hannah Lane |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1295412534 PECOS PAC ID: 1557722824 Enrollment ID: I20230802003372 |
| Provider Name | Roula Hourany |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982389862 PECOS PAC ID: 9032570346 Enrollment ID: I20230803000397 |
| Provider Name | Kenan B Ashouri |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1114417862 PECOS PAC ID: 9436403532 Enrollment ID: I20230803003316 |
| Provider Name | Krista Marie Grinde |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1497106298 PECOS PAC ID: 0446585582 Enrollment ID: I20230807001201 |
| Provider Name | Natalie M Russell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1689259111 PECOS PAC ID: 9537521588 Enrollment ID: I20230808003685 |
| Provider Name | Tatsuya Yoshimura |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1255563631 PECOS PAC ID: 7911369970 Enrollment ID: I20230808004142 |
| Provider Name | Serkan Bektur |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1902548928 PECOS PAC ID: 0446634018 Enrollment ID: I20230809000805 |
| Provider Name | Elizabeth M Wikle |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881223253 PECOS PAC ID: 2961864889 Enrollment ID: I20230809002633 |
| Provider Name | Abhishek Kantamneni |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1821521501 PECOS PAC ID: 5395092779 Enrollment ID: I20230809002770 |
| Provider Name | Tanya Aggarwal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487278438 PECOS PAC ID: 3072937895 Enrollment ID: I20230810000163 |
| Provider Name | Andrea Vannucci |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1033137765 PECOS PAC ID: 8628032950 Enrollment ID: I20230811002910 |
| Provider Name | Zubin Shetty |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1902399470 PECOS PAC ID: 3072868884 Enrollment ID: I20230814001516 |
| Provider Name | Ananya Panda |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912404385 PECOS PAC ID: 4183972052 Enrollment ID: I20230815002446 |
| Provider Name | Malinda R Schaefer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942656715 PECOS PAC ID: 0749571701 Enrollment ID: I20230818002524 |
| Provider Name | Diana M Mahbod |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689931974 PECOS PAC ID: 6901110089 Enrollment ID: I20230821002680 |
| Provider Name | Julie Christine Gudenkauf |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1043715386 PECOS PAC ID: 4688036700 Enrollment ID: I20230821003630 |
| Provider Name | Yaqi Zhang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164038428 PECOS PAC ID: 0547680712 Enrollment ID: I20230822000942 |
| Provider Name | Amanda K Irish |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104387505 PECOS PAC ID: 3779813803 Enrollment ID: I20230822001733 |
| Provider Name | Aman Patel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1013399286 PECOS PAC ID: 9234437237 Enrollment ID: I20230822004106 |
| Provider Name | Renata Correa Osorio |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902583214 PECOS PAC ID: 8022471184 Enrollment ID: I20230823001300 |
| Provider Name | Rachel K Gage |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669152997 PECOS PAC ID: 3870956782 Enrollment ID: I20230824004153 |
| Provider Name | Leonardo Furtado Freitas |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801679519 PECOS PAC ID: 9830552769 Enrollment ID: I20230825000448 |
| Provider Name | Lindsey R Ricklefs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750062220 PECOS PAC ID: 1456714393 Enrollment ID: I20230825000926 |
| Provider Name | Crystal Nicole Rodriguez |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1477047215 PECOS PAC ID: 1951658335 Enrollment ID: I20230825001577 |
| Provider Name | Georgette Richardson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1891421004 PECOS PAC ID: 9830552611 Enrollment ID: I20230825003414 |
| Provider Name | Ryan James Mcloughlin |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1295295731 PECOS PAC ID: 7214316298 Enrollment ID: I20230828000402 |
| Provider Name | Catherine Dory Bachur |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669038840 PECOS PAC ID: 1456686591 Enrollment ID: I20230828001568 |
| Provider Name | Jonathan D Gilmore |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962964106 PECOS PAC ID: 6103289863 Enrollment ID: I20230828003690 |
| Provider Name | Uzma Rani |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851898241 PECOS PAC ID: 6103162953 Enrollment ID: I20230831000224 |
| Provider Name | Jeffrey Scott Marschall |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1336509397 PECOS PAC ID: 1557657988 Enrollment ID: I20230831002470 |
| Provider Name | Erin Leigh Niles |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558946962 PECOS PAC ID: 3173986510 Enrollment ID: I20230831003459 |
| Provider Name | Vincent M Wagner |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1578913786 PECOS PAC ID: 8921391384 Enrollment ID: I20230905002230 |
| Provider Name | Alix R Stalmakov |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558041616 PECOS PAC ID: 5991169187 Enrollment ID: I20230906002087 |
| Provider Name | Jing Huang Kees |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750727244 PECOS PAC ID: 7315376464 Enrollment ID: I20230906002157 |
| Provider Name | Zhen L Deng |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1750886958 PECOS PAC ID: 7618219296 Enrollment ID: I20230908000156 |
| Provider Name | Gustavo Andrade |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1528843505 PECOS PAC ID: 8729442652 Enrollment ID: I20230912000738 |
| Provider Name | Laura J Norris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871251819 PECOS PAC ID: 9335503267 Enrollment ID: I20230912000876 |
| Provider Name | James Wyche Owens |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1326080409 PECOS PAC ID: 4789697731 Enrollment ID: I20230912003447 |
| Provider Name | Amanda Rachel Swanton |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1396276838 PECOS PAC ID: 5991077489 Enrollment ID: I20230913004142 |
| Provider Name | Bethany G Vargas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194210518 PECOS PAC ID: 0143684779 Enrollment ID: I20230914001506 |
| Provider Name | Alexander Neal Kurjatko |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1811277890 PECOS PAC ID: 2264708866 Enrollment ID: I20230914001872 |
| Provider Name | Matthew W Smith |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1518495241 PECOS PAC ID: 7618246307 Enrollment ID: I20230914002323 |
| Provider Name | Amber L Newland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659057685 PECOS PAC ID: 9032573639 Enrollment ID: I20230915000350 |
| Provider Name | Katherine M Briggie |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255954004 PECOS PAC ID: 1052734886 Enrollment ID: I20230919001301 |
| Provider Name | Bopha Chrea |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1942611025 PECOS PAC ID: 8628394392 Enrollment ID: I20230919001410 |
| Provider Name | Penny L Heinrich |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1083804546 PECOS PAC ID: 3971668567 Enrollment ID: I20230919003370 |
| Provider Name | Majd S Haddad |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1437437449 PECOS PAC ID: 9133573215 Enrollment ID: I20230922001698 |
| Provider Name | Kanwal Singh Matharu |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1649709213 PECOS PAC ID: 5799184933 Enrollment ID: I20230923000676 |
| Provider Name | Robert J Smyth |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1497245823 PECOS PAC ID: 7517218951 Enrollment ID: I20230925000119 |
| Provider Name | Chien-hsiang Chow |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1386806222 PECOS PAC ID: 0840468583 Enrollment ID: I20230925001145 |
| Provider Name | William A Dickinson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1073516043 PECOS PAC ID: 8729103973 Enrollment ID: I20230925002168 |
| Provider Name | Christopher D Clark |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043669781 PECOS PAC ID: 8729374061 Enrollment ID: I20230927000281 |
| Provider Name | Nagalakshmi Nagarajan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1326576406 PECOS PAC ID: 7113296963 Enrollment ID: I20230927001814 |
| Provider Name | Deyvi J Soto |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1629653050 PECOS PAC ID: 7214381938 Enrollment ID: I20230929000835 |
| Provider Name | Kimberly L Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689352668 PECOS PAC ID: 2860846482 Enrollment ID: I20230929001307 |
| Provider Name | Joysree Subramanian |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1215943949 PECOS PAC ID: 7618930108 Enrollment ID: I20231002003135 |
| Provider Name | Jangbo Lee |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1619658291 PECOS PAC ID: 1850745258 Enrollment ID: I20231003001870 |
| Provider Name | Nuong Thu Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629766720 PECOS PAC ID: 4587018965 Enrollment ID: I20231004001106 |
| Provider Name | Gatr-alnada Nagib Gheriani |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1083029979 PECOS PAC ID: 3678847092 Enrollment ID: I20231004003204 |
| Provider Name | Annemarie Juliette Gilley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740713031 PECOS PAC ID: 8224315841 Enrollment ID: I20231012002022 |
| Provider Name | Brittany N Sprigg |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1679005987 PECOS PAC ID: 1850660465 Enrollment ID: I20231012003189 |
| Provider Name | Mario Zanaty |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1316351075 PECOS PAC ID: 9234358417 Enrollment ID: I20231012003361 |
| Provider Name | Helen Y Hougen |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1629439542 PECOS PAC ID: 6103114624 Enrollment ID: I20231020000835 |
| Provider Name | Kristen Renee Hurst |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1114190915 PECOS PAC ID: 7719126812 Enrollment ID: I20231020001470 |
| Provider Name | Ronald C Gildersleeve |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1437133626 PECOS PAC ID: 2365468600 Enrollment ID: I20231020003042 |
| Provider Name | Chadron J Vassar |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1962898825 PECOS PAC ID: 3274836424 Enrollment ID: I20231023000531 |
| Provider Name | Joseph Tholany |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1386178820 PECOS PAC ID: 8426327834 Enrollment ID: I20231024002412 |
| Provider Name | Madison T Mcilrath |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982484093 PECOS PAC ID: 3678929882 Enrollment ID: I20231024003655 |
| Provider Name | Melinda A King |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1649287681 PECOS PAC ID: 3870586381 Enrollment ID: I20231027001108 |
| Provider Name | Christiana Brenner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427284736 PECOS PAC ID: 4082060009 Enrollment ID: I20231027001455 |
| Provider Name | Jeffrey R Daniels |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336778273 PECOS PAC ID: 2961824792 Enrollment ID: I20231030002227 |
| Provider Name | Erica Testani |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1326531369 PECOS PAC ID: 4385992825 Enrollment ID: I20231031000303 |
| Provider Name | Stephanie A Acosta |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1609261718 PECOS PAC ID: 0941657951 Enrollment ID: I20231114000317 |
| Provider Name | Soorih Shaikh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003334574 PECOS PAC ID: 5799043113 Enrollment ID: I20231114001579 |
| Provider Name | Emma Victoria James |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063070597 PECOS PAC ID: 0345574943 Enrollment ID: I20231114001723 |
| Provider Name | Erin E Briggie |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1508357203 PECOS PAC ID: 2961751490 Enrollment ID: I20231116000364 |
| Provider Name | Jadyn Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790452183 PECOS PAC ID: 0244628675 Enrollment ID: I20231116001374 |
| Provider Name | Annette Elise Contrady |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1083188239 PECOS PAC ID: 3072961358 Enrollment ID: I20231127002903 |
| Provider Name | Ryan C Price |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447031752 PECOS PAC ID: 9234587536 Enrollment ID: I20231128000397 |
| Provider Name | Bobbi J Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003698093 PECOS PAC ID: 3971951203 Enrollment ID: I20231128001305 |
| Provider Name | Carolina Augusta Modena Heming |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437925021 PECOS PAC ID: 3678921491 Enrollment ID: I20231204003015 |
| Provider Name | Mark Aaron Collie |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1184185530 PECOS PAC ID: 6901135011 Enrollment ID: I20231206002159 |
| Provider Name | Nancy Petrick Almasi |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1114791944 PECOS PAC ID: 3476902065 Enrollment ID: I20231207002768 |
| Provider Name | Daniel A Flappan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1588123657 PECOS PAC ID: 8820323678 Enrollment ID: I20231211001450 |
| Provider Name | Katie L Hepfer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871029322 PECOS PAC ID: 9638420433 Enrollment ID: I20231213001848 |
| Provider Name | Karla K Hemesath |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1619217304 PECOS PAC ID: 8729438361 Enrollment ID: I20231222002102 |
| Provider Name | Jacob Bird Priest |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1447532015 PECOS PAC ID: 6406206903 Enrollment ID: I20231226000972 |
| Provider Name | Naomi R Polley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053895953 PECOS PAC ID: 0941545933 Enrollment ID: I20231228000990 |
| Provider Name | Michael E Berrebi |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942714472 PECOS PAC ID: 7012368905 Enrollment ID: I20240104002452 |
| Provider Name | Matthew R Schettle |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1639736309 PECOS PAC ID: 0042547739 Enrollment ID: I20240111003919 |
| Provider Name | Ryan John Diel |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1972000164 PECOS PAC ID: 9638428170 Enrollment ID: I20240113000350 |
| Provider Name | Claire M Schluensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649043522 PECOS PAC ID: 0345692356 Enrollment ID: I20240116000664 |
| Provider Name | Adrienne Owens Jensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184389934 PECOS PAC ID: 8022488519 Enrollment ID: I20240116001980 |
| Provider Name | Debra Sue Brockington |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790263176 PECOS PAC ID: 9830541663 Enrollment ID: I20240117003619 |
| Provider Name | Brianna K Snider |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760140255 PECOS PAC ID: 6204289499 Enrollment ID: I20240124000901 |
| Provider Name | Anne Grady Healy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639566128 PECOS PAC ID: 2769798826 Enrollment ID: I20240205000414 |
| Provider Name | Jamie Leann Reiter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841936077 PECOS PAC ID: 9133562887 Enrollment ID: I20240209000159 |
| Provider Name | Jonne L Wilmore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558783480 PECOS PAC ID: 6507089588 Enrollment ID: I20240214002101 |
| Provider Name | Ian James Gordon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659143998 PECOS PAC ID: 9335583640 Enrollment ID: I20240214003233 |
| Provider Name | Laura J Hanna-bergen |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1477740074 PECOS PAC ID: 0446558084 Enrollment ID: I20240215000561 |
| Provider Name | Melinda Sue Malchow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275301772 PECOS PAC ID: 6901240126 Enrollment ID: I20240215002938 |
| Provider Name | Elizabeth M Whitaker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538841721 PECOS PAC ID: 4880038710 Enrollment ID: I20240220001192 |
| Provider Name | Nicholas Joseph Wissing |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831872191 PECOS PAC ID: 4385088848 Enrollment ID: I20240223000337 |
| Provider Name | Sarah S Shafer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639438385 PECOS PAC ID: 7719292762 Enrollment ID: I20240223000734 |
| Provider Name | Kathryn Mary Skopec |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497771851 PECOS PAC ID: 9335584614 Enrollment ID: I20240226003749 |
| Provider Name | Mahmoud E Mohamed Elfadil |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669907242 PECOS PAC ID: 3678841467 Enrollment ID: I20240227002578 |
| Provider Name | Bommy Hong Mershon |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1538315254 PECOS PAC ID: 9537319595 Enrollment ID: I20240301000532 |
| Provider Name | Brenda Anne Reddinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205618030 PECOS PAC ID: 6608211503 Enrollment ID: I20240301001779 |
| Provider Name | Igor V Bulatov |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1912091646 PECOS PAC ID: 9436376209 Enrollment ID: I20240304002137 |
| Provider Name | Benjamin T Stevens |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1871599787 PECOS PAC ID: 3072959238 Enrollment ID: I20240311000104 |
| Provider Name | Jeffrey Wilson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1003287079 PECOS PAC ID: 4981999893 Enrollment ID: I20240312000363 |
| Provider Name | Nathan R Brakke |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1972716470 PECOS PAC ID: 5395882765 Enrollment ID: I20240313000622 |
| Provider Name | Kathryn R Hale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174584684 PECOS PAC ID: 0345247037 Enrollment ID: I20240313001584 |
| Provider Name | Jill Frances Arthur |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1033224308 PECOS PAC ID: 4385660752 Enrollment ID: I20240313003523 |
Ui Quickcare - East Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1632 Sycamore St, Iowa City, IA 52240 Phone: 319-384-8822 Fax: 319-354-1002 | |
Ui Quickcare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 S Clinton St, St 168, Iowa City, IA 52240 Phone: 319-384-8877 Fax: 319-384-0603 | |
Mre Family Care Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 404 E Bloomington St, Iowa City, IA 52245 Phone: 319-351-1483 Fax: 319-351-1027 | |
Larew Internal Medicine Plc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2557 N Dodge St, Iowa City, IA 52245 Phone: 319-338-1535 Fax: 319-338-5768 | |
Uiecare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2346 Mormon Trek Blvd, Iowa City, IA 52246 Phone: 319-337-7642 Fax: 319-339-1449 | |
Restore Family Chiropractic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 521 Westbury Dr, Suite 1, Iowa City, IA 52245 Phone: 319-338-7002 | |
Student Health & Wellness Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4189 Wl University Of Iowa, Iowa City, IA 52242 Phone: 319-335-8376 Fax: 319-335-7247 |