| University Of Utah Adult Services | |
|
50 N Medical Dr Salt Lake City UT 84132-0001 | |
| (801) 581-2121 | |
| Not Available |
| Full Name | University Of Utah Adult Services |
|---|---|
| Speciality | General Practice |
| Location | 50 N Medical Dr, Salt Lake City, Utah |
| Authorized Official Name and Position | Sean Mulvihill (CHIEF MEDICAL OFFICER) |
| Authorized Official Contact | 8015876336 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| University Of Utah Adult Services Po Box 413033 Salt Lake City UT 84141-3033 Ph: (801) 587-6336 | University Of Utah Adult Services 50 N Medical Dr Salt Lake City UT 84132-0001 Ph: (801) 581-2121 |
| NPI Number | 1114321981 |
|---|---|
| Provider Enumeration Date | 10/22/2014 |
| Last Update Date | 10/22/2014 |
| Medicare PECOS PAC ID | 0941525273 |
|---|---|
| Medicare Enrollment ID | O20150209001683 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114321981 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Irel S Eppich |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1689764276 PECOS PAC ID: 2769395474 Enrollment ID: I20031110000180 |
| Provider Name | Rita A Paegle |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1063502680 PECOS PAC ID: 3375456726 Enrollment ID: I20031111000392 |
| Provider Name | Sara J Hake |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1174617310 PECOS PAC ID: 1951214303 Enrollment ID: I20031111000415 |
| Provider Name | Randall W Rupper |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457398703 PECOS PAC ID: 6800700089 Enrollment ID: I20031113000342 |
| Provider Name | Mary Beth Scholand |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1639269251 PECOS PAC ID: 7012821192 Enrollment ID: I20031113000385 |
| Provider Name | Akram M Shaaban |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184714701 PECOS PAC ID: 8022912047 Enrollment ID: I20031121000374 |
| Provider Name | Karen L Salzman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003906629 PECOS PAC ID: 2860396892 Enrollment ID: I20031121000402 |
| Provider Name | Angela A Wang |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1922198514 PECOS PAC ID: 2466356217 Enrollment ID: I20031122000093 |
| Provider Name | Megan Aileen Barney |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1164505681 PECOS PAC ID: 4284538059 Enrollment ID: I20031122000156 |
| Provider Name | David K Turok |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568449379 PECOS PAC ID: 6002710654 Enrollment ID: I20031125000132 |
| Provider Name | Kathleen K Boynton |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1174666739 PECOS PAC ID: 9931003589 Enrollment ID: I20031125000213 |
| Provider Name | Richard H Wiggins |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164512752 PECOS PAC ID: 6406750918 Enrollment ID: I20031125000494 |
| Provider Name | Alan K Stotts |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1902859473 PECOS PAC ID: 0244135689 Enrollment ID: I20031128000014 |
| Provider Name | David Ware Branch |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922012830 PECOS PAC ID: 6103721550 Enrollment ID: I20031129000009 |
| Provider Name | Jennifer J Trauscht-van Horn |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306926209 PECOS PAC ID: 9830094283 Enrollment ID: I20031129000012 |
| Provider Name | Janice L.b. Byrne |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629158530 PECOS PAC ID: 1658276001 Enrollment ID: I20031129000013 |
| Provider Name | Richard Christopher Torman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265442230 PECOS PAC ID: 1355246604 Enrollment ID: I20031201000520 |
| Provider Name | William E Nibley |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1437108974 PECOS PAC ID: 1951214360 Enrollment ID: I20031202000216 |
| Provider Name | Anna C Beck |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1710936265 PECOS PAC ID: 3779496187 Enrollment ID: I20031202000217 |
| Provider Name | Charles M Peterson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316037930 PECOS PAC ID: 0143125096 Enrollment ID: I20031203000713 |
| Provider Name | Robert L Andres |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356362875 PECOS PAC ID: 7214832161 Enrollment ID: I20031203000718 |
| Provider Name | Nitin B Chandramouli |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1801845730 PECOS PAC ID: 5193620920 Enrollment ID: I20031204000397 |
| Provider Name | Derek J Sakata |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1568552180 PECOS PAC ID: 6103721899 Enrollment ID: I20031205000003 |
| Provider Name | Amy P Powell |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1376639229 PECOS PAC ID: 2668377268 Enrollment ID: I20031205000586 |
| Provider Name | Michael L Draper |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992769368 PECOS PAC ID: 9830094358 Enrollment ID: I20031205000715 |
| Provider Name | Mark K Dodson |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1275570467 PECOS PAC ID: 6901701432 Enrollment ID: I20031205000723 |
| Provider Name | Anne G Osborn |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598846388 PECOS PAC ID: 1759287246 Enrollment ID: I20031208000214 |
| Provider Name | Sharon M Weinstein |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1831271352 PECOS PAC ID: 4981500329 Enrollment ID: I20031208000977 |
| Provider Name | Howard T Sharp |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871673772 PECOS PAC ID: 1759287758 Enrollment ID: I20031210000610 |
| Provider Name | Robert M Silver |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306926217 PECOS PAC ID: 7113823147 Enrollment ID: I20031210000808 |
| Provider Name | Amy E Sullivan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922028166 PECOS PAC ID: 3971409806 Enrollment ID: I20031210000839 |
| Provider Name | Peter M Stevens |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1881649929 PECOS PAC ID: 7719884923 Enrollment ID: I20031216000686 |
| Provider Name | Hans C Davidson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487741435 PECOS PAC ID: 9335046200 Enrollment ID: I20031217001132 |
| Provider Name | Howard Mann |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568559516 PECOS PAC ID: 9234036104 Enrollment ID: I20031217001140 |
| Provider Name | Kenneth J Nowers |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720037641 PECOS PAC ID: 1951208826 Enrollment ID: I20031217001145 |
| Provider Name | Pawan Kumar Sharma |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1114919073 PECOS PAC ID: 0345148060 Enrollment ID: I20031219000418 |
| Provider Name | Gregory J Litton |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1487603916 PECOS PAC ID: 6406769819 Enrollment ID: I20031222000945 |
| Provider Name | Alison K Schlisman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265534887 PECOS PAC ID: 0345148797 Enrollment ID: I20031223000307 |
| Provider Name | Florentino Abueg |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1649372558 PECOS PAC ID: 4880592146 Enrollment ID: I20031223000389 |
| Provider Name | Troy Flint Porter |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245310143 PECOS PAC ID: 2668370719 Enrollment ID: I20031227000020 |
| Provider Name | Sheldon L Thieszen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982651717 PECOS PAC ID: 4587562608 Enrollment ID: I20031229000393 |
| Provider Name | Paul R Summers |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588744494 PECOS PAC ID: 3779483482 Enrollment ID: I20040109000858 |
| Provider Name | Wendy A Basford |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1578653168 PECOS PAC ID: 1759281975 Enrollment ID: I20040112000551 |
| Provider Name | Leissa A Roberts |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1023108644 PECOS PAC ID: 2365341609 Enrollment ID: I20040113000573 |
| Provider Name | Scott D Whitaker |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1376686725 PECOS PAC ID: 5496656266 Enrollment ID: I20040115000361 |
| Provider Name | John R Hoidal |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1710077318 PECOS PAC ID: 4789585456 Enrollment ID: I20040115000933 |
| Provider Name | Krishna M Sundar |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1801802186 PECOS PAC ID: 6406757731 Enrollment ID: I20040119000502 |
| Provider Name | Bruce R Hebdon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447290598 PECOS PAC ID: 2062313224 Enrollment ID: I20040126000194 |
| Provider Name | Anne M Kennedy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740377795 PECOS PAC ID: 6901709153 Enrollment ID: I20040127000987 |
| Provider Name | Katherine W Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629021647 PECOS PAC ID: 9638062862 Enrollment ID: I20040203000526 |
| Provider Name | Susan Payne Etheridge |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952480527 PECOS PAC ID: 9032002894 Enrollment ID: I20040205000287 |
| Provider Name | Brian Keith Whisenant |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1750359253 PECOS PAC ID: 7810880648 Enrollment ID: I20040205000644 |
| Provider Name | John Fang |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1134219736 PECOS PAC ID: 8224922968 Enrollment ID: I20040212000205 |
| Provider Name | Kevin John Whitehead |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1255421848 PECOS PAC ID: 9032004502 Enrollment ID: I20040216000590 |
| Provider Name | Julie O King |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1235221227 PECOS PAC ID: 6406741636 Enrollment ID: I20040217000923 |
| Provider Name | Tooran M Lavasani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861582470 PECOS PAC ID: 1052219334 Enrollment ID: I20040218001176 |
| Provider Name | Bruce E Thomas |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1255422192 PECOS PAC ID: 3971406216 Enrollment ID: I20040225001014 |
| Provider Name | Maryellyn Gilfeather |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598764847 PECOS PAC ID: 7911893722 Enrollment ID: I20040226000947 |
| Provider Name | Joel D Trachtenberg |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1417972571 PECOS PAC ID: 7012804511 Enrollment ID: I20040301000425 |
| Provider Name | Hanadi M Farrukh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043300643 PECOS PAC ID: 7517858327 Enrollment ID: I20040322001578 |
| Provider Name | Christopher J Mcgann |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1477640423 PECOS PAC ID: 1557252285 Enrollment ID: I20040323000460 |
| Provider Name | Edward M Gilbert |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1003903923 PECOS PAC ID: 2365434669 Enrollment ID: I20040330000512 |
| Provider Name | Vicki L Jackman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154376077 PECOS PAC ID: 7416949755 Enrollment ID: I20040330000833 |
| Provider Name | Janet H Mueller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528158136 PECOS PAC ID: 5092707455 Enrollment ID: I20040402001131 |
| Provider Name | Nick Mamalis |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1750496220 PECOS PAC ID: 3971596289 Enrollment ID: I20040405000300 |
| Provider Name | Mark A Mckay |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1528149317 PECOS PAC ID: 4284627506 Enrollment ID: I20040405000347 |
| Provider Name | Mark D Mifflin |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1548350150 PECOS PAC ID: 9133033699 Enrollment ID: I20040405000371 |
| Provider Name | Donna S Dizon-townson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811918097 PECOS PAC ID: 1254324999 Enrollment ID: I20040407000652 |
| Provider Name | Barry M Stults |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1659461283 PECOS PAC ID: 1658364179 Enrollment ID: I20040408000240 |
| Provider Name | Scott Florell |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1689692576 PECOS PAC ID: 9931195708 Enrollment ID: I20040426000605 |
| Provider Name | Kimberly Ann Dumas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780709543 PECOS PAC ID: 0042207763 Enrollment ID: I20040426001801 |
| Provider Name | Bruce Bray |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1124118708 PECOS PAC ID: 9739175407 Enrollment ID: I20040427001450 |
| Provider Name | Roger A Freedman |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1790866580 PECOS PAC ID: 7416841697 Enrollment ID: I20040429000579 |
| Provider Name | Jerry D Walker |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1649238866 PECOS PAC ID: 6002804697 Enrollment ID: I20040503001395 |
| Provider Name | Douglas J Ballard |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013925197 PECOS PAC ID: 3173512399 Enrollment ID: I20040511001301 |
| Provider Name | Andrea M Schindler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114976537 PECOS PAC ID: 3375533722 Enrollment ID: I20040517000782 |
| Provider Name | Joseph L Hatch |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1720178320 PECOS PAC ID: 3173513587 Enrollment ID: I20040517001212 |
| Provider Name | Craig Smith |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1073694865 PECOS PAC ID: 9436149721 Enrollment ID: I20040518000201 |
| Provider Name | Bryan Vincent |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1982785770 PECOS PAC ID: 5890785091 Enrollment ID: I20040518000258 |
| Provider Name | Robert H Corry |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1891876686 PECOS PAC ID: 4284624404 Enrollment ID: I20040518000389 |
| Provider Name | Clair R Palmer |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1255412045 PECOS PAC ID: 7517948433 Enrollment ID: I20040526001570 |
| Provider Name | Terrence Bjordahl |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1710006408 PECOS PAC ID: 8527049089 Enrollment ID: I20040528001168 |
| Provider Name | Kathryn Ann Morton |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891885406 PECOS PAC ID: 2062494412 Enrollment ID: I20040601001201 |
| Provider Name | Esther L Kannapel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679523831 PECOS PAC ID: 6406838416 Enrollment ID: I20040603000671 |
| Provider Name | Heather A Hayes |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548350143 PECOS PAC ID: 7416854765 Enrollment ID: I20040603000742 |
| Provider Name | Anneli R Bowen |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1437175825 PECOS PAC ID: 7517949332 Enrollment ID: I20040604000703 |
| Provider Name | Michael B Strong |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154359594 PECOS PAC ID: 3870576283 Enrollment ID: I20040608000772 |
| Provider Name | Anne W Marceau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265482012 PECOS PAC ID: 6305829581 Enrollment ID: I20040609000762 |
| Provider Name | Stephen K Aoki |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295787323 PECOS PAC ID: 5890778096 Enrollment ID: I20040609000883 |
| Provider Name | Nancy C Rose |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902826159 PECOS PAC ID: 1759364482 Enrollment ID: I20040611001145 |
| Provider Name | Alicia K Crofts |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1700976396 PECOS PAC ID: 4486638343 Enrollment ID: I20040617000204 |
| Provider Name | Renee A Vadeboncoeur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659320240 PECOS PAC ID: 6901881309 Enrollment ID: I20040621000909 |
| Provider Name | Charles K Deweese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063506889 PECOS PAC ID: 9436135605 Enrollment ID: I20040628001055 |
| Provider Name | Glen R Morrell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174613780 PECOS PAC ID: 2961492822 Enrollment ID: I20040630000865 |
| Provider Name | Michael Sean Esplin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205916111 PECOS PAC ID: 7810974508 Enrollment ID: I20040630001058 |
| Provider Name | Brenda Mueggenborg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154371466 PECOS PAC ID: 5890772271 Enrollment ID: I20040702000692 |
| Provider Name | Laura Jane Cannon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568417376 PECOS PAC ID: 7214915677 Enrollment ID: I20040712000820 |
| Provider Name | Gerard S Doyle |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598855181 PECOS PAC ID: 5395724645 Enrollment ID: I20040719001319 |
| Provider Name | Gary A Kunkel |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1598855108 PECOS PAC ID: 8325028590 Enrollment ID: I20040720001433 |
| Provider Name | Girish Kalva |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821059544 PECOS PAC ID: 2769452937 Enrollment ID: I20040727000908 |
| Provider Name | Danielle Roussel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1760567440 PECOS PAC ID: 4981675261 Enrollment ID: I20040802000654 |
| Provider Name | Bhupendra C Patel |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1366436412 PECOS PAC ID: 8527039437 Enrollment ID: I20040804000659 |
| Provider Name | Kimberly M Ross |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174524862 PECOS PAC ID: 5698748184 Enrollment ID: I20040813000401 |
| Provider Name | Michael J Sossenheimer |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1508876350 PECOS PAC ID: 6608849112 Enrollment ID: I20040813000549 |
| Provider Name | Robert Langston |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1366557407 PECOS PAC ID: 5193799096 Enrollment ID: I20040825001199 |
| Provider Name | Paula J Woodward |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003808429 PECOS PAC ID: 1052395639 Enrollment ID: I20040826000680 |
| Provider Name | Adhish K Agarwal |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1164424750 PECOS PAC ID: 9234104621 Enrollment ID: I20040830000487 |
| Provider Name | Calla Holmgren |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194805002 PECOS PAC ID: 8022083385 Enrollment ID: I20040831000087 |
| Provider Name | Stuart E Willick |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1720169915 PECOS PAC ID: 3870569577 Enrollment ID: I20040903000475 |
| Provider Name | Robert L Randall |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073566717 PECOS PAC ID: 4385611334 Enrollment ID: I20040910000595 |
| Provider Name | Marquam R Oliver |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1760400865 PECOS PAC ID: 4183691868 Enrollment ID: I20040913000739 |
| Provider Name | Tricia Petzold |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043300668 PECOS PAC ID: 9032187067 Enrollment ID: I20040917000933 |
| Provider Name | John H Ward |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1831289420 PECOS PAC ID: 2769451616 Enrollment ID: I20040928000971 |
| Provider Name | George M Rodgers |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1578512190 PECOS PAC ID: 2466421177 Enrollment ID: I20040929000863 |
| Provider Name | Trece B Swanson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1386734911 PECOS PAC ID: 8527037241 Enrollment ID: I20040929000959 |
| Provider Name | Sandra Whitney |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1801823570 PECOS PAC ID: 9830158690 Enrollment ID: I20041007000180 |
| Provider Name | Terry D Box |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1235142985 PECOS PAC ID: 2466441282 Enrollment ID: I20041013000678 |
| Provider Name | Isaac Raymond Thomason |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1649282542 PECOS PAC ID: 0143219964 Enrollment ID: I20041013000758 |
| Provider Name | Jeanmarie Mayer |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1821188434 PECOS PAC ID: 6800856956 Enrollment ID: I20041013001202 |
| Provider Name | Ashok K Tuteja |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1366532996 PECOS PAC ID: 2668432469 Enrollment ID: I20041015000625 |
| Provider Name | Christopher C Tietze |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1811087448 PECOS PAC ID: 6002876802 Enrollment ID: I20041015000634 |
| Provider Name | Kathryn Anne Peterson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1225128846 PECOS PAC ID: 0244291672 Enrollment ID: I20041020000222 |
| Provider Name | Perla C Thulin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1902996531 PECOS PAC ID: 7517928401 Enrollment ID: I20041025000103 |
| Provider Name | John R Singleton |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1477580926 PECOS PAC ID: 7416918321 Enrollment ID: I20041025000202 |
| Provider Name | John E Greenlee |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093749657 PECOS PAC ID: 8820059421 Enrollment ID: I20041026000504 |
| Provider Name | Albert G Smith |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1548277197 PECOS PAC ID: 5496716003 Enrollment ID: I20041026000580 |
| Provider Name | James B Burns |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1962421321 PECOS PAC ID: 4486615036 Enrollment ID: I20041026000853 |
| Provider Name | David R Renner |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1396835914 PECOS PAC ID: 6204897861 Enrollment ID: I20041026000936 |
| Provider Name | Mark B Bromberg |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1164517009 PECOS PAC ID: 5890757421 Enrollment ID: I20041027000360 |
| Provider Name | Julia M Klein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669557351 PECOS PAC ID: 8325000961 Enrollment ID: I20041027000460 |
| Provider Name | Robert Bruce Burr |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1306895677 PECOS PAC ID: 3678560547 Enrollment ID: I20041027000559 |
| Provider Name | Susan K Baggaley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437249067 PECOS PAC ID: 8527020197 Enrollment ID: I20041027000696 |
| Provider Name | Kathleen B Digre |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1962592550 PECOS PAC ID: 1052373537 Enrollment ID: I20041027000807 |
| Provider Name | Julia A Batten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770673303 PECOS PAC ID: 1456313931 Enrollment ID: I20041027000860 |
| Provider Name | Judith Warner |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1659461242 PECOS PAC ID: 4789646274 Enrollment ID: I20041027000898 |
| Provider Name | John W Rose |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1912947086 PECOS PAC ID: 8426010935 Enrollment ID: I20041027001072 |
| Provider Name | John D Steffens |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1871683409 PECOS PAC ID: 0941262455 Enrollment ID: I20041027001103 |
| Provider Name | Douglas T Hutchinson |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1972557825 PECOS PAC ID: 9830151943 Enrollment ID: I20041101000860 |
| Provider Name | David J Petron |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1881775062 PECOS PAC ID: 3870555998 Enrollment ID: I20041101000909 |
| Provider Name | Harold K Dunn |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1225128812 PECOS PAC ID: 1759294085 Enrollment ID: I20041101000999 |
| Provider Name | Robert T Burks |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1124118716 PECOS PAC ID: 8022070150 Enrollment ID: I20041101001010 |
| Provider Name | Christopher L Peters |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1407946023 PECOS PAC ID: 7315909348 Enrollment ID: I20041101001075 |
| Provider Name | Timothy C Beals |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1306936935 PECOS PAC ID: 6901868942 Enrollment ID: I20041101001120 |
| Provider Name | Patrick E Greis |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1568552164 PECOS PAC ID: 3072575018 Enrollment ID: I20041101001132 |
| Provider Name | Darrel S Brodke |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1407800311 PECOS PAC ID: 9537121587 Enrollment ID: I20041101001215 |
| Provider Name | Thomas F Higgins |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1376598615 PECOS PAC ID: 8820050792 Enrollment ID: I20041102000977 |
| Provider Name | Awais Y Riaz |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1205926821 PECOS PAC ID: 5698740744 Enrollment ID: I20041103000210 |
| Provider Name | Lucy D Dewitt |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053401646 PECOS PAC ID: 3476459934 Enrollment ID: I20041105000954 |
| Provider Name | Hilary F Saunders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972553014 PECOS PAC ID: 3870556806 Enrollment ID: I20041110000346 |
| Provider Name | Manardie Shimata |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1720099542 PECOS PAC ID: 7113826504 Enrollment ID: I20041111000940 |
| Provider Name | Sara M Lamb |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134219744 PECOS PAC ID: 3971567983 Enrollment ID: I20041118000341 |
| Provider Name | Chakravarthy B Reddy |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1508962176 PECOS PAC ID: 1456318807 Enrollment ID: I20041216000839 |
| Provider Name | Courtney H Crombie |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1619067204 PECOS PAC ID: 1456319334 Enrollment ID: I20041222000814 |
| Provider Name | William B Rockwell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841380466 PECOS PAC ID: 8527026400 Enrollment ID: I20041222000828 |
| Provider Name | Laura M Burton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942390539 PECOS PAC ID: 4082672795 Enrollment ID: I20041228000856 |
| Provider Name | Hugh F Harnsberger |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1013004068 PECOS PAC ID: 5698733293 Enrollment ID: I20041229000564 |
| Provider Name | Christopher R Miller |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1619084415 PECOS PAC ID: 3173581485 Enrollment ID: I20050103000412 |
| Provider Name | Norman A Zabriskie |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1063502656 PECOS PAC ID: 4183672330 Enrollment ID: I20050105000251 |
| Provider Name | Alan K Morgan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1437230224 PECOS PAC ID: 3971551748 Enrollment ID: I20050107000727 |
| Provider Name | Gordon S Park |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881784403 PECOS PAC ID: 7113975889 Enrollment ID: I20050110000396 |
| Provider Name | Sumati V Gupta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003906603 PECOS PAC ID: 6901854678 Enrollment ID: I20050110000424 |
| Provider Name | Devaprabu J Abraham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528158144 PECOS PAC ID: 4981652690 Enrollment ID: I20050110000768 |
| Provider Name | Albert T Vitale |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1497832232 PECOS PAC ID: 3375591092 Enrollment ID: I20050110000837 |
| Provider Name | Walter Karl Townson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548350176 PECOS PAC ID: 9032167564 Enrollment ID: I20050111000489 |
| Provider Name | Theresa Marie Fought |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1942390547 PECOS PAC ID: 4789632274 Enrollment ID: I20050111000897 |
| Provider Name | Michael B Noyes |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538173612 PECOS PAC ID: 6204885478 Enrollment ID: I20050113001104 |
| Provider Name | Theodore S Paisley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952415556 PECOS PAC ID: 3072562826 Enrollment ID: I20050119000262 |
| Provider Name | Nancy L Mclaughlin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184633661 PECOS PAC ID: 2365491032 Enrollment ID: I20050120000117 |
| Provider Name | Richard W Kendall |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1508956103 PECOS PAC ID: 4284684531 Enrollment ID: I20050125000796 |
| Provider Name | William A Dunson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134219728 PECOS PAC ID: 7416907605 Enrollment ID: I20050125001157 |
| Provider Name | Thomas L Miller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356431969 PECOS PAC ID: 8325098510 Enrollment ID: I20050125001158 |
| Provider Name | Abinash C Roy |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1295825818 PECOS PAC ID: 8921059544 Enrollment ID: I20050201000530 |
| Provider Name | Zuzana Stehlikova |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1841387297 PECOS PAC ID: 4981591138 Enrollment ID: I20050202001067 |
| Provider Name | John C Carey |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568541035 PECOS PAC ID: 6305897760 Enrollment ID: I20050203000239 |
| Provider Name | Harry R Hill |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366532962 PECOS PAC ID: 5395796148 Enrollment ID: I20050209000297 |
| Provider Name | Nicola Longo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275612749 PECOS PAC ID: 4183675937 Enrollment ID: I20050209000327 |
| Provider Name | Timothy L Gibbons |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1700967593 PECOS PAC ID: 2668423393 Enrollment ID: I20050209001034 |
| Provider Name | Andrew T Pavia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417047036 PECOS PAC ID: 5496707028 Enrollment ID: I20050211000377 |
| Provider Name | Mitchell Reid Udy |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1134174543 PECOS PAC ID: 7113979766 Enrollment ID: I20050211000517 |
| Provider Name | Marie F Couldwell |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1083793558 PECOS PAC ID: 0042262214 Enrollment ID: I20050216000118 |
| Provider Name | David Viskochil |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760561336 PECOS PAC ID: 1759333925 Enrollment ID: I20050216000134 |
| Provider Name | Daniel P Vezina |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1487744074 PECOS PAC ID: 7517919665 Enrollment ID: I20050216000802 |
| Provider Name | Margaret Rosati Allen |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1649337973 PECOS PAC ID: 6507818432 Enrollment ID: I20050218000247 |
| Provider Name | Angela Deneris |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1235229824 PECOS PAC ID: 9931151883 Enrollment ID: I20050218000377 |
| Provider Name | Ann P Hutton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437249034 PECOS PAC ID: 7012969967 Enrollment ID: I20050218000385 |
| Provider Name | Robert E Jones |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1427148022 PECOS PAC ID: 1355394636 Enrollment ID: I20050226000080 |
| Provider Name | Alfred W Meikle |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1285724898 PECOS PAC ID: 3072566355 Enrollment ID: I20050226000083 |
| Provider Name | Martin C Gregory |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1912926049 PECOS PAC ID: 0345293627 Enrollment ID: I20050226000091 |
| Provider Name | David K Gaffney |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1932289840 PECOS PAC ID: 1254384530 Enrollment ID: I20050226000092 |
| Provider Name | Dennis C Shrieve |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1275580961 PECOS PAC ID: 5799738076 Enrollment ID: I20050226000097 |
| Provider Name | Ying J Hitchcock |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1386724292 PECOS PAC ID: 7517910896 Enrollment ID: I20050226000099 |
| Provider Name | Bernadett O Kiraly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508956111 PECOS PAC ID: 0042263287 Enrollment ID: I20050228000520 |
| Provider Name | Jill Richardson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1942390562 PECOS PAC ID: 4587618640 Enrollment ID: I20050310000948 |
| Provider Name | Charles J Parker |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1790735686 PECOS PAC ID: 2163477100 Enrollment ID: I20050314000224 |
| Provider Name | Byron R Bankhead |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1225128853 PECOS PAC ID: 7214982602 Enrollment ID: I20050318000181 |
| Provider Name | Bernadette J Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578653101 PECOS PAC ID: 1456306844 Enrollment ID: I20050318000221 |
| Provider Name | Geoffrey C Tabin |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1912097544 PECOS PAC ID: 7719932136 Enrollment ID: I20050318000522 |
| Provider Name | Meic Schmidt |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1740365436 PECOS PAC ID: 8123073483 Enrollment ID: I20050318000844 |
| Provider Name | William Tupper Couldwell |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1265522858 PECOS PAC ID: 9739134008 Enrollment ID: I20050318000877 |
| Provider Name | Joel D Macdonald |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1487744090 PECOS PAC ID: 5991750267 Enrollment ID: I20050318000883 |
| Provider Name | Rodney Badger |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1003874439 PECOS PAC ID: 2567418494 Enrollment ID: I20050323001448 |
| Provider Name | Frederic C Clayton |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1366532954 PECOS PAC ID: 3274580204 Enrollment ID: I20050401000591 |
| Provider Name | Collin G Cowley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598844169 PECOS PAC ID: 6800843780 Enrollment ID: I20050402000028 |
| Provider Name | Andrea N Smith |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831155746 PECOS PAC ID: 1759293392 Enrollment ID: I20050412000947 |
| Provider Name | Jeffrey D Olpin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609966225 PECOS PAC ID: 2365489861 Enrollment ID: I20050415000640 |
| Provider Name | Edwin A Stevens |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1922198555 PECOS PAC ID: 0941247381 Enrollment ID: I20050416000097 |
| Provider Name | Cheryl A Walczak |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891875704 PECOS PAC ID: 8325085715 Enrollment ID: I20050418000254 |
| Provider Name | Richard M Craig |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1174613764 PECOS PAC ID: 1355389941 Enrollment ID: I20050423000095 |
| Provider Name | Dorothy L Williams |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1619992708 PECOS PAC ID: 3173561669 Enrollment ID: I20050425000867 |
| Provider Name | Johannes Fredrik Grimmer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477643070 PECOS PAC ID: 0143269365 Enrollment ID: I20050427001019 |
| Provider Name | Colleen M Schubach |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1164503959 PECOS PAC ID: 3072553445 Enrollment ID: I20050504001071 |
| Provider Name | David W Smith |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1811076383 PECOS PAC ID: 0143260539 Enrollment ID: I20050504001271 |
| Provider Name | Alexandra Eller |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922188838 PECOS PAC ID: 7214977628 Enrollment ID: I20050505000200 |
| Provider Name | Nathan A Wanner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720167299 PECOS PAC ID: 3779523568 Enrollment ID: I20050511000552 |
| Provider Name | John R Weis |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1912097502 PECOS PAC ID: 1658311394 Enrollment ID: I20050511001015 |
| Provider Name | John A Doane |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871683466 PECOS PAC ID: 8022058775 Enrollment ID: I20050511001081 |
| Provider Name | Jonathan P Boltax |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1629023692 PECOS PAC ID: 3577504695 Enrollment ID: I20050519000283 |
| Provider Name | Ellen H Guthrie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497868392 PECOS PAC ID: 2365484755 Enrollment ID: I20050525001065 |
| Provider Name | Shane E Brogan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1851481436 PECOS PAC ID: 7416999313 Enrollment ID: I20050601000233 |
| Provider Name | Josef Stehlik |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1558458992 PECOS PAC ID: 9335182179 Enrollment ID: I20050602001162 |
| Provider Name | Blake Douglas Hamilton |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1912097510 PECOS PAC ID: 8325082316 Enrollment ID: I20050610000235 |
| Provider Name | Lois Luann Minich |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578642146 PECOS PAC ID: 9537103502 Enrollment ID: I20050610000887 |
| Provider Name | Wade S Samowitz |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1912097536 PECOS PAC ID: 7214971415 Enrollment ID: I20050617001036 |
| Provider Name | Charles E Galaviz |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1831276740 PECOS PAC ID: 1153212881 Enrollment ID: I20050630001003 |
| Provider Name | Carole A Baraldi |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1891704698 PECOS PAC ID: 0840236329 Enrollment ID: I20050706000832 |
| Provider Name | Jean N Tabin |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1821188459 PECOS PAC ID: 8224004916 Enrollment ID: I20050722000776 |
| Provider Name | Gregory Shane Jessen |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1548349251 PECOS PAC ID: 6507894177 Enrollment ID: I20050803001115 |
| Provider Name | Celeste R Thomas |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1285724815 PECOS PAC ID: 4486683075 Enrollment ID: I20050804000134 |
| Provider Name | Lorraine C Novich-welter |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1497741383 PECOS PAC ID: 6608805577 Enrollment ID: I20050810001161 |
| Provider Name | Scott E Mcintosh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255427738 PECOS PAC ID: 6305898255 Enrollment ID: I20050826000881 |
| Provider Name | John Hoffman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922195973 PECOS PAC ID: 0941231997 Enrollment ID: I20050830000118 |
| Provider Name | Robert A Stephenson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1932285426 PECOS PAC ID: 6002849056 Enrollment ID: I20050912000544 |
| Provider Name | Dustin Eric Coyle |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1194777235 PECOS PAC ID: 9032142807 Enrollment ID: I20050913000316 |
| Provider Name | Deanne Long |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023087343 PECOS PAC ID: 1355374091 Enrollment ID: I20050914000324 |
| Provider Name | Peter P Taillac |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467414581 PECOS PAC ID: 3173557006 Enrollment ID: I20050921000112 |
| Provider Name | Julie L O'brien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669551131 PECOS PAC ID: 9830123074 Enrollment ID: I20050927000066 |
| Provider Name | Carol R Tanner |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417019456 PECOS PAC ID: 8224063458 Enrollment ID: I20050927000951 |
| Provider Name | Denise L Jost |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336239938 PECOS PAC ID: 4385679000 Enrollment ID: I20050930000844 |
| Provider Name | David H Odell |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1437232725 PECOS PAC ID: 2264467554 Enrollment ID: I20051005001041 |
| Provider Name | Lee S Moss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619067220 PECOS PAC ID: 0446275762 Enrollment ID: I20051005001298 |
| Provider Name | Sean J Mulvihill |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1346330958 PECOS PAC ID: 1254356579 Enrollment ID: I20051005001307 |
| Provider Name | Edward W Nelson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518057124 PECOS PAC ID: 5698790913 Enrollment ID: I20051005001324 |
| Provider Name | Courtney L Scaife |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1093805616 PECOS PAC ID: 0345265609 Enrollment ID: I20051006000354 |
| Provider Name | Lyska L Emerson |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1770673360 PECOS PAC ID: 2062437320 Enrollment ID: I20051006000368 |
| Provider Name | Daniel J Vargo |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1801803630 PECOS PAC ID: 4789609058 Enrollment ID: I20051006000381 |
| Provider Name | Hong Zhou |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881784478 PECOS PAC ID: 8224053509 Enrollment ID: I20051006000474 |
| Provider Name | Kathleen G Miller |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1740221738 PECOS PAC ID: 0840215125 Enrollment ID: I20051006000505 |
| Provider Name | Michael Adjei-poku |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1528050465 PECOS PAC ID: 2769407725 Enrollment ID: I20051008000117 |
| Provider Name | Amy Lowichik |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1841380458 PECOS PAC ID: 1254356017 Enrollment ID: I20051011000314 |
| Provider Name | Robert J Farney |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1841386513 PECOS PAC ID: 6103842570 Enrollment ID: I20051015000145 |
| Provider Name | Michael N Behrens |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1033209663 PECOS PAC ID: 3375569569 Enrollment ID: I20051017001103 |
| Provider Name | Richard G Barton |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1043300676 PECOS PAC ID: 0345266532 Enrollment ID: I20051017001136 |
| Provider Name | Edward James Kimball |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699865204 PECOS PAC ID: 9335165521 Enrollment ID: I20051017001141 |
| Provider Name | Claudia G Gerard |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1750471355 PECOS PAC ID: 4789600982 Enrollment ID: I20051018000075 |
| Provider Name | Charles L Saltzman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1962583146 PECOS PAC ID: 2567488125 Enrollment ID: I20051021000928 |
| Provider Name | Theodore J Pysher |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497845010 PECOS PAC ID: 1557388816 Enrollment ID: I20051026001227 |
| Provider Name | Frederick L Gottlieb |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174532931 PECOS PAC ID: 9335053263 Enrollment ID: I20051026001229 |
| Provider Name | David Andrew Bull |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1497845085 PECOS PAC ID: 4587681655 Enrollment ID: I20051027000971 |
| Provider Name | Walter H Reichert |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1427055615 PECOS PAC ID: 4284652157 Enrollment ID: I20051109000456 |
| Provider Name | Roger P Harrie |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1982639787 PECOS PAC ID: 1850319609 Enrollment ID: I20051109001237 |
| Provider Name | Michael P Teske |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1376633909 PECOS PAC ID: 0446279962 Enrollment ID: I20051114001261 |
| Provider Name | John D Kriesel |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1780774398 PECOS PAC ID: 3678592862 Enrollment ID: I20051116000945 |
| Provider Name | Cherie Pratt Brunker |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1215039961 PECOS PAC ID: 5294754487 Enrollment ID: I20051116000962 |
| Provider Name | Barbara S Day |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1356668438 PECOS PAC ID: 1153340971 Enrollment ID: I20051121001066 |
| Provider Name | Xylina T Gregg |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1972554459 PECOS PAC ID: 4183606189 Enrollment ID: I20051222000283 |
| Provider Name | Larry G Reimer |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1750314373 PECOS PAC ID: 2769404409 Enrollment ID: I20051222000303 |
| Provider Name | Robert O Hoffman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992895593 PECOS PAC ID: 4587686928 Enrollment ID: I20051228000490 |
| Provider Name | Kristin M Leiferman |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1619064110 PECOS PAC ID: 9436171782 Enrollment ID: I20051229000622 |
| Provider Name | Glenn K Schemmer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1689628992 PECOS PAC ID: 7517989734 Enrollment ID: I20051230000363 |
| Provider Name | Harlan R Muntz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255421863 PECOS PAC ID: 5193747350 Enrollment ID: I20051230000654 |
| Provider Name | Clough Shelton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891885414 PECOS PAC ID: 8426070558 Enrollment ID: I20060103000613 |
| Provider Name | William Kutchera |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1649298928 PECOS PAC ID: 5294758090 Enrollment ID: I20060106000771 |
| Provider Name | Bradford D Hare |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1215012992 PECOS PAC ID: 3678596491 Enrollment ID: I20060107000031 |
| Provider Name | Perry G Fine |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1861582462 PECOS PAC ID: 6002839826 Enrollment ID: I20060107000054 |
| Provider Name | Kim Y Taylor |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1649360272 PECOS PAC ID: 9537182357 Enrollment ID: I20060107000070 |
| Provider Name | Marshall E Smith |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154411783 PECOS PAC ID: 9739102492 Enrollment ID: I20060109000453 |
| Provider Name | Mark R Sarfati |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1467542084 PECOS PAC ID: 0648293241 Enrollment ID: I20060110000563 |
| Provider Name | Mark A Supiano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083638308 PECOS PAC ID: 2769405372 Enrollment ID: I20060110000639 |
| Provider Name | Christopher B Dechet |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1538271861 PECOS PAC ID: 7416911227 Enrollment ID: I20060110000648 |
| Provider Name | Kristen L Carroll |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1366407488 PECOS PAC ID: 2466475074 Enrollment ID: I20060110000661 |
| Provider Name | Christof Westenfelder |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1730279324 PECOS PAC ID: 8527081132 Enrollment ID: I20060110000689 |
| Provider Name | Jeffrey D Swenson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1194815720 PECOS PAC ID: 8022031509 Enrollment ID: I20060111000100 |
| Provider Name | Joseph Brent Muhlestein |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1689683435 PECOS PAC ID: 7012930449 Enrollment ID: I20060111000643 |
| Provider Name | Thomas S Weed |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982627758 PECOS PAC ID: 3678596970 Enrollment ID: I20060112000853 |
| Provider Name | Larry Kraiss |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1962592576 PECOS PAC ID: 1052335254 Enrollment ID: I20060113000758 |
| Provider Name | Alfred K Cheung |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1811087406 PECOS PAC ID: 6507880721 Enrollment ID: I20060113000947 |
| Provider Name | Paul Douglas Thielking |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1124036595 PECOS PAC ID: 7416848007 Enrollment ID: I20060114000051 |
| Provider Name | Michael L Broadbent |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1285684050 PECOS PAC ID: 4880618016 Enrollment ID: I20060114000081 |
| Provider Name | Norman L Foster |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1033209630 PECOS PAC ID: 8527082767 Enrollment ID: I20060116000069 |
| Provider Name | David C Dries |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407946098 PECOS PAC ID: 8527082585 Enrollment ID: I20060118000339 |
| Provider Name | Srinivasa Beddhu |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1124118757 PECOS PAC ID: 9234153966 Enrollment ID: I20060120000778 |
| Provider Name | Suzanne O Ware |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1083867931 PECOS PAC ID: 9638193139 Enrollment ID: I20060124000367 |
| Provider Name | Brenda L Mussells |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1407095110 PECOS PAC ID: 3678597010 Enrollment ID: I20060124000751 |
| Provider Name | Shelly J Reed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124118740 PECOS PAC ID: 2567486913 Enrollment ID: I20060124000790 |
| Provider Name | Paul J Shami |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1992895510 PECOS PAC ID: 9931113818 Enrollment ID: I20060131000088 |
| Provider Name | Susan V Basta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952491581 PECOS PAC ID: 9931113636 Enrollment ID: I20060202000111 |
| Provider Name | Don L Stromquist |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1841240330 PECOS PAC ID: 6507871613 Enrollment ID: I20060213000059 |
| Provider Name | Sean E Mcmillan |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1558353821 PECOS PAC ID: 5799790747 Enrollment ID: I20060213000069 |
| Provider Name | Regina E Rosenthal |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1801939582 PECOS PAC ID: 6800802125 Enrollment ID: I20060223000675 |
| Provider Name | Elizabeth M Prystas |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1265526131 PECOS PAC ID: 5698781912 Enrollment ID: I20060223000700 |
| Provider Name | Cheryl Lynn Green |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063452225 PECOS PAC ID: 8729094883 Enrollment ID: I20060227000350 |
| Provider Name | Katy Y Fu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679663272 PECOS PAC ID: 9830105618 Enrollment ID: I20060302000722 |
| Provider Name | Adiseshu V Gundlapalli |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1194815795 PECOS PAC ID: 5092722553 Enrollment ID: I20060308000882 |
| Provider Name | Joshua M Zimmerman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1619921087 PECOS PAC ID: 4688681398 Enrollment ID: I20060321000176 |
| Provider Name | Edward Y Zamrini |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1578587895 PECOS PAC ID: 5294743639 Enrollment ID: I20060328000108 |
| Provider Name | Richard J Sperry |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1497830178 PECOS PAC ID: 8921016106 Enrollment ID: I20060329000655 |
| Provider Name | Jeffrey K Lu |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1750471363 PECOS PAC ID: 1850300617 Enrollment ID: I20060406000444 |
| Provider Name | Josephine D Abraham |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1942260229 PECOS PAC ID: 7517977416 Enrollment ID: I20060421000133 |
| Provider Name | Corey Sigi Ames |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427039114 PECOS PAC ID: 8527078773 Enrollment ID: I20060502000658 |
| Provider Name | Talmage D Egan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1861582454 PECOS PAC ID: 6901817766 Enrollment ID: I20060509000390 |
| Provider Name | Kristine B Kokeny |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1972557882 PECOS PAC ID: 9032121546 Enrollment ID: I20060628000070 |
| Provider Name | Brent Donald Wilson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1831121938 PECOS PAC ID: 3971516303 Enrollment ID: I20060801000124 |
| Provider Name | Jessica L Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982638250 PECOS PAC ID: 6800899170 Enrollment ID: I20060808000032 |
| Provider Name | Natalie A Sanders |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1811949001 PECOS PAC ID: 3577566702 Enrollment ID: I20060808000566 |
| Provider Name | Claudia Goulston |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1063464360 PECOS PAC ID: 5991708125 Enrollment ID: I20060808000604 |
| Provider Name | Nathan T Rich |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1396778148 PECOS PAC ID: 4284637976 Enrollment ID: I20060818000285 |
| Provider Name | Karen Ann Madigan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1740213602 PECOS PAC ID: 0244235299 Enrollment ID: I20060925000558 |
| Provider Name | Joan Karen Van Atta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497768279 PECOS PAC ID: 7618972472 Enrollment ID: I20060929000059 |
| Provider Name | Jason P Hunt |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1053334805 PECOS PAC ID: 9335180546 Enrollment ID: I20061002000125 |
| Provider Name | Marta Elise Heilbrun |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447204672 PECOS PAC ID: 0547298804 Enrollment ID: I20061002000701 |
| Provider Name | Douglas Graham Adler |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1891748687 PECOS PAC ID: 7416938329 Enrollment ID: I20061009000229 |
| Provider Name | Michael W Boyer |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1598763112 PECOS PAC ID: 0648276956 Enrollment ID: I20061010000461 |
| Provider Name | Josef T Prchal |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1427008341 PECOS PAC ID: 7618973926 Enrollment ID: I20061010000482 |
| Provider Name | Clint L Christensen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1174576961 PECOS PAC ID: 4880690841 Enrollment ID: I20061013000509 |
| Provider Name | Michael J Penrod |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346294717 PECOS PAC ID: 6608873245 Enrollment ID: I20061025000067 |
| Provider Name | Nassir F. Marrouche |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1881708295 PECOS PAC ID: 2860499191 Enrollment ID: I20061031000073 |
| Provider Name | Erin Anne Clark |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457305757 PECOS PAC ID: 9335147354 Enrollment ID: I20061129000133 |
| Provider Name | Jessica A Walsh |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1467465401 PECOS PAC ID: 5799784658 Enrollment ID: I20061204000551 |
| Provider Name | Debra J Wing |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134228166 PECOS PAC ID: 4183623994 Enrollment ID: I20061205000269 |
| Provider Name | William R Howell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528011327 PECOS PAC ID: 0244239994 Enrollment ID: I20061207000212 |
| Provider Name | Deanna M Allred |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295823417 PECOS PAC ID: 8022018761 Enrollment ID: I20070103000457 |
| Provider Name | Michael Wallis |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1558384388 PECOS PAC ID: 6406856046 Enrollment ID: I20070105000192 |
| Provider Name | Julie B Luckart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831296508 PECOS PAC ID: 0042210312 Enrollment ID: I20070110000539 |
| Provider Name | Robert H Andtbacka |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1215042288 PECOS PAC ID: 8123918646 Enrollment ID: I20070112000198 |
| Provider Name | Harry Oshin Senekjian |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1760484596 PECOS PAC ID: 7618874959 Enrollment ID: I20070122000193 |
| Provider Name | Ting Liu |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1205926813 PECOS PAC ID: 8628079936 Enrollment ID: I20070129000317 |
| Provider Name | Amie S Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144396235 PECOS PAC ID: 1759382989 Enrollment ID: I20070130000696 |
| Provider Name | Robert Z Tashjian |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1659300044 PECOS PAC ID: 1951363100 Enrollment ID: I20070207000435 |
| Provider Name | Shannon Liz Tilly |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093767196 PECOS PAC ID: 2668474404 Enrollment ID: I20070208000131 |
| Provider Name | Ulrich A Rassner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619921897 PECOS PAC ID: 7911909577 Enrollment ID: I20070209000622 |
| Provider Name | Robert C Pendleton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851314132 PECOS PAC ID: 1254331556 Enrollment ID: I20070215000329 |
| Provider Name | Lisa Doyle |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255304408 PECOS PAC ID: 0446287627 Enrollment ID: I20070215000749 |
| Provider Name | Harriet W Hopf |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1124084140 PECOS PAC ID: 8022110998 Enrollment ID: I20070223000100 |
| Provider Name | Sean T Runnels |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1528104916 PECOS PAC ID: 8224927603 Enrollment ID: I20070226000312 |
| Provider Name | William R Barlow |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1265534853 PECOS PAC ID: 1355444654 Enrollment ID: I20070306000702 |
| Provider Name | Robert Paine |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700968229 PECOS PAC ID: 8022114172 Enrollment ID: I20070507000107 |
| Provider Name | Theresa L Werner |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1275652000 PECOS PAC ID: 7315043403 Enrollment ID: I20070507000353 |
| Provider Name | Neeraj Agarwal |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1417078221 PECOS PAC ID: 0840396933 Enrollment ID: I20070507000370 |
| Provider Name | Matthew T Rondina |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1538183991 PECOS PAC ID: 8224135819 Enrollment ID: I20070516000025 |
| Provider Name | Arsalan N Habib |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1942336938 PECOS PAC ID: 8325145493 Enrollment ID: I20070524000340 |
| Provider Name | Elizabeth Thackeray |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1477676518 PECOS PAC ID: 2062510373 Enrollment ID: I20070611000467 |
| Provider Name | Mohamed E Salama |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1184721854 PECOS PAC ID: 9830297076 Enrollment ID: I20070612000123 |
| Provider Name | Rachael S Jacoby |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265659213 PECOS PAC ID: 1052419199 Enrollment ID: I20070613000275 |
| Provider Name | Susan Marie Rose |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518088087 PECOS PAC ID: 0547368631 Enrollment ID: I20070613000716 |
| Provider Name | David M Dyer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346329042 PECOS PAC ID: 3375641301 Enrollment ID: I20070614000187 |
| Provider Name | Scott C Tadler |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1740329762 PECOS PAC ID: 2567562325 Enrollment ID: I20070709000311 |
| Provider Name | Michelle L Litchman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518045806 PECOS PAC ID: 3779683032 Enrollment ID: I20070716000494 |
| Provider Name | Florian Nickisch |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1598748725 PECOS PAC ID: 1153381595 Enrollment ID: I20070723000121 |
| Provider Name | Russell G Vinik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295825883 PECOS PAC ID: 4183725005 Enrollment ID: I20070723000426 |
| Provider Name | Peter S Liu |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1124091152 PECOS PAC ID: 3072614924 Enrollment ID: I20070723000619 |
| Provider Name | Jeffrey D Dillon |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1013054295 PECOS PAC ID: 4183725948 Enrollment ID: I20070723000802 |
| Provider Name | Jennifer A Decou |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1508984162 PECOS PAC ID: 3173624939 Enrollment ID: I20070723000810 |
| Provider Name | Heather Donahoe Campbell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700860350 PECOS PAC ID: 1658472352 Enrollment ID: I20070725000324 |
| Provider Name | Abigail Rizk |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1487733986 PECOS PAC ID: 0143311373 Enrollment ID: I20070802000398 |
| Provider Name | Mir Mustafa Mir Kasimov |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1841401155 PECOS PAC ID: 7911098892 Enrollment ID: I20070807000310 |
| Provider Name | Jeffrey S Anderson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194848697 PECOS PAC ID: 0749371284 Enrollment ID: I20070813000215 |
| Provider Name | Christopher James Hanrahan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659406288 PECOS PAC ID: 9739271685 Enrollment ID: I20070822001561 |
| Provider Name | James L Beson |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1114916178 PECOS PAC ID: 3274626734 Enrollment ID: I20070829000891 |
| Provider Name | Jayant P Agarwal |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1508878372 PECOS PAC ID: 0749286144 Enrollment ID: I20070906000591 |
| Provider Name | Cori A Agarwal |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306978960 PECOS PAC ID: 1052404001 Enrollment ID: I20070906000605 |
| Provider Name | Edward P Quigley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1881717338 PECOS PAC ID: 3375636301 Enrollment ID: I20070907000423 |
| Provider Name | Julia F Whitaker |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1437184058 PECOS PAC ID: 2264495621 Enrollment ID: I20070910000484 |
| Provider Name | Tracy Frech |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1831215227 PECOS PAC ID: 1759474356 Enrollment ID: I20070912000153 |
| Provider Name | Maryam Rezvani |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770701542 PECOS PAC ID: 1658465976 Enrollment ID: I20070918000291 |
| Provider Name | Loida M Viera Hutchins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639369853 PECOS PAC ID: 2769576768 Enrollment ID: I20070921000268 |
| Provider Name | Anwar Tandar |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1154538148 PECOS PAC ID: 1456446756 Enrollment ID: I20071002000305 |
| Provider Name | Berkeley Roy Hanson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932121787 PECOS PAC ID: 3476559758 Enrollment ID: I20071002000536 |
| Provider Name | Scott T Youngquist |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134168701 PECOS PAC ID: 5294782827 Enrollment ID: I20071004000154 |
| Provider Name | Curry L Koening |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1821158593 PECOS PAC ID: 6002902673 Enrollment ID: I20071011000564 |
| Provider Name | Katherine P Supiano |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548321763 PECOS PAC ID: 2769578277 Enrollment ID: I20071015000230 |
| Provider Name | Raminder Nirula |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1497707178 PECOS PAC ID: 5395733745 Enrollment ID: I20071015000413 |
| Provider Name | Jane M Porretta |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1710923966 PECOS PAC ID: 7113927468 Enrollment ID: I20071102000083 |
| Provider Name | Monica Patricia Revelo Penafiel |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1821018292 PECOS PAC ID: 4385622901 Enrollment ID: I20071103000022 |
| Provider Name | Larry S Green |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1982635843 PECOS PAC ID: 5799875498 Enrollment ID: I20071219000134 |
| Provider Name | William J Peche |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1578766820 PECOS PAC ID: 0345330759 Enrollment ID: I20071220000720 |
| Provider Name | Philip A Kithas |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1124059837 PECOS PAC ID: 3375633654 Enrollment ID: I20071227000117 |
| Provider Name | Mary T Towns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174713788 PECOS PAC ID: 9931289733 Enrollment ID: I20080107000389 |
| Provider Name | Holli D Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083802326 PECOS PAC ID: 7214017029 Enrollment ID: I20080107000464 |
| Provider Name | Susanna R Cohen |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1033391552 PECOS PAC ID: 1456433861 Enrollment ID: I20080124000159 |
| Provider Name | Elizabeth Demos Nicholson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245262229 PECOS PAC ID: 6103821459 Enrollment ID: I20080128000274 |
| Provider Name | Patrick C Cartwright |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1467542050 PECOS PAC ID: 7719969419 Enrollment ID: I20080220000691 |
| Provider Name | Ben S Chortkoff |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1114960978 PECOS PAC ID: 3678657459 Enrollment ID: I20080304000093 |
| Provider Name | Lorenzo Botto |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982819645 PECOS PAC ID: 4880779982 Enrollment ID: I20080313000484 |
| Provider Name | Elizabeth R Garcia-leavitt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912108515 PECOS PAC ID: 5395820336 Enrollment ID: I20080314000246 |
| Provider Name | Amanda S Al-khudairi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861613242 PECOS PAC ID: 1658457676 Enrollment ID: I20080331000338 |
| Provider Name | William H Barry |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1134219769 PECOS PAC ID: 8224115985 Enrollment ID: I20080404000274 |
| Provider Name | Fraser G Macfarlane |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1811185887 PECOS PAC ID: 9032207469 Enrollment ID: I20080409000155 |
| Provider Name | Jonathan D Tward |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1144415969 PECOS PAC ID: 8123106036 Enrollment ID: I20080417000394 |
| Provider Name | Mark J Harris |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1902996507 PECOS PAC ID: 1052499332 Enrollment ID: I20080428000322 |
| Provider Name | Isaac J Bingham |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144411489 PECOS PAC ID: 4880772029 Enrollment ID: I20080429000172 |
| Provider Name | Scott J Samuelson |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1922288588 PECOS PAC ID: 3971682964 Enrollment ID: I20080501000501 |
| Provider Name | Andrew Freeman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376720326 PECOS PAC ID: 9931278231 Enrollment ID: I20080513000135 |
| Provider Name | Lubdha M Shah |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902955255 PECOS PAC ID: 0244268951 Enrollment ID: I20080513000155 |
| Provider Name | Philip N Gnadinger |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1366629073 PECOS PAC ID: 0648340919 Enrollment ID: I20080529000854 |
| Provider Name | Joshua Wb Klatt |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1063683209 PECOS PAC ID: 7911077102 Enrollment ID: I20080530000121 |
| Provider Name | Robert M Christiansen |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1114991841 PECOS PAC ID: 4385714070 Enrollment ID: I20080606000657 |
| Provider Name | Kevin B Jones |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1750599114 PECOS PAC ID: 4789755943 Enrollment ID: I20080616000151 |
| Provider Name | Gitana Staskus |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1790842706 PECOS PAC ID: 0042225286 Enrollment ID: I20080624000373 |
| Provider Name | Luke O Buchmann |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1871657056 PECOS PAC ID: 2365534534 Enrollment ID: I20080703000595 |
| Provider Name | Janna L Mann |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972763282 PECOS PAC ID: 4688747165 Enrollment ID: I20080716000416 |
| Provider Name | Karla L Miller |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1861671059 PECOS PAC ID: 3173696218 Enrollment ID: I20080722000579 |
| Provider Name | Patrick G Bakke |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1154366656 PECOS PAC ID: 4183659527 Enrollment ID: I20080723000593 |
| Provider Name | Marcellus Saka Assiago |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1235348897 PECOS PAC ID: 2365516812 Enrollment ID: I20080801000371 |
| Provider Name | Holly Ledyard |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1376651182 PECOS PAC ID: 7810994191 Enrollment ID: I20080806000694 |
| Provider Name | Craig H Selzman |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1902991144 PECOS PAC ID: 6406921071 Enrollment ID: I20080815000347 |
| Provider Name | Kimberly E Hanson |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1093878860 PECOS PAC ID: 2567484298 Enrollment ID: I20080815000357 |
| Provider Name | Rodney R Miles |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1750577417 PECOS PAC ID: 4789759192 Enrollment ID: I20080820000149 |
| Provider Name | Jennifer Majersik |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1114017134 PECOS PAC ID: 9739119884 Enrollment ID: I20080822000422 |
| Provider Name | Kristi J Smock |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1255510285 PECOS PAC ID: 6507932555 Enrollment ID: I20080828000012 |
| Provider Name | Stefan M Pulst |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1447376629 PECOS PAC ID: 4789750670 Enrollment ID: I20080828000424 |
| Provider Name | Elke A Jarboe |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1326229311 PECOS PAC ID: 1557437456 Enrollment ID: I20080828000492 |
| Provider Name | Angelica R Putnam |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1083760607 PECOS PAC ID: 7012083918 Enrollment ID: I20080828000574 |
| Provider Name | Marion Mcdevitt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750307294 PECOS PAC ID: 1153325451 Enrollment ID: I20080909000336 |
| Provider Name | Joshua D Schiffman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639361314 PECOS PAC ID: 7618864349 Enrollment ID: I20080917000123 |
| Provider Name | Niki Lynn Barwick |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1952571465 PECOS PAC ID: 4385712157 Enrollment ID: I20081007000112 |
| Provider Name | Anne M Lobdell |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1669629721 PECOS PAC ID: 9537237292 Enrollment ID: I20081007000870 |
| Provider Name | Emily J Harold |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437287851 PECOS PAC ID: 7618035858 Enrollment ID: I20081016000635 |
| Provider Name | Andrea V Oneal |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1639326119 PECOS PAC ID: 8729146824 Enrollment ID: I20081017000599 |
| Provider Name | Christopher A Gee |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568570729 PECOS PAC ID: 5698863520 Enrollment ID: I20081021000006 |
| Provider Name | Thomas Alexander Pilcher |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437247582 PECOS PAC ID: 2567440548 Enrollment ID: I20081028000177 |
| Provider Name | Thomas C Winter |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225006109 PECOS PAC ID: 7810950557 Enrollment ID: I20081106000401 |
| Provider Name | Thomas Jared Bunch |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1790757516 PECOS PAC ID: 3173601051 Enrollment ID: I20081114000177 |
| Provider Name | Ashley M Sacks |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013177245 PECOS PAC ID: 2961562756 Enrollment ID: I20081124000667 |
| Provider Name | Andrew T Dailey |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1881706596 PECOS PAC ID: 0244280089 Enrollment ID: I20081208000657 |
| Provider Name | Robert D Cervantez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205981628 PECOS PAC ID: 0345300869 Enrollment ID: I20081211000181 |
| Provider Name | Victoria J Serpico |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104075092 PECOS PAC ID: 1850453085 Enrollment ID: I20081223000408 |
| Provider Name | Hannele M Laine |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083817449 PECOS PAC ID: 5698837474 Enrollment ID: I20090105000235 |
| Provider Name | Albert H Park |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1972693596 PECOS PAC ID: 5193754471 Enrollment ID: I20090109000216 |
| Provider Name | Carrie A Chandler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326229782 PECOS PAC ID: 4284798513 Enrollment ID: I20090130000337 |
| Provider Name | Nathan D Hatton |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1942398763 PECOS PAC ID: 9830253822 Enrollment ID: I20090206000200 |
| Provider Name | Wendy S Douglas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427297084 PECOS PAC ID: 6800951427 Enrollment ID: I20090216000282 |
| Provider Name | Melissa Shepherd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992822951 PECOS PAC ID: 9931264363 Enrollment ID: I20090218000174 |
| Provider Name | Mary Ding |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558399477 PECOS PAC ID: 3173671468 Enrollment ID: I20090424000062 |
| Provider Name | Stacy A Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841418050 PECOS PAC ID: 7618025685 Enrollment ID: I20090430000291 |
| Provider Name | David A Spencer |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1841225828 PECOS PAC ID: 0143378661 Enrollment ID: I20090511000189 |
| Provider Name | Scott Kenneth Aberegg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164434486 PECOS PAC ID: 4789609165 Enrollment ID: I20090519000670 |
| Provider Name | Deborah Axelrod |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1356537336 PECOS PAC ID: 7810046950 Enrollment ID: I20090521000065 |
| Provider Name | Kalani Raphael |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1902982382 PECOS PAC ID: 2567511157 Enrollment ID: I20090602000126 |
| Provider Name | Amber D Bledsoe |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1972772986 PECOS PAC ID: 1557411824 Enrollment ID: I20090608000315 |
| Provider Name | Yuko Matsuoka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114151115 PECOS PAC ID: 7517017718 Enrollment ID: I20090610000102 |
| Provider Name | Nathan J Ragle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942460803 PECOS PAC ID: 7911058292 Enrollment ID: I20090626000061 |
| Provider Name | Sean D Overton |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1659580777 PECOS PAC ID: 1658422944 Enrollment ID: I20090626000144 |
| Provider Name | David E Morgan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1033384847 PECOS PAC ID: 8729139019 Enrollment ID: I20090626000158 |
| Provider Name | Alika M Willis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356580302 PECOS PAC ID: 6709937964 Enrollment ID: I20090629000235 |
| Provider Name | Dylan V Miller |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1548240468 PECOS PAC ID: 7911058813 Enrollment ID: I20090707000258 |
| Provider Name | Gwen A Latendresse |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1629226808 PECOS PAC ID: 5991857757 Enrollment ID: I20090709000342 |
| Provider Name | Marissa P Grotzke |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1245425032 PECOS PAC ID: 9537211248 Enrollment ID: I20090710000045 |
| Provider Name | Michael Mallin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730330788 PECOS PAC ID: 8224180989 Enrollment ID: I20090710000426 |
| Provider Name | Lorraine B Szczesny |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518022896 PECOS PAC ID: 0749332310 Enrollment ID: I20090713000026 |
| Provider Name | Craig J Chaya |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1275508160 PECOS PAC ID: 1951345529 Enrollment ID: I20090724000112 |
| Provider Name | Elizabeth Harmer |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1992736342 PECOS PAC ID: 1850444308 Enrollment ID: I20090730000258 |
| Provider Name | Jonathan R Nebeker |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1609966217 PECOS PAC ID: 5496809485 Enrollment ID: I20090810000411 |
| Provider Name | Keri L Gibson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457548430 PECOS PAC ID: 4587718481 Enrollment ID: I20090812000045 |
| Provider Name | Laura J Springhetti |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1962640177 PECOS PAC ID: 7719031533 Enrollment ID: I20090813000322 |
| Provider Name | Matthew Morgan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083818421 PECOS PAC ID: 7517018831 Enrollment ID: I20090817000125 |
| Provider Name | Luisa Edith Todd |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366694812 PECOS PAC ID: 1153475918 Enrollment ID: I20090817000388 |
| Provider Name | Sanjeev M Raman |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1619121019 PECOS PAC ID: 7416001979 Enrollment ID: I20090818000379 |
| Provider Name | Scott R Junkins |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1518139922 PECOS PAC ID: 0345394813 Enrollment ID: I20090818000474 |
| Provider Name | Kenneth Frederick Grossmann |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1083827455 PECOS PAC ID: 9931253242 Enrollment ID: I20090821000091 |
| Provider Name | Torri D Metz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1326185604 PECOS PAC ID: 9436204575 Enrollment ID: I20090826000209 |
| Provider Name | Jana Wold |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1265630313 PECOS PAC ID: 9335294479 Enrollment ID: I20090826000217 |
| Provider Name | Karly A Pippitt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619155637 PECOS PAC ID: 6305991480 Enrollment ID: I20090826000607 |
| Provider Name | Sunil Sharma |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1699775767 PECOS PAC ID: 2062451230 Enrollment ID: I20090826000903 |
| Provider Name | Wallace Curry |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1407892482 PECOS PAC ID: 0941364434 Enrollment ID: I20090827000570 |
| Provider Name | Jennifer P Knight |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578746996 PECOS PAC ID: 6002961794 Enrollment ID: I20090901000664 |
| Provider Name | Jack Hojjat Morshedzadeh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1447381447 PECOS PAC ID: 1850446220 Enrollment ID: I20090908000692 |
| Provider Name | Timothy Eugene Graham |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1134162258 PECOS PAC ID: 7517989924 Enrollment ID: I20090909000101 |
| Provider Name | Susan D Pohl |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043271422 PECOS PAC ID: 9335294602 Enrollment ID: I20090910000286 |
| Provider Name | Sara Whittingham |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1891732178 PECOS PAC ID: 1052467222 Enrollment ID: I20090914000559 |
| Provider Name | Erica F Bisson |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1750409520 PECOS PAC ID: 9335228766 Enrollment ID: I20090914000567 |
| Provider Name | Richard B Mackey |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1992923874 PECOS PAC ID: 9234285339 Enrollment ID: I20090915000182 |
| Provider Name | Harland Norman Hayes |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982733796 PECOS PAC ID: 7214083336 Enrollment ID: I20090915000409 |
| Provider Name | Amy Larae Cruz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871751297 PECOS PAC ID: 7810043817 Enrollment ID: I20090916000311 |
| Provider Name | Christine E Oberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770693830 PECOS PAC ID: 6507894086 Enrollment ID: I20090917000201 |
| Provider Name | Brandon D Lawrence |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1659555670 PECOS PAC ID: 0143376053 Enrollment ID: I20090917000678 |
| Provider Name | Leeann Spencer Kanamu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508009226 PECOS PAC ID: 7416003355 Enrollment ID: I20090918000132 |
| Provider Name | Timothy W Farrell |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1306959747 PECOS PAC ID: 4183770852 Enrollment ID: I20090922000169 |
| Provider Name | Carolyn Luckett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710126966 PECOS PAC ID: 1456407006 Enrollment ID: I20090923000147 |
| Provider Name | Kevin James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558508440 PECOS PAC ID: 0345386439 Enrollment ID: I20091002000326 |
| Provider Name | Richard D King |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1093830572 PECOS PAC ID: 8224138433 Enrollment ID: I20091002000366 |
| Provider Name | David W Bahler |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1346330974 PECOS PAC ID: 0345391660 Enrollment ID: I20091002000427 |
| Provider Name | Barbara E Chadwick |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1457521734 PECOS PAC ID: 0547306656 Enrollment ID: I20091002000535 |
| Provider Name | Kerin Stevens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518197722 PECOS PAC ID: 5496891533 Enrollment ID: I20091005000133 |
| Provider Name | Jill Charlene Waldron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083852677 PECOS PAC ID: 2264578020 Enrollment ID: I20091007000797 |
| Provider Name | Julie E Savage |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376633990 PECOS PAC ID: 3476690702 Enrollment ID: I20091019000717 |
| Provider Name | Kevin M Duff |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295720969 PECOS PAC ID: 0143278457 Enrollment ID: I20091023000387 |
| Provider Name | Amy B Nelson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1902824980 PECOS PAC ID: 3375680291 Enrollment ID: I20091027000171 |
| Provider Name | Keisa M Lynch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972768539 PECOS PAC ID: 6406995836 Enrollment ID: I20091124000725 |
| Provider Name | Jeremy B Myers |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1346396959 PECOS PAC ID: 2466512926 Enrollment ID: I20091130000040 |
| Provider Name | William O Brant |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1467478339 PECOS PAC ID: 2567468796 Enrollment ID: I20091130000045 |
| Provider Name | Charles Y Lui |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1871652305 PECOS PAC ID: 5991760316 Enrollment ID: I20091130000184 |
| Provider Name | Rachel Elizabeth Factor |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1831301241 PECOS PAC ID: 5799852018 Enrollment ID: I20091208000631 |
| Provider Name | Shelley Reynolds Treuhaft |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831422799 PECOS PAC ID: 6507905213 Enrollment ID: I20091209000078 |
| Provider Name | Barbara Ellen Jones |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316115082 PECOS PAC ID: 4486795986 Enrollment ID: I20100106000243 |
| Provider Name | Liena M Brady |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629210646 PECOS PAC ID: 3678614765 Enrollment ID: I20100112000316 |
| Provider Name | Robert S Hood |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1518973767 PECOS PAC ID: 9537166590 Enrollment ID: I20100129000200 |
| Provider Name | Jennifer C Clark |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1912160649 PECOS PAC ID: 3375617111 Enrollment ID: I20100215000622 |
| Provider Name | Emily I Erickson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376872952 PECOS PAC ID: 8628112943 Enrollment ID: I20100224000232 |
| Provider Name | Kristin E Barber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376773556 PECOS PAC ID: 8527193838 Enrollment ID: I20100311000740 |
| Provider Name | Osman N Sanyer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558451179 PECOS PAC ID: 2163558560 Enrollment ID: I20100324000894 |
| Provider Name | Saundra S Buys |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1568547255 PECOS PAC ID: 0749316081 Enrollment ID: I20100325001126 |
| Provider Name | Wayne M Samuelson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1730279357 PECOS PAC ID: 8123154200 Enrollment ID: I20100327000642 |
| Provider Name | Martha J Glenn |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1104916709 PECOS PAC ID: 3375679194 Enrollment ID: I20100331000975 |
| Provider Name | Wallace L Akerley |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1346330966 PECOS PAC ID: 6103952825 Enrollment ID: I20100331001072 |
| Provider Name | Fuad S Shihab |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1700976321 PECOS PAC ID: 4183751597 Enrollment ID: I20100415000951 |
| Provider Name | Robert G Gray |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1538283932 PECOS PAC ID: 7012044647 Enrollment ID: I20100429000895 |
| Provider Name | Douglas L Brockmeyer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942390521 PECOS PAC ID: 9931237534 Enrollment ID: I20100430000696 |
| Provider Name | Barbara C Cahill |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1396835989 PECOS PAC ID: 5799813531 Enrollment ID: I20100514000436 |
| Provider Name | Theodore Liou |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1588754196 PECOS PAC ID: 3476681222 Enrollment ID: I20100514000510 |
| Provider Name | Holly J Carveth |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1376633966 PECOS PAC ID: 3476681230 Enrollment ID: I20100514000650 |
| Provider Name | Peter C Pelegrin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1750556569 PECOS PAC ID: 7214067628 Enrollment ID: I20100611000046 |
| Provider Name | Adam Larson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1083800312 PECOS PAC ID: 2668502071 Enrollment ID: I20100611000060 |
| Provider Name | Jessica M Comstock |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1164683959 PECOS PAC ID: 0143350561 Enrollment ID: I20100611000154 |
| Provider Name | Michael M Beck |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1093862815 PECOS PAC ID: 5193856441 Enrollment ID: I20100630000183 |
| Provider Name | Smitha Warrier |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1497933196 PECOS PAC ID: 0446381792 Enrollment ID: I20100630000198 |
| Provider Name | Christopher E Pelt |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1073653036 PECOS PAC ID: 6305977679 Enrollment ID: I20100630000503 |
| Provider Name | Michelle Cooper Curtis |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1265607055 PECOS PAC ID: 1557492766 Enrollment ID: I20100705000000 |
| Provider Name | Scott A Hopkins |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1649310681 PECOS PAC ID: 4789644568 Enrollment ID: I20100715000910 |
| Provider Name | Tatjana S Warren |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1225105828 PECOS PAC ID: 6406957810 Enrollment ID: I20100722000620 |
| Provider Name | Katherine A Anderson |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1326221540 PECOS PAC ID: 8224161278 Enrollment ID: I20100728000656 |
| Provider Name | Boaz A Markewitz |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1740370352 PECOS PAC ID: 7012040413 Enrollment ID: I20100805000788 |
| Provider Name | Toby M Enniss |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1295915536 PECOS PAC ID: 0749332732 Enrollment ID: I20100813000666 |
| Provider Name | Kathryn R Byrne |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1225054364 PECOS PAC ID: 7214061118 Enrollment ID: I20100813000822 |
| Provider Name | Annette I Johnson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1871821496 PECOS PAC ID: 4486788197 Enrollment ID: I20100817001038 |
| Provider Name | Randy L Jensen |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1982794582 PECOS PAC ID: 1355465485 Enrollment ID: I20100826000593 |
| Provider Name | Michael J Battistone |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1689764219 PECOS PAC ID: 2668596719 Enrollment ID: I20100826000811 |
| Provider Name | Estelle S Harris |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1558451153 PECOS PAC ID: 0345364402 Enrollment ID: I20100826000879 |
| Provider Name | Amnon Schlegel |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1093910796 PECOS PAC ID: 5294813358 Enrollment ID: I20100901000518 |
| Provider Name | Richard E Kanner |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1063502664 PECOS PAC ID: 7416071113 Enrollment ID: I20100902000052 |
| Provider Name | Keith Duffy |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1770779050 PECOS PAC ID: 2668540154 Enrollment ID: I20100902000519 |
| Provider Name | Eric R Swanson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477643005 PECOS PAC ID: 4880718238 Enrollment ID: I20100908000110 |
| Provider Name | Christy L Hopkins |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558451161 PECOS PAC ID: 4789708173 Enrollment ID: I20100908000510 |
| Provider Name | Maria Nemethy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760628333 PECOS PAC ID: 1052436474 Enrollment ID: I20100908001055 |
| Provider Name | Erica B Johnstone |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1487773263 PECOS PAC ID: 3476651803 Enrollment ID: I20100910000457 |
| Provider Name | Richard R Orlandi |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1790865699 PECOS PAC ID: 3476678442 Enrollment ID: I20100914000867 |
| Provider Name | David J Bjorkman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1487744017 PECOS PAC ID: 2365567344 Enrollment ID: I20100914000909 |
| Provider Name | Paul S Bernstein |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1023108651 PECOS PAC ID: 3870618606 Enrollment ID: I20100916000295 |
| Provider Name | Robert L Stephen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780774315 PECOS PAC ID: 5991820748 Enrollment ID: I20100916000522 |
| Provider Name | Matthew M Poppe |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1902888126 PECOS PAC ID: 4183659246 Enrollment ID: I20100920001151 |
| Provider Name | Jeffery Porth |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1932284627 PECOS PAC ID: 3375669757 Enrollment ID: I20100922000925 |
| Provider Name | Theophilus Ekpong Owan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982682647 PECOS PAC ID: 3375456312 Enrollment ID: I20100922001007 |
| Provider Name | Harry Rosado-santos |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1669562286 PECOS PAC ID: 0840316295 Enrollment ID: I20100923000397 |
| Provider Name | John R Kestle |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871683474 PECOS PAC ID: 4385760586 Enrollment ID: I20100924000852 |
| Provider Name | Jacob E Jessop |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1164644944 PECOS PAC ID: 9931272523 Enrollment ID: I20100925000098 |
| Provider Name | David A Meyer |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1255562740 PECOS PAC ID: 3870619711 Enrollment ID: I20100928001053 |
| Provider Name | Kurt T Bernhisel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205926839 PECOS PAC ID: 8325164270 Enrollment ID: I20100928001169 |
| Provider Name | Mary Elizabeth Hartnett |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1871507020 PECOS PAC ID: 1355336975 Enrollment ID: I20101005000248 |
| Provider Name | Ravi Ranjan |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1467505206 PECOS PAC ID: 0547328627 Enrollment ID: I20101006000550 |
| Provider Name | Benjamin Newell Voorhies |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417193228 PECOS PAC ID: 4082806211 Enrollment ID: I20101006001149 |
| Provider Name | Susan K Stroud |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295810984 PECOS PAC ID: 4789876822 Enrollment ID: I20101007001316 |
| Provider Name | Philip J Bossart |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497845077 PECOS PAC ID: 8921290826 Enrollment ID: I20101011000815 |
| Provider Name | Richard H Schmidt |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1235219130 PECOS PAC ID: 1759573462 Enrollment ID: I20101012001284 |
| Provider Name | Howard Colman |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1437258498 PECOS PAC ID: 4183740418 Enrollment ID: I20101013000193 |
| Provider Name | Bradley J Katz |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1881784486 PECOS PAC ID: 9436341005 Enrollment ID: I20101014000730 |
| Provider Name | Jennifer J Davis |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1013092709 PECOS PAC ID: 3971796376 Enrollment ID: I20101018001138 |
| Provider Name | Jordon G Swenson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366521833 PECOS PAC ID: 5597958900 Enrollment ID: I20101018001293 |
| Provider Name | Lillian Khor |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1851403836 PECOS PAC ID: 5698968808 Enrollment ID: I20101020001063 |
| Provider Name | Daniel O Clegg |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1275623860 PECOS PAC ID: 6507059607 Enrollment ID: I20101021000739 |
| Provider Name | Akiko Okifuji |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1386723856 PECOS PAC ID: 0244423184 Enrollment ID: I20101022001173 |
| Provider Name | Allen D Sawitzke |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1285724807 PECOS PAC ID: 6901099886 Enrollment ID: I20101023000270 |
| Provider Name | Grant W Cannon |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1942239439 PECOS PAC ID: 7719170695 Enrollment ID: I20101023000274 |
| Provider Name | Tad S Bergen |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1508177635 PECOS PAC ID: 3476746124 Enrollment ID: I20101026000775 |
| Provider Name | Paul N Hopkins |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1447340047 PECOS PAC ID: 8921292632 Enrollment ID: I20101027000125 |
| Provider Name | Megan L Fix |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578554457 PECOS PAC ID: 8022183169 Enrollment ID: I20101027000667 |
| Provider Name | Steven I Bott |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1033294715 PECOS PAC ID: 4486848975 Enrollment ID: I20101028000899 |
| Provider Name | Randall J Olson |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1518057132 PECOS PAC ID: 4789878224 Enrollment ID: I20101028001422 |
| Provider Name | Kenward B Johnson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1790875391 PECOS PAC ID: 4789878125 Enrollment ID: I20101029001248 |
| Provider Name | Bhasker Koppula |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1417033267 PECOS PAC ID: 1658391586 Enrollment ID: I20101118001413 |
| Provider Name | Chanteel A Ballard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659686350 PECOS PAC ID: 2860688173 Enrollment ID: I20101129001037 |
| Provider Name | Tawnya Lynn Bowles |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1679554141 PECOS PAC ID: 7810948189 Enrollment ID: I20101202001234 |
| Provider Name | Barbara Marie Wirostko |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1326045261 PECOS PAC ID: 4981891926 Enrollment ID: I20101203000188 |
| Provider Name | Robin D Kim |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679519771 PECOS PAC ID: 4183643653 Enrollment ID: I20101206000292 |
| Provider Name | Kathleen M Marie Stahl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053625541 PECOS PAC ID: 1658568480 Enrollment ID: I20101206001272 |
| Provider Name | Stephen C Hartsell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811087414 PECOS PAC ID: 1658568993 Enrollment ID: I20101213000294 |
| Provider Name | Leslie A Ostler |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568683738 PECOS PAC ID: 5698962728 Enrollment ID: I20101215000194 |
| Provider Name | L L Ogden |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1881784494 PECOS PAC ID: 3476740556 Enrollment ID: I20101215000741 |
| Provider Name | Lisa Dahlstrom |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1326138918 PECOS PAC ID: 2668660796 Enrollment ID: I20101216000134 |
| Provider Name | Michael W Deininger |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1932115524 PECOS PAC ID: 6002704673 Enrollment ID: I20101221001195 |
| Provider Name | Eric T Volckmann |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1710962238 PECOS PAC ID: 7618020843 Enrollment ID: I20101222001054 |
| Provider Name | Nwanyidirim Ahanonu-acord |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437249059 PECOS PAC ID: 3274721899 Enrollment ID: I20101227000521 |
| Provider Name | Dane E Sobek |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1043257306 PECOS PAC ID: 9032148424 Enrollment ID: I20101229000698 |
| Provider Name | Archana M Agarwal |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1245488667 PECOS PAC ID: 8729276902 Enrollment ID: I20110104000093 |
| Provider Name | Kevin Christopher Brennan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1134144066 PECOS PAC ID: 3476582198 Enrollment ID: I20110105000589 |
| Provider Name | Paulina K Gudgell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235450271 PECOS PAC ID: 1759560956 Enrollment ID: I20110120000158 |
| Provider Name | Brenda Fish |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689764284 PECOS PAC ID: 3173667011 Enrollment ID: I20110124001163 |
| Provider Name | Mary P Bronner |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1740245299 PECOS PAC ID: 4486543352 Enrollment ID: I20110215000197 |
| Provider Name | Kasey D Mitchell |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073827572 PECOS PAC ID: 1951582691 Enrollment ID: I20110301000091 |
| Provider Name | Brandon L Reynolds |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1710972641 PECOS PAC ID: 7214903905 Enrollment ID: I20110301000644 |
| Provider Name | Ryan Gene O'hara |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1821154121 PECOS PAC ID: 9931294618 Enrollment ID: I20110302000906 |
| Provider Name | Sankar Swaminathan |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1174564108 PECOS PAC ID: 4880727056 Enrollment ID: I20110311000801 |
| Provider Name | Eugene J Huo |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1972769974 PECOS PAC ID: 8729260609 Enrollment ID: I20110314000934 |
| Provider Name | Susan Chortkoff |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1861792665 PECOS PAC ID: 6305028291 Enrollment ID: I20110314001023 |
| Provider Name | Miriam D Beattie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215027842 PECOS PAC ID: 3375725195 Enrollment ID: I20110315000498 |
| Provider Name | John W Nord |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245402817 PECOS PAC ID: 9436331162 Enrollment ID: I20110316000677 |
| Provider Name | Amy Evans |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417143827 PECOS PAC ID: 3870639289 Enrollment ID: I20110328000421 |
| Provider Name | Russell J Butterfield |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1639352321 PECOS PAC ID: 6507049343 Enrollment ID: I20110331000655 |
| Provider Name | Marsha Y Thomas Robertson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275834319 PECOS PAC ID: 7517141245 Enrollment ID: I20110405000295 |
| Provider Name | Evelyn C Loose |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1124103809 PECOS PAC ID: 1153506597 Enrollment ID: I20110428000031 |
| Provider Name | Martin Freimer |
|---|---|
| Provider Type | Practitioner - Geriatric Psychiatry |
| Provider Identifiers | NPI Number: 1902962293 PECOS PAC ID: 5597742171 Enrollment ID: I20110512000834 |
| Provider Name | Jodi M Olson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740583863 PECOS PAC ID: 8527244748 Enrollment ID: I20110523000655 |
| Provider Name | Matthew A Stein |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700836947 PECOS PAC ID: 1557333119 Enrollment ID: I20110525000788 |
| Provider Name | Kristin E Akers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568769255 PECOS PAC ID: 9032396841 Enrollment ID: I20110603000293 |
| Provider Name | Katie A Toledo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881884252 PECOS PAC ID: 7719072883 Enrollment ID: I20110609000159 |
| Provider Name | Kelly M Davis |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1548304942 PECOS PAC ID: 2466577358 Enrollment ID: I20110621000479 |
| Provider Name | Nathan G Orgain |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1093833261 PECOS PAC ID: 5294913257 Enrollment ID: I20110623000042 |
| Provider Name | Nathaniel M Birgenheier |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1386840247 PECOS PAC ID: 4981882776 Enrollment ID: I20110627000285 |
| Provider Name | Jessica Dorais |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225282395 PECOS PAC ID: 0042498719 Enrollment ID: I20110628000497 |
| Provider Name | Benjamin L Witt |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1639315070 PECOS PAC ID: 0749458743 Enrollment ID: I20110718000757 |
| Provider Name | Darcie Reasoner Gorman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1063637353 PECOS PAC ID: 9739357666 Enrollment ID: I20110720000789 |
| Provider Name | Jeff Pettey |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1346494911 PECOS PAC ID: 2365610128 Enrollment ID: I20110721000354 |
| Provider Name | Matthew J Griffee |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1437187978 PECOS PAC ID: 0749239184 Enrollment ID: I20110728000498 |
| Provider Name | Akbar Shakoor |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1669675229 PECOS PAC ID: 9133251473 Enrollment ID: I20110729000395 |
| Provider Name | George M Zinkhan |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1144474156 PECOS PAC ID: 1355510421 Enrollment ID: I20110805000247 |
| Provider Name | Douglas S Richards |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992726509 PECOS PAC ID: 9133252455 Enrollment ID: I20110809000887 |
| Provider Name | Jeannine Zoe Engel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679665087 PECOS PAC ID: 8729116447 Enrollment ID: I20110811000718 |
| Provider Name | Susan E Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295044170 PECOS PAC ID: 9133399017 Enrollment ID: I20110901000328 |
| Provider Name | Rodney G Jay |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225201148 PECOS PAC ID: 0244400935 Enrollment ID: I20110907001492 |
| Provider Name | Adam L Cohen |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1528281375 PECOS PAC ID: 7517050230 Enrollment ID: I20110908001810 |
| Provider Name | Katie S Stone |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1205910072 PECOS PAC ID: 3375714975 Enrollment ID: I20110912000169 |
| Provider Name | Leanne Marie Norman |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1972806651 PECOS PAC ID: 9234300815 Enrollment ID: I20110913000823 |
| Provider Name | Zaruhi U Amoros |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598058844 PECOS PAC ID: 8426229659 Enrollment ID: I20110920000710 |
| Provider Name | William Lowrance |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1922155878 PECOS PAC ID: 9133391881 Enrollment ID: I20110930000609 |
| Provider Name | Marielle P Young |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033390877 PECOS PAC ID: 2769654417 Enrollment ID: I20110930000621 |
| Provider Name | Ganesh Sundar Kumpati |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1871508671 PECOS PAC ID: 3173528098 Enrollment ID: I20111005000691 |
| Provider Name | Joan Collett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164703328 PECOS PAC ID: 4385816560 Enrollment ID: I20111012000265 |
| Provider Name | Lowell S Benson |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1497925788 PECOS PAC ID: 7618140401 Enrollment ID: I20111021000329 |
| Provider Name | Lisa M Ord |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831155621 PECOS PAC ID: 3476726290 Enrollment ID: I20111022000078 |
| Provider Name | Christopher G Jackson |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1164512760 PECOS PAC ID: 8820261589 Enrollment ID: I20111026000142 |
| Provider Name | Jamie Lynn Brant |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033145339 PECOS PAC ID: 7719940345 Enrollment ID: I20111026000333 |
| Provider Name | Dustin B Hammers |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356593297 PECOS PAC ID: 7012180250 Enrollment ID: I20111102000945 |
| Provider Name | Terri Hancock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245510536 PECOS PAC ID: 5890968077 Enrollment ID: I20111103000505 |
| Provider Name | Mary Leigh Horn |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1184904286 PECOS PAC ID: 9133393358 Enrollment ID: I20111123000624 |
| Provider Name | Safdar Ansari |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1568697514 PECOS PAC ID: 2062686090 Enrollment ID: I20111130000882 |
| Provider Name | Emily Sydnor Spivak |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1578617999 PECOS PAC ID: 4880767813 Enrollment ID: I20111202000121 |
| Provider Name | Rafael Firszt |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1659533669 PECOS PAC ID: 8729253760 Enrollment ID: I20111202000458 |
| Provider Name | Stephanie L Fagin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679876437 PECOS PAC ID: 9436325909 Enrollment ID: I20120104000742 |
| Provider Name | Juliann W Allred |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1508001736 PECOS PAC ID: 0345416673 Enrollment ID: I20120106000822 |
| Provider Name | Vivian Lee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679538649 PECOS PAC ID: 2466453766 Enrollment ID: I20120109000731 |
| Provider Name | Ignacio Garrido-laguna |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1467608554 PECOS PAC ID: 4284800582 Enrollment ID: I20120109000847 |
| Provider Name | Adam M Spivak |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1528040433 PECOS PAC ID: 4385676683 Enrollment ID: I20120109000964 |
| Provider Name | Caroline C Keeney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528356276 PECOS PAC ID: 9234305491 Enrollment ID: I20120110000631 |
| Provider Name | David A Kaplan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326283417 PECOS PAC ID: 1355518721 Enrollment ID: I20120125000948 |
| Provider Name | Beth Saucier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285679647 PECOS PAC ID: 3375556418 Enrollment ID: I20120202000650 |
| Provider Name | Danielle N Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588951164 PECOS PAC ID: 3779740717 Enrollment ID: I20120202000932 |
| Provider Name | John Valentine |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1144263419 PECOS PAC ID: 1658442306 Enrollment ID: I20120213000223 |
| Provider Name | Hung Khong |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1366586521 PECOS PAC ID: 2163488586 Enrollment ID: I20120216000250 |
| Provider Name | Marc Shaw Larson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093939761 PECOS PAC ID: 3678658218 Enrollment ID: I20120222000519 |
| Provider Name | Aidin Iravani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639405129 PECOS PAC ID: 9739220419 Enrollment ID: I20120321000861 |
| Provider Name | Katherine Fortenberry |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1982902185 PECOS PAC ID: 5496915787 Enrollment ID: I20120323000225 |
| Provider Name | Samuel A Sloan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962785105 PECOS PAC ID: 8527228832 Enrollment ID: I20120323000391 |
| Provider Name | Dawn L Baker |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1427203199 PECOS PAC ID: 4880854611 Enrollment ID: I20120402000077 |
| Provider Name | Spencer Smith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639337439 PECOS PAC ID: 1456522275 Enrollment ID: I20120404000881 |
| Provider Name | Virginia Giles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346513181 PECOS PAC ID: 6305007162 Enrollment ID: I20120423000330 |
| Provider Name | Nancy M Veit |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831332709 PECOS PAC ID: 1052573755 Enrollment ID: I20120425000413 |
| Provider Name | Paul J Campsen |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1427104017 PECOS PAC ID: 4880718329 Enrollment ID: I20120515000568 |
| Provider Name | Ahmad S Halwani |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1447460274 PECOS PAC ID: 3870756539 Enrollment ID: I20120517000183 |
| Provider Name | Andrea Marie Nelson |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1649417718 PECOS PAC ID: 4486817889 Enrollment ID: I20120522001353 |
| Provider Name | Tyler R Call |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1790910461 PECOS PAC ID: 9638333958 Enrollment ID: I20120615000486 |
| Provider Name | John G Farr |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1871736090 PECOS PAC ID: 8628232956 Enrollment ID: I20120615000508 |
| Provider Name | Joseph Mcnally |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285896415 PECOS PAC ID: 5799949889 Enrollment ID: I20120621000558 |
| Provider Name | Nicole Winkler |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1942454343 PECOS PAC ID: 2769646850 Enrollment ID: I20120621000582 |
| Provider Name | David A Wada |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1043411168 PECOS PAC ID: 3072604644 Enrollment ID: I20120710000778 |
| Provider Name | Michael J Buys |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1003955014 PECOS PAC ID: 9537345939 Enrollment ID: I20120720000605 |
| Provider Name | Emily E Hagn |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1790939155 PECOS PAC ID: 3577729110 Enrollment ID: I20120725000751 |
| Provider Name | Sarah Janice Beesley |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1841420817 PECOS PAC ID: 3779739925 Enrollment ID: I20120803000587 |
| Provider Name | Marisa R Adelman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1487847927 PECOS PAC ID: 0042484156 Enrollment ID: I20120804000033 |
| Provider Name | Barbu R Gociman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396900841 PECOS PAC ID: 2860648995 Enrollment ID: I20120806000619 |
| Provider Name | Patrick M Ockerse |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043444904 PECOS PAC ID: 2769638626 Enrollment ID: I20120808000438 |
| Provider Name | Alexander Colonna |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1568659324 PECOS PAC ID: 8527253202 Enrollment ID: I20120808000594 |
| Provider Name | Travis G Maak |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1689851354 PECOS PAC ID: 5991951873 Enrollment ID: I20120808000615 |
| Provider Name | Jill E Sindt |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1376797787 PECOS PAC ID: 3971759788 Enrollment ID: I20120810000286 |
| Provider Name | Candice R Montzingo |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1710930318 PECOS PAC ID: 1759384829 Enrollment ID: I20120813000205 |
| Provider Name | Kyle B Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568697241 PECOS PAC ID: 0042466609 Enrollment ID: I20120814000459 |
| Provider Name | Debra L Simmons |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1588754063 PECOS PAC ID: 3375675473 Enrollment ID: I20120814000508 |
| Provider Name | Glynn W Gilcrease |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1275710865 PECOS PAC ID: 4183773161 Enrollment ID: I20120814000518 |
| Provider Name | James D Osborn |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1235364902 PECOS PAC ID: 2961658406 Enrollment ID: I20120815000758 |
| Provider Name | Richard K Gurgel |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1710196290 PECOS PAC ID: 3476709965 Enrollment ID: I20120816000507 |
| Provider Name | Katherine A Kendall |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1437133105 PECOS PAC ID: 2567353923 Enrollment ID: I20120821000299 |
| Provider Name | Juan F Gallegos Orozco |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1619909314 PECOS PAC ID: 5294851226 Enrollment ID: I20120822000601 |
| Provider Name | Aaron Wesley Eckhauser |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1083761951 PECOS PAC ID: 3476700535 Enrollment ID: I20120823000845 |
| Provider Name | Andrew R Tyser |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1154596864 PECOS PAC ID: 8022265586 Enrollment ID: I20120906000137 |
| Provider Name | Stavros G Drakos |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1457627192 PECOS PAC ID: 0042468571 Enrollment ID: I20120907000189 |
| Provider Name | Stephen Hugh Mckellar |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1407821846 PECOS PAC ID: 0648232132 Enrollment ID: I20120910000750 |
| Provider Name | Giavonni M Lewis |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1528222775 PECOS PAC ID: 6901920859 Enrollment ID: I20120910000778 |
| Provider Name | Leif E Jensen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205053832 PECOS PAC ID: 3678602992 Enrollment ID: I20120910000860 |
| Provider Name | Spencer D Mortensen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1548321078 PECOS PAC ID: 2668620022 Enrollment ID: I20120911000094 |
| Provider Name | Jose Nativi-nicolau |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1891958559 PECOS PAC ID: 0143498238 Enrollment ID: I20121009000319 |
| Provider Name | Scott Alexander Marshall |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1659357093 PECOS PAC ID: 6204091226 Enrollment ID: I20121016000174 |
| Provider Name | Emily L Drennan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1851617179 PECOS PAC ID: 7113051210 Enrollment ID: I20121018000454 |
| Provider Name | John Robert Hyngstrom |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1780832469 PECOS PAC ID: 7517159114 Enrollment ID: I20121019000693 |
| Provider Name | Kara A Frame |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811124514 PECOS PAC ID: 7911157292 Enrollment ID: I20121022000780 |
| Provider Name | Jennalyn D Mayeux |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447514120 PECOS PAC ID: 0143470336 Enrollment ID: I20121024000609 |
| Provider Name | Kathleen Frame |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033490461 PECOS PAC ID: 6305096439 Enrollment ID: I20121025000252 |
| Provider Name | Brigham Ronald Smith |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1558557322 PECOS PAC ID: 9537319579 Enrollment ID: I20121026000742 |
| Provider Name | Robert H Yenchek |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1083890610 PECOS PAC ID: 6800962200 Enrollment ID: I20121106000679 |
| Provider Name | Nicholas Kanaan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831423235 PECOS PAC ID: 7810148442 Enrollment ID: I20121108000135 |
| Provider Name | Alison Voigt Crum |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1275739096 PECOS PAC ID: 4688798549 Enrollment ID: I20121112000580 |
| Provider Name | Jennifer Anne Pine |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801180989 PECOS PAC ID: 1759532161 Enrollment ID: I20121113000112 |
| Provider Name | Mouied M Alashari |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467703405 PECOS PAC ID: 1254582257 Enrollment ID: I20121126000333 |
| Provider Name | Mary Hunt Martin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033311071 PECOS PAC ID: 5294986162 Enrollment ID: I20121127000562 |
| Provider Name | Mary N Steinback |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881958189 PECOS PAC ID: 3870745391 Enrollment ID: I20121210000053 |
| Provider Name | Courtney C Maclean |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386831881 PECOS PAC ID: 7517012008 Enrollment ID: I20121228000370 |
| Provider Name | Jared Thomas Thorley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093065385 PECOS PAC ID: 6002069135 Enrollment ID: I20130123000266 |
| Provider Name | Braden W Wolthuis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629342548 PECOS PAC ID: 6901050822 Enrollment ID: I20130131000095 |
| Provider Name | Christina E Elmore |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1972855948 PECOS PAC ID: 9830344217 Enrollment ID: I20130311000265 |
| Provider Name | Mark T Savarise |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1629075551 PECOS PAC ID: 5991765364 Enrollment ID: I20130314000248 |
| Provider Name | Brighton A Loveday |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871865071 PECOS PAC ID: 0345267506 Enrollment ID: I20130321000309 |
| Provider Name | John Joseph Ryan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1902071673 PECOS PAC ID: 7113162033 Enrollment ID: I20130326000164 |
| Provider Name | Jonathan R Genzen |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1922233758 PECOS PAC ID: 7719038694 Enrollment ID: I20130411000170 |
| Provider Name | John R Raskind |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1811093867 PECOS PAC ID: 7416132097 Enrollment ID: I20130418000517 |
| Provider Name | Robert J Bollo |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1013129584 PECOS PAC ID: 6305017286 Enrollment ID: I20130426000289 |
| Provider Name | Breeanna Jean Holdaway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962749010 PECOS PAC ID: 6608013966 Enrollment ID: I20130506000523 |
| Provider Name | Daniel J Albertson |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1932308152 PECOS PAC ID: 4789821554 Enrollment ID: I20130515000278 |
| Provider Name | Tibor J Kovacsovics |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1396750899 PECOS PAC ID: 7719873926 Enrollment ID: I20130529000285 |
| Provider Name | Holly J Rapone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174824999 PECOS PAC ID: 3971741125 Enrollment ID: I20130529000395 |
| Provider Name | James C Fang |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1447217740 PECOS PAC ID: 4183679665 Enrollment ID: I20130605000360 |
| Provider Name | Summer B Gibson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1962725440 PECOS PAC ID: 7113166786 Enrollment ID: I20130612000453 |
| Provider Name | Nicholas E Johnson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497969943 PECOS PAC ID: 3072778257 Enrollment ID: I20130618000666 |
| Provider Name | Peter M Hannon |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1346483617 PECOS PAC ID: 8123267465 Enrollment ID: I20130618000684 |
| Provider Name | John William Sweetenham |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1942267083 PECOS PAC ID: 5294711545 Enrollment ID: I20130620000223 |
| Provider Name | Scott M Hollingshaus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053637991 PECOS PAC ID: 6103065172 Enrollment ID: I20130624000353 |
| Provider Name | Julie Widdison |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659682714 PECOS PAC ID: 0749429546 Enrollment ID: I20130626000432 |
| Provider Name | Daniel J Pulsipher |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1295051142 PECOS PAC ID: 6608016399 Enrollment ID: I20130628000798 |
| Provider Name | John B Bateman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831369966 PECOS PAC ID: 4880754308 Enrollment ID: I20130705000462 |
| Provider Name | Jenny C Tuan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831358175 PECOS PAC ID: 4385812304 Enrollment ID: I20130708000425 |
| Provider Name | Matthew J Fuller |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396060406 PECOS PAC ID: 0749420115 Enrollment ID: I20130708000440 |
| Provider Name | Devin J Horton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629396924 PECOS PAC ID: 2264672526 Enrollment ID: I20130709000756 |
| Provider Name | Marc E Error |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1720232390 PECOS PAC ID: 2567602832 Enrollment ID: I20130710000009 |
| Provider Name | Sana Sultana Haseeb |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679899942 PECOS PAC ID: 1951541192 Enrollment ID: I20130711000053 |
| Provider Name | Nicholas E Monson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720303837 PECOS PAC ID: 1850531005 Enrollment ID: I20130711000185 |
| Provider Name | Cory Michael Lee Nitzel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003017666 PECOS PAC ID: 9931349131 Enrollment ID: I20130711000684 |
| Provider Name | Jeremiah Andrew Alt |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1598968380 PECOS PAC ID: 5890951636 Enrollment ID: I20130715000335 |
| Provider Name | Katherine Lappe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982847927 PECOS PAC ID: 4981844875 Enrollment ID: I20130717000908 |
| Provider Name | Cheryl B Pirozzi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1871762138 PECOS PAC ID: 2860633740 Enrollment ID: I20130719000350 |
| Provider Name | Philip Craven |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568774727 PECOS PAC ID: 9335380112 Enrollment ID: I20130719000451 |
| Provider Name | Hamide E Gulbahce |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1932131323 PECOS PAC ID: 3577468974 Enrollment ID: I20130724000024 |
| Provider Name | Nirupama Mbbs Ramkumar |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1053550509 PECOS PAC ID: 2163663733 Enrollment ID: I20130724000168 |
| Provider Name | Stephan Disean Kendall |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1033293196 PECOS PAC ID: 3173567708 Enrollment ID: I20130729000448 |
| Provider Name | Patricia G Hogan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386866184 PECOS PAC ID: 1759443963 Enrollment ID: I20130729000587 |
| Provider Name | Karli Edholm |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508083122 PECOS PAC ID: 6709073323 Enrollment ID: I20130730000309 |
| Provider Name | Priyanka Kanth |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1679773469 PECOS PAC ID: 6901047224 Enrollment ID: I20130730000493 |
| Provider Name | Allie H Grossmann |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1952556748 PECOS PAC ID: 2264673490 Enrollment ID: I20130730000636 |
| Provider Name | Karen J Gibbins |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457581688 PECOS PAC ID: 2668614611 Enrollment ID: I20130805000322 |
| Provider Name | William R Spiker |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1639324049 PECOS PAC ID: 2769639251 Enrollment ID: I20130819000191 |
| Provider Name | Stacey L Clardy |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1073735015 PECOS PAC ID: 2668628447 Enrollment ID: I20130820000658 |
| Provider Name | Christina E Bokat |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1124253182 PECOS PAC ID: 0840433694 Enrollment ID: I20130827000735 |
| Provider Name | Lynette Erika Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760733224 PECOS PAC ID: 7911140595 Enrollment ID: I20130829000437 |
| Provider Name | Andrew Aaron Nyberg |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336460708 PECOS PAC ID: 9032352612 Enrollment ID: I20130829000520 |
| Provider Name | Lindsey Kaye German |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1427497296 PECOS PAC ID: 0840433447 Enrollment ID: I20130829000686 |
| Provider Name | Pamela Austin Royer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114161262 PECOS PAC ID: 5698912228 Enrollment ID: I20130904000168 |
| Provider Name | Fawad A Tanvir |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1164425294 PECOS PAC ID: 0042290900 Enrollment ID: I20130909000724 |
| Provider Name | Ann D Flynn |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1386790988 PECOS PAC ID: 2961577325 Enrollment ID: I20130909000779 |
| Provider Name | Jeremy Mark Gililland |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1881849669 PECOS PAC ID: 6507012069 Enrollment ID: I20130910000315 |
| Provider Name | David L Rothberg |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285888354 PECOS PAC ID: 4183880677 Enrollment ID: I20130918000482 |
| Provider Name | Pamela Phares |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619958436 PECOS PAC ID: 5597909135 Enrollment ID: I20130920000187 |
| Provider Name | Heather S Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770915852 PECOS PAC ID: 4486898996 Enrollment ID: I20130924000605 |
| Provider Name | Sarah Elizabeth Stilwill |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902078751 PECOS PAC ID: 5395989768 Enrollment ID: I20130925000388 |
| Provider Name | Richard Nelson Irion |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679738744 PECOS PAC ID: 4082858451 Enrollment ID: I20130925000440 |
| Provider Name | Anna Izabela Krauze Mcgow |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306078498 PECOS PAC ID: 6002094521 Enrollment ID: I20131001000146 |
| Provider Name | Megan Link |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821230269 PECOS PAC ID: 7214161272 Enrollment ID: I20131004000292 |
| Provider Name | Jeanette Sherman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679911440 PECOS PAC ID: 2466686464 Enrollment ID: I20131007000345 |
| Provider Name | Siddhartha Kakani |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1750502928 PECOS PAC ID: 4385769223 Enrollment ID: I20131008000878 |
| Provider Name | Benjamin Brooke |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1982754107 PECOS PAC ID: 8729212220 Enrollment ID: I20131017000432 |
| Provider Name | James Hotaling |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1235249509 PECOS PAC ID: 9638303068 Enrollment ID: I20131017001534 |
| Provider Name | Natalie A Silverton |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1336394428 PECOS PAC ID: 0143454595 Enrollment ID: I20131018000172 |
| Provider Name | Christopher N German |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457792905 PECOS PAC ID: 7517192503 Enrollment ID: I20131029000804 |
| Provider Name | Dorota J Lebiedz - Odrobina |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1841470804 PECOS PAC ID: 7315112513 Enrollment ID: I20131113001345 |
| Provider Name | Faris A Ahmed |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1881805372 PECOS PAC ID: 1456588466 Enrollment ID: I20131219001431 |
| Provider Name | Allsion M Smith |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1134566904 PECOS PAC ID: 5890922819 Enrollment ID: I20131219001531 |
| Provider Name | Samuel R Finlayson |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1275552424 PECOS PAC ID: 3971517715 Enrollment ID: I20140110001294 |
| Provider Name | Edward R Nicholls |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1376981175 PECOS PAC ID: 6901035351 Enrollment ID: I20140204001847 |
| Provider Name | Djordje Atanackovic |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1417384694 PECOS PAC ID: 5193955813 Enrollment ID: I20140225001628 |
| Provider Name | Amy N Cowan |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1417176124 PECOS PAC ID: 7517197007 Enrollment ID: I20140228001882 |
| Provider Name | Matthew J Stewart |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538455498 PECOS PAC ID: 7517197031 Enrollment ID: I20140303000991 |
| Provider Name | Elizabeth Middleton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508010174 PECOS PAC ID: 1850521931 Enrollment ID: I20140312000112 |
| Provider Name | Whitney J Mentaberry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972936326 PECOS PAC ID: 2062643554 Enrollment ID: I20140326001518 |
| Provider Name | Yvonne Catherine Savarise |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861732885 PECOS PAC ID: 1153553110 Enrollment ID: I20140407001214 |
| Provider Name | Tahir Zaman |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1508182437 PECOS PAC ID: 0244462166 Enrollment ID: I20140408001550 |
| Provider Name | Carlos A Vasquez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215376587 PECOS PAC ID: 4082846795 Enrollment ID: I20140411001102 |
| Provider Name | Jennifer Shaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104253954 PECOS PAC ID: 3678705837 Enrollment ID: I20140422002084 |
| Provider Name | Marlana M Li |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669765327 PECOS PAC ID: 5991953895 Enrollment ID: I20140430002477 |
| Provider Name | Phillip Michael Parkinson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1760454607 PECOS PAC ID: 2668425117 Enrollment ID: I20140512002142 |
| Provider Name | Vidya M Raj Krishnamurthy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528184538 PECOS PAC ID: 2961653647 Enrollment ID: I20140519001626 |
| Provider Name | Sandra B Jense |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104258763 PECOS PAC ID: 0941423404 Enrollment ID: I20140602001150 |
| Provider Name | Sean Young |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528483872 PECOS PAC ID: 8820211287 Enrollment ID: I20140603002456 |
| Provider Name | Clive J Thirkill |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023332996 PECOS PAC ID: 6800083809 Enrollment ID: I20140604000849 |
| Provider Name | Nathan Edward Hendriksen |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1386075752 PECOS PAC ID: 7719101989 Enrollment ID: I20140609000569 |
| Provider Name | Megan Skibitsky |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1801039730 PECOS PAC ID: 1052540929 Enrollment ID: I20140613001994 |
| Provider Name | Cynthia Newberry |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1154613628 PECOS PAC ID: 1456584861 Enrollment ID: I20140620000496 |
| Provider Name | Nancy A Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063510261 PECOS PAC ID: 1951316728 Enrollment ID: I20140620000942 |
| Provider Name | Heidi H Orr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720411200 PECOS PAC ID: 6305061870 Enrollment ID: I20140626000746 |
| Provider Name | Jill F Calderwood |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1033522933 PECOS PAC ID: 0345465829 Enrollment ID: I20140626000977 |
| Provider Name | Rachel Hess |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760456180 PECOS PAC ID: 2062545304 Enrollment ID: I20140627000534 |
| Provider Name | Nicholas S Pierson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336309756 PECOS PAC ID: 3173755824 Enrollment ID: I20140630002193 |
| Provider Name | Benjamin P Romney |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780815027 PECOS PAC ID: 9830321512 Enrollment ID: I20140708000518 |
| Provider Name | Kencee K Graves |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093031569 PECOS PAC ID: 8729219936 Enrollment ID: I20140708002536 |
| Provider Name | Daniel T Leung |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1104936731 PECOS PAC ID: 3678610771 Enrollment ID: I20140709001766 |
| Provider Name | Jason P Harig |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1841421187 PECOS PAC ID: 5890927479 Enrollment ID: I20140716001379 |
| Provider Name | Laura Marie Bennett Murphy |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669898540 PECOS PAC ID: 8921224379 Enrollment ID: I20140722000332 |
| Provider Name | Christian Theodosis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780886952 PECOS PAC ID: 3072694017 Enrollment ID: I20140723002233 |
| Provider Name | James Fair |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881984326 PECOS PAC ID: 7911139746 Enrollment ID: I20140729000550 |
| Provider Name | Susan W Keeshin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871780676 PECOS PAC ID: 9537331384 Enrollment ID: I20140731001558 |
| Provider Name | Troy S Koch |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306042957 PECOS PAC ID: 5092979294 Enrollment ID: I20140731002394 |
| Provider Name | Amy Lin |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1104045566 PECOS PAC ID: 5799876686 Enrollment ID: I20140806002732 |
| Provider Name | Ligia V Onofrei |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063738821 PECOS PAC ID: 9830316363 Enrollment ID: I20140807000304 |
| Provider Name | Danielle Nance |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1689718264 PECOS PAC ID: 1052571767 Enrollment ID: I20140808002272 |
| Provider Name | Gita Suneja |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1902068588 PECOS PAC ID: 5496995540 Enrollment ID: I20140808002387 |
| Provider Name | Jamie Zussman |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1174775621 PECOS PAC ID: 6901061506 Enrollment ID: I20140814001950 |
| Provider Name | Miguel Paz Soldan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1982848123 PECOS PAC ID: 1254478605 Enrollment ID: I20140815000162 |
| Provider Name | Jess Burman Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922417831 PECOS PAC ID: 6103043021 Enrollment ID: I20140815001725 |
| Provider Name | Frederick Welt |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1841286531 PECOS PAC ID: 1850362773 Enrollment ID: I20140819002700 |
| Provider Name | Robert E Glasgow |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1295825891 PECOS PAC ID: 3678599115 Enrollment ID: I20140820002519 |
| Provider Name | Vishnu N Sundaresh |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1992026975 PECOS PAC ID: 1355475898 Enrollment ID: I20140822000967 |
| Provider Name | Marcus M Monroe |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1376704692 PECOS PAC ID: 6305064866 Enrollment ID: I20140825001250 |
| Provider Name | Joshua E Labrin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548462278 PECOS PAC ID: 6406948173 Enrollment ID: I20140826002407 |
| Provider Name | Lee S Chung |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1629394556 PECOS PAC ID: 3678705746 Enrollment ID: I20140827000011 |
| Provider Name | Shane Lloyd |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1750517439 PECOS PAC ID: 5193943462 Enrollment ID: I20140828000050 |
| Provider Name | Matthew H Steenblik |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1821241845 PECOS PAC ID: 7911139696 Enrollment ID: I20140828002525 |
| Provider Name | Rob L Strupp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811315153 PECOS PAC ID: 1951529155 Enrollment ID: I20140829002298 |
| Provider Name | Corrine K Welt |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1619967817 PECOS PAC ID: 6002000809 Enrollment ID: I20140909002105 |
| Provider Name | Mark A Mahan |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1477733426 PECOS PAC ID: 8921227745 Enrollment ID: I20140909002865 |
| Provider Name | Monique E Cho |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1780833889 PECOS PAC ID: 7113146960 Enrollment ID: I20140910000992 |
| Provider Name | Felicia Rachel Katz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265744882 PECOS PAC ID: 0648499319 Enrollment ID: I20140910002325 |
| Provider Name | Rashmee U Shah |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1215184510 PECOS PAC ID: 7810038353 Enrollment ID: I20140912000302 |
| Provider Name | Deborah Marie Stephens |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1952593576 PECOS PAC ID: 4385778190 Enrollment ID: I20140912002054 |
| Provider Name | Justine M Macneil |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821208554 PECOS PAC ID: 3274689278 Enrollment ID: I20140916002735 |
| Provider Name | Nicholas T Spina |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1841422631 PECOS PAC ID: 2163649799 Enrollment ID: I20140918000210 |
| Provider Name | Bryan R Mcrae |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1346407772 PECOS PAC ID: 3274752589 Enrollment ID: I20140918002712 |
| Provider Name | Marjorie Jane Mathis |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1821213331 PECOS PAC ID: 8022024405 Enrollment ID: I20140919001658 |
| Provider Name | Sarah V Colonna |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1689859407 PECOS PAC ID: 5395968663 Enrollment ID: I20140922002936 |
| Provider Name | John Morgan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1518197292 PECOS PAC ID: 5496974495 Enrollment ID: I20140923001869 |
| Provider Name | Lynn Mary Keenan |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1801916457 PECOS PAC ID: 2668436577 Enrollment ID: I20140926002169 |
| Provider Name | Santosh P Reddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154382869 PECOS PAC ID: 1951359298 Enrollment ID: I20140930000601 |
| Provider Name | Simon Jeremy Fisher |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1952327173 PECOS PAC ID: 6901886209 Enrollment ID: I20140930002120 |
| Provider Name | Hallie Megan French |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336439405 PECOS PAC ID: 2062639651 Enrollment ID: I20141001000977 |
| Provider Name | Anna R Ibele |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1942265145 PECOS PAC ID: 4981737194 Enrollment ID: I20141002000008 |
| Provider Name | Paul C Hartman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629418231 PECOS PAC ID: 9830319433 Enrollment ID: I20141002001203 |
| Provider Name | Candice Morrissey |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1518192087 PECOS PAC ID: 6800046558 Enrollment ID: I20141003001637 |
| Provider Name | Ruggero Serafini |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1306084561 PECOS PAC ID: 6800084732 Enrollment ID: I20141003002064 |
| Provider Name | Rulon L Hardman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225219421 PECOS PAC ID: 7012071350 Enrollment ID: I20141006000606 |
| Provider Name | Jutta Deininger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356742233 PECOS PAC ID: 7113148222 Enrollment ID: I20141014001847 |
| Provider Name | Sara M Webb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760891634 PECOS PAC ID: 1254552045 Enrollment ID: I20141020002197 |
| Provider Name | Gopi K Penmetsa |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1902045271 PECOS PAC ID: 7517188212 Enrollment ID: I20141022000863 |
| Provider Name | Joseph E Tonna |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720399975 PECOS PAC ID: 2062633514 Enrollment ID: I20141025000073 |
| Provider Name | Hilary Verson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003119819 PECOS PAC ID: 3678794195 Enrollment ID: I20141027002559 |
| Provider Name | Debra Ann Ledingham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700288727 PECOS PAC ID: 4981825312 Enrollment ID: I20141028000563 |
| Provider Name | Lori M Gawron |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306002274 PECOS PAC ID: 9436308095 Enrollment ID: I20141028002354 |
| Provider Name | Cindy B Matsen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1184802035 PECOS PAC ID: 0042431413 Enrollment ID: I20141028002452 |
| Provider Name | Thomas Chaly |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558525741 PECOS PAC ID: 4880830918 Enrollment ID: I20141028002917 |
| Provider Name | Ke Li |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1912247792 PECOS PAC ID: 8921229279 Enrollment ID: I20141029002722 |
| Provider Name | Elise J Heath |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1982922530 PECOS PAC ID: 3375764533 Enrollment ID: I20141031002100 |
| Provider Name | Andrew J Gawron |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1447412903 PECOS PAC ID: 9234370768 Enrollment ID: I20141108000050 |
| Provider Name | Melissa M Cortez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1336311307 PECOS PAC ID: 0244489193 Enrollment ID: I20141111001007 |
| Provider Name | Esteban Pena-ayala |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1760502116 PECOS PAC ID: 0840373866 Enrollment ID: I20141111002551 |
| Provider Name | Paloma Felga Cariello |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1538321815 PECOS PAC ID: 4880749035 Enrollment ID: I20141117000501 |
| Provider Name | Tiffany Kristen Weber |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811212947 PECOS PAC ID: 9032331418 Enrollment ID: I20141119002502 |
| Provider Name | Paige Marie Kimball |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922380153 PECOS PAC ID: 7113249285 Enrollment ID: I20141126000717 |
| Provider Name | Ellen Hunt Morrow |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1639365331 PECOS PAC ID: 4880840677 Enrollment ID: I20141202000721 |
| Provider Name | Yaw Boateng |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1477555696 PECOS PAC ID: 9335163872 Enrollment ID: I20141204000057 |
| Provider Name | Cristine Tuttle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700929338 PECOS PAC ID: 6103148986 Enrollment ID: I20141205000446 |
| Provider Name | Taylor N Delgado |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437384575 PECOS PAC ID: 9436398310 Enrollment ID: I20141209000993 |
| Provider Name | Minji Park |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265831390 PECOS PAC ID: 1456673177 Enrollment ID: I20141209001318 |
| Provider Name | Adam De Havenon |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1487897898 PECOS PAC ID: 3375865918 Enrollment ID: I20141209002069 |
| Provider Name | Christopher J Pannucci |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083737738 PECOS PAC ID: 0345562856 Enrollment ID: I20141210002335 |
| Provider Name | Marianne Bowling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366858730 PECOS PAC ID: 1052633526 Enrollment ID: I20141211002100 |
| Provider Name | Lowell Chang |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1831364561 PECOS PAC ID: 2062588601 Enrollment ID: I20141212002056 |
| Provider Name | Julio C Delgado |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1689621948 PECOS PAC ID: 7517280977 Enrollment ID: I20141216002565 |
| Provider Name | Irene Cheong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093115289 PECOS PAC ID: 2769705904 Enrollment ID: I20141219001423 |
| Provider Name | Erika A Sullivan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558660795 PECOS PAC ID: 3971735796 Enrollment ID: I20141226000645 |
| Provider Name | Jen Yu Wei |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1508092198 PECOS PAC ID: 5799961264 Enrollment ID: I20141227000015 |
| Provider Name | Jennifer Dawn Zeer |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1659603579 PECOS PAC ID: 1658408463 Enrollment ID: I20141227000110 |
| Provider Name | Mary E Vietti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992114672 PECOS PAC ID: 6204159122 Enrollment ID: I20141230001200 |
| Provider Name | Nasimul Ghani |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1558452565 PECOS PAC ID: 8921031014 Enrollment ID: I20141230002167 |
| Provider Name | Erin Michaelis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639578628 PECOS PAC ID: 8628391422 Enrollment ID: I20141231002103 |
| Provider Name | Denise Schumacher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346436177 PECOS PAC ID: 6002139730 Enrollment ID: I20150102001351 |
| Provider Name | Jay L Patel |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1538329867 PECOS PAC ID: 4688997323 Enrollment ID: I20150103000000 |
| Provider Name | Deepika S Reddy |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1407977242 PECOS PAC ID: 1658342977 Enrollment ID: I20150106000002 |
| Provider Name | Dorothea S Rosenberger |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1295788537 PECOS PAC ID: 3971501073 Enrollment ID: I20150113000410 |
| Provider Name | Kelli D Barbour |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871811919 PECOS PAC ID: 7911146964 Enrollment ID: I20150114001789 |
| Provider Name | Daniel Knitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659625770 PECOS PAC ID: 1658525639 Enrollment ID: I20150116000790 |
| Provider Name | Julia A. Rawlings |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396061677 PECOS PAC ID: 0840514071 Enrollment ID: I20150117000235 |
| Provider Name | Guy Zimmerman |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1508956194 PECOS PAC ID: 6305160342 Enrollment ID: I20150121001712 |
| Provider Name | Kirsti Rinne |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1033410394 PECOS PAC ID: 5395929269 Enrollment ID: I20150121002347 |
| Provider Name | Eric Roy Griffiths |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1811187958 PECOS PAC ID: 1951625870 Enrollment ID: I20150126001095 |
| Provider Name | Matthew D Steimle |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710116132 PECOS PAC ID: 7416112024 Enrollment ID: I20150128000631 |
| Provider Name | Julia L Pierson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588073241 PECOS PAC ID: 0042534737 Enrollment ID: I20150129001184 |
| Provider Name | Kelley Elizabeth Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659775955 PECOS PAC ID: 9032434584 Enrollment ID: I20150204002191 |
| Provider Name | Shilpa Raju |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316153174 PECOS PAC ID: 1557518487 Enrollment ID: I20150210001778 |
| Provider Name | David Fjeldsted |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1225349525 PECOS PAC ID: 3072838986 Enrollment ID: I20150218000899 |
| Provider Name | Curtis Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962806786 PECOS PAC ID: 3274859012 Enrollment ID: I20150313000586 |
| Provider Name | Rachel Ann Decker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306835087 PECOS PAC ID: 6002815263 Enrollment ID: I20150318002633 |
| Provider Name | Ashley D Nelson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235348699 PECOS PAC ID: 9931377595 Enrollment ID: I20150321000365 |
| Provider Name | Karen Yi Mueller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124321260 PECOS PAC ID: 9234456633 Enrollment ID: I20150324001228 |
| Provider Name | Mihail Gabriel Chelu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285882019 PECOS PAC ID: 0941438691 Enrollment ID: I20150325000968 |
| Provider Name | Leslie C Nakaya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366849127 PECOS PAC ID: 5597082511 Enrollment ID: I20150331001562 |
| Provider Name | Troy Hutchins |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285651372 PECOS PAC ID: 6800948977 Enrollment ID: I20150406001072 |
| Provider Name | Yoshimi Anzai |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851497937 PECOS PAC ID: 0143299586 Enrollment ID: I20150424000028 |
| Provider Name | Shane Beeton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497159487 PECOS PAC ID: 4789903501 Enrollment ID: I20150429001305 |
| Provider Name | Linda Sue Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679974059 PECOS PAC ID: 1153641782 Enrollment ID: I20150522000571 |
| Provider Name | James Benson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1356643670 PECOS PAC ID: 1254514136 Enrollment ID: I20150522001382 |
| Provider Name | Anna Matynia |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1053554105 PECOS PAC ID: 6305166711 Enrollment ID: I20150527001461 |
| Provider Name | Brent M Kious |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952690919 PECOS PAC ID: 8628200466 Enrollment ID: I20150603002760 |
| Provider Name | Leah Owen |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1164748067 PECOS PAC ID: 3375775034 Enrollment ID: I20150604001296 |
| Provider Name | Eric A Swanson |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1548580756 PECOS PAC ID: 4688995442 Enrollment ID: I20150604001659 |
| Provider Name | Clayton Charles Bettin |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1376861849 PECOS PAC ID: 2769708650 Enrollment ID: I20150605002607 |
| Provider Name | Alexej Barg |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1487042008 PECOS PAC ID: 7416278122 Enrollment ID: I20150606000054 |
| Provider Name | Anthony Schaeffer |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1700939402 PECOS PAC ID: 4284955840 Enrollment ID: I20150608001487 |
| Provider Name | Eugene Scerbo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790092807 PECOS PAC ID: 7113238114 Enrollment ID: I20150617001606 |
| Provider Name | Justin Brothers |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1285946269 PECOS PAC ID: 5991958613 Enrollment ID: I20150618002438 |
| Provider Name | Sonja E Raaum |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457641003 PECOS PAC ID: 6901039007 Enrollment ID: I20150622000789 |
| Provider Name | Nathan Scott Buck |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1487808242 PECOS PAC ID: 3971737479 Enrollment ID: I20150630000029 |
| Provider Name | Kelsey R Barrell |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1336438290 PECOS PAC ID: 8820220833 Enrollment ID: I20150630000662 |
| Provider Name | Katherine Jessop |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1922232123 PECOS PAC ID: 6406098144 Enrollment ID: I20150630002573 |
| Provider Name | Scott G Allen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1881980399 PECOS PAC ID: 0941433718 Enrollment ID: I20150701000199 |
| Provider Name | Hreem N Patel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1982999058 PECOS PAC ID: 8022320100 Enrollment ID: I20150701002622 |
| Provider Name | Dix Pettey |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1629457262 PECOS PAC ID: 1658683735 Enrollment ID: I20150701002664 |
| Provider Name | Todd M Wiese |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1851721013 PECOS PAC ID: 1153544317 Enrollment ID: I20150702000013 |
| Provider Name | Heather M Cassidy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497983654 PECOS PAC ID: 6002059219 Enrollment ID: I20150702000477 |
| Provider Name | Bryan Trump |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1083973002 PECOS PAC ID: 5294047346 Enrollment ID: I20150702001888 |
| Provider Name | Brian Zaugg |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1558660308 PECOS PAC ID: 7214169358 Enrollment ID: I20150702002215 |
| Provider Name | Tamara D Moores |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285990945 PECOS PAC ID: 3173755733 Enrollment ID: I20150706000489 |
| Provider Name | Alicia Peterson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215296561 PECOS PAC ID: 8426360447 Enrollment ID: I20150706001552 |
| Provider Name | Zachary P Joos |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1588954119 PECOS PAC ID: 7315177599 Enrollment ID: I20150706001600 |
| Provider Name | Jonathan R Skirko |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1306032347 PECOS PAC ID: 2769794650 Enrollment ID: I20150707001025 |
| Provider Name | Robert Scott Quigley |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1366769994 PECOS PAC ID: 6901127992 Enrollment ID: I20150707002347 |
| Provider Name | Dale B Cassidy |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1225266489 PECOS PAC ID: 1456577972 Enrollment ID: I20150707002500 |
| Provider Name | Zachary John Martens |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1609160878 PECOS PAC ID: 3779702659 Enrollment ID: I20150707002628 |
| Provider Name | Raymond William Grams |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1467733220 PECOS PAC ID: 4183945611 Enrollment ID: I20150707002846 |
| Provider Name | Jeffrey Horn |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1386943611 PECOS PAC ID: 0749413201 Enrollment ID: I20150708000333 |
| Provider Name | Saloni A Shah |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356668677 PECOS PAC ID: 4587899620 Enrollment ID: I20150708000781 |
| Provider Name | Laura Anna Probst |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407145311 PECOS PAC ID: 5496987562 Enrollment ID: I20150708001072 |
| Provider Name | Ashley Marie Tekippe |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811251507 PECOS PAC ID: 7810217460 Enrollment ID: I20150708001778 |
| Provider Name | Alicia Bennett |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1023317633 PECOS PAC ID: 6002033370 Enrollment ID: I20150708002007 |
| Provider Name | Blake J Newman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1306131453 PECOS PAC ID: 2466681960 Enrollment ID: I20150708002130 |
| Provider Name | Rachel Helena Allen |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1548556814 PECOS PAC ID: 2062645146 Enrollment ID: I20150709000486 |
| Provider Name | Daniel Alan Cox |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629277348 PECOS PAC ID: 5597943084 Enrollment ID: I20150709000620 |
| Provider Name | John Skaggs |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1437449279 PECOS PAC ID: 1052530961 Enrollment ID: I20150710001484 |
| Provider Name | Mccall Guyton Mcdaniel |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1760706782 PECOS PAC ID: 7719205350 Enrollment ID: I20150710001866 |
| Provider Name | Michael Sweeney |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1235455494 PECOS PAC ID: 5193041135 Enrollment ID: I20150713002128 |
| Provider Name | Michael Walker |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1154575686 PECOS PAC ID: 6901119445 Enrollment ID: I20150713002910 |
| Provider Name | Jeffrey Belisle |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1952625840 PECOS PAC ID: 0446578108 Enrollment ID: I20150714000786 |
| Provider Name | Grayson Doar |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942468038 PECOS PAC ID: 5294048674 Enrollment ID: I20150714001189 |
| Provider Name | John Daniel Welling |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1306159173 PECOS PAC ID: 7911147400 Enrollment ID: I20150714001720 |
| Provider Name | Ana Maria Lopez |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1427156017 PECOS PAC ID: 3476521642 Enrollment ID: I20150716001756 |
| Provider Name | Stephen Summers |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1023332228 PECOS PAC ID: 4486877701 Enrollment ID: I20150716003129 |
| Provider Name | Laith Farah Al Rabadi |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1821309188 PECOS PAC ID: 5395977912 Enrollment ID: I20150717000057 |
| Provider Name | Heather M Balch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972892404 PECOS PAC ID: 3375775877 Enrollment ID: I20150717001143 |
| Provider Name | Sara Lenherr |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1801067954 PECOS PAC ID: 8426274028 Enrollment ID: I20150717002459 |
| Provider Name | Thomas Varghese |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1427274349 PECOS PAC ID: 1557456134 Enrollment ID: I20150720000243 |
| Provider Name | Nita Kofchock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174851695 PECOS PAC ID: 9234382136 Enrollment ID: I20150720000730 |
| Provider Name | Brian S Galovic |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205195229 PECOS PAC ID: 5698907590 Enrollment ID: I20150722004896 |
| Provider Name | Angela Y Peters |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1699076224 PECOS PAC ID: 0840422499 Enrollment ID: I20150722005227 |
| Provider Name | Claire E Ciarkowski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568729622 PECOS PAC ID: 8022240936 Enrollment ID: I20150728004440 |
| Provider Name | Brett David Einerson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861788655 PECOS PAC ID: 6800116955 Enrollment ID: I20150728005382 |
| Provider Name | Axel Zander |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1568849016 PECOS PAC ID: 1153635693 Enrollment ID: I20150728006534 |
| Provider Name | Lauren H Theilen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174802250 PECOS PAC ID: 6507095270 Enrollment ID: I20150729008580 |
| Provider Name | Jason James Ginos |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891925723 PECOS PAC ID: 5890913784 Enrollment ID: I20150730013858 |
| Provider Name | Kathryn Storck |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063709517 PECOS PAC ID: 8325299696 Enrollment ID: I20150804003952 |
| Provider Name | Biren V Patel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245523810 PECOS PAC ID: 0345561833 Enrollment ID: I20150805007712 |
| Provider Name | Jacob Daniel Harris |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174720288 PECOS PAC ID: 2264746072 Enrollment ID: I20150806010229 |
| Provider Name | Keir D Marshall |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1386969111 PECOS PAC ID: 0345554044 Enrollment ID: I20150807013935 |
| Provider Name | Scott Harada |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649571548 PECOS PAC ID: 4385958008 Enrollment ID: I20150807014897 |
| Provider Name | Laura Chelu |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003079070 PECOS PAC ID: 0143372698 Enrollment ID: I20150807014923 |
| Provider Name | Srinivas Kiran Tantravahi |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1972742245 PECOS PAC ID: 9638397516 Enrollment ID: I20150811004269 |
| Provider Name | Jade Nunez |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1851581235 PECOS PAC ID: 8628295896 Enrollment ID: I20150811005208 |
| Provider Name | Aaron Prussin |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1609867266 PECOS PAC ID: 1557424892 Enrollment ID: I20150811005255 |
| Provider Name | Michelle Sorweid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477849123 PECOS PAC ID: 7719104207 Enrollment ID: I20150812007332 |
| Provider Name | Justin A Cramer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609004407 PECOS PAC ID: 7214169051 Enrollment ID: I20150812008415 |
| Provider Name | Blair A Winegar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508183302 PECOS PAC ID: 4688892409 Enrollment ID: I20150812008667 |
| Provider Name | Thomas Pickron |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1598733941 PECOS PAC ID: 7315979713 Enrollment ID: I20150818004729 |
| Provider Name | Kajsa Affolter |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1033435094 PECOS PAC ID: 1658686738 Enrollment ID: I20150819006285 |
| Provider Name | Danette K Borg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275915373 PECOS PAC ID: 7618282633 Enrollment ID: I20150819007788 |
| Provider Name | Amy D Ellsworth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922332998 PECOS PAC ID: 6608914080 Enrollment ID: I20150819007812 |
| Provider Name | Courtney Bartlett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255748380 PECOS PAC ID: 5799090726 Enrollment ID: I20150819008145 |
| Provider Name | Brigitt K Smith |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1760612170 PECOS PAC ID: 3274766118 Enrollment ID: I20150824001309 |
| Provider Name | Ryan Pelo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497045777 PECOS PAC ID: 2860708609 Enrollment ID: I20150825003840 |
| Provider Name | Claire L Griffin |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1861650160 PECOS PAC ID: 2860708641 Enrollment ID: I20150825005061 |
| Provider Name | Abby Jo Watson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619266681 PECOS PAC ID: 5496988594 Enrollment ID: I20150827000738 |
| Provider Name | Anna Bramley Catino |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1427282318 PECOS PAC ID: 2668691486 Enrollment ID: I20150827002795 |
| Provider Name | Julie Rosenberg |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1306853635 PECOS PAC ID: 5698677227 Enrollment ID: I20150827002876 |
| Provider Name | Sarah Cantrell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1962759589 PECOS PAC ID: 4183841737 Enrollment ID: I20150831001102 |
| Provider Name | Kendall V Thurman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821206871 PECOS PAC ID: 0143352450 Enrollment ID: I20150901001602 |
| Provider Name | Omar E Wever-pinzon |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1205926250 PECOS PAC ID: 6002902905 Enrollment ID: I20150902001588 |
| Provider Name | Girish Singhania |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1558660217 PECOS PAC ID: 8527297100 Enrollment ID: I20150902003110 |
| Provider Name | Don D Williams |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1942526819 PECOS PAC ID: 5799901617 Enrollment ID: I20150910000364 |
| Provider Name | Karin Chen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477877611 PECOS PAC ID: 2769799311 Enrollment ID: I20150915002727 |
| Provider Name | Dianna Goodman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538541420 PECOS PAC ID: 4587971775 Enrollment ID: I20150921002426 |
| Provider Name | Angela Gerrard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770967200 PECOS PAC ID: 9436467248 Enrollment ID: I20150928002795 |
| Provider Name | Ryan Murphy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841556511 PECOS PAC ID: 0244465029 Enrollment ID: I20151001002105 |
| Provider Name | Michelle Bittle |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487711925 PECOS PAC ID: 7113827429 Enrollment ID: I20151001002473 |
| Provider Name | Phoebe Freer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902946478 PECOS PAC ID: 7416043153 Enrollment ID: I20151002002476 |
| Provider Name | Emily Hayes |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1134504608 PECOS PAC ID: 9032427398 Enrollment ID: I20151006002340 |
| Provider Name | Danica Loveridge |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1205211570 PECOS PAC ID: 8628386836 Enrollment ID: I20151007001205 |
| Provider Name | Bruce Horowitz |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1447212758 PECOS PAC ID: 6901920537 Enrollment ID: I20151013001381 |
| Provider Name | Anu Abraham |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1720242464 PECOS PAC ID: 2466503958 Enrollment ID: I20151013001666 |
| Provider Name | Daniel Couriel |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1275627309 PECOS PAC ID: 0749373918 Enrollment ID: I20151014001648 |
| Provider Name | Thomas Mcgarry |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1124164991 PECOS PAC ID: 6204828312 Enrollment ID: I20151015000589 |
| Provider Name | Laura C Weber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295110187 PECOS PAC ID: 9032428925 Enrollment ID: I20151015000939 |
| Provider Name | Shiven B Patel |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1023276490 PECOS PAC ID: 7012185085 Enrollment ID: I20151019000109 |
| Provider Name | Mckaela Bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912375551 PECOS PAC ID: 1052620671 Enrollment ID: I20151022000880 |
| Provider Name | Tsewang Tashi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1841440674 PECOS PAC ID: 0840458055 Enrollment ID: I20151105001351 |
| Provider Name | Sikandar Ansari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740470731 PECOS PAC ID: 0749422913 Enrollment ID: I20151106001373 |
| Provider Name | Gon Thi Lam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891179339 PECOS PAC ID: 6002126844 Enrollment ID: I20151109000117 |
| Provider Name | Kristina Woolsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912234378 PECOS PAC ID: 5991015505 Enrollment ID: I20151111002293 |
| Provider Name | Nirmal Teja Sunkara |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1396908141 PECOS PAC ID: 4486823911 Enrollment ID: I20151112000638 |
| Provider Name | Jaclyn J Piper-williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619353182 PECOS PAC ID: 3971813221 Enrollment ID: I20151117001403 |
| Provider Name | Sandra Spackman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164892592 PECOS PAC ID: 0749580009 Enrollment ID: I20151118002680 |
| Provider Name | Heather Whitley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831379023 PECOS PAC ID: 8325297120 Enrollment ID: I20151120001114 |
| Provider Name | Chelyn C Fullmer |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1740656453 PECOS PAC ID: 1759681851 Enrollment ID: I20151120002683 |
| Provider Name | Talina R. Skirko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427319938 PECOS PAC ID: 7810143658 Enrollment ID: I20151204002205 |
| Provider Name | Jessica Johnson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1790938843 PECOS PAC ID: 2567694243 Enrollment ID: I20151211001952 |
| Provider Name | Catherine Joy Lee |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1871734038 PECOS PAC ID: 8921309170 Enrollment ID: I20151214001216 |
| Provider Name | Isaac Hall |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1184899981 PECOS PAC ID: 6507043775 Enrollment ID: I20151217001311 |
| Provider Name | Amy Locke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558450403 PECOS PAC ID: 5092855023 Enrollment ID: I20151222002175 |
| Provider Name | Edlira Farka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770950636 PECOS PAC ID: 6507167277 Enrollment ID: I20151222002259 |
| Provider Name | Donald Seibert |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1467498881 PECOS PAC ID: 4587625249 Enrollment ID: I20160112002024 |
| Provider Name | Abbey Drummer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811365570 PECOS PAC ID: 0345543955 Enrollment ID: I20160114001172 |
| Provider Name | Anneliesa Allred |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972979300 PECOS PAC ID: 7517260029 Enrollment ID: I20160115001702 |
| Provider Name | Dipayan Chaudhuri |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1982872370 PECOS PAC ID: 6002073889 Enrollment ID: I20160127001240 |
| Provider Name | Barry Hansford |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043448186 PECOS PAC ID: 9234355843 Enrollment ID: I20160127002472 |
| Provider Name | Marshall Crespin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497125009 PECOS PAC ID: 0648574251 Enrollment ID: I20160202001026 |
| Provider Name | Amie Long |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609284637 PECOS PAC ID: 1658683560 Enrollment ID: I20160208001904 |
| Provider Name | Ann M Granchelli |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1609019751 PECOS PAC ID: 7810129954 Enrollment ID: I20160209000659 |
| Provider Name | Kimberley Evason |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1275786634 PECOS PAC ID: 0244470433 Enrollment ID: I20160210002075 |
| Provider Name | Angela Chamberlain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184099764 PECOS PAC ID: 2466757208 Enrollment ID: I20160216002317 |
| Provider Name | Laurie L Fajardo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033107982 PECOS PAC ID: 6901909886 Enrollment ID: I20160223002170 |
| Provider Name | Elizabeth Leah Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215115357 PECOS PAC ID: 1153467105 Enrollment ID: I20160225001172 |
| Provider Name | Sam R Page |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1952694366 PECOS PAC ID: 4284939471 Enrollment ID: I20160225002176 |
| Provider Name | Sean Erickson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538419692 PECOS PAC ID: 2769618735 Enrollment ID: I20160225002471 |
| Provider Name | Tenzin Phunrab |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568828002 PECOS PAC ID: 7810292935 Enrollment ID: I20160226000744 |
| Provider Name | Michael Morgan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740623313 PECOS PAC ID: 5092937599 Enrollment ID: I20160330002425 |
| Provider Name | Aaron Secrest |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1003176934 PECOS PAC ID: 9032341151 Enrollment ID: I20160401000897 |
| Provider Name | Joshua Marr |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285976969 PECOS PAC ID: 9436371689 Enrollment ID: I20160408001745 |
| Provider Name | Yetunde O Ibrahim |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316231566 PECOS PAC ID: 3577880160 Enrollment ID: I20160412002290 |
| Provider Name | Holbrook H Stoecklein |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780927541 PECOS PAC ID: 0547583007 Enrollment ID: I20160419001375 |
| Provider Name | Shanel S Holbrook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750779617 PECOS PAC ID: 0840511432 Enrollment ID: I20160419001600 |
| Provider Name | Brock O Neil |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1902048630 PECOS PAC ID: 9335372507 Enrollment ID: I20160420002277 |
| Provider Name | Joyce D Schroeder |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295834067 PECOS PAC ID: 0749287217 Enrollment ID: I20160421002194 |
| Provider Name | Jessica Slim |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013274570 PECOS PAC ID: 1951603976 Enrollment ID: I20160421002405 |
| Provider Name | Gary J Faerber |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1366533804 PECOS PAC ID: 2466591698 Enrollment ID: I20160422002125 |
| Provider Name | Sonny Win |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588626253 PECOS PAC ID: 5193867422 Enrollment ID: I20160426001910 |
| Provider Name | Massimiliano Romanelli-gobbi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1811262025 PECOS PAC ID: 3577795350 Enrollment ID: I20160427000781 |
| Provider Name | Catherine A Hatch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003144536 PECOS PAC ID: 9931331410 Enrollment ID: I20160429001220 |
| Provider Name | James Lee |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1487916151 PECOS PAC ID: 1951534288 Enrollment ID: I20160502000941 |
| Provider Name | Sarah Sperry Mcconville |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1811254063 PECOS PAC ID: 5395977011 Enrollment ID: I20160505001055 |
| Provider Name | Katrin S Lamprecht |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457797250 PECOS PAC ID: 1850617044 Enrollment ID: I20160505002210 |
| Provider Name | Sarah W Barnaby |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1033400338 PECOS PAC ID: 0244400232 Enrollment ID: I20160506000083 |
| Provider Name | Adam L Ware |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073838058 PECOS PAC ID: 4688806136 Enrollment ID: I20160511001949 |
| Provider Name | Rebecca R Desso |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1104188002 PECOS PAC ID: 6608009402 Enrollment ID: I20160512001958 |
| Provider Name | Sara Tollstrup |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033578141 PECOS PAC ID: 8527357565 Enrollment ID: I20160516000967 |
| Provider Name | Fabio K Higuchi |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1740552843 PECOS PAC ID: 1254593429 Enrollment ID: I20160519001066 |
| Provider Name | Daniel Churgin |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1558629550 PECOS PAC ID: 6507155066 Enrollment ID: I20160523002128 |
| Provider Name | Melani Harker |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558302745 PECOS PAC ID: 8325043896 Enrollment ID: I20160531000439 |
| Provider Name | Daniel Odell |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1659635399 PECOS PAC ID: 3173746294 Enrollment ID: I20160603001159 |
| Provider Name | Adam Meier |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1679770960 PECOS PAC ID: 7012071640 Enrollment ID: I20160606000042 |
| Provider Name | Jennifer Belzer |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1477879187 PECOS PAC ID: 9931332491 Enrollment ID: I20160609000953 |
| Provider Name | Griffin Jardine |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811280787 PECOS PAC ID: 7810142387 Enrollment ID: I20160613001067 |
| Provider Name | Martha Anice Andrea Monson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295001105 PECOS PAC ID: 5890927628 Enrollment ID: I20160614001142 |
| Provider Name | Megan Mills |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831400159 PECOS PAC ID: 8527290782 Enrollment ID: I20160620000901 |
| Provider Name | Richard Lewis Leake |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033405485 PECOS PAC ID: 7012208242 Enrollment ID: I20160620000972 |
| Provider Name | Jason Glotzbach |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1467671701 PECOS PAC ID: 5698070209 Enrollment ID: I20160622001086 |
| Provider Name | Jeffrey Christensen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1720415904 PECOS PAC ID: 1759518293 Enrollment ID: I20160623000335 |
| Provider Name | Remy R Lobo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679884019 PECOS PAC ID: 3375780679 Enrollment ID: I20160623000353 |
| Provider Name | Brad Wright |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023317328 PECOS PAC ID: 8123245743 Enrollment ID: I20160623000588 |
| Provider Name | Sarah M Holland |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1083926331 PECOS PAC ID: 5092902619 Enrollment ID: I20160623000806 |
| Provider Name | Carina Jackman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1003170127 PECOS PAC ID: 4981837093 Enrollment ID: I20160629001689 |
| Provider Name | Joseph Guenzer |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1083913552 PECOS PAC ID: 2769774025 Enrollment ID: I20160706001642 |
| Provider Name | Holly N Bullock |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063777274 PECOS PAC ID: 5395037246 Enrollment ID: I20160713001315 |
| Provider Name | Jason Young |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1861659526 PECOS PAC ID: 3577878156 Enrollment ID: I20160718001899 |
| Provider Name | Robert Odrobina |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1265677454 PECOS PAC ID: 3870645443 Enrollment ID: I20160720000384 |
| Provider Name | Alvin Kwok |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1275695546 PECOS PAC ID: 4284864703 Enrollment ID: I20160721000446 |
| Provider Name | Roderick Jack Willmore |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346538253 PECOS PAC ID: 5597997379 Enrollment ID: I20160721002408 |
| Provider Name | Debra Mercy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528106325 PECOS PAC ID: 8729000567 Enrollment ID: I20160722001207 |
| Provider Name | Michael Karns |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1316236789 PECOS PAC ID: 9436448511 Enrollment ID: I20160722001293 |
| Provider Name | Muhammad Chauhan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215295365 PECOS PAC ID: 9335464114 Enrollment ID: I20160725002532 |
| Provider Name | Abbie Spencer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831548775 PECOS PAC ID: 5193018349 Enrollment ID: I20160726000391 |
| Provider Name | Eric Hansen |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1912260456 PECOS PAC ID: 8527351725 Enrollment ID: I20160726001724 |
| Provider Name | Julie Thomas |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1740370287 PECOS PAC ID: 1850393794 Enrollment ID: I20160726002139 |
| Provider Name | Elizabeth Mae Chabot |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1346530375 PECOS PAC ID: 2264672930 Enrollment ID: I20160726002697 |
| Provider Name | Benjamin A Steinberg |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1407065188 PECOS PAC ID: 6406149426 Enrollment ID: I20160727002348 |
| Provider Name | Heather E Howe |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1396990123 PECOS PAC ID: 7315179280 Enrollment ID: I20160728002415 |
| Provider Name | Isak Goodwin |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1669698247 PECOS PAC ID: 6406088244 Enrollment ID: I20160729000369 |
| Provider Name | Jeremy Greenwood |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1629390018 PECOS PAC ID: 9638206592 Enrollment ID: I20160802001988 |
| Provider Name | John Meyers |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275973364 PECOS PAC ID: 9436454113 Enrollment ID: I20160803001496 |
| Provider Name | Glen Lau |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982994042 PECOS PAC ID: 2567608136 Enrollment ID: I20160809001854 |
| Provider Name | Brent Betts |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1821358490 PECOS PAC ID: 0749591725 Enrollment ID: I20160809001912 |
| Provider Name | Zachary Drapkin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063755940 PECOS PAC ID: 2769704089 Enrollment ID: I20160809002541 |
| Provider Name | Nikolas Kazmers |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1578874715 PECOS PAC ID: 3870887169 Enrollment ID: I20160809002851 |
| Provider Name | Yu Kuei Lin |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1689952855 PECOS PAC ID: 4284936014 Enrollment ID: I20160810000600 |
| Provider Name | Lauren Borowski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013353556 PECOS PAC ID: 7315268927 Enrollment ID: I20160811001479 |
| Provider Name | Gabriel Fine |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598085425 PECOS PAC ID: 2365736436 Enrollment ID: I20160811002700 |
| Provider Name | Irene Zilbershteyn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548612559 PECOS PAC ID: 9436443520 Enrollment ID: I20160812000579 |
| Provider Name | Frances Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548612435 PECOS PAC ID: 9234423260 Enrollment ID: I20160812001989 |
| Provider Name | Marta Mccrum |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1063754265 PECOS PAC ID: 6608001235 Enrollment ID: I20160815000930 |
| Provider Name | Robert Jenkinson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1063770501 PECOS PAC ID: 0749413482 Enrollment ID: I20160816001085 |
| Provider Name | Rasheed O Abiola |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1659669075 PECOS PAC ID: 8123251675 Enrollment ID: I20160817001356 |
| Provider Name | Gabrielle Manton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669848420 PECOS PAC ID: 3971804378 Enrollment ID: I20160818001843 |
| Provider Name | Marissa B Larochelle |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1740544774 PECOS PAC ID: 7517191570 Enrollment ID: I20160818002734 |
| Provider Name | Heather J Corn |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1396036109 PECOS PAC ID: 5193958957 Enrollment ID: I20160819000085 |
| Provider Name | Lindsay Burt |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1407149438 PECOS PAC ID: 6204068208 Enrollment ID: I20160819000483 |
| Provider Name | Georgios Deftereos |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1225384456 PECOS PAC ID: 2264734110 Enrollment ID: I20160822000936 |
| Provider Name | Katherine Koniuch |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1043576515 PECOS PAC ID: 0042462517 Enrollment ID: I20160822001248 |
| Provider Name | Laura Pace |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1104142025 PECOS PAC ID: 3678868262 Enrollment ID: I20160822001326 |
| Provider Name | Michael Timothy Lago |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1891094306 PECOS PAC ID: 2668767260 Enrollment ID: I20160822001390 |
| Provider Name | Joy English |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1740470434 PECOS PAC ID: 9133306954 Enrollment ID: I20160824001560 |
| Provider Name | Peter Chalmers |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1518288323 PECOS PAC ID: 4880909597 Enrollment ID: I20160824002538 |
| Provider Name | Timothy Barton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144671637 PECOS PAC ID: 2466747621 Enrollment ID: I20160826000995 |
| Provider Name | Patrick D Nicholson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1982962031 PECOS PAC ID: 9335362086 Enrollment ID: I20160826002355 |
| Provider Name | Tuan Pham |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1366604423 PECOS PAC ID: 7810163094 Enrollment ID: I20160829001172 |
| Provider Name | Justin Haller |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1790009264 PECOS PAC ID: 6800028671 Enrollment ID: I20160829001635 |
| Provider Name | Pamela Anne Mathy |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1104992460 PECOS PAC ID: 8820383821 Enrollment ID: I20160829002680 |
| Provider Name | Douglas Sborov |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1942444609 PECOS PAC ID: 3375782204 Enrollment ID: I20160830001141 |
| Provider Name | Randa Tao |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1982959607 PECOS PAC ID: 4486940475 Enrollment ID: I20160830002563 |
| Provider Name | Marcela Smid |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588994727 PECOS PAC ID: 9537301080 Enrollment ID: I20160831000334 |
| Provider Name | Jennifer Eggebroten |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770858821 PECOS PAC ID: 1456583020 Enrollment ID: I20160831001794 |
| Provider Name | Laurie Don Fue |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1780939025 PECOS PAC ID: 2769778695 Enrollment ID: I20160901000918 |
| Provider Name | David Dorsey |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1417248022 PECOS PAC ID: 4688980535 Enrollment ID: I20160901001447 |
| Provider Name | Milton Marvin Ang Chua |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215283320 PECOS PAC ID: 3173819034 Enrollment ID: I20160901002280 |
| Provider Name | Ibrahim Hammad |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811263866 PECOS PAC ID: 8729388731 Enrollment ID: I20160902000628 |
| Provider Name | Kathryn Johnson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891079208 PECOS PAC ID: 3274829072 Enrollment ID: I20160902001042 |
| Provider Name | Wendy Ann Hanna |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457610651 PECOS PAC ID: 4981837218 Enrollment ID: I20160908002788 |
| Provider Name | Cynthia Van Nguyen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1568756468 PECOS PAC ID: 8527362219 Enrollment ID: I20160908002945 |
| Provider Name | Jenna Steffen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790044840 PECOS PAC ID: 3678705340 Enrollment ID: I20160912001293 |
| Provider Name | Kimberly Hales |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1033535851 PECOS PAC ID: 6002102134 Enrollment ID: I20160915001165 |
| Provider Name | Candace Chang |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1023166550 PECOS PAC ID: 9234281049 Enrollment ID: I20160919002413 |
| Provider Name | Erica Marino |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1598218174 PECOS PAC ID: 1254628068 Enrollment ID: I20160922000601 |
| Provider Name | Laura Anderson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1861894123 PECOS PAC ID: 1456648294 Enrollment ID: I20160922001620 |
| Provider Name | Sarah Freeman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699069682 PECOS PAC ID: 4880811629 Enrollment ID: I20160922002077 |
| Provider Name | Benjamin Maughan |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1255656120 PECOS PAC ID: 9436304151 Enrollment ID: I20160926001123 |
| Provider Name | Jennifer Feige |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477819530 PECOS PAC ID: 4789982018 Enrollment ID: I20160928001642 |
| Provider Name | Ziga Cizman |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1407176407 PECOS PAC ID: 3476779950 Enrollment ID: I20160928001998 |
| Provider Name | Natalie Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104237932 PECOS PAC ID: 1153540224 Enrollment ID: I20160929002145 |
| Provider Name | Jose E Rodriguez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447466081 PECOS PAC ID: 4385769389 Enrollment ID: I20160929002728 |
| Provider Name | Laura Whitney Bickel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073067088 PECOS PAC ID: 4688962848 Enrollment ID: I20161004002114 |
| Provider Name | Robert Frost |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1437550415 PECOS PAC ID: 2668799982 Enrollment ID: I20161006000525 |
| Provider Name | Carol Volante |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316038391 PECOS PAC ID: 9133210362 Enrollment ID: I20161006000909 |
| Provider Name | Amanda Gentner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548613219 PECOS PAC ID: 7810285806 Enrollment ID: I20161006000929 |
| Provider Name | Rodney Barker |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1023178530 PECOS PAC ID: 4486626348 Enrollment ID: I20161006001594 |
| Provider Name | Abigail Zeveloff |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518211705 PECOS PAC ID: 7719275619 Enrollment ID: I20161010000453 |
| Provider Name | Vedran Radojcic |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1538398409 PECOS PAC ID: 1456575331 Enrollment ID: I20161020001876 |
| Provider Name | Luke Maese |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154553469 PECOS PAC ID: 6608007521 Enrollment ID: I20161024001541 |
| Provider Name | Maria Pletneva |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1407084841 PECOS PAC ID: 4183840796 Enrollment ID: I20161025001588 |
| Provider Name | Anna Chalmers |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1992025787 PECOS PAC ID: 0143526269 Enrollment ID: I20161025001725 |
| Provider Name | Callie Bradley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053761924 PECOS PAC ID: 8325326473 Enrollment ID: I20161025001935 |
| Provider Name | Orhan Bican |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760625206 PECOS PAC ID: 9234417270 Enrollment ID: I20161026002412 |
| Provider Name | Rachel Mitchell Montague |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952857963 PECOS PAC ID: 3173801941 Enrollment ID: I20161028001601 |
| Provider Name | April Conlon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720438633 PECOS PAC ID: 5991083495 Enrollment ID: I20161104000569 |
| Provider Name | Jocelyn Susan Yale |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1457806911 PECOS PAC ID: 9830478239 Enrollment ID: I20161107002205 |
| Provider Name | Heidi M Favero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538576673 PECOS PAC ID: 2163727363 Enrollment ID: I20161114000914 |
| Provider Name | Jennifer Pantelakis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467805135 PECOS PAC ID: 3577842459 Enrollment ID: I20161116002581 |
| Provider Name | Amy Bliss |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871859389 PECOS PAC ID: 1052542214 Enrollment ID: I20161117001174 |
| Provider Name | Graham T Fedorak |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1679902746 PECOS PAC ID: 4789906090 Enrollment ID: I20161123001591 |
| Provider Name | Nga Ly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932654571 PECOS PAC ID: 6901185412 Enrollment ID: I20161123001763 |
| Provider Name | Bobbi Heaney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184077075 PECOS PAC ID: 0345520763 Enrollment ID: I20161130002649 |
| Provider Name | Jennifer Rowley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578018834 PECOS PAC ID: 0749560191 Enrollment ID: I20161201000892 |
| Provider Name | Jennifer Lynne Merkley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245683127 PECOS PAC ID: 0446530893 Enrollment ID: I20161201001034 |
| Provider Name | Katherine Long |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275085854 PECOS PAC ID: 0941580252 Enrollment ID: I20161202001042 |
| Provider Name | Ramon Hernandez-arres |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740632835 PECOS PAC ID: 2264712504 Enrollment ID: I20161202002211 |
| Provider Name | Nelly Tejada Romero |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1134574478 PECOS PAC ID: 3870873003 Enrollment ID: I20161206000542 |
| Provider Name | Elizabeth Bevis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265866743 PECOS PAC ID: 5395025423 Enrollment ID: I20161207002241 |
| Provider Name | Satoshi Minoshima |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1467550756 PECOS PAC ID: 3375669500 Enrollment ID: I20161208000687 |
| Provider Name | Charli Danielle Peters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518414911 PECOS PAC ID: 8921388992 Enrollment ID: I20161208001052 |
| Provider Name | Jakrapun Pupaibool |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1366690844 PECOS PAC ID: 2860516945 Enrollment ID: I20161214000672 |
| Provider Name | Paul Bray |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1144333097 PECOS PAC ID: 5698775914 Enrollment ID: I20161214001935 |
| Provider Name | Gretchen Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346799921 PECOS PAC ID: 6800176579 Enrollment ID: I20161215001069 |
| Provider Name | Klaus Bielefeldt |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1114999612 PECOS PAC ID: 5193628964 Enrollment ID: I20161219000180 |
| Provider Name | Sonia L Klonoski |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1821335308 PECOS PAC ID: 7810139490 Enrollment ID: I20161228000348 |
| Provider Name | Donald Cannon |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1780820050 PECOS PAC ID: 6305070624 Enrollment ID: I20161228000993 |
| Provider Name | Camila Catherine Henriques De Aquino |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245772854 PECOS PAC ID: 7618258716 Enrollment ID: I20170104000830 |
| Provider Name | Eva Losaline Tukuafu |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255713582 PECOS PAC ID: 7214218221 Enrollment ID: I20170106000427 |
| Provider Name | Laura K Rollins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023468808 PECOS PAC ID: 4183905003 Enrollment ID: I20170106001348 |
| Provider Name | Wobo Bekwelem |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1962720136 PECOS PAC ID: 4385926583 Enrollment ID: I20170124001156 |
| Provider Name | Michael Ward |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1093071086 PECOS PAC ID: 0244512440 Enrollment ID: I20170124001305 |
| Provider Name | Ashle Crane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841749256 PECOS PAC ID: 7113209180 Enrollment ID: I20170126002678 |
| Provider Name | Lindsay Embree |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1386047587 PECOS PAC ID: 4082836333 Enrollment ID: I20170207002207 |
| Provider Name | Emily Dubois Hollander |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1194198077 PECOS PAC ID: 7012219058 Enrollment ID: I20170215002831 |
| Provider Name | Antigoni Koliopoulou |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1609319722 PECOS PAC ID: 0840574489 Enrollment ID: I20170228000693 |
| Provider Name | Gretchen M Oakley |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1215253182 PECOS PAC ID: 7810129988 Enrollment ID: I20170313002144 |
| Provider Name | Makanda Smith |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1588020903 PECOS PAC ID: 9931484987 Enrollment ID: I20170314001515 |
| Provider Name | Suzanne Sandwick |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699880542 PECOS PAC ID: 8123303740 Enrollment ID: I20170322002306 |
| Provider Name | Margaret B Conroy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871565424 PECOS PAC ID: 5092793943 Enrollment ID: I20170329002139 |
| Provider Name | Bryant L Peterson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1174794127 PECOS PAC ID: 0547349615 Enrollment ID: I20170427001001 |
| Provider Name | Benjamin Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215477740 PECOS PAC ID: 5294012282 Enrollment ID: I20170428001729 |
| Provider Name | Keyan Marashi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437440492 PECOS PAC ID: 4183932114 Enrollment ID: I20170503002113 |
| Provider Name | Matthew D Alexander |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1578899662 PECOS PAC ID: 8123339827 Enrollment ID: I20170504000593 |
| Provider Name | Bradford N Ence |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1255770392 PECOS PAC ID: 2062639032 Enrollment ID: I20170508001687 |
| Provider Name | Jen Chang |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1922205848 PECOS PAC ID: 2163745001 Enrollment ID: I20170510001384 |
| Provider Name | Richard Willis Runyan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1336482645 PECOS PAC ID: 9234456955 Enrollment ID: I20170510002420 |
| Provider Name | Bryan Silon |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1144541590 PECOS PAC ID: 7416181573 Enrollment ID: I20170511000471 |
| Provider Name | Andrea Gutsche |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1649536988 PECOS PAC ID: 9234456534 Enrollment ID: I20170511001321 |
| Provider Name | Travis Pecha |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1568806404 PECOS PAC ID: 1951629179 Enrollment ID: I20170511001410 |
| Provider Name | Graham M Brant-zawadzki |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174966154 PECOS PAC ID: 9133425911 Enrollment ID: I20170512001813 |
| Provider Name | Richard Bigelow Cannon |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1679867378 PECOS PAC ID: 3274765334 Enrollment ID: I20170516002951 |
| Provider Name | James Joyner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245643642 PECOS PAC ID: 0042587271 Enrollment ID: I20170518002058 |
| Provider Name | Donald Mccorquodale |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1285976332 PECOS PAC ID: 5395068803 Enrollment ID: I20170518002261 |
| Provider Name | Richard Ofstein |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356326540 PECOS PAC ID: 6901875418 Enrollment ID: I20170518002352 |
| Provider Name | Julie A Neumann |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1295025138 PECOS PAC ID: 6406142785 Enrollment ID: I20170518002359 |
| Provider Name | Dell Dunn |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417154683 PECOS PAC ID: 7719103092 Enrollment ID: I20170519000869 |
| Provider Name | Marian Murphy |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1952743734 PECOS PAC ID: 0941526727 Enrollment ID: I20170601001167 |
| Provider Name | Kelsee Browning |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669885745 PECOS PAC ID: 8820394265 Enrollment ID: I20170608001821 |
| Provider Name | Elizabeth Rutter |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740624972 PECOS PAC ID: 6204150436 Enrollment ID: I20170612002806 |
| Provider Name | Deepika Sirohi |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1649558438 PECOS PAC ID: 4789952946 Enrollment ID: I20170613001315 |
| Provider Name | John Ross Stringham |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1982878021 PECOS PAC ID: 2365683349 Enrollment ID: I20170616001321 |
| Provider Name | Kaerli Main Christensen |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1093071045 PECOS PAC ID: 4385876192 Enrollment ID: I20170616002448 |
| Provider Name | Rachel Moses |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1174816300 PECOS PAC ID: 0749579787 Enrollment ID: I20170619001783 |
| Provider Name | Manuel Ignacio Rodriguez-davalos |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1306996053 PECOS PAC ID: 8729970454 Enrollment ID: I20170619002383 |
| Provider Name | Ross Feller |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1265725493 PECOS PAC ID: 1254551963 Enrollment ID: I20170621002429 |
| Provider Name | Ashley Marie Brundrett |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1841630639 PECOS PAC ID: 9234428517 Enrollment ID: I20170622001779 |
| Provider Name | Douglas C Appleby |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1275581720 PECOS PAC ID: 8426184227 Enrollment ID: I20170622002198 |
| Provider Name | Stephen Lars Jenkins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447670880 PECOS PAC ID: 5991005696 Enrollment ID: I20170623000748 |
| Provider Name | Vivek K Reddy |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1437376571 PECOS PAC ID: 7911008107 Enrollment ID: I20170623001101 |
| Provider Name | Leslie Halpern |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1023009669 PECOS PAC ID: 8022092923 Enrollment ID: I20170623001238 |
| Provider Name | Miriam Peckham |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598056848 PECOS PAC ID: 4385934991 Enrollment ID: I20170626001378 |
| Provider Name | Charles M Calvo |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1194087940 PECOS PAC ID: 0840421962 Enrollment ID: I20170628003233 |
| Provider Name | Joseph R Fitzgerald |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1427414374 PECOS PAC ID: 3173829553 Enrollment ID: I20170628003403 |
| Provider Name | Divya Chauhan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487920658 PECOS PAC ID: 9537471388 Enrollment ID: I20170629000614 |
| Provider Name | Casey Dv Gradick |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124360649 PECOS PAC ID: 3173745221 Enrollment ID: I20170629001447 |
| Provider Name | Gabriel A Fierro-fine |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1700223146 PECOS PAC ID: 2365711660 Enrollment ID: I20170629001784 |
| Provider Name | Austin Rupp |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487072450 PECOS PAC ID: 5496057325 Enrollment ID: I20170629002313 |
| Provider Name | Brian J Marcus |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1386080935 PECOS PAC ID: 9638460744 Enrollment ID: I20170629002887 |
| Provider Name | Patrick Kobes |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568729481 PECOS PAC ID: 4587933817 Enrollment ID: I20170629002970 |
| Provider Name | Jolanta Jedrzkiewicz |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1578852661 PECOS PAC ID: 9830468164 Enrollment ID: I20170629003038 |
| Provider Name | Kristine Smith |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1740721810 PECOS PAC ID: 0345519609 Enrollment ID: I20170630000841 |
| Provider Name | Vikas Sharma |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1619282225 PECOS PAC ID: 9537311394 Enrollment ID: I20170630000843 |
| Provider Name | Keith B Quencer |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1760643290 PECOS PAC ID: 2264690841 Enrollment ID: I20170630001086 |
| Provider Name | Kathryn Johnson |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1619405966 PECOS PAC ID: 2860761020 Enrollment ID: I20170630001323 |
| Provider Name | Jennifer Kaiser |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164764742 PECOS PAC ID: 2264652551 Enrollment ID: I20170630001369 |
| Provider Name | Sagar T Mehta |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1225327224 PECOS PAC ID: 3476786906 Enrollment ID: I20170630001972 |
| Provider Name | Scott Holmstrom |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760827174 PECOS PAC ID: 1153648670 Enrollment ID: I20170630002226 |
| Provider Name | Joshua Christiansen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1184067373 PECOS PAC ID: 2961623038 Enrollment ID: I20170630002460 |
| Provider Name | Elizabeth Ann Martin |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1609219021 PECOS PAC ID: 2961636113 Enrollment ID: I20170630002660 |
| Provider Name | Norkamari S Bandolin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821400227 PECOS PAC ID: 7810266020 Enrollment ID: I20170703000326 |
| Provider Name | Claire S Kaufman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356630073 PECOS PAC ID: 1456620665 Enrollment ID: I20170703000349 |
| Provider Name | Jon C Vivolo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851706881 PECOS PAC ID: 0941514202 Enrollment ID: I20170703000862 |
| Provider Name | Amanda Best Breviu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043654189 PECOS PAC ID: 3375867393 Enrollment ID: I20170703001017 |
| Provider Name | Clint Allred |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1609190172 PECOS PAC ID: 6103067467 Enrollment ID: I20170703001539 |
| Provider Name | Stephen Sams |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1972864502 PECOS PAC ID: 7618109562 Enrollment ID: I20170703001580 |
| Provider Name | Rachel Simpson |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1982041372 PECOS PAC ID: 6608145750 Enrollment ID: I20170705000406 |
| Provider Name | Hailey Allen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619235157 PECOS PAC ID: 9537382320 Enrollment ID: I20170705001582 |
| Provider Name | Saulena S Shafer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1336460278 PECOS PAC ID: 7214206390 Enrollment ID: I20170705001972 |
| Provider Name | Christopher J Behrens |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1063844470 PECOS PAC ID: 9830411685 Enrollment ID: I20170705002196 |
| Provider Name | Mark Waheed |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1619219847 PECOS PAC ID: 2860761970 Enrollment ID: I20170705003041 |
| Provider Name | Eric Cerrati |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1275824856 PECOS PAC ID: 4486949120 Enrollment ID: I20170706000580 |
| Provider Name | Tori Taylor |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1245620830 PECOS PAC ID: 4082930458 Enrollment ID: I20170707001700 |
| Provider Name | Rodney S Smith |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1679916126 PECOS PAC ID: 6709168917 Enrollment ID: I20170707002069 |
| Provider Name | Jessica Page |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053658708 PECOS PAC ID: 0244452274 Enrollment ID: I20170707002152 |
| Provider Name | Michael Wagner |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1912194366 PECOS PAC ID: 6709155658 Enrollment ID: I20170707002500 |
| Provider Name | Kimberly A Murphy |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1720374853 PECOS PAC ID: 4789976804 Enrollment ID: I20170707003058 |
| Provider Name | Lynn M Hassman |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1093158487 PECOS PAC ID: 2264669241 Enrollment ID: I20170710001536 |
| Provider Name | Jeanette Brown |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1326276296 PECOS PAC ID: 6305159773 Enrollment ID: I20170710001920 |
| Provider Name | Spencer Tomberg |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770825184 PECOS PAC ID: 7214206028 Enrollment ID: I20170711002365 |
| Provider Name | Adam Danielson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104073386 PECOS PAC ID: 0941579676 Enrollment ID: I20170711003603 |
| Provider Name | Ryland Kagan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1104183888 PECOS PAC ID: 9931353299 Enrollment ID: I20170712001468 |
| Provider Name | Dana Johns |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1851617815 PECOS PAC ID: 2062632052 Enrollment ID: I20170712002217 |
| Provider Name | Lauren Knecht |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1851617740 PECOS PAC ID: 9032337977 Enrollment ID: I20170712003885 |
| Provider Name | Timothy Fuller |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770994550 PECOS PAC ID: 0244538106 Enrollment ID: I20170713003329 |
| Provider Name | John Groundland |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1689629081 PECOS PAC ID: 1951398197 Enrollment ID: I20170718000945 |
| Provider Name | Phillip A Sandifer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1831453158 PECOS PAC ID: 5496071144 Enrollment ID: I20170719000914 |
| Provider Name | Anna Rudolphi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467872358 PECOS PAC ID: 7517263650 Enrollment ID: I20170721001689 |
| Provider Name | Michael Newman Singleton |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1003159666 PECOS PAC ID: 1658694351 Enrollment ID: I20170725001231 |
| Provider Name | William Auffermann |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1124173653 PECOS PAC ID: 3375694839 Enrollment ID: I20170727001533 |
| Provider Name | Andrew John Wodowski |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1518226398 PECOS PAC ID: 0941446611 Enrollment ID: I20170727001752 |
| Provider Name | Kyle Register |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1114272937 PECOS PAC ID: 5496062960 Enrollment ID: I20170731001069 |
| Provider Name | Jessica S Shin |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1578820775 PECOS PAC ID: 9739484965 Enrollment ID: I20170731001179 |
| Provider Name | Joshua Coleman |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1487821195 PECOS PAC ID: 0244470730 Enrollment ID: I20170731002930 |
| Provider Name | Jeremy Shaw |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1770859654 PECOS PAC ID: 7517258312 Enrollment ID: I20170731003782 |
| Provider Name | Gregory Radin |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1275823387 PECOS PAC ID: 5597997247 Enrollment ID: I20170801000942 |
| Provider Name | Kristin Karner |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1881733822 PECOS PAC ID: 4385734748 Enrollment ID: I20170803003806 |
| Provider Name | Ross A Mcentarfer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1649561762 PECOS PAC ID: 9638477094 Enrollment ID: I20170807002257 |
| Provider Name | Michael Martin Murphy |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1366794182 PECOS PAC ID: 2567733660 Enrollment ID: I20170808003115 |
| Provider Name | Scott J Parker |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730447186 PECOS PAC ID: 9830340264 Enrollment ID: I20170814001568 |
| Provider Name | Lyen Huang |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1952562449 PECOS PAC ID: 6103116926 Enrollment ID: I20170815004537 |
| Provider Name | Michelle Debbink |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386088706 PECOS PAC ID: 7012210032 Enrollment ID: I20170816003842 |
| Provider Name | Anu Sharma |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1245545748 PECOS PAC ID: 9234356353 Enrollment ID: I20170817003138 |
| Provider Name | Rebecca Y Kim |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1760643126 PECOS PAC ID: 5395025654 Enrollment ID: I20170817003645 |
| Provider Name | Scott Evans |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346223369 PECOS PAC ID: 3274426283 Enrollment ID: I20170821003002 |
| Provider Name | Kristin Hueftle |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1164765053 PECOS PAC ID: 0244553980 Enrollment ID: I20170821003439 |
| Provider Name | Neelima Kandula |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1699020636 PECOS PAC ID: 0648542886 Enrollment ID: I20170822003936 |
| Provider Name | Philip Mcclure |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1740418912 PECOS PAC ID: 6800011552 Enrollment ID: I20170826000497 |
| Provider Name | Paige Patterson |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1023374626 PECOS PAC ID: 9830321827 Enrollment ID: I20170830002250 |
| Provider Name | Alison Leigh Smith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598004087 PECOS PAC ID: 9335442375 Enrollment ID: I20170901003197 |
| Provider Name | Martin Tam |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1932474079 PECOS PAC ID: 2567692742 Enrollment ID: I20170906000571 |
| Provider Name | Marilyn Schneider |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083134910 PECOS PAC ID: 8426321803 Enrollment ID: I20170906003570 |
| Provider Name | Brendan Milliner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093057523 PECOS PAC ID: 7517230717 Enrollment ID: I20170911001617 |
| Provider Name | Stacy Schulof |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497284723 PECOS PAC ID: 3870866981 Enrollment ID: I20170911002629 |
| Provider Name | Fiona M Hayes |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1255852323 PECOS PAC ID: 9739452871 Enrollment ID: I20170912000502 |
| Provider Name | Homam Ibrahim |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1114150257 PECOS PAC ID: 3971897489 Enrollment ID: I20170913000678 |
| Provider Name | Atul K Mallik |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306137153 PECOS PAC ID: 7113146135 Enrollment ID: I20170921002778 |
| Provider Name | Dzenis Mehinovic |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1457682866 PECOS PAC ID: 1052441342 Enrollment ID: I20170921003816 |
| Provider Name | Shane Anderson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144208661 PECOS PAC ID: 8426322942 Enrollment ID: I20170922000341 |
| Provider Name | Mark David Rollins |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1750330064 PECOS PAC ID: 3779569637 Enrollment ID: I20170925003051 |
| Provider Name | Seniha Ozudogru |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1174801799 PECOS PAC ID: 5799071858 Enrollment ID: I20170926003529 |
| Provider Name | Philip Howland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992227003 PECOS PAC ID: 6406120666 Enrollment ID: I20170927000662 |
| Provider Name | Erik Saenz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760780266 PECOS PAC ID: 3274780879 Enrollment ID: I20171016001229 |
| Provider Name | Christian J Davidson |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1396918314 PECOS PAC ID: 5890952220 Enrollment ID: I20171016002080 |
| Provider Name | Brenna Becker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578752614 PECOS PAC ID: 4284716598 Enrollment ID: I20171018001771 |
| Provider Name | Klasina Caballero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215450986 PECOS PAC ID: 3072889088 Enrollment ID: I20171018003573 |
| Provider Name | Brian Michael Vukelic |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821225392 PECOS PAC ID: 5496905044 Enrollment ID: I20171019001009 |
| Provider Name | Zachary Sadoff |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366968653 PECOS PAC ID: 8628344553 Enrollment ID: I20171020002429 |
| Provider Name | Douglas P Marx |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1013177682 PECOS PAC ID: 1658426572 Enrollment ID: I20171024003321 |
| Provider Name | Karen Ann Gilbert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588185300 PECOS PAC ID: 3476829805 Enrollment ID: I20171030001943 |
| Provider Name | Sabarinath Venniyil Radhakrishnan |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1457664005 PECOS PAC ID: 7911138342 Enrollment ID: I20171106002001 |
| Provider Name | Laura K Certain |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1114154945 PECOS PAC ID: 4880857457 Enrollment ID: I20171120000355 |
| Provider Name | Heidi Ann Nielson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598288490 PECOS PAC ID: 9133486434 Enrollment ID: I20171121002495 |
| Provider Name | Meghan Vigil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841717451 PECOS PAC ID: 9739446899 Enrollment ID: I20171127002980 |
| Provider Name | Justin Young Howell |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1699096438 PECOS PAC ID: 5193082949 Enrollment ID: I20171201002704 |
| Provider Name | Jessica Coon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538518469 PECOS PAC ID: 3779840582 Enrollment ID: I20171204002116 |
| Provider Name | Laura A. Lambert |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1467532390 PECOS PAC ID: 5395635825 Enrollment ID: I20171212001774 |
| Provider Name | Justin Ellis Costello |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215235916 PECOS PAC ID: 5799054326 Enrollment ID: I20171218001768 |
| Provider Name | Shaun Chandna |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1497989719 PECOS PAC ID: 4688803919 Enrollment ID: I20171219000007 |
| Provider Name | Line Kemeyou |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396905493 PECOS PAC ID: 6002033222 Enrollment ID: I20171226001156 |
| Provider Name | George Rofaiel |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1265622138 PECOS PAC ID: 4486785516 Enrollment ID: I20180102001962 |
| Provider Name | Cassidy Doucette Campanella |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811407794 PECOS PAC ID: 2264790872 Enrollment ID: I20180102002123 |
| Provider Name | Gordon Dale Mills |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205356250 PECOS PAC ID: 2264791870 Enrollment ID: I20180104001523 |
| Provider Name | Tracy Irene George |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1083761142 PECOS PAC ID: 0941368039 Enrollment ID: I20180105000896 |
| Provider Name | Trenten Cloyd Bassett |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1487077186 PECOS PAC ID: 5597997718 Enrollment ID: I20180109002764 |
| Provider Name | Donraphael Wynn |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1396188751 PECOS PAC ID: 1951627124 Enrollment ID: I20180115000892 |
| Provider Name | Shannon V Shepherd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053757492 PECOS PAC ID: 9931334661 Enrollment ID: I20180118000603 |
| Provider Name | Syed Adil Husain |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1790845873 PECOS PAC ID: 5597766402 Enrollment ID: I20180119002727 |
| Provider Name | Paolo Moretti |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1093968265 PECOS PAC ID: 5395808000 Enrollment ID: I20180119002794 |
| Provider Name | Juliana Simonetti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962639989 PECOS PAC ID: 3072758234 Enrollment ID: I20180125001719 |
| Provider Name | Brandon J Dahl |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1821227257 PECOS PAC ID: 6103009014 Enrollment ID: I20180131001741 |
| Provider Name | Courtney Kunkel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609234350 PECOS PAC ID: 6709182454 Enrollment ID: I20180131001851 |
| Provider Name | Aaron B. Skidmore |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922387174 PECOS PAC ID: 6305017013 Enrollment ID: I20180131002080 |
| Provider Name | Dallin Marchant |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1083120059 PECOS PAC ID: 9537429923 Enrollment ID: I20180202001187 |
| Provider Name | Michael J Farrell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619264397 PECOS PAC ID: 8224270426 Enrollment ID: I20180207001153 |
| Provider Name | Namita Chittoria |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1659537405 PECOS PAC ID: 3577888403 Enrollment ID: I20180222003065 |
| Provider Name | Jessica D Johnson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1770094666 PECOS PAC ID: 4284995507 Enrollment ID: I20180301002479 |
| Provider Name | Deeann Cervantez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841707569 PECOS PAC ID: 7618238858 Enrollment ID: I20180302000755 |
| Provider Name | Renee Proctor Wilson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1033202452 PECOS PAC ID: 6305847716 Enrollment ID: I20180316000717 |
| Provider Name | Carlos Andres Gomez Alvarez |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1891073870 PECOS PAC ID: 9638431299 Enrollment ID: I20180319001321 |
| Provider Name | Katherine Lynn Harris |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1447588728 PECOS PAC ID: 8325348394 Enrollment ID: I20180320001118 |
| Provider Name | Ashley Benson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1467870295 PECOS PAC ID: 1254640782 Enrollment ID: I20180321001601 |
| Provider Name | Anton Rets |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1053699348 PECOS PAC ID: 2365731007 Enrollment ID: I20180321002230 |
| Provider Name | Sarah L Berga |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124054218 PECOS PAC ID: 5294648648 Enrollment ID: I20180323001426 |
| Provider Name | Erin Johnson Cole |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1659726511 PECOS PAC ID: 8729340039 Enrollment ID: I20180327001139 |
| Provider Name | Philip Joseph Cheng |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1417290719 PECOS PAC ID: 9638399447 Enrollment ID: I20180406002030 |
| Provider Name | Brian Andrew Breviu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790129831 PECOS PAC ID: 7719200252 Enrollment ID: I20180412001163 |
| Provider Name | Jennifer Cotton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871975755 PECOS PAC ID: 7012218290 Enrollment ID: I20180413001620 |
| Provider Name | Genevieve Noelle Olivier |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053820001 PECOS PAC ID: 6800159252 Enrollment ID: I20180417001349 |
| Provider Name | Rachel D Kroencke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497140172 PECOS PAC ID: 4587944004 Enrollment ID: I20180418001873 |
| Provider Name | Athanasios Bramos |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1144541426 PECOS PAC ID: 5092018770 Enrollment ID: I20180426001998 |
| Provider Name | William H Denq |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558780700 PECOS PAC ID: 8820352701 Enrollment ID: I20180430002098 |
| Provider Name | Kristi Leavitt Nichols |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1942718473 PECOS PAC ID: 7517221211 Enrollment ID: I20180504001208 |
| Provider Name | Robert Neal Taylor |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407889397 PECOS PAC ID: 5991728800 Enrollment ID: I20180504001595 |
| Provider Name | Timothy Michael Hanley |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1467794941 PECOS PAC ID: 5395009856 Enrollment ID: I20180509000723 |
| Provider Name | Jamal Jones |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821485210 PECOS PAC ID: 7719269802 Enrollment ID: I20180510001613 |
| Provider Name | Avni A Shah |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1598007676 PECOS PAC ID: 8628390416 Enrollment ID: I20180511000909 |
| Provider Name | Shagun Dhaliwal |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1902211667 PECOS PAC ID: 4284932708 Enrollment ID: I20180515002624 |
| Provider Name | Divya Raghavan |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1972852333 PECOS PAC ID: 6608181292 Enrollment ID: I20180516002476 |
| Provider Name | Thomas Day Seibert |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073930061 PECOS PAC ID: 1557582426 Enrollment ID: I20180517001789 |
| Provider Name | Jindong Wang |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1538594023 PECOS PAC ID: 9133484215 Enrollment ID: I20180518001301 |
| Provider Name | Emily M Beck |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1326338195 PECOS PAC ID: 9638397458 Enrollment ID: I20180521002274 |
| Provider Name | Bradley Evan Hansen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1487064093 PECOS PAC ID: 2062631195 Enrollment ID: I20180529001935 |
| Provider Name | Emily Miller |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1518471283 PECOS PAC ID: 2163787995 Enrollment ID: I20180529002231 |
| Provider Name | Tyson Finlinson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265875991 PECOS PAC ID: 6103127998 Enrollment ID: I20180529002412 |
| Provider Name | Majd Ibrahim |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1700199627 PECOS PAC ID: 9133440464 Enrollment ID: I20180530001062 |
| Provider Name | Shaun Douglas Mendenhall |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1023305018 PECOS PAC ID: 7012156011 Enrollment ID: I20180531000513 |
| Provider Name | Kaidi Wang |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1326380577 PECOS PAC ID: 7719256205 Enrollment ID: I20180601000503 |
| Provider Name | Ronald D Durtschi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780063313 PECOS PAC ID: 0547573677 Enrollment ID: I20180606002279 |
| Provider Name | Ami Patel |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1750675948 PECOS PAC ID: 6406073295 Enrollment ID: I20180607000961 |
| Provider Name | Shannon L Son |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154668598 PECOS PAC ID: 3678838943 Enrollment ID: I20180607002385 |
| Provider Name | Ryan P Joyce |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982049896 PECOS PAC ID: 5092060145 Enrollment ID: I20180614000664 |
| Provider Name | Brian Yang Chan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508128877 PECOS PAC ID: 2365746849 Enrollment ID: I20180614000814 |
| Provider Name | Arwa Alsamarae |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1487072534 PECOS PAC ID: 3375768351 Enrollment ID: I20180619002528 |
| Provider Name | Jenna Veronica Mcrae |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093188310 PECOS PAC ID: 6406158120 Enrollment ID: I20180620002018 |
| Provider Name | Sophia Ying Fang |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1942507447 PECOS PAC ID: 2860748241 Enrollment ID: I20180628000409 |
| Provider Name | Jarred Hicks |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1972923183 PECOS PAC ID: 8426352659 Enrollment ID: I20180628002061 |
| Provider Name | Matthew R Difrancesca |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588041990 PECOS PAC ID: 6406137322 Enrollment ID: I20180628002732 |
| Provider Name | Chelsea Allison Meyer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1417368986 PECOS PAC ID: 9931401692 Enrollment ID: I20180702002433 |
| Provider Name | Jason Mathis |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1982022497 PECOS PAC ID: 3476809633 Enrollment ID: I20180702002628 |
| Provider Name | Jessica Ann Ellis |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1831497353 PECOS PAC ID: 1456626845 Enrollment ID: I20180710002645 |
| Provider Name | Neal Griffith Moores |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1427374636 PECOS PAC ID: 2163741927 Enrollment ID: I20180713002733 |
| Provider Name | Eric Innes |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1841618444 PECOS PAC ID: 8224332424 Enrollment ID: I20180716002228 |
| Provider Name | Michael J. Benson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1831509488 PECOS PAC ID: 6002119492 Enrollment ID: I20180716002613 |
| Provider Name | Scott Eric Chamberlain |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1083867071 PECOS PAC ID: 8820150014 Enrollment ID: I20180716003045 |
| Provider Name | Austin Earl Horrocks |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1477972461 PECOS PAC ID: 5193072676 Enrollment ID: I20180716003169 |
| Provider Name | John Thomas Wilkinson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1376886663 PECOS PAC ID: 8325366909 Enrollment ID: I20180716003311 |
| Provider Name | Douglas Michael Rogers |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669819447 PECOS PAC ID: 5193048270 Enrollment ID: I20180716003343 |
| Provider Name | Brock John Alonzo |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1144649138 PECOS PAC ID: 2567770415 Enrollment ID: I20180717000087 |
| Provider Name | Michael T Yim |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1073959508 PECOS PAC ID: 1850648254 Enrollment ID: I20180717000784 |
| Provider Name | Chad Reihm |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407296098 PECOS PAC ID: 1658628052 Enrollment ID: I20180717000865 |
| Provider Name | Maryam Soltanolkotabi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811336787 PECOS PAC ID: 5799915666 Enrollment ID: I20180717001109 |
| Provider Name | Dulce E Boucher |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1174942320 PECOS PAC ID: 5193028967 Enrollment ID: I20180717001132 |
| Provider Name | Blake Allen Campbell |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1114345543 PECOS PAC ID: 6800017138 Enrollment ID: I20180717002708 |
| Provider Name | Jeremy Royle Stoddart |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023242815 PECOS PAC ID: 2163666157 Enrollment ID: I20180717003867 |
| Provider Name | Norman Earl Taylor |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1467616730 PECOS PAC ID: 1658539259 Enrollment ID: I20180718000437 |
| Provider Name | Brad D Harris |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1730595224 PECOS PAC ID: 6305149394 Enrollment ID: I20180718002292 |
| Provider Name | Bradley Kuhn |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1841624889 PECOS PAC ID: 8820224900 Enrollment ID: I20180718003113 |
| Provider Name | Elaine Pigman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1386986917 PECOS PAC ID: 2466775622 Enrollment ID: I20180718004262 |
| Provider Name | Adam Spjute |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1265851232 PECOS PAC ID: 8325396948 Enrollment ID: I20180730002014 |
| Provider Name | Lauren Lahdan Saeed Heidarian |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1235559535 PECOS PAC ID: 3678870011 Enrollment ID: I20180806002824 |
| Provider Name | Nathan Blue |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427300938 PECOS PAC ID: 0244547438 Enrollment ID: I20180806002917 |
| Provider Name | Jerdan Ruff |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1285054338 PECOS PAC ID: 8921356015 Enrollment ID: I20180806003224 |
| Provider Name | Naila Raiz Mammadova |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1619144516 PECOS PAC ID: 8426214388 Enrollment ID: I20180808001640 |
| Provider Name | Conan G Kinsey |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1831480771 PECOS PAC ID: 1850524950 Enrollment ID: I20180808001862 |
| Provider Name | Meghan E Schmidt |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1851804272 PECOS PAC ID: 6800144734 Enrollment ID: I20180808002544 |
| Provider Name | Rae Elena Bacharach |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1568889483 PECOS PAC ID: 0345473088 Enrollment ID: I20180808002618 |
| Provider Name | Heather Elizabeth Henry |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1447527395 PECOS PAC ID: 3870894348 Enrollment ID: I20180808002704 |
| Provider Name | Amir Arain |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992810709 PECOS PAC ID: 3375620339 Enrollment ID: I20180808003250 |
| Provider Name | Christopher Bligh Komanski |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1558781856 PECOS PAC ID: 8527289859 Enrollment ID: I20180808003646 |
| Provider Name | Sarah Stone |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972921682 PECOS PAC ID: 7315241882 Enrollment ID: I20180808003763 |
| Provider Name | Jonathan Galli |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1962821801 PECOS PAC ID: 6002119054 Enrollment ID: I20180808003858 |
| Provider Name | Scott Mark Johnson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841557279 PECOS PAC ID: 5193962975 Enrollment ID: I20180809005114 |
| Provider Name | Richard Blair Willis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366883324 PECOS PAC ID: 0042514457 Enrollment ID: I20180809005232 |
| Provider Name | Ethan Allen Neufeld |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487920815 PECOS PAC ID: 5698044667 Enrollment ID: I20180809005718 |
| Provider Name | Bret Sweeten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548755986 PECOS PAC ID: 1850649690 Enrollment ID: I20180809005944 |
| Provider Name | Sean J. Callahan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1336402940 PECOS PAC ID: 7517220965 Enrollment ID: I20180815002281 |
| Provider Name | Amy Chai-shine Tsai |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265793657 PECOS PAC ID: 5597981415 Enrollment ID: I20180816002413 |
| Provider Name | Hediyeh Baradaran |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538450325 PECOS PAC ID: 0941573307 Enrollment ID: I20180822002559 |
| Provider Name | Karen Moser |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1760635478 PECOS PAC ID: 5991937211 Enrollment ID: I20180822003430 |
| Provider Name | Marissa Lou Moran |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477931103 PECOS PAC ID: 4486967460 Enrollment ID: I20180823002249 |
| Provider Name | Nikolas M Damme |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508124843 PECOS PAC ID: 9234360108 Enrollment ID: I20180904001019 |
| Provider Name | Julian Macedo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639440902 PECOS PAC ID: 1850532573 Enrollment ID: I20180904002105 |
| Provider Name | Laura L Bellaire |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1639512056 PECOS PAC ID: 0547510711 Enrollment ID: I20180910000899 |
| Provider Name | Christopher L Stockburger |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1336585942 PECOS PAC ID: 7315176716 Enrollment ID: I20180911003305 |
| Provider Name | Akshay Yadhati |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1902240898 PECOS PAC ID: 5294085395 Enrollment ID: I20180911003578 |
| Provider Name | Devon Nixon |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1730525551 PECOS PAC ID: 2961631338 Enrollment ID: I20180911003901 |
| Provider Name | Alexander Trexler Brothers |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1619318060 PECOS PAC ID: 8426308487 Enrollment ID: I20180912002567 |
| Provider Name | Daryl Mclaren |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871971184 PECOS PAC ID: 7719275288 Enrollment ID: I20180919001145 |
| Provider Name | Zachary Regan Krahn |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518306240 PECOS PAC ID: 7810248465 Enrollment ID: I20180921000496 |
| Provider Name | Marc Md Barry |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1114965415 PECOS PAC ID: 6608957337 Enrollment ID: I20180921001327 |
| Provider Name | Andria Holmes Holt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023500188 PECOS PAC ID: 1557612058 Enrollment ID: I20180921002793 |
| Provider Name | John Patrick Gerstenberger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982098190 PECOS PAC ID: 6800101908 Enrollment ID: I20180925001442 |
| Provider Name | Colin Little |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700263472 PECOS PAC ID: 0446501761 Enrollment ID: I20180926002157 |
| Provider Name | Joseph Michael Letourneau |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992099220 PECOS PAC ID: 8224320411 Enrollment ID: I20180926002543 |
| Provider Name | Alexander Wojciech Pastuszak |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1609020130 PECOS PAC ID: 0840508735 Enrollment ID: I20180926002865 |
| Provider Name | Rocky P.j. Jedick |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689802803 PECOS PAC ID: 7012211105 Enrollment ID: I20180928001676 |
| Provider Name | Nathan B Haile |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1225473671 PECOS PAC ID: 5193006278 Enrollment ID: I20181001001279 |
| Provider Name | Michael J Moss |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629415567 PECOS PAC ID: 0244472991 Enrollment ID: I20181002000088 |
| Provider Name | Paula Renata Hobson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902202419 PECOS PAC ID: 0547585101 Enrollment ID: I20181002000634 |
| Provider Name | Boyu Hu |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1033478144 PECOS PAC ID: 3678895349 Enrollment ID: I20181003001199 |
| Provider Name | Christine Marie Warrick |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1649614785 PECOS PAC ID: 6305163254 Enrollment ID: I20181003001330 |
| Provider Name | Douglas M Daniell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437545514 PECOS PAC ID: 1850671983 Enrollment ID: I20181004000134 |
| Provider Name | Irma Fleming |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1104157577 PECOS PAC ID: 7214230309 Enrollment ID: I20181004002985 |
| Provider Name | Rebecca S Overbury |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1861767048 PECOS PAC ID: 3971736299 Enrollment ID: I20181008001307 |
| Provider Name | Matthew Patrick Wahl |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1992047393 PECOS PAC ID: 1557582863 Enrollment ID: I20181008002513 |
| Provider Name | Leah Thalia Moses |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1043706625 PECOS PAC ID: 6709138423 Enrollment ID: I20181008003500 |
| Provider Name | Kelsie Jo Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548752827 PECOS PAC ID: 9234481953 Enrollment ID: I20181008003542 |
| Provider Name | Tyler Wolz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235502857 PECOS PAC ID: 2668774365 Enrollment ID: I20181009003679 |
| Provider Name | Andrew Livermore |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1225472822 PECOS PAC ID: 6507089240 Enrollment ID: I20181010003529 |
| Provider Name | Stacy Higley Wilkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689167827 PECOS PAC ID: 7911259197 Enrollment ID: I20181017000299 |
| Provider Name | Daniel G Tobert |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1790123875 PECOS PAC ID: 5890923866 Enrollment ID: I20181017002089 |
| Provider Name | Jessica Noack Cohan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1740504620 PECOS PAC ID: 1153615919 Enrollment ID: I20181023003163 |
| Provider Name | Ming Yeong Lim |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1184855751 PECOS PAC ID: 3870766140 Enrollment ID: I20181023003590 |
| Provider Name | Alex G Dukas |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1396181178 PECOS PAC ID: 0446570675 Enrollment ID: I20181023003713 |
| Provider Name | Lucas Anderson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1073603692 PECOS PAC ID: 1052337607 Enrollment ID: I20181024001446 |
| Provider Name | Meagan Dawn Seay |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1699035741 PECOS PAC ID: 3678713187 Enrollment ID: I20181024002321 |
| Provider Name | Eugene Young Kim |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669738696 PECOS PAC ID: 0345479408 Enrollment ID: I20181024002681 |
| Provider Name | Emily Anne Nacy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1689092892 PECOS PAC ID: 1456604263 Enrollment ID: I20181024002772 |
| Provider Name | Luke M Gessel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1871720011 PECOS PAC ID: 8022272574 Enrollment ID: I20181024003252 |
| Provider Name | Jennifer Wiegand |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548755010 PECOS PAC ID: 5092068791 Enrollment ID: I20181026000404 |
| Provider Name | Sherry Shuai-li Wang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407386824 PECOS PAC ID: 9537437363 Enrollment ID: I20181026001214 |
| Provider Name | Raymond William Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023503174 PECOS PAC ID: 0143573410 Enrollment ID: I20181102002117 |
| Provider Name | Aimee Steinly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427535970 PECOS PAC ID: 3476806753 Enrollment ID: I20181102002315 |
| Provider Name | Ryan P Ernst |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396787289 PECOS PAC ID: 7113982489 Enrollment ID: I20181107003544 |
| Provider Name | Lennie Marie Swenson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104305960 PECOS PAC ID: 6800140922 Enrollment ID: I20181108000770 |
| Provider Name | Lesley Carol Lomo |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1275524365 PECOS PAC ID: 1951306943 Enrollment ID: I20181114001641 |
| Provider Name | Molly Walker Beck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093239428 PECOS PAC ID: 7012251804 Enrollment ID: I20181205001589 |
| Provider Name | Takayuki Suzuki |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1447415633 PECOS PAC ID: 4183856743 Enrollment ID: I20181210000670 |
| Provider Name | Pace Romney |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1023453768 PECOS PAC ID: 9537458781 Enrollment ID: I20181213000777 |
| Provider Name | Stephanie Baker Neerings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033602057 PECOS PAC ID: 5395080311 Enrollment ID: I20181219003682 |
| Provider Name | John M Hendrick |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780002261 PECOS PAC ID: 7315247129 Enrollment ID: I20190103000870 |
| Provider Name | Lorinda A Coombs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952510737 PECOS PAC ID: 6507849197 Enrollment ID: I20190107002235 |
| Provider Name | Ian Macgregor Lindsay |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558505305 PECOS PAC ID: 6901198274 Enrollment ID: I20190107002652 |
| Provider Name | Jennifer Lloyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982180154 PECOS PAC ID: 4587900444 Enrollment ID: I20190114002273 |
| Provider Name | Jessica Ann Lewis-caporal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306124011 PECOS PAC ID: 6204173628 Enrollment ID: I20190123002810 |
| Provider Name | Siwen Hu-lieskovan |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1578864864 PECOS PAC ID: 0143447250 Enrollment ID: I20190129003644 |
| Provider Name | Marie Bergomi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215213301 PECOS PAC ID: 8921260662 Enrollment ID: I20190220001637 |
| Provider Name | Timothy Drew Smith |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1053750190 PECOS PAC ID: 3678879822 Enrollment ID: I20190220003254 |
| Provider Name | Rachel M Straight |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134608664 PECOS PAC ID: 0547509200 Enrollment ID: I20190225002969 |
| Provider Name | Joy Roman |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1871904565 PECOS PAC ID: 8820337355 Enrollment ID: I20190228000897 |
| Provider Name | Jonathon Mahlow |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1497173082 PECOS PAC ID: 7517206063 Enrollment ID: I20190228001599 |
| Provider Name | Jennifer M Hadley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184102212 PECOS PAC ID: 2567701923 Enrollment ID: I20190228002777 |
| Provider Name | Brandy R Pownell |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1295154367 PECOS PAC ID: 3870710494 Enrollment ID: I20190301000208 |
| Provider Name | Janene P. Fontaine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518202811 PECOS PAC ID: 7911247804 Enrollment ID: I20190312002044 |
| Provider Name | Grace Blissell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417428582 PECOS PAC ID: 3375883135 Enrollment ID: I20190314001770 |
| Provider Name | Mariana Moreno Prats |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1487065793 PECOS PAC ID: 1254671969 Enrollment ID: I20190315001638 |
| Provider Name | Dana M Boucek |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154612117 PECOS PAC ID: 2961634977 Enrollment ID: I20190320000741 |
| Provider Name | Ashley B Iverson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1669985297 PECOS PAC ID: 2163762535 Enrollment ID: I20190321000809 |
| Provider Name | Gillian Leigh Hale |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1902123300 PECOS PAC ID: 7315178886 Enrollment ID: I20190321002341 |
| Provider Name | Ranae Michelle Gonzales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891276291 PECOS PAC ID: 1456691773 Enrollment ID: I20190325001735 |
| Provider Name | Andrew Kosturik |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043732183 PECOS PAC ID: 3375883564 Enrollment ID: I20190326001995 |
| Provider Name | Laurie Whittaker Leclair |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1871505214 PECOS PAC ID: 4183783327 Enrollment ID: I20190327001087 |
| Provider Name | Jessica Singer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659853992 PECOS PAC ID: 6608116777 Enrollment ID: I20190327003223 |
| Provider Name | Tamila Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790275816 PECOS PAC ID: 8527308626 Enrollment ID: I20190328000510 |
| Provider Name | Anna Tracey Dalton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215414552 PECOS PAC ID: 2769723527 Enrollment ID: I20190404002885 |
| Provider Name | Betty Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497248272 PECOS PAC ID: 7113268558 Enrollment ID: I20190411001139 |
| Provider Name | Nicholas R Brening |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1699160465 PECOS PAC ID: 5597047605 Enrollment ID: I20190417000751 |
| Provider Name | Lindsay Maxwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467735589 PECOS PAC ID: 5799947008 Enrollment ID: I20190417001773 |
| Provider Name | Adam J Schiltz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528477635 PECOS PAC ID: 0547582728 Enrollment ID: I20190424003323 |
| Provider Name | Micah Gibbs Ownbey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649616442 PECOS PAC ID: 8820230394 Enrollment ID: I20190429001116 |
| Provider Name | Alyrene Dorey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487064929 PECOS PAC ID: 5991075681 Enrollment ID: I20190429001854 |
| Provider Name | Jeremy Kendel Baird |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609823467 PECOS PAC ID: 3274557376 Enrollment ID: I20190429002325 |
| Provider Name | Ann E Lawrence |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1023219870 PECOS PAC ID: 3678627775 Enrollment ID: I20190502000357 |
| Provider Name | Paige Miller |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1942718341 PECOS PAC ID: 1557603065 Enrollment ID: I20190502003155 |
| Provider Name | Kathryn A Mccune |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467741462 PECOS PAC ID: 9436491792 Enrollment ID: I20190507001435 |
| Provider Name | Umang Swami |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1447545520 PECOS PAC ID: 1951526698 Enrollment ID: I20190507001915 |
| Provider Name | Mei Wei |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1073875308 PECOS PAC ID: 2769604040 Enrollment ID: I20190507002134 |
| Provider Name | Linda Nguyen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1831585629 PECOS PAC ID: 0345520797 Enrollment ID: I20190508000577 |
| Provider Name | Kevin Conrad |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1649666264 PECOS PAC ID: 9234441833 Enrollment ID: I20190508000955 |
| Provider Name | Emilee Borgmeier |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1851787758 PECOS PAC ID: 0244510741 Enrollment ID: I20190508003468 |
| Provider Name | David P Ng |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1760625339 PECOS PAC ID: 5890010003 Enrollment ID: I20190509000818 |
| Provider Name | Daniel J Falk |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1639519390 PECOS PAC ID: 3779804810 Enrollment ID: I20190509002537 |
| Provider Name | Natalie M Como |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841685625 PECOS PAC ID: 0244519080 Enrollment ID: I20190510002178 |
| Provider Name | Tae-wu Edward Kim |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1669669099 PECOS PAC ID: 5193870731 Enrollment ID: I20190513000748 |
| Provider Name | Jacob Eldon Pollard |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1912393620 PECOS PAC ID: 2264743426 Enrollment ID: I20190513001483 |
| Provider Name | Danielle M Babbel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649610452 PECOS PAC ID: 3870875982 Enrollment ID: I20190513002586 |
| Provider Name | Lucy C Unger |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053775957 PECOS PAC ID: 9032485404 Enrollment ID: I20190524001486 |
| Provider Name | Clark Moser |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1508243007 PECOS PAC ID: 7012297732 Enrollment ID: I20190524002241 |
| Provider Name | Kimberly S Garcia |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1780997346 PECOS PAC ID: 7618165101 Enrollment ID: I20190526000016 |
| Provider Name | Alvin Tracey Detorres |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1215355086 PECOS PAC ID: 0749523256 Enrollment ID: I20190527000010 |
| Provider Name | Katherine Ann Lees |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1740697689 PECOS PAC ID: 6901023613 Enrollment ID: I20190527000034 |
| Provider Name | David Burstedt |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1528160371 PECOS PAC ID: 7810954419 Enrollment ID: I20190528000392 |
| Provider Name | Michael Austin Johnson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629397153 PECOS PAC ID: 6901031640 Enrollment ID: I20190528001197 |
| Provider Name | Jhenette Lauder |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912392770 PECOS PAC ID: 1557673134 Enrollment ID: I20190528001862 |
| Provider Name | Benjamin Lev Solomon |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1518209485 PECOS PAC ID: 0648573816 Enrollment ID: I20190528002303 |
| Provider Name | Darci J Williams |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1134260300 PECOS PAC ID: 6406955475 Enrollment ID: I20190529000194 |
| Provider Name | John Morris |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1912224957 PECOS PAC ID: 1456595461 Enrollment ID: I20190529003037 |
| Provider Name | Ross Euen Anderson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1407275209 PECOS PAC ID: 5092018333 Enrollment ID: I20190530000471 |
| Provider Name | Shonte Zenequa Mckenzie |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1154718617 PECOS PAC ID: 9335432558 Enrollment ID: I20190530001679 |
| Provider Name | Adrienne L Carey |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1114363256 PECOS PAC ID: 6406156249 Enrollment ID: I20190530002264 |
| Provider Name | Eduardo Rodriguez Zarate |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1407110414 PECOS PAC ID: 5294020897 Enrollment ID: I20190531000247 |
| Provider Name | Rayaad C. Hosein |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1457663478 PECOS PAC ID: 1456644012 Enrollment ID: I20190531000280 |
| Provider Name | Stephanie M Lyden |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1962883850 PECOS PAC ID: 3971894239 Enrollment ID: I20190531000338 |
| Provider Name | Matthew Fen Covington |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255630745 PECOS PAC ID: 1153612023 Enrollment ID: I20190531000343 |
| Provider Name | Elizabeth R Joiner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1962821009 PECOS PAC ID: 2668772443 Enrollment ID: I20190531000411 |
| Provider Name | Emily A Signor |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669859476 PECOS PAC ID: 5799065140 Enrollment ID: I20190531000440 |
| Provider Name | Laura Linstroth |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1629411335 PECOS PAC ID: 1850616848 Enrollment ID: I20190531000543 |
| Provider Name | Kyle Mahoney |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1568707586 PECOS PAC ID: 2466685987 Enrollment ID: I20190531001185 |
| Provider Name | Lauren Verrilli |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508253436 PECOS PAC ID: 5597072439 Enrollment ID: I20190531001440 |
| Provider Name | Deborah Lynn Jacobson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1205126257 PECOS PAC ID: 7113250465 Enrollment ID: I20190531001464 |
| Provider Name | Sindhu Richards |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1467871368 PECOS PAC ID: 4486987732 Enrollment ID: I20190531001478 |
| Provider Name | Amanda Crawford |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518294263 PECOS PAC ID: 5799080826 Enrollment ID: I20190531001644 |
| Provider Name | Gabrielle Ahlzadeh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225427172 PECOS PAC ID: 4385949247 Enrollment ID: I20190531002144 |
| Provider Name | Astrid Haaland |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851786073 PECOS PAC ID: 0749530152 Enrollment ID: I20190603000872 |
| Provider Name | Robert M Brickley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700262524 PECOS PAC ID: 0840559936 Enrollment ID: I20190603001176 |
| Provider Name | Jane Yee |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588046114 PECOS PAC ID: 3476886664 Enrollment ID: I20190603001319 |
| Provider Name | Leenhapong Navaravong |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1396937363 PECOS PAC ID: 3779715859 Enrollment ID: I20190603001417 |
| Provider Name | Christopher John Kelly |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821452459 PECOS PAC ID: 5092081513 Enrollment ID: I20190603001562 |
| Provider Name | Bryce T Lowrey |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700203775 PECOS PAC ID: 3971736398 Enrollment ID: I20190603001754 |
| Provider Name | Phuong-anh Duong |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841342144 PECOS PAC ID: 5092706051 Enrollment ID: I20190603001778 |
| Provider Name | Robert James Owen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1073927091 PECOS PAC ID: 8426279498 Enrollment ID: I20190603002036 |
| Provider Name | Eric Goldstein |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1366829210 PECOS PAC ID: 1557674868 Enrollment ID: I20190603002354 |
| Provider Name | Robert Kadish |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1386038362 PECOS PAC ID: 8921388398 Enrollment ID: I20190603002557 |
| Provider Name | Ann M Bruno |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881075034 PECOS PAC ID: 3375856958 Enrollment ID: I20190604000175 |
| Provider Name | Jared Bartell |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1124414438 PECOS PAC ID: 5496059248 Enrollment ID: I20190604001413 |
| Provider Name | Sonia Mehra |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407116692 PECOS PAC ID: 9436461258 Enrollment ID: I20190604001725 |
| Provider Name | James Benning |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366856015 PECOS PAC ID: 4981937083 Enrollment ID: I20190604003123 |
| Provider Name | Anthony Wayne Bacon |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1154611986 PECOS PAC ID: 4385957166 Enrollment ID: I20190605000578 |
| Provider Name | Kathryn Fay |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033509740 PECOS PAC ID: 7618272477 Enrollment ID: I20190605000580 |
| Provider Name | Shannon L Nord |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023351533 PECOS PAC ID: 0244478121 Enrollment ID: I20190605001380 |
| Provider Name | Prasanth M Prasanna |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972678845 PECOS PAC ID: 9032241864 Enrollment ID: I20190605003019 |
| Provider Name | Andrew P Harris |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1134566466 PECOS PAC ID: 0446477152 Enrollment ID: I20190606000576 |
| Provider Name | Brian C Stagg |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1306104237 PECOS PAC ID: 8628291986 Enrollment ID: I20190606001385 |
| Provider Name | Eric Wait |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1558771436 PECOS PAC ID: 8123327392 Enrollment ID: I20190606002385 |
| Provider Name | Jessica Ivanka Treidl Chan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275920373 PECOS PAC ID: 7810290830 Enrollment ID: I20190607000906 |
| Provider Name | Jacob Thomas Connell |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1265852461 PECOS PAC ID: 8325341373 Enrollment ID: I20190607001434 |
| Provider Name | Tara E Hahn |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1174902456 PECOS PAC ID: 6103106554 Enrollment ID: I20190610000232 |
| Provider Name | Cecinio Castillo Ronquillo |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1679968580 PECOS PAC ID: 8022398494 Enrollment ID: I20190610000907 |
| Provider Name | Chadwick Garner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609281807 PECOS PAC ID: 8224397807 Enrollment ID: I20190610001314 |
| Provider Name | Arezu Haghighi |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1295116127 PECOS PAC ID: 1254664097 Enrollment ID: I20190610001359 |
| Provider Name | Christopher Bryce Arena |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1497172431 PECOS PAC ID: 4183904451 Enrollment ID: I20190611002547 |
| Provider Name | Austin Nakatsuka |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1366821688 PECOS PAC ID: 7113289463 Enrollment ID: I20190611002713 |
| Provider Name | Jaclyn Hill |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922664929 PECOS PAC ID: 0547593279 Enrollment ID: I20190611002798 |
| Provider Name | Andrew Federer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1780003954 PECOS PAC ID: 4587997226 Enrollment ID: I20190611003085 |
| Provider Name | Skyler Bryce Johnson |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1528472313 PECOS PAC ID: 7810206919 Enrollment ID: I20190611003335 |
| Provider Name | Matthew James Mulligan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255793022 PECOS PAC ID: 6901162684 Enrollment ID: I20190611003476 |
| Provider Name | Kevin Campbell |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1306251806 PECOS PAC ID: 0749513414 Enrollment ID: I20190612000251 |
| Provider Name | Tawnie Joy Braaten |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1912340126 PECOS PAC ID: 8022230093 Enrollment ID: I20190612000737 |
| Provider Name | Vaia Florou |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1205190568 PECOS PAC ID: 4183957863 Enrollment ID: I20190612000928 |
| Provider Name | Michael Chad Mahan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1811316847 PECOS PAC ID: 9335365584 Enrollment ID: I20190612001926 |
| Provider Name | Madeline Dianne Ripa |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1932580644 PECOS PAC ID: 2567779903 Enrollment ID: I20190612001964 |
| Provider Name | Tammy Smith |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1013398056 PECOS PAC ID: 2567754831 Enrollment ID: I20190612002400 |
| Provider Name | Alejandro Sanchez |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1760777429 PECOS PAC ID: 7012171028 Enrollment ID: I20190613003080 |
| Provider Name | Karen T Brown |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558349225 PECOS PAC ID: 5092995167 Enrollment ID: I20190614001802 |
| Provider Name | Parisa Khalili Boroojeni |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1659689354 PECOS PAC ID: 5193969426 Enrollment ID: I20190617001955 |
| Provider Name | Christina Whiting |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1194114363 PECOS PAC ID: 9931432374 Enrollment ID: I20190617003154 |
| Provider Name | Steven Donohoe |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1437579893 PECOS PAC ID: 9234492810 Enrollment ID: I20190618001425 |
| Provider Name | Kelli X Gross |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1154731685 PECOS PAC ID: 8820217649 Enrollment ID: I20190618002973 |
| Provider Name | Peng Li |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1255628640 PECOS PAC ID: 6608145446 Enrollment ID: I20190702002239 |
| Provider Name | Inna G Stroh |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1225418791 PECOS PAC ID: 8921318007 Enrollment ID: I20190702002659 |
| Provider Name | Valdis Lelkes |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1427478270 PECOS PAC ID: 6507190022 Enrollment ID: I20190702003038 |
| Provider Name | Heather Nicole Blair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104219351 PECOS PAC ID: 6709193998 Enrollment ID: I20190702003476 |
| Provider Name | Spencer Blake Dowdle |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1871913756 PECOS PAC ID: 8820214182 Enrollment ID: I20190703002452 |
| Provider Name | Sara J Burman-newby |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912980905 PECOS PAC ID: 8123056959 Enrollment ID: I20190705001198 |
| Provider Name | Eric C Tuday |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1386903847 PECOS PAC ID: 2567609787 Enrollment ID: I20190708001398 |
| Provider Name | Jonathan Sawicki |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629463591 PECOS PAC ID: 0749594331 Enrollment ID: I20190708001874 |
| Provider Name | Daniel Oldroyd |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1255727418 PECOS PAC ID: 5597045955 Enrollment ID: I20190709000742 |
| Provider Name | Richmond Doxey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700271087 PECOS PAC ID: 7012237852 Enrollment ID: I20190709000892 |
| Provider Name | Sara W Wikstrom |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376708677 PECOS PAC ID: 4082883343 Enrollment ID: I20190709002620 |
| Provider Name | Peter Schoene |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1952796526 PECOS PAC ID: 8022339597 Enrollment ID: I20190710000614 |
| Provider Name | Chaz Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932672011 PECOS PAC ID: 8325373236 Enrollment ID: I20190715003454 |
| Provider Name | Scott Belnap |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962066795 PECOS PAC ID: 0941535769 Enrollment ID: I20190716000710 |
| Provider Name | Stephanie Ane Crapo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811217268 PECOS PAC ID: 1355595356 Enrollment ID: I20190718000710 |
| Provider Name | Brad P Moore |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1093057721 PECOS PAC ID: 1951690106 Enrollment ID: I20190718002452 |
| Provider Name | Mary Casey Murphy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154621076 PECOS PAC ID: 8022265255 Enrollment ID: I20190722002270 |
| Provider Name | Sonam Puri |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1346675915 PECOS PAC ID: 7012237027 Enrollment ID: I20190722002626 |
| Provider Name | Peter Shorten |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1902223043 PECOS PAC ID: 4789986134 Enrollment ID: I20190723001103 |
| Provider Name | Michael Incze |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093112922 PECOS PAC ID: 6709125057 Enrollment ID: I20190723001818 |
| Provider Name | Jared Huber |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699138792 PECOS PAC ID: 5496041543 Enrollment ID: I20190726001329 |
| Provider Name | Gabriel N Fette |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417376393 PECOS PAC ID: 5597091660 Enrollment ID: I20190726001542 |
| Provider Name | David Bennion |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548822265 PECOS PAC ID: 4789911454 Enrollment ID: I20190805000992 |
| Provider Name | Molly Doose |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023374378 PECOS PAC ID: 3476841883 Enrollment ID: I20190806003258 |
| Provider Name | Christine Raps |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821452335 PECOS PAC ID: 6800162330 Enrollment ID: I20190821004405 |
| Provider Name | Anna Ladd Ciullo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851710974 PECOS PAC ID: 1456622091 Enrollment ID: I20190829000799 |
| Provider Name | Kevin Shah |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1861757544 PECOS PAC ID: 8628307501 Enrollment ID: I20190903002630 |
| Provider Name | Hannah N Imlay |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1770929663 PECOS PAC ID: 8729383039 Enrollment ID: I20190904002267 |
| Provider Name | Preston Scott Eiswirth |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1023452737 PECOS PAC ID: 1951521053 Enrollment ID: I20190905001530 |
| Provider Name | Amir Kashani |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1316125909 PECOS PAC ID: 1153500301 Enrollment ID: I20190906001672 |
| Provider Name | Cassie Kuhn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356901003 PECOS PAC ID: 3173852779 Enrollment ID: I20190906002302 |
| Provider Name | Anna Freudenberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902465974 PECOS PAC ID: 4981933355 Enrollment ID: I20190910002374 |
| Provider Name | Zara Zeni Mahamat |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801458328 PECOS PAC ID: 3870822984 Enrollment ID: I20190913001872 |
| Provider Name | Alan Lam |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1366838302 PECOS PAC ID: 3476882598 Enrollment ID: I20190913002583 |
| Provider Name | Jace Dakota Johnny |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558920835 PECOS PAC ID: 6204166184 Enrollment ID: I20190918003057 |
| Provider Name | Christos Vaklavas |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1154649440 PECOS PAC ID: 9638315146 Enrollment ID: I20190924002086 |
| Provider Name | Lucas Scott Marchand |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1992149025 PECOS PAC ID: 6103140124 Enrollment ID: I20190924002821 |
| Provider Name | Elliot Amponsah Asare |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1972828333 PECOS PAC ID: 6103116025 Enrollment ID: I20190930001994 |
| Provider Name | Kelsey Marie Sanford |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1548680317 PECOS PAC ID: 9436405503 Enrollment ID: I20191008002650 |
| Provider Name | Helen Mrose |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174558118 PECOS PAC ID: 9032005996 Enrollment ID: I20191008002929 |
| Provider Name | Stephen H Sinclair |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1679542443 PECOS PAC ID: 4183512510 Enrollment ID: I20191009002624 |
| Provider Name | Jamie E Titen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205256492 PECOS PAC ID: 2163726712 Enrollment ID: I20191016000326 |
| Provider Name | Eileen Hwang |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1013259480 PECOS PAC ID: 0042431991 Enrollment ID: I20191016001828 |
| Provider Name | Lauren Kay Moffitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558922872 PECOS PAC ID: 2769714989 Enrollment ID: I20191021002698 |
| Provider Name | Brett Myers |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1093369860 PECOS PAC ID: 0547592461 Enrollment ID: I20191025002530 |
| Provider Name | Kara Lynn Fialkowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184285397 PECOS PAC ID: 3274865191 Enrollment ID: I20191025002536 |
| Provider Name | Caleb Hopwood |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760877328 PECOS PAC ID: 7911286463 Enrollment ID: I20191025002643 |
| Provider Name | Katie L Kaput |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1740694405 PECOS PAC ID: 0345462818 Enrollment ID: I20191026000067 |
| Provider Name | Harsh Rohit Shah |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1023456324 PECOS PAC ID: 1355575499 Enrollment ID: I20191028000228 |
| Provider Name | Alan Taylor Kelley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972948792 PECOS PAC ID: 8921386392 Enrollment ID: I20191028000346 |
| Provider Name | Nicole Ashley Lynch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598326084 PECOS PAC ID: 4385976232 Enrollment ID: I20191028000722 |
| Provider Name | Shanelle Binggeli Eiswirth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881996411 PECOS PAC ID: 6002097961 Enrollment ID: I20191029002538 |
| Provider Name | Kirstyn Elizabeth Brownson |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1669766184 PECOS PAC ID: 4981912128 Enrollment ID: I20191030000477 |
| Provider Name | James Patrick Craven |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1700294428 PECOS PAC ID: 2769762129 Enrollment ID: I20191031000493 |
| Provider Name | Megan E Bowen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1457650632 PECOS PAC ID: 5597997502 Enrollment ID: I20191031001270 |
| Provider Name | Heloisa Prado Soares |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1033435490 PECOS PAC ID: 9537483847 Enrollment ID: I20191031001558 |
| Provider Name | Mallory Ruth Atkinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235787649 PECOS PAC ID: 5991037442 Enrollment ID: I20191101001248 |
| Provider Name | Amy Jackson Gilbert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144889940 PECOS PAC ID: 4981936432 Enrollment ID: I20191101001283 |
| Provider Name | John Pearson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1659710986 PECOS PAC ID: 8820368350 Enrollment ID: I20191104000511 |
| Provider Name | John P Smith |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1780002881 PECOS PAC ID: 3678827151 Enrollment ID: I20191104002093 |
| Provider Name | Ashka Shah |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1487073169 PECOS PAC ID: 6204136435 Enrollment ID: I20191106001103 |
| Provider Name | Sean Damian Slack |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699160598 PECOS PAC ID: 4789964214 Enrollment ID: I20191108002621 |
| Provider Name | Sagar Patel |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1528327210 PECOS PAC ID: 0143454538 Enrollment ID: I20191108002902 |
| Provider Name | Deborah Elizabeth Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972156693 PECOS PAC ID: 3476985425 Enrollment ID: I20191113003245 |
| Provider Name | Maia H Hightower |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770603946 PECOS PAC ID: 5294822177 Enrollment ID: I20191115000065 |
| Provider Name | Dana B. Klanderud |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194246959 PECOS PAC ID: 8123390572 Enrollment ID: I20191120003158 |
| Provider Name | Aurelia Renee Wann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891341574 PECOS PAC ID: 0446683882 Enrollment ID: I20191126000240 |
| Provider Name | Brian Lee Mcclune |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1649296880 PECOS PAC ID: 6002817129 Enrollment ID: I20191126000243 |
| Provider Name | Kyle Christian Fraser |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1932679214 PECOS PAC ID: 2264865609 Enrollment ID: I20191126000247 |
| Provider Name | Mara E Banks |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1508249392 PECOS PAC ID: 5991138331 Enrollment ID: I20191126000251 |
| Provider Name | Samuel Hwang |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1528455904 PECOS PAC ID: 7911216684 Enrollment ID: I20191129000223 |
| Provider Name | Kayla Constantina Gatos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144746306 PECOS PAC ID: 0143653360 Enrollment ID: I20191202002294 |
| Provider Name | Tessa Rachel Curtis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467093328 PECOS PAC ID: 3072946227 Enrollment ID: I20191203000759 |
| Provider Name | Matthew Jonathan Evans |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1073995130 PECOS PAC ID: 3870809056 Enrollment ID: I20191204000823 |
| Provider Name | Meenu Singh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437470440 PECOS PAC ID: 2567640410 Enrollment ID: I20191204001749 |
| Provider Name | Cielita Lopez-lennon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144572942 PECOS PAC ID: 8022441898 Enrollment ID: I20191209002072 |
| Provider Name | Grace-mae Cachero Genitiano Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265916639 PECOS PAC ID: 3870926504 Enrollment ID: I20191210002080 |
| Provider Name | Nidhi Sharma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760035174 PECOS PAC ID: 3678906302 Enrollment ID: I20191210002168 |
| Provider Name | Monika Fleckenstein |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1609421403 PECOS PAC ID: 5597198010 Enrollment ID: I20191213000875 |
| Provider Name | Jonathan David Harrison |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053739821 PECOS PAC ID: 3476826140 Enrollment ID: I20191213002106 |
| Provider Name | Jessica Potter Lott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467938936 PECOS PAC ID: 8820422231 Enrollment ID: I20191217003314 |
| Provider Name | Hanna K Nicol |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285106088 PECOS PAC ID: 2769816503 Enrollment ID: I20200102001628 |
| Provider Name | Carlie Kay Naval |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1437702172 PECOS PAC ID: 5597190900 Enrollment ID: I20200113002177 |
| Provider Name | Laura Rice Kenney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275175176 PECOS PAC ID: 1052746161 Enrollment ID: I20200120000003 |
| Provider Name | Carl T. Wittwer |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1790875383 PECOS PAC ID: 7214362938 Enrollment ID: I20200127000788 |
| Provider Name | Alexey Andrew Hodkoff |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1215305792 PECOS PAC ID: 9133406424 Enrollment ID: I20200127000919 |
| Provider Name | Keaton L Morgan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144677931 PECOS PAC ID: 5890086060 Enrollment ID: I20200129001133 |
| Provider Name | Rachel S Horner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184140642 PECOS PAC ID: 3577837871 Enrollment ID: I20200129001165 |
| Provider Name | Esther H Shin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376955534 PECOS PAC ID: 1557669934 Enrollment ID: I20200129001625 |
| Provider Name | Byron C Miller |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679110548 PECOS PAC ID: 0941636351 Enrollment ID: I20200203002424 |
| Provider Name | Kathryn Margaret Lee |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1194208454 PECOS PAC ID: 8325380926 Enrollment ID: I20200217000381 |
| Provider Name | Meagan A Bernatz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871962217 PECOS PAC ID: 1153680780 Enrollment ID: I20200218002441 |
| Provider Name | Marc Steffen Schmitz-valckenberg |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1952941106 PECOS PAC ID: 2567899768 Enrollment ID: I20200228000752 |
| Provider Name | Andrew E Pugh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154859577 PECOS PAC ID: 8123371473 Enrollment ID: I20200313002167 |
| Provider Name | Julia E Lewis |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1912269291 PECOS PAC ID: 8820237340 Enrollment ID: I20200320002070 |
| Provider Name | Ashlie A Bernhisel |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1356751572 PECOS PAC ID: 2567760457 Enrollment ID: I20200321000105 |
| Provider Name | Fatma Betul Tuncer |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1013439439 PECOS PAC ID: 3870822778 Enrollment ID: I20200326003682 |
| Provider Name | Neil S Patel |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1902244940 PECOS PAC ID: 4789824889 Enrollment ID: I20200330002209 |
| Provider Name | Laura Deliene Gleed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821640665 PECOS PAC ID: 6103255914 Enrollment ID: I20200330003363 |
| Provider Name | Janice L Moushegian |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124379235 PECOS PAC ID: 3870922636 Enrollment ID: I20200331002641 |
| Provider Name | Hillary Price |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467085019 PECOS PAC ID: 2860821410 Enrollment ID: I20200401003046 |
| Provider Name | Kishore Patcha |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1710242946 PECOS PAC ID: 0446561070 Enrollment ID: I20200402000300 |
| Provider Name | Manish Kohli |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1407804040 PECOS PAC ID: 7315039757 Enrollment ID: I20200402000376 |
| Provider Name | Danielle Delucchi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023549789 PECOS PAC ID: 7618220252 Enrollment ID: I20200402000899 |
| Provider Name | Keshav Anand |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1922419290 PECOS PAC ID: 5991134520 Enrollment ID: I20200402003486 |
| Provider Name | Knut-kjell Hoversten |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1194179085 PECOS PAC ID: 5597023903 Enrollment ID: I20200405000166 |
| Provider Name | Sheeva K Parbhu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1902223894 PECOS PAC ID: 8224330972 Enrollment ID: I20200406001685 |
| Provider Name | Sravanthi Vegunta |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1679936512 PECOS PAC ID: 9830455310 Enrollment ID: I20200408004364 |
| Provider Name | Brian Leif Johnson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1700240256 PECOS PAC ID: 5092073874 Enrollment ID: I20200409002316 |
| Provider Name | Kellie Lynn Nelson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1699137851 PECOS PAC ID: 4789941071 Enrollment ID: I20200409002672 |
| Provider Name | Jong T Kim |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1235368986 PECOS PAC ID: 0547490245 Enrollment ID: I20200416001403 |
| Provider Name | Darshan Prahlad Patel |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1417342924 PECOS PAC ID: 5991085425 Enrollment ID: I20200416001493 |
| Provider Name | Steven Gordon |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1346629110 PECOS PAC ID: 9335487719 Enrollment ID: I20200416001517 |
| Provider Name | Joseph W. Rudolf |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1194088708 PECOS PAC ID: 6608029723 Enrollment ID: I20200416003936 |
| Provider Name | Eric Piacenza |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1891181764 PECOS PAC ID: 9234419698 Enrollment ID: I20200420000618 |
| Provider Name | Meredith Anne Humphreys |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720440191 PECOS PAC ID: 5092071555 Enrollment ID: I20200420000765 |
| Provider Name | Samuel Braden |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1073814141 PECOS PAC ID: 9335429463 Enrollment ID: I20200420000780 |
| Provider Name | Michael C Tielborg |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1942385620 PECOS PAC ID: 4183798416 Enrollment ID: I20200420002640 |
| Provider Name | Kaitlyn D Bryant |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235661307 PECOS PAC ID: 0547513806 Enrollment ID: I20200420002819 |
| Provider Name | Amarbir Singh Gill |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1114312527 PECOS PAC ID: 6002246766 Enrollment ID: I20200420002922 |
| Provider Name | Joshua Nelson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1629430400 PECOS PAC ID: 3173899606 Enrollment ID: I20200420002958 |
| Provider Name | Datus Brock Thorup |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1881042117 PECOS PAC ID: 6406122951 Enrollment ID: I20200420003060 |
| Provider Name | Matthew Lewis Farr |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1194170985 PECOS PAC ID: 4981970415 Enrollment ID: I20200420003111 |
| Provider Name | Francis A Seiler |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1427319565 PECOS PAC ID: 3173899630 Enrollment ID: I20200421000106 |
| Provider Name | Kris Naowamondhol |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1508216995 PECOS PAC ID: 4880960277 Enrollment ID: I20200421001124 |
| Provider Name | Jason Scott Hafer |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1073976130 PECOS PAC ID: 4284900895 Enrollment ID: I20200421001349 |
| Provider Name | Suzanne Tremblay |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1871139972 PECOS PAC ID: 5496185100 Enrollment ID: I20200421001366 |
| Provider Name | Landon Thomas Woolf |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1568825214 PECOS PAC ID: 0749556108 Enrollment ID: I20200421001776 |
| Provider Name | Eric J Weinlander |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1487017836 PECOS PAC ID: 5193155810 Enrollment ID: I20200421002012 |
| Provider Name | Jason Williams |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1609225762 PECOS PAC ID: 9234417205 Enrollment ID: I20200421002603 |
| Provider Name | Susan Elizabeth Dalton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134576937 PECOS PAC ID: 0345533550 Enrollment ID: I20200422000267 |
| Provider Name | William Stoddard |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1831549187 PECOS PAC ID: 2365872918 Enrollment ID: I20200422000380 |
| Provider Name | Jonathan L Curtis |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1962866889 PECOS PAC ID: 9133416761 Enrollment ID: I20200424000406 |
| Provider Name | Matthew Merrell |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1275997389 PECOS PAC ID: 7315377710 Enrollment ID: I20200427002216 |
| Provider Name | Kasinda Leslie Goodwin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1104270438 PECOS PAC ID: 5294025623 Enrollment ID: I20200428001753 |
| Provider Name | Shelly Stephens Groenendyk |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1083060917 PECOS PAC ID: 6709177090 Enrollment ID: I20200428001880 |
| Provider Name | Amelia Clement |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538521174 PECOS PAC ID: 2860799434 Enrollment ID: I20200429001729 |
| Provider Name | Ekaterina Tsymbal Gill |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1225487374 PECOS PAC ID: 4789962770 Enrollment ID: I20200429002292 |
| Provider Name | Amanda Redfern |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1184047417 PECOS PAC ID: 4082907282 Enrollment ID: I20200429002313 |
| Provider Name | Lara Anne Hayes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629356779 PECOS PAC ID: 1759673502 Enrollment ID: I20200429002387 |
| Provider Name | Ryan Griffin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366081176 PECOS PAC ID: 2062842263 Enrollment ID: I20200429002836 |
| Provider Name | Richard K Brown |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265524292 PECOS PAC ID: 5597759092 Enrollment ID: I20200430000000 |
| Provider Name | Brett Matthew Gudgel |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1497105811 PECOS PAC ID: 6901198662 Enrollment ID: I20200430000700 |
| Provider Name | Joseph Michael Simonett |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1770972440 PECOS PAC ID: 4082909239 Enrollment ID: I20200430001282 |
| Provider Name | Grant B. Cannon |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1467678938 PECOS PAC ID: 4486084639 Enrollment ID: I20200430002171 |
| Provider Name | Amelia H Teas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225662448 PECOS PAC ID: 3678904687 Enrollment ID: I20200507000682 |
| Provider Name | Shannon Q Dunlop |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750624672 PECOS PAC ID: 7315378346 Enrollment ID: I20200507001242 |
| Provider Name | Afaf Elwalead Gafar Osman |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1750799730 PECOS PAC ID: 2062631955 Enrollment ID: I20200507001761 |
| Provider Name | Kalen Riley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1962829804 PECOS PAC ID: 8820397276 Enrollment ID: I20200508000850 |
| Provider Name | Kelly A. Dahlstrom |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134533417 PECOS PAC ID: 5496052474 Enrollment ID: I20200508001039 |
| Provider Name | Tyler Richards |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1790104552 PECOS PAC ID: 6800127762 Enrollment ID: I20200508001117 |
| Provider Name | Dante P Melendez-lecca |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1396907499 PECOS PAC ID: 9335317767 Enrollment ID: I20200508001591 |
| Provider Name | Kathryn Elizabeth Totino |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083008569 PECOS PAC ID: 0345557377 Enrollment ID: I20200508002829 |
| Provider Name | Stefanie Rodenbeck |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1942654744 PECOS PAC ID: 7214228139 Enrollment ID: I20200511000376 |
| Provider Name | Hong Gam Le |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1831552272 PECOS PAC ID: 9436442522 Enrollment ID: I20200512002770 |
| Provider Name | Tara Louise Jones |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1821352816 PECOS PAC ID: 8325261142 Enrollment ID: I20200517000002 |
| Provider Name | Hamid Chalian |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669736500 PECOS PAC ID: 6901179514 Enrollment ID: I20200518000247 |
| Provider Name | Wesley M Pedicini |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548792187 PECOS PAC ID: 1254684657 Enrollment ID: I20200518000707 |
| Provider Name | Neil A Krulewitz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083148837 PECOS PAC ID: 0042564882 Enrollment ID: I20200518000982 |
| Provider Name | Huy Pham |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679983688 PECOS PAC ID: 6709129513 Enrollment ID: I20200518001722 |
| Provider Name | Sudha P Jayaraman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1659409225 PECOS PAC ID: 6103073507 Enrollment ID: I20200518003267 |
| Provider Name | Callie Marie Thompson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1548425549 PECOS PAC ID: 8921309543 Enrollment ID: I20200519001895 |
| Provider Name | Justin Abbatemarco |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1568857803 PECOS PAC ID: 5890098974 Enrollment ID: I20200521002149 |
| Provider Name | Katherine Eileen Boylan |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1881080851 PECOS PAC ID: 8921332743 Enrollment ID: I20200521002344 |
| Provider Name | David M Crockett |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104351592 PECOS PAC ID: 6709163132 Enrollment ID: I20200601002227 |
| Provider Name | Logan Beebe |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871970277 PECOS PAC ID: 8628499407 Enrollment ID: I20200603000819 |
| Provider Name | Kira Watson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366829475 PECOS PAC ID: 9234550906 Enrollment ID: I20200604001841 |
| Provider Name | Nicholas Barnthouse |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1962848838 PECOS PAC ID: 7517263213 Enrollment ID: I20200605001909 |
| Provider Name | Gregory Hobson |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1114286051 PECOS PAC ID: 1355635525 Enrollment ID: I20200608002381 |
| Provider Name | Kimberly Anne Moyle |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942651682 PECOS PAC ID: 3274954888 Enrollment ID: I20200608002486 |
| Provider Name | Mouhamed Abou-ismail |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1336553676 PECOS PAC ID: 9234400037 Enrollment ID: I20200608002854 |
| Provider Name | Brian Shayota |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861806523 PECOS PAC ID: 6002237542 Enrollment ID: I20200609000763 |
| Provider Name | Robert Lee Dood |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1417216516 PECOS PAC ID: 2961765276 Enrollment ID: I20200609001183 |
| Provider Name | Jeffrey Lane |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780118505 PECOS PAC ID: 0648523308 Enrollment ID: I20200609003126 |
| Provider Name | Marja Eleni Anton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548623838 PECOS PAC ID: 3971879404 Enrollment ID: I20200610002967 |
| Provider Name | Mick Peter Kelly |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1053793208 PECOS PAC ID: 5294025029 Enrollment ID: I20200610003336 |
| Provider Name | Connor King |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1750761003 PECOS PAC ID: 6204138068 Enrollment ID: I20200611003376 |
| Provider Name | Mark Labelle |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1275923971 PECOS PAC ID: 7214231612 Enrollment ID: I20200612000056 |
| Provider Name | Nathan R Hendrickson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1306227632 PECOS PAC ID: 5496060170 Enrollment ID: I20200612000674 |
| Provider Name | Neil K Bakshi |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1790165447 PECOS PAC ID: 5496063109 Enrollment ID: I20200612000798 |
| Provider Name | China G Cox |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538690862 PECOS PAC ID: 3870846421 Enrollment ID: I20200612000872 |
| Provider Name | Matthew D Belton |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1457746323 PECOS PAC ID: 7810217379 Enrollment ID: I20200612001605 |
| Provider Name | Matthew Christie |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1740676394 PECOS PAC ID: 7214257526 Enrollment ID: I20200612002103 |
| Provider Name | Mark Kryskow |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1407237092 PECOS PAC ID: 4486076866 Enrollment ID: I20200613000133 |
| Provider Name | Heather Baucom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225512064 PECOS PAC ID: 2264776731 Enrollment ID: I20200614000030 |
| Provider Name | Brian Adam Mitzman |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1598082000 PECOS PAC ID: 4789987710 Enrollment ID: I20200615001123 |
| Provider Name | James Hubbard |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1104232255 PECOS PAC ID: 4789006099 Enrollment ID: I20200615001888 |
| Provider Name | Wen Fan Hu |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1720437387 PECOS PAC ID: 9537453246 Enrollment ID: I20200615002410 |
| Provider Name | Creighton Lewis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376920553 PECOS PAC ID: 6305157421 Enrollment ID: I20200615002524 |
| Provider Name | Tyson L Kudrna |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558983437 PECOS PAC ID: 6507288826 Enrollment ID: I20200615002583 |
| Provider Name | Sarah M Drejet |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1700290178 PECOS PAC ID: 2769607720 Enrollment ID: I20200616001972 |
| Provider Name | Seth Andrews |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730576943 PECOS PAC ID: 5294042115 Enrollment ID: I20200616003165 |
| Provider Name | Sophia F Tam |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1225425085 PECOS PAC ID: 9830436096 Enrollment ID: I20200618001157 |
| Provider Name | Michael Leslie Golden |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1477940922 PECOS PAC ID: 2466773700 Enrollment ID: I20200618001813 |
| Provider Name | Kaitlyn Hayes Pelletier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194345603 PECOS PAC ID: 8527480508 Enrollment ID: I20200619001841 |
| Provider Name | Ana Lucia Ruano |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1013204650 PECOS PAC ID: 0840612826 Enrollment ID: I20200619002051 |
| Provider Name | Shannon C Mauszycki |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1346273794 PECOS PAC ID: 4880016823 Enrollment ID: I20200622001483 |
| Provider Name | Jacob R Stever |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1568858694 PECOS PAC ID: 1254611627 Enrollment ID: I20200623001085 |
| Provider Name | Megan Marie Puckett |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1811341597 PECOS PAC ID: 6709142367 Enrollment ID: I20200624000381 |
| Provider Name | Joanne Jeter |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1871568444 PECOS PAC ID: 2466487905 Enrollment ID: I20200626002316 |
| Provider Name | Adam Joseph Dziuba |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1215391164 PECOS PAC ID: 7416223946 Enrollment ID: I20200629000544 |
| Provider Name | Luke A Martin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1659637502 PECOS PAC ID: 5395977995 Enrollment ID: I20200629000936 |
| Provider Name | Katarzyna Slota |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1609258102 PECOS PAC ID: 0042500928 Enrollment ID: I20200629001182 |
| Provider Name | Patricia Liu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558723460 PECOS PAC ID: 2365738325 Enrollment ID: I20200629001636 |
| Provider Name | Katherine Grace Hayes |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811213309 PECOS PAC ID: 1456773050 Enrollment ID: I20200629001986 |
| Provider Name | Kathleen Kerrigan |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1457779035 PECOS PAC ID: 9133446891 Enrollment ID: I20200629002069 |
| Provider Name | Joanna S Grudziak |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1538421920 PECOS PAC ID: 8921395385 Enrollment ID: I20200629002395 |
| Provider Name | Kevin Scolaro |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1548624521 PECOS PAC ID: 5193072684 Enrollment ID: I20200630001260 |
| Provider Name | Sarah E Gilligan |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1023403748 PECOS PAC ID: 6709165277 Enrollment ID: I20200701000486 |
| Provider Name | Jennwood Chen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649615980 PECOS PAC ID: 8820311129 Enrollment ID: I20200702001135 |
| Provider Name | Christopher Andrew Groh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1396008678 PECOS PAC ID: 0446542674 Enrollment ID: I20200702001287 |
| Provider Name | Dana Rioux Forker |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1417397019 PECOS PAC ID: 4587898176 Enrollment ID: I20200702001483 |
| Provider Name | Melinda Orr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538783055 PECOS PAC ID: 6305269671 Enrollment ID: I20200702001892 |
| Provider Name | Janet Lee |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1124327762 PECOS PAC ID: 8729208749 Enrollment ID: I20200706000488 |
| Provider Name | Ritika Ohri |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1295175362 PECOS PAC ID: 7517240898 Enrollment ID: I20200707000224 |
| Provider Name | Zachary Ware Drury |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437774643 PECOS PAC ID: 6002239027 Enrollment ID: I20200709002550 |
| Provider Name | James R Mccluskey |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205248887 PECOS PAC ID: 5294953246 Enrollment ID: I20200710000441 |
| Provider Name | Megan C Mccarren |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841490950 PECOS PAC ID: 1759550718 Enrollment ID: I20200710001124 |
| Provider Name | Samuel David South |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1154664282 PECOS PAC ID: 7911202122 Enrollment ID: I20200713001946 |
| Provider Name | Breanne L Schiffer |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1144615691 PECOS PAC ID: 2961782321 Enrollment ID: I20200717000571 |
| Provider Name | Christopher Brinson Hartness |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1386805109 PECOS PAC ID: 2961773528 Enrollment ID: I20200717001488 |
| Provider Name | Piotr Tekiela |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1902268626 PECOS PAC ID: 2264725290 Enrollment ID: I20200717001570 |
| Provider Name | Benjamin James Mccormick |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1033506720 PECOS PAC ID: 5395052088 Enrollment ID: I20200717001741 |
| Provider Name | Amandeep Godara |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1487094066 PECOS PAC ID: 1951602663 Enrollment ID: I20200722001817 |
| Provider Name | Matthew Goodwin |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1689940439 PECOS PAC ID: 5597189688 Enrollment ID: I20200722001968 |
| Provider Name | Aaron Wey |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1497175210 PECOS PAC ID: 7012332661 Enrollment ID: I20200730001036 |
| Provider Name | Austin Badeau |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972922342 PECOS PAC ID: 7315235892 Enrollment ID: I20200803001612 |
| Provider Name | Alexia Rae Searle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962029611 PECOS PAC ID: 0749605715 Enrollment ID: I20200807001214 |
| Provider Name | Heather Roesly |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417311804 PECOS PAC ID: 3678809548 Enrollment ID: I20200810000752 |
| Provider Name | Howard Young Park |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1316365323 PECOS PAC ID: 4981957073 Enrollment ID: I20200810002189 |
| Provider Name | Emily S Grange |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326665365 PECOS PAC ID: 6901222710 Enrollment ID: I20200811002220 |
| Provider Name | Mina Khorashadi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1962883041 PECOS PAC ID: 3375878689 Enrollment ID: I20200812001950 |
| Provider Name | David Russell Adams |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1831282755 PECOS PAC ID: 2961576079 Enrollment ID: I20200812002269 |
| Provider Name | Karlie Porter |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1396397733 PECOS PAC ID: 5698191831 Enrollment ID: I20200818002490 |
| Provider Name | Lacey A Cooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639796477 PECOS PAC ID: 5294152047 Enrollment ID: I20200825003685 |
| Provider Name | Rano Naim Gabra Matta |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346868510 PECOS PAC ID: 8921425000 Enrollment ID: I20200903002190 |
| Provider Name | Sharon Kwan |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1164604542 PECOS PAC ID: 6608045646 Enrollment ID: I20200908003485 |
| Provider Name | Sarah Lombardo |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1972862894 PECOS PAC ID: 5597997205 Enrollment ID: I20200909001179 |
| Provider Name | Patrick Annunziato |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831560119 PECOS PAC ID: 9234557323 Enrollment ID: I20200922003020 |
| Provider Name | Isabelle Jeanne Armstrong |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1790301422 PECOS PAC ID: 7113346230 Enrollment ID: I20200923001210 |
| Provider Name | Sonia Ali Malik |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1679952014 PECOS PAC ID: 9830446319 Enrollment ID: I20200925002431 |
| Provider Name | Shantelle Bartra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689004905 PECOS PAC ID: 7719116482 Enrollment ID: I20200929003398 |
| Provider Name | Whitney Yvette Hugie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083241665 PECOS PAC ID: 0840619037 Enrollment ID: I20201008000857 |
| Provider Name | Youngbeen Jeon Shamo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124638812 PECOS PAC ID: 1456771682 Enrollment ID: I20201008003261 |
| Provider Name | Christopher Glenn Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114587482 PECOS PAC ID: 4789004912 Enrollment ID: I20201008003511 |
| Provider Name | Miklos Zsolt Molnar |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1104299304 PECOS PAC ID: 6305146341 Enrollment ID: I20201009001426 |
| Provider Name | Sara Jane Pereira |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1851323505 PECOS PAC ID: 6709836398 Enrollment ID: I20201012002046 |
| Provider Name | Kc Bly |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1902198708 PECOS PAC ID: 3375721012 Enrollment ID: I20201012002567 |
| Provider Name | Valerie M Vaughn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932492865 PECOS PAC ID: 6305159856 Enrollment ID: I20201012002819 |
| Provider Name | Allison F Carey |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1891055844 PECOS PAC ID: 1658525761 Enrollment ID: I20201012002896 |
| Provider Name | Jordan J Henderson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1710391107 PECOS PAC ID: 5092093823 Enrollment ID: I20201013001747 |
| Provider Name | John Matthew Inadomi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1992808497 PECOS PAC ID: 4385678135 Enrollment ID: I20201022002836 |
| Provider Name | Grace Eunhae Woo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770192965 PECOS PAC ID: 8729498068 Enrollment ID: I20201028000227 |
| Provider Name | Jessica M Johnson |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1609263458 PECOS PAC ID: 1052690237 Enrollment ID: I20201028001424 |
| Provider Name | Laura Elizabeth Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225657117 PECOS PAC ID: 3870903057 Enrollment ID: I20201028002227 |
| Provider Name | Hilary Hunt |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447858071 PECOS PAC ID: 3173933264 Enrollment ID: I20201030000914 |
| Provider Name | Erica Kueneman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629675673 PECOS PAC ID: 4284044397 Enrollment ID: I20201030001830 |
| Provider Name | Jennifer Lynn Arndt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861029688 PECOS PAC ID: 9638589450 Enrollment ID: I20201106001401 |
| Provider Name | Christopher Oliver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851671671 PECOS PAC ID: 3072923564 Enrollment ID: I20201112001798 |
| Provider Name | Erminia Martinez |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1588216923 PECOS PAC ID: 0648681940 Enrollment ID: I20201117001956 |
| Provider Name | Nadia Shah |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801008271 PECOS PAC ID: 4284868456 Enrollment ID: I20201117002110 |
| Provider Name | Samuel John Kozloff |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1821521337 PECOS PAC ID: 2668707175 Enrollment ID: I20201118003130 |
| Provider Name | Christopher Caroway |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1346694247 PECOS PAC ID: 6608287248 Enrollment ID: I20201202002918 |
| Provider Name | Anthony Cretara |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1871955021 PECOS PAC ID: 5890089437 Enrollment ID: I20201202003135 |
| Provider Name | Joseph Gormley |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1760547855 PECOS PAC ID: 2365713542 Enrollment ID: I20201203001017 |
| Provider Name | Ly Luu |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1689120909 PECOS PAC ID: 0547671133 Enrollment ID: I20201203001699 |
| Provider Name | Lauren Beth Shields |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417572975 PECOS PAC ID: 4981015427 Enrollment ID: I20201204001080 |
| Provider Name | Sara Rose Hunt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124645460 PECOS PAC ID: 1052722592 Enrollment ID: I20201204001133 |
| Provider Name | Jennifer Gros |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790225209 PECOS PAC ID: 8224440714 Enrollment ID: I20201207000696 |
| Provider Name | Alyssa Erickson-wayman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689120271 PECOS PAC ID: 3779871637 Enrollment ID: I20201207001595 |
| Provider Name | Alexandra Stokes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588281000 PECOS PAC ID: 6709298045 Enrollment ID: I20201210002087 |
| Provider Name | Andrea Suzette Page |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1114455334 PECOS PAC ID: 0446528020 Enrollment ID: I20201216001813 |
| Provider Name | Brittany Mary Scarpato |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1841651742 PECOS PAC ID: 7214222744 Enrollment ID: I20201217001880 |
| Provider Name | Jason Roy Carr |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1104244714 PECOS PAC ID: 8123336757 Enrollment ID: I20201217002353 |
| Provider Name | Brittany Lee Bouchard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922601046 PECOS PAC ID: 1355753138 Enrollment ID: I20201221000436 |
| Provider Name | Maria T Aguilar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265701494 PECOS PAC ID: 4880963867 Enrollment ID: I20201221002605 |
| Provider Name | Van Gip-duran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477105492 PECOS PAC ID: 3678986262 Enrollment ID: I20201228000819 |
| Provider Name | E Jolene Lund |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1831490507 PECOS PAC ID: 4587845342 Enrollment ID: I20201229001972 |
| Provider Name | Hiroshi Kagawa |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1447690094 PECOS PAC ID: 8921389826 Enrollment ID: I20201230000959 |
| Provider Name | Whitnee Joe Hogan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578853842 PECOS PAC ID: 7618122433 Enrollment ID: I20210104000491 |
| Provider Name | Philip Herzog |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841896172 PECOS PAC ID: 0941613913 Enrollment ID: I20210112001796 |
| Provider Name | Adam L Weinstein |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1558623520 PECOS PAC ID: 7416193412 Enrollment ID: I20210112001883 |
| Provider Name | Robert A Childs |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1205360195 PECOS PAC ID: 3971876301 Enrollment ID: I20210113000409 |
| Provider Name | Carolyn L Lobue |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1295268480 PECOS PAC ID: 8628321999 Enrollment ID: I20210119001645 |
| Provider Name | Qinwen Mao |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1053514513 PECOS PAC ID: 7315079290 Enrollment ID: I20210120002968 |
| Provider Name | Madhu Parameswar Menon |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1346454295 PECOS PAC ID: 0042453631 Enrollment ID: I20210125002853 |
| Provider Name | Amanda V Olsen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1407227507 PECOS PAC ID: 0446539910 Enrollment ID: I20210127000873 |
| Provider Name | Natalie Ruth Morris |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1427609403 PECOS PAC ID: 2264846559 Enrollment ID: I20210127003258 |
| Provider Name | Panagiotis Kassavetis |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1528473782 PECOS PAC ID: 4284853938 Enrollment ID: I20210201001611 |
| Provider Name | Jacob B Brandenburg |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1366975914 PECOS PAC ID: 0244503464 Enrollment ID: I20210203002368 |
| Provider Name | Sarah Eastman Norton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205369642 PECOS PAC ID: 8224443940 Enrollment ID: I20210210002176 |
| Provider Name | Evan Raps |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1972967800 PECOS PAC ID: 5698180248 Enrollment ID: I20210212001744 |
| Provider Name | Naima Mohamed |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1689226029 PECOS PAC ID: 9335554872 Enrollment ID: I20210216001617 |
| Provider Name | Ryan Coyle |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1174838593 PECOS PAC ID: 3971797200 Enrollment ID: I20210218001817 |
| Provider Name | Christopher Michael Bair |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1245763390 PECOS PAC ID: 4981957404 Enrollment ID: I20210223003132 |
| Provider Name | Clint Levi Hurst |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1740794205 PECOS PAC ID: 4082976717 Enrollment ID: I20210224002392 |
| Provider Name | Michael J Archibeck |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1528046885 PECOS PAC ID: 0749363844 Enrollment ID: I20210224002791 |
| Provider Name | Jumana Tariq A Alshaikh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1386038552 PECOS PAC ID: 3971801184 Enrollment ID: I20210301000968 |
| Provider Name | Jennifer L Lord |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1821521105 PECOS PAC ID: 9436402955 Enrollment ID: I20210301002643 |
| Provider Name | Suzanne Powell Liu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1124476155 PECOS PAC ID: 5092065151 Enrollment ID: I20210302000926 |
| Provider Name | Rachel Patel |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1578099073 PECOS PAC ID: 1456605518 Enrollment ID: I20210302001237 |
| Provider Name | Libo Wang |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1962812727 PECOS PAC ID: 4981975042 Enrollment ID: I20210302002696 |
| Provider Name | Josh Twitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265093777 PECOS PAC ID: 6507272333 Enrollment ID: I20210303000347 |
| Provider Name | Colin Siu-tak Ip |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1295266815 PECOS PAC ID: 4082020755 Enrollment ID: I20210303001905 |
| Provider Name | Theresa M Long |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1902338429 PECOS PAC ID: 4082968193 Enrollment ID: I20210309001105 |
| Provider Name | Sarah R Breevoort |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1619409687 PECOS PAC ID: 2860745346 Enrollment ID: I20210315002521 |
| Provider Name | Bryan J Still |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689178907 PECOS PAC ID: 8224461876 Enrollment ID: I20210316002205 |
| Provider Name | Kaitlyn Mae Jones |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1053914945 PECOS PAC ID: 9335556265 Enrollment ID: I20210322000614 |
| Provider Name | Allison S Cleary |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1437502648 PECOS PAC ID: 5496043853 Enrollment ID: I20210324002033 |
| Provider Name | Anees Daud |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1134547623 PECOS PAC ID: 5294043956 Enrollment ID: I20210405001620 |
| Provider Name | Sarah Ochoa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659821379 PECOS PAC ID: 8628486644 Enrollment ID: I20210412002339 |
| Provider Name | Andrew Bambrough |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1215324686 PECOS PAC ID: 5496062663 Enrollment ID: I20210419002116 |
| Provider Name | April Michelle Griffith |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831553353 PECOS PAC ID: 6800162322 Enrollment ID: I20210419002516 |
| Provider Name | Carrie Norris |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639564859 PECOS PAC ID: 7719271667 Enrollment ID: I20210420001801 |
| Provider Name | Massiell L. German |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1508215757 PECOS PAC ID: 1456685312 Enrollment ID: I20210420002463 |
| Provider Name | Nicholas Edward Calvo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972958593 PECOS PAC ID: 4183918279 Enrollment ID: I20210420002555 |
| Provider Name | Danielle Lovett-carter |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1831541648 PECOS PAC ID: 5193093680 Enrollment ID: I20210421001501 |
| Provider Name | He Li |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1023542495 PECOS PAC ID: 4688923964 Enrollment ID: I20210421001690 |
| Provider Name | Carol A Mcfarland |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427475714 PECOS PAC ID: 7214155084 Enrollment ID: I20210422001023 |
| Provider Name | Christopher K Ryba |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861998536 PECOS PAC ID: 9537416730 Enrollment ID: I20210422001442 |
| Provider Name | George Josten |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1750812533 PECOS PAC ID: 6406264829 Enrollment ID: I20210422002295 |
| Provider Name | Jyotika Singh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1255864534 PECOS PAC ID: 1254601255 Enrollment ID: I20210422002637 |
| Provider Name | John Van Pham |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1497117238 PECOS PAC ID: 9436448297 Enrollment ID: I20210422002777 |
| Provider Name | Newaj Mohammad Abdullah |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1497140560 PECOS PAC ID: 2769890193 Enrollment ID: I20210422002806 |
| Provider Name | Nicholas Alonzo Frost |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1235405994 PECOS PAC ID: 6901190479 Enrollment ID: I20210422002880 |
| Provider Name | Jonathan Seth Rogerson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1144678145 PECOS PAC ID: 7315237864 Enrollment ID: I20210422003003 |
| Provider Name | Caleb R Sturge |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093197279 PECOS PAC ID: 1658651013 Enrollment ID: I20210422003134 |
| Provider Name | Robert M O'neal |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1568994606 PECOS PAC ID: 2961755277 Enrollment ID: I20210423001548 |
| Provider Name | Catriona E Moody |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1699200139 PECOS PAC ID: 7618241696 Enrollment ID: I20210423002194 |
| Provider Name | Patrick Fink |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194258954 PECOS PAC ID: 5092148080 Enrollment ID: I20210423002288 |
| Provider Name | Lisa Joy Hrushka |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1174054936 PECOS PAC ID: 2567870967 Enrollment ID: I20210423002393 |
| Provider Name | Dwayne H. D'souza |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790273092 PECOS PAC ID: 8123378114 Enrollment ID: I20210426001086 |
| Provider Name | Zachary A Lee |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1083147086 PECOS PAC ID: 7911278205 Enrollment ID: I20210426001838 |
| Provider Name | James Fierbaugh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376048090 PECOS PAC ID: 3577996529 Enrollment ID: I20210426002332 |
| Provider Name | Nicholas Levin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558866228 PECOS PAC ID: 8628401650 Enrollment ID: I20210427000917 |
| Provider Name | Anne Elizabeth Oesterling |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1831630284 PECOS PAC ID: 8820362569 Enrollment ID: I20210427001129 |
| Provider Name | Olga Chrisman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1881120764 PECOS PAC ID: 9133499643 Enrollment ID: I20210427001569 |
| Provider Name | Priyanka Bearelly |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1700271244 PECOS PAC ID: 1153636089 Enrollment ID: I20210427002260 |
| Provider Name | Matthew Peter Curtis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1629423710 PECOS PAC ID: 8628344173 Enrollment ID: I20210513000641 |
| Provider Name | Ijeoma Nneka Iko |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346637709 PECOS PAC ID: 3072843192 Enrollment ID: I20210513000709 |
| Provider Name | Andrew Dubina |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1154783066 PECOS PAC ID: 7416242458 Enrollment ID: I20210513001266 |
| Provider Name | Elise B Asghar |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1346690096 PECOS PAC ID: 4183033590 Enrollment ID: I20210513003051 |
| Provider Name | Adebayo A Adesomo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265967442 PECOS PAC ID: 8426320540 Enrollment ID: I20210514000650 |
| Provider Name | Nels D Leafblad |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1457715955 PECOS PAC ID: 8224321351 Enrollment ID: I20210514000651 |
| Provider Name | Misha Pangasa |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255734364 PECOS PAC ID: 0244581296 Enrollment ID: I20210514000870 |
| Provider Name | Jeff S Russell |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1790928729 PECOS PAC ID: 3870745383 Enrollment ID: I20210514001333 |
| Provider Name | Matthew Bennet Givens |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306387667 PECOS PAC ID: 9436427960 Enrollment ID: I20210514001639 |
| Provider Name | Donald K Jones |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1497281943 PECOS PAC ID: 1052664802 Enrollment ID: I20210514002268 |
| Provider Name | Sreeharsha V. Nandyala |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1225419732 PECOS PAC ID: 3971810037 Enrollment ID: I20210526002179 |
| Provider Name | Patrick Michelier |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1528488533 PECOS PAC ID: 7113326950 Enrollment ID: I20210526003420 |
| Provider Name | Michael Andrew Robbins |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1093136913 PECOS PAC ID: 9537455704 Enrollment ID: I20210527002072 |
| Provider Name | Justin Stull |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1861854747 PECOS PAC ID: 8729386610 Enrollment ID: I20210527002251 |
| Provider Name | David Zobell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598374357 PECOS PAC ID: 2062811862 Enrollment ID: I20210527002290 |
| Provider Name | Kimberly Stevenson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1366804684 PECOS PAC ID: 4688960032 Enrollment ID: I20210527003024 |
| Provider Name | John M Seely |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1205360492 PECOS PAC ID: 3577834027 Enrollment ID: I20210527003048 |
| Provider Name | Bilal M Mahmood |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1598112013 PECOS PAC ID: 6608168257 Enrollment ID: I20210527003146 |
| Provider Name | Joseph Stewart Buck |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1366837304 PECOS PAC ID: 0446659197 Enrollment ID: I20210528001300 |
| Provider Name | Tommy V. Tran |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508278235 PECOS PAC ID: 7810282357 Enrollment ID: I20210528002395 |
| Provider Name | Guillaume Lamotte |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1114371416 PECOS PAC ID: 1557782687 Enrollment ID: I20210601000841 |
| Provider Name | Mita Hoppenfeld |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1871941401 PECOS PAC ID: 9537455910 Enrollment ID: I20210601001154 |
| Provider Name | Wesley M Williams |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730685579 PECOS PAC ID: 1557794351 Enrollment ID: I20210601001742 |
| Provider Name | William A Tucker |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1023403789 PECOS PAC ID: 6608172309 Enrollment ID: I20210601001819 |
| Provider Name | Christopher D Nevala-plagemann |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1659725851 PECOS PAC ID: 2567728108 Enrollment ID: I20210601001828 |
| Provider Name | Thomas Hanff |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1578867370 PECOS PAC ID: 0244548873 Enrollment ID: I20210602000010 |
| Provider Name | Eric Lee Caskey |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1558892729 PECOS PAC ID: 3779982285 Enrollment ID: I20210602002458 |
| Provider Name | Ian D Danford |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1558893057 PECOS PAC ID: 2961753603 Enrollment ID: I20210602002777 |
| Provider Name | Ghulam Rehman Mohy-ud-din |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1194130054 PECOS PAC ID: 0547565731 Enrollment ID: I20210603000750 |
| Provider Name | Allan M Seibert |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1780979799 PECOS PAC ID: 7517291479 Enrollment ID: I20210603001098 |
| Provider Name | Lindsey A Fitzgerald |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1043606965 PECOS PAC ID: 3577842038 Enrollment ID: I20210604002469 |
| Provider Name | Cali Elyse Johnson |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1760860357 PECOS PAC ID: 2961793468 Enrollment ID: I20210608000619 |
| Provider Name | Thomas Dean Goslinga |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003310947 PECOS PAC ID: 5890195192 Enrollment ID: I20210608001646 |
| Provider Name | Alexa Rae Sybrowsky |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710551080 PECOS PAC ID: 3779983010 Enrollment ID: I20210608003235 |
| Provider Name | Lily Marsden |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1124313218 PECOS PAC ID: 4789974940 Enrollment ID: I20210608003772 |
| Provider Name | Matthew Edward Heyes |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1679092936 PECOS PAC ID: 3779841234 Enrollment ID: I20210608003803 |
| Provider Name | Allyson Bryden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417538000 PECOS PAC ID: 3577963792 Enrollment ID: I20210609003000 |
| Provider Name | Reilly Daniel Hobbs |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1245591148 PECOS PAC ID: 3779857198 Enrollment ID: I20210610000007 |
| Provider Name | Janine Hoerauf |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1386172187 PECOS PAC ID: 8527338649 Enrollment ID: I20210610002376 |
| Provider Name | Stephen M Kimani |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1134528185 PECOS PAC ID: 4880949601 Enrollment ID: I20210623001579 |
| Provider Name | Alex Spencer Jepsen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447781356 PECOS PAC ID: 9638440803 Enrollment ID: I20210623001774 |
| Provider Name | Robin M. Shaw |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1306894654 PECOS PAC ID: 1254318553 Enrollment ID: I20210623002061 |
| Provider Name | Huan Luo Chou |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285028811 PECOS PAC ID: 2567893639 Enrollment ID: I20210623002118 |
| Provider Name | Nirmaan Kaur Dayal |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1629431341 PECOS PAC ID: 6709287162 Enrollment ID: I20210623002914 |
| Provider Name | Lindsay J Jinkins |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1366885907 PECOS PAC ID: 7214161280 Enrollment ID: I20210623003970 |
| Provider Name | Jessica R Stout |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1619381423 PECOS PAC ID: 5496971707 Enrollment ID: I20210623004001 |
| Provider Name | Anne Carroll Cioletti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447414487 PECOS PAC ID: 5890964456 Enrollment ID: I20210624002942 |
| Provider Name | Mark Winter |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417303405 PECOS PAC ID: 6103227392 Enrollment ID: I20210624003761 |
| Provider Name | Christine Ernat |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265836845 PECOS PAC ID: 0345569745 Enrollment ID: I20210628001830 |
| Provider Name | Bridger Westcott Bach |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1346603628 PECOS PAC ID: 1951694850 Enrollment ID: I20210628002846 |
| Provider Name | Coralee Choules |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1700296399 PECOS PAC ID: 1153676119 Enrollment ID: I20210714000894 |
| Provider Name | Jennifer Lee Tapken |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417523762 PECOS PAC ID: 3476955493 Enrollment ID: I20210714001079 |
| Provider Name | Cynthia Ann Sharadin |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1134500788 PECOS PAC ID: 3779985502 Enrollment ID: I20210715002119 |
| Provider Name | Joshua K Calvert |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1629424585 PECOS PAC ID: 5890088330 Enrollment ID: I20210715002434 |
| Provider Name | Andrew Michael Mills |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1487034153 PECOS PAC ID: 0648582676 Enrollment ID: I20210715003071 |
| Provider Name | Kevin Hebert |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1861856254 PECOS PAC ID: 4981984424 Enrollment ID: I20210716002463 |
| Provider Name | Timothy J Andersen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568042042 PECOS PAC ID: 7315340833 Enrollment ID: I20210721003197 |
| Provider Name | Monte Squiers |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1285016220 PECOS PAC ID: 3870807019 Enrollment ID: I20210722002955 |
| Provider Name | Lauren A Gimbel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528590411 PECOS PAC ID: 3375896095 Enrollment ID: I20210722003105 |
| Provider Name | Chantel Kathleen Brewer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871182840 PECOS PAC ID: 1951704303 Enrollment ID: I20210723000263 |
| Provider Name | Judson Adam Moore |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851735997 PECOS PAC ID: 4688966047 Enrollment ID: I20210723001179 |
| Provider Name | Steven Andrew Baker |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1447660154 PECOS PAC ID: 1153699483 Enrollment ID: I20210723001420 |
| Provider Name | Ashley T. Richman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1689022048 PECOS PAC ID: 4688969934 Enrollment ID: I20210723003365 |
| Provider Name | Matthew Ricks Morrell |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1780703314 PECOS PAC ID: 5698825370 Enrollment ID: I20210726002358 |
| Provider Name | Anna Parks |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1164840757 PECOS PAC ID: 1557654233 Enrollment ID: I20210726003283 |
| Provider Name | Linda Hsu |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1316351356 PECOS PAC ID: 6103111950 Enrollment ID: I20210727001568 |
| Provider Name | Rachel J Brenner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407382799 PECOS PAC ID: 2567715121 Enrollment ID: I20210727003724 |
| Provider Name | Laura Claflin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548896657 PECOS PAC ID: 1052737517 Enrollment ID: I20210727003743 |
| Provider Name | Justin J Ernat |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1205120177 PECOS PAC ID: 1355627001 Enrollment ID: I20210728001209 |
| Provider Name | Frank John Zadravecz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326542242 PECOS PAC ID: 6204269004 Enrollment ID: I20210804001884 |
| Provider Name | Michael H Andreae |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1649403254 PECOS PAC ID: 3870531023 Enrollment ID: I20210813000681 |
| Provider Name | Julianne Steward Dean |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1609010065 PECOS PAC ID: 0345479879 Enrollment ID: I20210813001921 |
| Provider Name | Bogdana Schmidt |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1386987865 PECOS PAC ID: 9032402516 Enrollment ID: I20210816001497 |
| Provider Name | Leo Lin |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1720585904 PECOS PAC ID: 9032514815 Enrollment ID: I20210817000976 |
| Provider Name | Amiko Mae Uchida |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1194143891 PECOS PAC ID: 9638494529 Enrollment ID: I20210817001290 |
| Provider Name | Elizabeth Hanna Robison |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215357959 PECOS PAC ID: 4880941780 Enrollment ID: I20210818002984 |
| Provider Name | Carolyn Weaver Swenson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1023261237 PECOS PAC ID: 8820301344 Enrollment ID: I20210818003272 |
| Provider Name | Mikka Michele Pendergrass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649846304 PECOS PAC ID: 2062817786 Enrollment ID: I20210818003321 |
| Provider Name | Cristina Decesaris |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1083069744 PECOS PAC ID: 5991083263 Enrollment ID: I20210819001661 |
| Provider Name | Bryce Hill |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1417343617 PECOS PAC ID: 6709281843 Enrollment ID: I20210826003618 |
| Provider Name | Madison Brooke Finch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225626831 PECOS PAC ID: 1254736267 Enrollment ID: I20210827002938 |
| Provider Name | Kathryn Jane Pace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568034510 PECOS PAC ID: 0244636686 Enrollment ID: I20210909002022 |
| Provider Name | Lauren Lundstrom |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598438327 PECOS PAC ID: 5496151854 Enrollment ID: I20210909002977 |
| Provider Name | Chad Christensen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427411545 PECOS PAC ID: 0345532321 Enrollment ID: I20210910001195 |
| Provider Name | Shandi Marie Beckwith |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1457926289 PECOS PAC ID: 3577960384 Enrollment ID: I20210921003296 |
| Provider Name | Emily C Daniels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699344937 PECOS PAC ID: 8426455270 Enrollment ID: I20210922000851 |
| Provider Name | Amanda Joyce Dailey-hansen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992377055 PECOS PAC ID: 6406253186 Enrollment ID: I20210922002913 |
| Provider Name | Brian William Locke |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1295199313 PECOS PAC ID: 5890051411 Enrollment ID: I20210924002997 |
| Provider Name | Michelle Zabala Cabugao |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1457990988 PECOS PAC ID: 3577990738 Enrollment ID: I20210929000900 |
| Provider Name | Whitney Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588288997 PECOS PAC ID: 0446657720 Enrollment ID: I20210929002375 |
| Provider Name | Joelle C Rasmussen |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1912578113 PECOS PAC ID: 6608274741 Enrollment ID: I20211005000365 |
| Provider Name | Adrian Begaye |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164876363 PECOS PAC ID: 4183917271 Enrollment ID: I20211005000391 |
| Provider Name | Kristin Dawn Harko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457924433 PECOS PAC ID: 7113325549 Enrollment ID: I20211014002664 |
| Provider Name | Gabriel Hulewsky |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1487225538 PECOS PAC ID: 9830587948 Enrollment ID: I20211021003223 |
| Provider Name | Dean Tanner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093102253 PECOS PAC ID: 0042588980 Enrollment ID: I20211110003185 |
| Provider Name | Jacquelyn M. Simonis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548657703 PECOS PAC ID: 0840568796 Enrollment ID: I20211110003262 |
| Provider Name | Daniel Shocket |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225471832 PECOS PAC ID: 6002101805 Enrollment ID: I20211111001999 |
| Provider Name | Nathaniel James Gebhard |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1306109392 PECOS PAC ID: 7810282860 Enrollment ID: I20211115002395 |
| Provider Name | Alejandro J. Wolf |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1962885764 PECOS PAC ID: 1355615469 Enrollment ID: I20211115002563 |
| Provider Name | Louis Brisson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912966755 PECOS PAC ID: 1850385345 Enrollment ID: I20211115002615 |
| Provider Name | Youssef Farhat |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1447782040 PECOS PAC ID: 6709275696 Enrollment ID: I20211115002672 |
| Provider Name | Catharine C Delong |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1275942393 PECOS PAC ID: 7012306707 Enrollment ID: I20211118001810 |
| Provider Name | Jordon March |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1679009831 PECOS PAC ID: 8224427869 Enrollment ID: I20211119001081 |
| Provider Name | Jeffrey R Jacobsen |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1881854107 PECOS PAC ID: 7416113311 Enrollment ID: I20211123000202 |
| Provider Name | Tiffani Mathew |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1598296097 PECOS PAC ID: 9739570318 Enrollment ID: I20211216000714 |
| Provider Name | Talia Baker |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1255311577 PECOS PAC ID: 0446387708 Enrollment ID: I20211217001895 |
| Provider Name | Jaron Ann Santelli |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760742654 PECOS PAC ID: 2163725664 Enrollment ID: I20211228001744 |
| Provider Name | Brian Thomas Rose |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1851364723 PECOS PAC ID: 2668442708 Enrollment ID: I20211230001816 |
| Provider Name | Elisabeth Erin Mulroy |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1821482019 PECOS PAC ID: 1850718727 Enrollment ID: I20220103000695 |
| Provider Name | Iqbal Karim Ahmed |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1801462809 PECOS PAC ID: 9436540374 Enrollment ID: I20220103000842 |
| Provider Name | Stacie Michelle Ireland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538783949 PECOS PAC ID: 5698166569 Enrollment ID: I20220104000455 |
| Provider Name | Talisha Hern |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275100703 PECOS PAC ID: 2062803976 Enrollment ID: I20220104001949 |
| Provider Name | Erik T Bieging |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1780950972 PECOS PAC ID: 7315170867 Enrollment ID: I20220111002783 |
| Provider Name | David Vincent Strain |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1740411339 PECOS PAC ID: 3577879485 Enrollment ID: I20220208002785 |
| Provider Name | Kenna Renee Peters |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003578345 PECOS PAC ID: 4385037688 Enrollment ID: I20220209001832 |
| Provider Name | Richard Stewart Shelton |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1770741886 PECOS PAC ID: 7416081203 Enrollment ID: I20220209002010 |
| Provider Name | Clayton Edward Savage |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497127898 PECOS PAC ID: 2860794328 Enrollment ID: I20220209002113 |
| Provider Name | Abigail Pape |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1417360546 PECOS PAC ID: 3072820661 Enrollment ID: I20220209002446 |
| Provider Name | Jeelan Fall |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1699399980 PECOS PAC ID: 5799178026 Enrollment ID: I20220209002873 |
| Provider Name | Brittany N Garcia |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1407243512 PECOS PAC ID: 9830470095 Enrollment ID: I20220210001168 |
| Provider Name | Whitney Hendrickson-cahill |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306263371 PECOS PAC ID: 8729327093 Enrollment ID: I20220210001368 |
| Provider Name | Katrina Rose Emery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730793852 PECOS PAC ID: 1052704210 Enrollment ID: I20220210001670 |
| Provider Name | Jamie P. Dwyer |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1851303788 PECOS PAC ID: 8820097629 Enrollment ID: I20220214000151 |
| Provider Name | Francesca Moore |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1225652548 PECOS PAC ID: 8325431265 Enrollment ID: I20220217000247 |
| Provider Name | Laura Kathleen Frye |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1518197417 PECOS PAC ID: 5193011211 Enrollment ID: I20220217002480 |
| Provider Name | Josephine Fulmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497307979 PECOS PAC ID: 2769876515 Enrollment ID: I20220222000795 |
| Provider Name | Paige Elizabeth Overschmidt |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1457012452 PECOS PAC ID: 9638563497 Enrollment ID: I20220222001326 |
| Provider Name | Shaun Chatelain |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1285046706 PECOS PAC ID: 6002132123 Enrollment ID: I20220224000773 |
| Provider Name | Connie Syropoulos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114319746 PECOS PAC ID: 8123346467 Enrollment ID: I20220301002192 |
| Provider Name | Haley Mckell Jangard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891364121 PECOS PAC ID: 8224423074 Enrollment ID: I20220315001151 |
| Provider Name | Jory Liang |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1952830416 PECOS PAC ID: 8123397528 Enrollment ID: I20220315002502 |
| Provider Name | Stephen Brett Cracroft |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1740941541 PECOS PAC ID: 7416342829 Enrollment ID: I20220322002155 |
| Provider Name | Karma-jaya P Elliott |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1770018277 PECOS PAC ID: 6901159284 Enrollment ID: I20220331002436 |
| Provider Name | Sarah Rathnam Akkina |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1467847467 PECOS PAC ID: 3577877018 Enrollment ID: I20220331002527 |
| Provider Name | Judith Faye Staub |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1528421138 PECOS PAC ID: 5193081628 Enrollment ID: I20220401000919 |
| Provider Name | Daniel D. Summerfield |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1639533805 PECOS PAC ID: 7517251341 Enrollment ID: I20220401001075 |
| Provider Name | Cameron Beech |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1053799924 PECOS PAC ID: 0244542132 Enrollment ID: I20220404001281 |
| Provider Name | Elizabeth Campbell Kasavana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215603782 PECOS PAC ID: 3476940651 Enrollment ID: I20220419001457 |
| Provider Name | Waseem Anani |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1013302926 PECOS PAC ID: 5193012029 Enrollment ID: I20220419002435 |
| Provider Name | Benjamin T. Bradley |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1912431941 PECOS PAC ID: 7810266301 Enrollment ID: I20220420000268 |
| Provider Name | Michael Balatico |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1437682671 PECOS PAC ID: 6305233396 Enrollment ID: I20220421000608 |
| Provider Name | Ganna Shestakova |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1164877544 PECOS PAC ID: 9234526245 Enrollment ID: I20220421001428 |
| Provider Name | Benjamin Mark Loren Drum |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558868802 PECOS PAC ID: 8325471378 Enrollment ID: I20220421002088 |
| Provider Name | Seyedeh Mahsa Adabkhah |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114569555 PECOS PAC ID: 1951738814 Enrollment ID: I20220512002220 |
| Provider Name | Krista Jo Childress |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932495728 PECOS PAC ID: 0840510285 Enrollment ID: I20220513000394 |
| Provider Name | Spencer Fuller |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1124513023 PECOS PAC ID: 4688052681 Enrollment ID: I20220603000552 |
| Provider Name | Paul D Chamberlain |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1922595636 PECOS PAC ID: 9739567744 Enrollment ID: I20220603000676 |
| Provider Name | Malka Davina Kirschenbaum |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1518462605 PECOS PAC ID: 9537547542 Enrollment ID: I20220603000786 |
| Provider Name | Shawn Gulati |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1083108070 PECOS PAC ID: 5698028215 Enrollment ID: I20220603000847 |
| Provider Name | Katherine S. Hu |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1205331287 PECOS PAC ID: 6103259189 Enrollment ID: I20220603000876 |
| Provider Name | Melissa A. Whipple |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356847321 PECOS PAC ID: 3274966072 Enrollment ID: I20220607001646 |
| Provider Name | Kathryn Krulisky |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992294607 PECOS PAC ID: 4284985995 Enrollment ID: I20220607001703 |
| Provider Name | Roxanne J Weiss |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053842609 PECOS PAC ID: 8022361443 Enrollment ID: I20220607002177 |
| Provider Name | Marcus Tyler Altman |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1699265744 PECOS PAC ID: 4688925845 Enrollment ID: I20220607002987 |
| Provider Name | Anish Deshmukh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1750819231 PECOS PAC ID: 6204269061 Enrollment ID: I20220608001539 |
| Provider Name | Eric M Pittelkow |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1982050340 PECOS PAC ID: 4880985423 Enrollment ID: I20220608002139 |
| Provider Name | Sarah E Germaine |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1417301912 PECOS PAC ID: 2961750799 Enrollment ID: I20220608002296 |
| Provider Name | Kasey A Stoutin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720641913 PECOS PAC ID: 5193143873 Enrollment ID: I20220608002633 |
| Provider Name | Liam Clark |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1871090837 PECOS PAC ID: 7416380480 Enrollment ID: I20220608002761 |
| Provider Name | Tara Greenley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265107536 PECOS PAC ID: 0547648230 Enrollment ID: I20220608003021 |
| Provider Name | Mana Espahbodi |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1659735249 PECOS PAC ID: 4082978457 Enrollment ID: I20220609000163 |
| Provider Name | Trenton C Fuller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770045197 PECOS PAC ID: 3476971953 Enrollment ID: I20220609000221 |
| Provider Name | Michael Zimmerman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1477579902 PECOS PAC ID: 2163498940 Enrollment ID: I20220609002012 |
| Provider Name | Edmund A Liles |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831114123 PECOS PAC ID: 2860487105 Enrollment ID: I20220609002630 |
| Provider Name | Brian Poole |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1770973489 PECOS PAC ID: 8325333107 Enrollment ID: I20220609002841 |
| Provider Name | Katharine R. Clapham |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1346502770 PECOS PAC ID: 2567607799 Enrollment ID: I20220609003130 |
| Provider Name | Isadore D. Dodard-friedman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699235069 PECOS PAC ID: 4688092372 Enrollment ID: I20220613000985 |
| Provider Name | John Ritter |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1013187772 PECOS PAC ID: 1850370925 Enrollment ID: I20220614001878 |
| Provider Name | Bethanie Price |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1831731546 PECOS PAC ID: 7911320999 Enrollment ID: I20220622003236 |
| Provider Name | Helen Palatinus |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407167133 PECOS PAC ID: 6002050697 Enrollment ID: I20220624001756 |
| Provider Name | Theresa R. Kurtz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1376048207 PECOS PAC ID: 4486087251 Enrollment ID: I20220624001982 |
| Provider Name | James M Kohler |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1720585854 PECOS PAC ID: 7315298189 Enrollment ID: I20220624002107 |
| Provider Name | Chengetai R Mahomva |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1841640778 PECOS PAC ID: 6406125814 Enrollment ID: I20220624002319 |
| Provider Name | Masaya Jimbo |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1467999474 PECOS PAC ID: 5698047199 Enrollment ID: I20220624002767 |
| Provider Name | Ariel Rodgers |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1831546969 PECOS PAC ID: 6305131798 Enrollment ID: I20220627000361 |
| Provider Name | Margaret Carey Williams |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1346604071 PECOS PAC ID: 9032598719 Enrollment ID: I20220627002306 |
| Provider Name | Kristen C. Kelley |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1164885083 PECOS PAC ID: 0244582815 Enrollment ID: I20220628001183 |
| Provider Name | Priya Goldie Lewis |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1720465024 PECOS PAC ID: 3678965076 Enrollment ID: I20220628001416 |
| Provider Name | Alexandra L Woodcock |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003310228 PECOS PAC ID: 1850639436 Enrollment ID: I20220628001732 |
| Provider Name | Andrea Raquel Hernandez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578126140 PECOS PAC ID: 8123352341 Enrollment ID: I20220628002228 |
| Provider Name | Carly Morgan Dahl |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811490642 PECOS PAC ID: 3971848102 Enrollment ID: I20220706002316 |
| Provider Name | Nathan Kwok |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144753971 PECOS PAC ID: 1850669961 Enrollment ID: I20220706002462 |
| Provider Name | Michael Kushdilian |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306209770 PECOS PAC ID: 1759651391 Enrollment ID: I20220706002606 |
| Provider Name | Alexander Alexei Vitin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1326124140 PECOS PAC ID: 5395630693 Enrollment ID: I20220706002889 |
| Provider Name | Ryan Adams Metcalf |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1437555935 PECOS PAC ID: 5092036327 Enrollment ID: I20220706002988 |
| Provider Name | Rebecca Cuniberti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982228276 PECOS PAC ID: 6305226440 Enrollment ID: I20220706003429 |
| Provider Name | James Scheiman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1053495101 PECOS PAC ID: 3577698836 Enrollment ID: I20220706003489 |
| Provider Name | Ohwofiemu Ejiogu Nwariaku |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1154375277 PECOS PAC ID: 4082895263 Enrollment ID: I20220706003536 |
| Provider Name | Joseph T Gamboa |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1942652623 PECOS PAC ID: 7719367879 Enrollment ID: I20220706003938 |
| Provider Name | Abdulrahman Saadalla |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1720511496 PECOS PAC ID: 4688946890 Enrollment ID: I20220708000819 |
| Provider Name | Carolyne Riehle |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1225532765 PECOS PAC ID: 2668737354 Enrollment ID: I20220708001975 |
| Provider Name | Jeremy Robert Burt |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932435328 PECOS PAC ID: 7214106228 Enrollment ID: I20220708002473 |
| Provider Name | Margaret Emma Bradford |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225501539 PECOS PAC ID: 2567842420 Enrollment ID: I20220708002926 |
| Provider Name | Claire Christine Widule |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932590957 PECOS PAC ID: 1153711668 Enrollment ID: I20220709000855 |
| Provider Name | Nancy M Campbell |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1548700974 PECOS PAC ID: 5294115101 Enrollment ID: I20220709000884 |
| Provider Name | Daniel Johansen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1942734348 PECOS PAC ID: 2860735933 Enrollment ID: I20220709000905 |
| Provider Name | John P Schilling |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356798052 PECOS PAC ID: 0345534160 Enrollment ID: I20220709000921 |
| Provider Name | Sophie B Hollenberg |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1720519366 PECOS PAC ID: 9032487350 Enrollment ID: I20220711000426 |
| Provider Name | Jefferson Chambers |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1821470295 PECOS PAC ID: 5294041968 Enrollment ID: I20220711001313 |
| Provider Name | Adriene C Eastaway |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164940821 PECOS PAC ID: 6305190125 Enrollment ID: I20220711002985 |
| Provider Name | Theodore A. Hartridge |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932669686 PECOS PAC ID: 4082032891 Enrollment ID: I20220712000617 |
| Provider Name | Patrick Eucalitto |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1710482971 PECOS PAC ID: 3375889215 Enrollment ID: I20220712002641 |
| Provider Name | James M Rizkalla |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1285160390 PECOS PAC ID: 1951679562 Enrollment ID: I20220712003090 |
| Provider Name | Jeremiah Pflederer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1124551932 PECOS PAC ID: 4284014978 Enrollment ID: I20220712003101 |
| Provider Name | Addison W. Alley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457888349 PECOS PAC ID: 3577966647 Enrollment ID: I20220712003345 |
| Provider Name | Chad William Parkes |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1467973131 PECOS PAC ID: 3476827338 Enrollment ID: I20220712003811 |
| Provider Name | Patrick J Kellam |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1386006146 PECOS PAC ID: 4981960663 Enrollment ID: I20220712003821 |
| Provider Name | Amanda L Purcell |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1366962029 PECOS PAC ID: 2668742826 Enrollment ID: I20220713000443 |
| Provider Name | Rebecca Sanderson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1508203449 PECOS PAC ID: 3971743642 Enrollment ID: I20220713000861 |
| Provider Name | Scott M. Latulip |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1215461694 PECOS PAC ID: 5799054706 Enrollment ID: I20220713001431 |
| Provider Name | Nathaniel K Richins |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1811493760 PECOS PAC ID: 7719236199 Enrollment ID: I20220713003824 |
| Provider Name | Megan Harris Buchanan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700555943 PECOS PAC ID: 2769863182 Enrollment ID: I20220718000505 |
| Provider Name | Anne Jones |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649732298 PECOS PAC ID: 8527393727 Enrollment ID: I20220718003567 |
| Provider Name | Babe C. Westlake |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1649705377 PECOS PAC ID: 4486923000 Enrollment ID: I20220719000502 |
| Provider Name | Kyle Walker |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114917408 PECOS PAC ID: 6901997857 Enrollment ID: I20220719000772 |
| Provider Name | Holden Wagstaff |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154882215 PECOS PAC ID: 0446678130 Enrollment ID: I20220719002264 |
| Provider Name | Joseph Arnold Weiner |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1053702522 PECOS PAC ID: 8123362969 Enrollment ID: I20220719002539 |
| Provider Name | Emily Jo Catalano |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952833378 PECOS PAC ID: 5092087692 Enrollment ID: I20220719002570 |
| Provider Name | Stanislav Ryndin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104350537 PECOS PAC ID: 3779830955 Enrollment ID: I20220720003712 |
| Provider Name | Richard Howey |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104555242 PECOS PAC ID: 5991187726 Enrollment ID: I20220726003673 |
| Provider Name | Tyler Rust |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033347133 PECOS PAC ID: 0749562510 Enrollment ID: I20220728002265 |
| Provider Name | Brian Opferman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316408982 PECOS PAC ID: 4981939675 Enrollment ID: I20220729001588 |
| Provider Name | Caitlin A Hof |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1710470836 PECOS PAC ID: 8123375094 Enrollment ID: I20220729002768 |
| Provider Name | Kianna Shotorbani |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1942707443 PECOS PAC ID: 0840623757 Enrollment ID: I20220801000219 |
| Provider Name | Samantha Anderson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1144868605 PECOS PAC ID: 3577991587 Enrollment ID: I20220801000239 |
| Provider Name | Sheala A Mullaney |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1457730905 PECOS PAC ID: 6800178906 Enrollment ID: I20220801000961 |
| Provider Name | Allison M Beaulieu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396276606 PECOS PAC ID: 3779856745 Enrollment ID: I20220801001082 |
| Provider Name | Holden L Brown |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1649775222 PECOS PAC ID: 6800140963 Enrollment ID: I20220801001381 |
| Provider Name | Jakub J. Szpunar |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1952805731 PECOS PAC ID: 9537592183 Enrollment ID: I20220801001463 |
| Provider Name | Aaron H. Smith |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1033614821 PECOS PAC ID: 7416380324 Enrollment ID: I20220801002790 |
| Provider Name | Torrey Louise Fourrier |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1568994705 PECOS PAC ID: 3072883982 Enrollment ID: I20220802001945 |
| Provider Name | James L. Dillon |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1730683889 PECOS PAC ID: 8325395783 Enrollment ID: I20220802002844 |
| Provider Name | Christine Joy Cliatt Brown |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245762111 PECOS PAC ID: 8527311992 Enrollment ID: I20220803001653 |
| Provider Name | Arion Lochner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023578200 PECOS PAC ID: 2769864065 Enrollment ID: I20220803002218 |
| Provider Name | Claudia Tuffanelli-bouvier |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629493069 PECOS PAC ID: 6406136472 Enrollment ID: I20220803002448 |
| Provider Name | Melissa A Pender |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1710412531 PECOS PAC ID: 6204189400 Enrollment ID: I20220803002514 |
| Provider Name | Zachary R Jergensen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1023502093 PECOS PAC ID: 4082945951 Enrollment ID: I20220803002566 |
| Provider Name | Catherine Cantway |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1871906974 PECOS PAC ID: 1658670435 Enrollment ID: I20220803002741 |
| Provider Name | Sarah Kelly Miller |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1134626682 PECOS PAC ID: 4981086204 Enrollment ID: I20220803002810 |
| Provider Name | Tyler P Pender |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1053846469 PECOS PAC ID: 3274886684 Enrollment ID: I20220804000497 |
| Provider Name | Jun Lin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053065847 PECOS PAC ID: 0042692964 Enrollment ID: I20220809000871 |
| Provider Name | Hank Jin Song |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770072746 PECOS PAC ID: 7416384359 Enrollment ID: I20220809001137 |
| Provider Name | Javier Jaramillo Morales |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1245692813 PECOS PAC ID: 3173906062 Enrollment ID: I20220809003850 |
| Provider Name | Michael Ingersoll |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1902125289 PECOS PAC ID: 0648284281 Enrollment ID: I20220810001316 |
| Provider Name | Anna Camille Moreno |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326450123 PECOS PAC ID: 6608198098 Enrollment ID: I20220810002164 |
| Provider Name | Hannah R Sammons |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1235697806 PECOS PAC ID: 8426382177 Enrollment ID: I20220810002609 |
| Provider Name | Jay Leblanc |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1316609902 PECOS PAC ID: 3577954825 Enrollment ID: I20220817003010 |
| Provider Name | Patrick A Upchurch |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1518224104 PECOS PAC ID: 3779831680 Enrollment ID: I20220818002465 |
| Provider Name | Suraj Patel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427411107 PECOS PAC ID: 6204219587 Enrollment ID: I20220818003324 |
| Provider Name | Michael Merrell Van Tienderen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1427506856 PECOS PAC ID: 2860825593 Enrollment ID: I20220818003419 |
| Provider Name | Eric Chunchieh Wang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518078120 PECOS PAC ID: 0446326920 Enrollment ID: I20220819001896 |
| Provider Name | Grace Guang-he Zhu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548689128 PECOS PAC ID: 1759677255 Enrollment ID: I20220819002661 |
| Provider Name | Robert Shigeo Ohgami |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1902109564 PECOS PAC ID: 1052577939 Enrollment ID: I20220819002742 |
| Provider Name | Christopher Ko |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1497142301 PECOS PAC ID: 9335436948 Enrollment ID: I20220819002890 |
| Provider Name | Evan T. Hare |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720540909 PECOS PAC ID: 9032537600 Enrollment ID: I20220822000514 |
| Provider Name | Bismarck Christian Odei |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1811415664 PECOS PAC ID: 7719234509 Enrollment ID: I20220822000786 |
| Provider Name | Rebecca Greaves Kim |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1164840054 PECOS PAC ID: 3870868706 Enrollment ID: I20220822000859 |
| Provider Name | Shane Michael Ruckel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1215391875 PECOS PAC ID: 5092071613 Enrollment ID: I20220822000931 |
| Provider Name | Andrea Steely |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1336415157 PECOS PAC ID: 4385947621 Enrollment ID: I20220822001572 |
| Provider Name | Zachary Oleskey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912404484 PECOS PAC ID: 9335549377 Enrollment ID: I20220822001906 |
| Provider Name | Nathan Thomas Van Dyk |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891952057 PECOS PAC ID: 7214088152 Enrollment ID: I20220823000734 |
| Provider Name | Liana Dagdavaryan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1457712408 PECOS PAC ID: 4183989882 Enrollment ID: I20220823000838 |
| Provider Name | Christopher James Goodenough |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1477997815 PECOS PAC ID: 8123440203 Enrollment ID: I20220823001840 |
| Provider Name | Johanna Carolina Purdy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598225237 PECOS PAC ID: 0345582748 Enrollment ID: I20220823002698 |
| Provider Name | Mark Kelly |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760942403 PECOS PAC ID: 6709274988 Enrollment ID: I20220829002677 |
| Provider Name | Satvik Ramakrishna |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1881004810 PECOS PAC ID: 9032409685 Enrollment ID: I20220829003462 |
| Provider Name | Scott F Schoninger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235793001 PECOS PAC ID: 1456684992 Enrollment ID: I20220830000231 |
| Provider Name | Patrick L. Adams |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437511656 PECOS PAC ID: 9335556778 Enrollment ID: I20220830002129 |
| Provider Name | Brian Karamian |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1629465182 PECOS PAC ID: 8921407958 Enrollment ID: I20220830002435 |
| Provider Name | Joshua Nelson Speirs |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1164876918 PECOS PAC ID: 0042617623 Enrollment ID: I20220830003072 |
| Provider Name | Sarah J Eyberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346746476 PECOS PAC ID: 9335572247 Enrollment ID: I20220831001460 |
| Provider Name | Avery Nicole Alexander |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043942097 PECOS PAC ID: 2062897119 Enrollment ID: I20220910000318 |
| Provider Name | Ahmed E Salem |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1629631429 PECOS PAC ID: 1052703592 Enrollment ID: I20220913000167 |
| Provider Name | Aaron Provance |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710024005 PECOS PAC ID: 5597890863 Enrollment ID: I20220913000692 |
| Provider Name | Cristina Ann Creal |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1780252338 PECOS PAC ID: 6002291986 Enrollment ID: I20220913001829 |
| Provider Name | Karin Gunther |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1336677947 PECOS PAC ID: 7618360801 Enrollment ID: I20220913002582 |
| Provider Name | Jill Starzyk Jeffe |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1588820104 PECOS PAC ID: 5597983072 Enrollment ID: I20220913002615 |
| Provider Name | Kendra E. Pham |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1528593308 PECOS PAC ID: 9335493097 Enrollment ID: I20220914000664 |
| Provider Name | Gretchen K York |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013472406 PECOS PAC ID: 6608117056 Enrollment ID: I20220915002016 |
| Provider Name | Robert M Teixeira |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1326426321 PECOS PAC ID: 9931412046 Enrollment ID: I20220915003036 |
| Provider Name | Brian Engle |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1629574231 PECOS PAC ID: 9537592688 Enrollment ID: I20220916001570 |
| Provider Name | Christopher R Lachapelle |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1639531981 PECOS PAC ID: 0345586079 Enrollment ID: I20220916001609 |
| Provider Name | Julie Frances Weis |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609338987 PECOS PAC ID: 1153656624 Enrollment ID: I20220916002635 |
| Provider Name | Alexander Donald Blaty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801383047 PECOS PAC ID: 1850724162 Enrollment ID: I20220916003065 |
| Provider Name | Kaytelin Gill Suslavich |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114582392 PECOS PAC ID: 3173941044 Enrollment ID: I20220919002118 |
| Provider Name | Amit Maity |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1730119728 PECOS PAC ID: 8921053901 Enrollment ID: I20220919002758 |
| Provider Name | Josie Jovita Rossitto |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1902332836 PECOS PAC ID: 7911382429 Enrollment ID: I20220920002446 |
| Provider Name | Alice E Pugh |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649915174 PECOS PAC ID: 9133504558 Enrollment ID: I20220920003288 |
| Provider Name | Kaiying Zhang |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1881180909 PECOS PAC ID: 7012392293 Enrollment ID: I20220924000257 |
| Provider Name | Shauna Spanos |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1972922045 PECOS PAC ID: 4082832928 Enrollment ID: I20220926000646 |
| Provider Name | Samantha Rubright |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1982135141 PECOS PAC ID: 3779828256 Enrollment ID: I20220926001530 |
| Provider Name | Jessica Nicole Schardein |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1467984955 PECOS PAC ID: 0941546808 Enrollment ID: I20220927002677 |
| Provider Name | Erin P Ward |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1154769453 PECOS PAC ID: 1951714740 Enrollment ID: I20220929001014 |
| Provider Name | Cari Evans Low |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1821273392 PECOS PAC ID: 2567538465 Enrollment ID: I20220929002562 |
| Provider Name | Spencer Carter |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1740676238 PECOS PAC ID: 5890171557 Enrollment ID: I20221003003015 |
| Provider Name | Mallori B Reinauer |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1750837779 PECOS PAC ID: 0749613644 Enrollment ID: I20221005003785 |
| Provider Name | Christopher David Joyce |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1861819112 PECOS PAC ID: 5092037531 Enrollment ID: I20221006001640 |
| Provider Name | Kary Norton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346610466 PECOS PAC ID: 2365828613 Enrollment ID: I20221010003195 |
| Provider Name | Megan Culp |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184398729 PECOS PAC ID: 3173999406 Enrollment ID: I20221012000165 |
| Provider Name | Michelanne Shields |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619473063 PECOS PAC ID: 8426481326 Enrollment ID: I20221012001070 |
| Provider Name | Lloyd D Petty |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1982050126 PECOS PAC ID: 4587958830 Enrollment ID: I20221012002549 |
| Provider Name | Jane Deon Leavy |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1851824296 PECOS PAC ID: 2769750918 Enrollment ID: I20221012002609 |
| Provider Name | Taylor L Lendrum |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598262289 PECOS PAC ID: 8820353063 Enrollment ID: I20221014000398 |
| Provider Name | Ramiro Garzon |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1851491468 PECOS PAC ID: 9638175987 Enrollment ID: I20221027002267 |
| Provider Name | Valkyria Regina Bayer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174259410 PECOS PAC ID: 4183091523 Enrollment ID: I20221027002724 |
| Provider Name | Erica Swenson |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1306265905 PECOS PAC ID: 2365660024 Enrollment ID: I20221102002675 |
| Provider Name | Devon Margaret Wray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528793346 PECOS PAC ID: 2860869682 Enrollment ID: I20221108003123 |
| Provider Name | Kaitlin Brown |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174254270 PECOS PAC ID: 9436526167 Enrollment ID: I20221109000301 |
| Provider Name | Philip Najm |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336341312 PECOS PAC ID: 6204904725 Enrollment ID: I20221109003120 |
| Provider Name | Jeffery Phillip Druck |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003925355 PECOS PAC ID: 9537144217 Enrollment ID: I20221109003209 |
| Provider Name | Wael Abdelghani Saad |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376577254 PECOS PAC ID: 7012974454 Enrollment ID: I20221110001155 |
| Provider Name | Elizabeth Snyder |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1730614603 PECOS PAC ID: 6406127281 Enrollment ID: I20221114001569 |
| Provider Name | Sheba John |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558781674 PECOS PAC ID: 2163830266 Enrollment ID: I20221114003129 |
| Provider Name | Anna H Jorgensen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1902338759 PECOS PAC ID: 8729350863 Enrollment ID: I20221116002581 |
| Provider Name | Wendell Williams |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1932452141 PECOS PAC ID: 1052544269 Enrollment ID: I20221119000137 |
| Provider Name | Stacey Lynn Cole |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194154989 PECOS PAC ID: 5597198747 Enrollment ID: I20221203000284 |
| Provider Name | Erinn Noelani Kim |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1558705061 PECOS PAC ID: 8426303223 Enrollment ID: I20221205002797 |
| Provider Name | Taylor Anne Kelso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154945566 PECOS PAC ID: 9335518752 Enrollment ID: I20221207001030 |
| Provider Name | Matthew Carda |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1386164424 PECOS PAC ID: 7315210473 Enrollment ID: I20221208003241 |
| Provider Name | Akila Mansour |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1548764517 PECOS PAC ID: 0749518041 Enrollment ID: I20221209001934 |
| Provider Name | Christina Marie Sehlinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831828482 PECOS PAC ID: 9739558925 Enrollment ID: I20221209001960 |
| Provider Name | Katie Renee Farrenkopf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457928459 PECOS PAC ID: 4183093370 Enrollment ID: I20221209002010 |
| Provider Name | Ashley Rohlfing Ostergaard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790413136 PECOS PAC ID: 6103295308 Enrollment ID: I20221209002447 |
| Provider Name | Amanda Comai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790200749 PECOS PAC ID: 6901166537 Enrollment ID: I20221212001045 |
| Provider Name | Klitos Konstantinidis |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1922373026 PECOS PAC ID: 7618306804 Enrollment ID: I20221212001214 |
| Provider Name | Lynn Foster Reinke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598928574 PECOS PAC ID: 1951770874 Enrollment ID: I20221214003222 |
| Provider Name | Brittany Ellen Masterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851022131 PECOS PAC ID: 0042689812 Enrollment ID: I20221218000010 |
| Provider Name | Paige Morisak |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1598403107 PECOS PAC ID: 3870962509 Enrollment ID: I20221219002883 |
| Provider Name | Roberta Florido |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1144531070 PECOS PAC ID: 3476785452 Enrollment ID: I20221220001018 |
| Provider Name | Jacqueline Navarro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255056966 PECOS PAC ID: 3870962541 Enrollment ID: I20221220001239 |
| Provider Name | Eunkyung Park |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376064766 PECOS PAC ID: 9931470440 Enrollment ID: I20221220001613 |
| Provider Name | Tyler Tony Christopulos |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1770291619 PECOS PAC ID: 1254700933 Enrollment ID: I20221220002134 |
| Provider Name | Deepika Bagga |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1568592665 PECOS PAC ID: 1557417094 Enrollment ID: I20230105001101 |
| Provider Name | Lara M Patriquin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467429654 PECOS PAC ID: 5193704187 Enrollment ID: I20230117001738 |
| Provider Name | Alina Mujukian |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922663483 PECOS PAC ID: 2567863426 Enrollment ID: I20230124000829 |
| Provider Name | Tejaswi Kompala |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1235558255 PECOS PAC ID: 2769772540 Enrollment ID: I20230206000870 |
| Provider Name | Tina Chante |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689302929 PECOS PAC ID: 1658743323 Enrollment ID: I20230206001465 |
| Provider Name | Emily Sanchez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659723278 PECOS PAC ID: 1557656758 Enrollment ID: I20230207000517 |
| Provider Name | Ashley Pyne |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1538780036 PECOS PAC ID: 9830561273 Enrollment ID: I20230210001029 |
| Provider Name | Motaz Selim |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1962645176 PECOS PAC ID: 6507997525 Enrollment ID: I20230213000264 |
| Provider Name | Victoria Kochanek |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235520222 PECOS PAC ID: 4688046097 Enrollment ID: I20230213001779 |
| Provider Name | Lacey Bascom Reynolds |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144533993 PECOS PAC ID: 6608900840 Enrollment ID: I20230214002404 |
| Provider Name | Nishika Muddasani Reddy |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1134514813 PECOS PAC ID: 8527395649 Enrollment ID: I20230214002969 |
| Provider Name | Missia Elizabeth Kohler-skinner |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1386089977 PECOS PAC ID: 1153794565 Enrollment ID: I20230306002730 |
| Provider Name | Naim Qaqish |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033836598 PECOS PAC ID: 7416320742 Enrollment ID: I20230307000837 |
| Provider Name | Crystal Anne Ruby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104522853 PECOS PAC ID: 3173996311 Enrollment ID: I20230308002557 |
| Provider Name | Marshall S Baker |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1720039803 PECOS PAC ID: 5193822278 Enrollment ID: I20230308002892 |
| Provider Name | Slade Alan Hodges |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1073756888 PECOS PAC ID: 5698924330 Enrollment ID: I20230310001152 |
| Provider Name | Chad Decker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548967243 PECOS PAC ID: 7012381734 Enrollment ID: I20230321001078 |
| Provider Name | Robert Kersten |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1780611269 PECOS PAC ID: 9537251871 Enrollment ID: I20230328001358 |
| Provider Name | Madalyn Rodney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366148454 PECOS PAC ID: 0143694497 Enrollment ID: I20230328001480 |
| Provider Name | Veronica Astrid Moreno Gomez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1295229268 PECOS PAC ID: 7012381379 Enrollment ID: I20230328001685 |
| Provider Name | Sarah Diamond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992373948 PECOS PAC ID: 4082089081 Enrollment ID: I20230405000132 |
| Provider Name | Cole J. Swiston |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1740741545 PECOS PAC ID: 5092133454 Enrollment ID: I20230405001311 |
| Provider Name | Allie M Simpson |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1760942833 PECOS PAC ID: 4385062843 Enrollment ID: I20230406000590 |
| Provider Name | Carl G Skinner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558352203 PECOS PAC ID: 2365543956 Enrollment ID: I20230410002343 |
| Provider Name | Nicole Ann Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235831009 PECOS PAC ID: 7810362431 Enrollment ID: I20230413001866 |
| Provider Name | Caroline Marie Craven |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1518351238 PECOS PAC ID: 6507156379 Enrollment ID: I20230413002879 |
| Provider Name | Emilio Fentanes |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093009276 PECOS PAC ID: 7012270911 Enrollment ID: I20230414000573 |
| Provider Name | Francine Jacobson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1124018890 PECOS PAC ID: 1254379076 Enrollment ID: I20230414002217 |
| Provider Name | Michael S Chung |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093030546 PECOS PAC ID: 5597071712 Enrollment ID: I20230421000934 |
| Provider Name | Brian Solinsky |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1598320798 PECOS PAC ID: 9638409055 Enrollment ID: I20230421000972 |
| Provider Name | Andrew Nicholas Kozlov |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1093134702 PECOS PAC ID: 9335474329 Enrollment ID: I20230421001299 |
| Provider Name | Giovanni E Lorenz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114196185 PECOS PAC ID: 7719258904 Enrollment ID: I20230424002020 |
| Provider Name | Marcus K. Chen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1881155430 PECOS PAC ID: 7911325402 Enrollment ID: I20230428001548 |
| Provider Name | Irmak Karaca |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1760101778 PECOS PAC ID: 9931584786 Enrollment ID: I20230502002146 |
| Provider Name | Jordan P Lutz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841910551 PECOS PAC ID: 6204212400 Enrollment ID: I20230502002910 |
| Provider Name | Jordan T. Rode |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982100145 PECOS PAC ID: 7416353487 Enrollment ID: I20230503001110 |
| Provider Name | Hilary Caitlyn Mccrary |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1679005946 PECOS PAC ID: 5294088522 Enrollment ID: I20230503002843 |
| Provider Name | Changhong Xing |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1104323120 PECOS PAC ID: 0547625105 Enrollment ID: I20230503002961 |
| Provider Name | Ethan Tumarkin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1255990503 PECOS PAC ID: 2062877624 Enrollment ID: I20230503003158 |
| Provider Name | Alexandra Pietraszkiewicz |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1952964124 PECOS PAC ID: 7517293822 Enrollment ID: I20230504000548 |
| Provider Name | Conner J Massey |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1952765943 PECOS PAC ID: 2567754500 Enrollment ID: I20230504001803 |
| Provider Name | J Rhet Tucker |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1659454155 PECOS PAC ID: 6305155706 Enrollment ID: I20230504001989 |
| Provider Name | Lindsay D. Nowak |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1992201180 PECOS PAC ID: 7214263128 Enrollment ID: I20230510003191 |
| Provider Name | Devon Laine Brower |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598419665 PECOS PAC ID: 3779949078 Enrollment ID: I20230511000839 |
| Provider Name | Elizabeth B. Albert |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295362887 PECOS PAC ID: 7911322425 Enrollment ID: I20230515002019 |
| Provider Name | Scott W. Berndt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760010029 PECOS PAC ID: 5395140586 Enrollment ID: I20230515002450 |
| Provider Name | Nathaniel Lee Coggins |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952861890 PECOS PAC ID: 5193119253 Enrollment ID: I20230516001316 |
| Provider Name | Barry Charnick |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700889912 PECOS PAC ID: 3577450386 Enrollment ID: I20230516001853 |
| Provider Name | William Daniel Welton |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578056032 PECOS PAC ID: 7618225319 Enrollment ID: I20230518002106 |
| Provider Name | Tyler Andrew Smith |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1487004529 PECOS PAC ID: 8527350800 Enrollment ID: I20230518002572 |
| Provider Name | Jeffrey Rolland Robison |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063999308 PECOS PAC ID: 5799158069 Enrollment ID: I20230518002847 |
| Provider Name | Peguy Jacques |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578073250 PECOS PAC ID: 0547626434 Enrollment ID: I20230518002949 |
| Provider Name | Karl Hamouche |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003309766 PECOS PAC ID: 2668723669 Enrollment ID: I20230518003218 |
| Provider Name | Carson Flores |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740784560 PECOS PAC ID: 0648520577 Enrollment ID: I20230519001284 |
| Provider Name | Daniel A. Murphy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376071159 PECOS PAC ID: 8527337559 Enrollment ID: I20230519002146 |
| Provider Name | Holly Y. Huang |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063972412 PECOS PAC ID: 4284052747 Enrollment ID: I20230519002294 |
| Provider Name | Michael E. Peterson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184121675 PECOS PAC ID: 2769815505 Enrollment ID: I20230519002353 |
| Provider Name | Rebekah Aquino |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750885422 PECOS PAC ID: 3779832605 Enrollment ID: I20230522002747 |
| Provider Name | Kathleen S Irby |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1518492859 PECOS PAC ID: 1254685803 Enrollment ID: I20230522002846 |
| Provider Name | Matthew N Gumbleton |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1548792872 PECOS PAC ID: 7911250550 Enrollment ID: I20230522003015 |
| Provider Name | Guinn Ellen Dunn |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1174085344 PECOS PAC ID: 3476971938 Enrollment ID: I20230523002007 |
| Provider Name | Taryn A. Young |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003378423 PECOS PAC ID: 8224456777 Enrollment ID: I20230523002618 |
| Provider Name | Midori J Eckenstein |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1225590284 PECOS PAC ID: 1153749551 Enrollment ID: I20230523002667 |
| Provider Name | Gabrielle A. Scannell |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1467912899 PECOS PAC ID: 8820416258 Enrollment ID: I20230524000052 |
| Provider Name | Valarie Mcmurtry |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1336674993 PECOS PAC ID: 3678939246 Enrollment ID: I20230524001407 |
| Provider Name | Daniel A. Ermann |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1386160596 PECOS PAC ID: 0446673610 Enrollment ID: I20230525000844 |
| Provider Name | Aaron C Shoskes |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1982109849 PECOS PAC ID: 7810243268 Enrollment ID: I20230525000937 |
| Provider Name | Rowan Kelner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942837398 PECOS PAC ID: 9931504990 Enrollment ID: I20230530001186 |
| Provider Name | Cori Polonski |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1962061804 PECOS PAC ID: 0840608246 Enrollment ID: I20230606002332 |
| Provider Name | Judea P. Wiggins |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1225598832 PECOS PAC ID: 6103283155 Enrollment ID: I20230606002642 |
| Provider Name | Brittany Steinfels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962110742 PECOS PAC ID: 3678930609 Enrollment ID: I20230607001731 |
| Provider Name | Anastasia Petrovna Chumakova |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1881155638 PECOS PAC ID: 1759748619 Enrollment ID: I20230607003880 |
| Provider Name | Vibhav Reddy |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1407241540 PECOS PAC ID: 0941585723 Enrollment ID: I20230608000844 |
| Provider Name | Kobi Fogel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871989822 PECOS PAC ID: 8224439930 Enrollment ID: I20230608002836 |
| Provider Name | Benjamin J. Verseman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003304122 PECOS PAC ID: 3678979697 Enrollment ID: I20230609002438 |
| Provider Name | Duha Abdelhamid Jweehan |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1487281838 PECOS PAC ID: 4183081995 Enrollment ID: I20230609003015 |
| Provider Name | Mitchel Cameron Faulkner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851911663 PECOS PAC ID: 4486035979 Enrollment ID: I20230609003036 |
| Provider Name | Victoria L Wadman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881210425 PECOS PAC ID: 2163841180 Enrollment ID: I20230613001450 |
| Provider Name | Brent Klapthor |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891322004 PECOS PAC ID: 6800274648 Enrollment ID: I20230613002527 |
| Provider Name | Alexander Kikuchi |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1659831733 PECOS PAC ID: 0446618094 Enrollment ID: I20230614002100 |
| Provider Name | Jane Theodora Kurtzman |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1801329545 PECOS PAC ID: 9032577697 Enrollment ID: I20230614002353 |
| Provider Name | Genevra L. Stone |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518497205 PECOS PAC ID: 1456719970 Enrollment ID: I20230615000982 |
| Provider Name | Megan W. Meier |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1003303496 PECOS PAC ID: 6305279100 Enrollment ID: I20230615002495 |
| Provider Name | Roberto G. Colon-miranda |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1548617442 PECOS PAC ID: 5193183655 Enrollment ID: I20230615002605 |
| Provider Name | Zachary Kyle Christopher |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1134625841 PECOS PAC ID: 5092063552 Enrollment ID: I20230615003420 |
| Provider Name | Samuel Jeffrey Cohen-tanugi |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1467959270 PECOS PAC ID: 6901153618 Enrollment ID: I20230619000793 |
| Provider Name | Joseph P Drain |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1407381536 PECOS PAC ID: 7719256858 Enrollment ID: I20230620000405 |
| Provider Name | Sean G Parham |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1699271601 PECOS PAC ID: 8820344419 Enrollment ID: I20230620000505 |
| Provider Name | Adam J. Taylor |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1427555804 PECOS PAC ID: 6305204637 Enrollment ID: I20230620000666 |
| Provider Name | Samuel I Wilhite |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1891236238 PECOS PAC ID: 6901170687 Enrollment ID: I20230620001204 |
| Provider Name | Hansel Eugene Ihn |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1346781606 PECOS PAC ID: 1759633647 Enrollment ID: I20230620001506 |
| Provider Name | Dennis N Jackson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063039824 PECOS PAC ID: 0143649939 Enrollment ID: I20230620001522 |
| Provider Name | Elaine Zhi Shing |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1770089567 PECOS PAC ID: 1951658228 Enrollment ID: I20230620002917 |
| Provider Name | Robert Allen Burnett |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1164914198 PECOS PAC ID: 4789931502 Enrollment ID: I20230620003149 |
| Provider Name | Naomi Schlesinger |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1457424020 PECOS PAC ID: 1254360308 Enrollment ID: I20230622002542 |
| Provider Name | Alastair E Moody |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1295298669 PECOS PAC ID: 0749608206 Enrollment ID: I20230623000828 |
| Provider Name | Tracey Wei Ly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730872789 PECOS PAC ID: 9335507250 Enrollment ID: I20230623002441 |
| Provider Name | Arthur Mark Rasmussen |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1720781875 PECOS PAC ID: 5597123422 Enrollment ID: I20230623002914 |
| Provider Name | Ciciley Fox |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1932660925 PECOS PAC ID: 5496098493 Enrollment ID: I20230626000966 |
| Provider Name | Ravikumar D Patel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1962068536 PECOS PAC ID: 5193143659 Enrollment ID: I20230626001007 |
| Provider Name | Henry C. Norris |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1235651241 PECOS PAC ID: 9234557067 Enrollment ID: I20230626001485 |
| Provider Name | Cole M Milliken |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1477110799 PECOS PAC ID: 9133459274 Enrollment ID: I20230626002168 |
| Provider Name | Kelly N Lembke |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1215499280 PECOS PAC ID: 2264851807 Enrollment ID: I20230627002129 |
| Provider Name | Ryan C. Graham |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1043773401 PECOS PAC ID: 2769800358 Enrollment ID: I20230627002288 |
| Provider Name | Jacob M. Whittle |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1801357819 PECOS PAC ID: 2567880271 Enrollment ID: I20230627002561 |
| Provider Name | Tagert Smith |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1275093445 PECOS PAC ID: 3870822430 Enrollment ID: I20230628001742 |
| Provider Name | Tyson J. Verhaal |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1164915344 PECOS PAC ID: 4981079928 Enrollment ID: I20230628002895 |
| Provider Name | Prashant Jolepalem |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174835003 PECOS PAC ID: 2860623360 Enrollment ID: I20230628004417 |
| Provider Name | Thomas P Curtin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1003347790 PECOS PAC ID: 9739433731 Enrollment ID: I20230628004464 |
| Provider Name | Parth Kothari |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1578052940 PECOS PAC ID: 0143585026 Enrollment ID: I20230629001494 |
| Provider Name | Christopher Maroules |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285861708 PECOS PAC ID: 6507050036 Enrollment ID: I20230707001289 |
| Provider Name | Joseph R. Mims |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184288359 PECOS PAC ID: 1355700378 Enrollment ID: I20230707002783 |
| Provider Name | Susan E Nourse |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194285759 PECOS PAC ID: 2163840935 Enrollment ID: I20230707003559 |
| Provider Name | Jessica Leavitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689159535 PECOS PAC ID: 0840520102 Enrollment ID: I20230710002222 |
| Provider Name | Aaron Blau |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316407430 PECOS PAC ID: 7719211184 Enrollment ID: I20230711001399 |
| Provider Name | Samantha S. Kodama |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700346145 PECOS PAC ID: 4082073812 Enrollment ID: I20230711002301 |
| Provider Name | Rosa Speranza |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932669694 PECOS PAC ID: 9133589930 Enrollment ID: I20230712000620 |
| Provider Name | Adi Wollstein |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1568950533 PECOS PAC ID: 8729336730 Enrollment ID: I20230712001087 |
| Provider Name | Michael A Moverman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1306339676 PECOS PAC ID: 8820344609 Enrollment ID: I20230712003891 |
| Provider Name | Debra Day Hogan |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1952032286 PECOS PAC ID: 2961862602 Enrollment ID: I20230713001611 |
| Provider Name | Neeraja Swaminathan |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1770078461 PECOS PAC ID: 1951761196 Enrollment ID: I20230719001396 |
| Provider Name | Sanaa Husain |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1518426626 PECOS PAC ID: 2365777117 Enrollment ID: I20230719001682 |
| Provider Name | Samantha A Lahey |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649624461 PECOS PAC ID: 8123316510 Enrollment ID: I20230719001847 |
| Provider Name | Marco Uribe |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1437612660 PECOS PAC ID: 8325458607 Enrollment ID: I20230719002949 |
| Provider Name | Emily B Worrall |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922627207 PECOS PAC ID: 0547685216 Enrollment ID: I20230720002247 |
| Provider Name | Somya Mishra |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1740832849 PECOS PAC ID: 6103244983 Enrollment ID: I20230720002323 |
| Provider Name | Hannah R Loewenberg |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790304913 PECOS PAC ID: 7810310802 Enrollment ID: I20230720002599 |
| Provider Name | Cody Daniel Tidwell |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1033672837 PECOS PAC ID: 6204163876 Enrollment ID: I20230721003118 |
| Provider Name | Michelle Buff |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1346694833 PECOS PAC ID: 4486945474 Enrollment ID: I20230721003409 |
| Provider Name | Shashank Sama |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1912435579 PECOS PAC ID: 8628341203 Enrollment ID: I20230724000507 |
| Provider Name | Tanya Wilcox |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1851749063 PECOS PAC ID: 3779911086 Enrollment ID: I20230724001279 |
| Provider Name | Alexys Monoson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1366978249 PECOS PAC ID: 7618248600 Enrollment ID: I20230724001809 |
| Provider Name | Andrew Chang |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1083889117 PECOS PAC ID: 4082876016 Enrollment ID: I20230724002022 |
| Provider Name | Wesley Hunter |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578060711 PECOS PAC ID: 1759741689 Enrollment ID: I20230724002315 |
| Provider Name | Matthew Jensen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1295232155 PECOS PAC ID: 3577996446 Enrollment ID: I20230724002545 |
| Provider Name | Courtney Sedillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770137994 PECOS PAC ID: 9830511013 Enrollment ID: I20230724002621 |
| Provider Name | Allison Bock |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1003347097 PECOS PAC ID: 2163794025 Enrollment ID: I20230725000550 |
| Provider Name | Gabrielle Ann Langmann |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1366848566 PECOS PAC ID: 6800103920 Enrollment ID: I20230726003682 |
| Provider Name | Cory Michelle Savino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770280083 PECOS PAC ID: 5698136133 Enrollment ID: I20230801001854 |
| Provider Name | Ahinoamah Forbes |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1356919955 PECOS PAC ID: 1052772449 Enrollment ID: I20230801004590 |
| Provider Name | Cailey Mortensen |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1003590548 PECOS PAC ID: 9133580525 Enrollment ID: I20230801004632 |
| Provider Name | Joshua Sunchul Choi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861998148 PECOS PAC ID: 4688077316 Enrollment ID: I20230802001562 |
| Provider Name | Praveen G Ranganath |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689069643 PECOS PAC ID: 4587080627 Enrollment ID: I20230802001758 |
| Provider Name | Anthony R Hafez |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1952839300 PECOS PAC ID: 0840568457 Enrollment ID: I20230802002341 |
| Provider Name | Laura Andrea Pesantez Pacheco |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1720439219 PECOS PAC ID: 5890156178 Enrollment ID: I20230802003950 |
| Provider Name | Nicolas Contreras |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1790135614 PECOS PAC ID: 4385937770 Enrollment ID: I20230802004241 |
| Provider Name | Jill Wilson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275928897 PECOS PAC ID: 4587918586 Enrollment ID: I20230807001252 |
| Provider Name | Drexel A. Neumann |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1164983508 PECOS PAC ID: 8921426503 Enrollment ID: I20230810000971 |
| Provider Name | Gbenga Adeyemi Shogbesan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588169171 PECOS PAC ID: 5193105963 Enrollment ID: I20230814003398 |
| Provider Name | Alekses R. Clifton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093343477 PECOS PAC ID: 2466857594 Enrollment ID: I20230816002869 |
| Provider Name | Taylor Kere Pomeranz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295267516 PECOS PAC ID: 0648549758 Enrollment ID: I20230817001695 |
| Provider Name | Brett G Toresdahl |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1588989990 PECOS PAC ID: 6800014069 Enrollment ID: I20230817002564 |
| Provider Name | Tina Basak |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487966735 PECOS PAC ID: 9931417904 Enrollment ID: I20230818003142 |
| Provider Name | David Hewson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215469721 PECOS PAC ID: 6002180874 Enrollment ID: I20230822000809 |
| Provider Name | Robert Matthew Weingold |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1811422140 PECOS PAC ID: 8022388693 Enrollment ID: I20230822002356 |
| Provider Name | Kaelin C Roy |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1912684101 PECOS PAC ID: 3375906936 Enrollment ID: I20230829004235 |
| Provider Name | Nicola White |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952694846 PECOS PAC ID: 9133412349 Enrollment ID: I20230830004273 |
| Provider Name | Leanne Michelle Johnson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891224333 PECOS PAC ID: 3173986650 Enrollment ID: I20230831000458 |
| Provider Name | Paola Testini |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1356705842 PECOS PAC ID: 8527351790 Enrollment ID: I20230911002359 |
| Provider Name | Sudarshan Srivatsan |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1588125876 PECOS PAC ID: 3971838798 Enrollment ID: I20230918002902 |
| Provider Name | Robinson Davis Page |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487252136 PECOS PAC ID: 2466816780 Enrollment ID: I20230919003177 |
| Provider Name | Timothy Truong |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1013576644 PECOS PAC ID: 9638523749 Enrollment ID: I20230922002906 |
| Provider Name | Scott D Flamm |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265422604 PECOS PAC ID: 9830195551 Enrollment ID: I20230922002920 |
| Provider Name | Philip Owen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1114606969 PECOS PAC ID: 8325492432 Enrollment ID: I20230922003050 |
| Provider Name | Kaohinani J. Longwolf |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1023468238 PECOS PAC ID: 6901198803 Enrollment ID: I20230925003647 |
| Provider Name | Andrea Aree Henricks |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942674718 PECOS PAC ID: 4385978717 Enrollment ID: I20230926000902 |
| Provider Name | Vidya Gopinath |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093193401 PECOS PAC ID: 7911213707 Enrollment ID: I20230929003387 |
| Provider Name | Jessica Mcmullin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1912393919 PECOS PAC ID: 6305227372 Enrollment ID: I20231002000821 |
| Provider Name | Anne Katherine Erickson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497280689 PECOS PAC ID: 3678841145 Enrollment ID: I20231002001616 |
| Provider Name | Eliza Dansie Parkin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003547845 PECOS PAC ID: 7618321142 Enrollment ID: I20231002002088 |
| Provider Name | Rami Ibrahim |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154819217 PECOS PAC ID: 7113371592 Enrollment ID: I20231004001116 |
| Provider Name | Joelle Takahashi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1700442449 PECOS PAC ID: 1456705839 Enrollment ID: I20231004001271 |
| Provider Name | Kathryn Richards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609526607 PECOS PAC ID: 7517312911 Enrollment ID: I20231004002251 |
| Provider Name | Jason Billington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508320409 PECOS PAC ID: 4486992351 Enrollment ID: I20231004002271 |
| Provider Name | Eleni Tseliou |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1568994804 PECOS PAC ID: 0244584084 Enrollment ID: I20231004002548 |
| Provider Name | Luis G Vargas Buonfiglio |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1164955779 PECOS PAC ID: 2567732001 Enrollment ID: I20231004003258 |
| Provider Name | Biren Dulal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508598079 PECOS PAC ID: 7416302831 Enrollment ID: I20231004003322 |
| Provider Name | Nikhut Siddique |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1982101333 PECOS PAC ID: 1759736036 Enrollment ID: I20231005002235 |
| Provider Name | Michael Larsen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1144781717 PECOS PAC ID: 6709110430 Enrollment ID: I20231006003216 |
| Provider Name | Timothy F Flanagan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1609368166 PECOS PAC ID: 9830577709 Enrollment ID: I20231009000796 |
| Provider Name | Caroline M Ruminski |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1154828408 PECOS PAC ID: 7012267461 Enrollment ID: I20231010001515 |
| Provider Name | Alex Truong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598549339 PECOS PAC ID: 9537515077 Enrollment ID: I20231019002648 |
| Provider Name | Randi Allak |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1982233664 PECOS PAC ID: 5395191324 Enrollment ID: I20231027001885 |
| Provider Name | Emily Gilchrist |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457866261 PECOS PAC ID: 6608135041 Enrollment ID: I20231030002385 |
| Provider Name | Cindy Johanna Cruz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295415685 PECOS PAC ID: 7315393113 Enrollment ID: I20231031001907 |
| Provider Name | Shari Linnea Sloane Quinton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679204952 PECOS PAC ID: 4486000288 Enrollment ID: I20231031002031 |
| Provider Name | Patrick Grant Hughes |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609189067 PECOS PAC ID: 2769626845 Enrollment ID: I20231031002248 |
| Provider Name | Ram Baboo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1275198723 PECOS PAC ID: 8426404104 Enrollment ID: I20231101001898 |
| Provider Name | Kristine Gebauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487330700 PECOS PAC ID: 5395191084 Enrollment ID: I20231101002124 |
| Provider Name | Oya Andacoglu |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1235458191 PECOS PAC ID: 1759514276 Enrollment ID: I20231101002376 |
| Provider Name | Eric Christiansen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417480732 PECOS PAC ID: 1052708419 Enrollment ID: I20231101002404 |
| Provider Name | Christopher Morris |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528089166 PECOS PAC ID: 2961419122 Enrollment ID: I20231101002785 |
| Provider Name | Rahul N Sawlani |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1790096592 PECOS PAC ID: 1456645431 Enrollment ID: I20231102000871 |
| Provider Name | Andrew Michael Skinner |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1225470511 PECOS PAC ID: 6901109651 Enrollment ID: I20231103001857 |
| Provider Name | Michele Lee Nassin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417272741 PECOS PAC ID: 7810281706 Enrollment ID: I20231108001285 |
| Provider Name | Damien Clark |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1417585340 PECOS PAC ID: 5395192454 Enrollment ID: I20231110000865 |
| Provider Name | Lindsay Egbert |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1487296190 PECOS PAC ID: 9739578923 Enrollment ID: I20231110001577 |
| Provider Name | Andrew Scott |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1790109882 PECOS PAC ID: 6103256086 Enrollment ID: I20231117002217 |
| Provider Name | Madelyn Paige Ellsworth |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720407711 PECOS PAC ID: 2365890696 Enrollment ID: I20231128001564 |
| Provider Name | Alexander Byron Galifianakis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275684276 PECOS PAC ID: 8123365277 Enrollment ID: I20231130000965 |
| Provider Name | Kimberly Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205576022 PECOS PAC ID: 0941659338 Enrollment ID: I20231211002206 |
| Provider Name | Karl Alan Sanders |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1871682542 PECOS PAC ID: 1153771001 Enrollment ID: I20231219002059 |
| Provider Name | Jenna K Flanagan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598185035 PECOS PAC ID: 2961704556 Enrollment ID: I20231219002245 |
| Provider Name | Dallen M Johnson |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1629322151 PECOS PAC ID: 0042629834 Enrollment ID: I20231220000808 |
| Provider Name | Justin Alan Illum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265174452 PECOS PAC ID: 4385094911 Enrollment ID: I20231222001593 |
| Provider Name | Andrew Johnson Olinde |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1548370414 PECOS PAC ID: 6204736192 Enrollment ID: I20231229002836 |
| Provider Name | Jason A. Bennett |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1386755809 PECOS PAC ID: 4082611447 Enrollment ID: I20240116001664 |
| Provider Name | Nicole Brittany Leonard |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1366903312 PECOS PAC ID: 8820440878 Enrollment ID: I20240116001900 |
| Provider Name | Frankie K. Smith |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1447810593 PECOS PAC ID: 5496087637 Enrollment ID: I20240116002406 |
| Provider Name | Hee Joon Kim |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1679804876 PECOS PAC ID: 7113042458 Enrollment ID: I20240116004635 |
| Provider Name | Daniel A. Harter |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1598326191 PECOS PAC ID: 4880926062 Enrollment ID: I20240116004655 |
| Provider Name | Matthew J. Kilpatrick |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1790340503 PECOS PAC ID: 2567793615 Enrollment ID: I20240117000752 |
| Provider Name | Peggy Chan |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1609859875 PECOS PAC ID: 3476591496 Enrollment ID: I20240122002518 |
| Provider Name | Roni Stern |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780005009 PECOS PAC ID: 4587887047 Enrollment ID: I20240122003304 |
| Provider Name | Suayp Oygen |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1346867306 PECOS PAC ID: 5991148413 Enrollment ID: I20240212001634 |
| Provider Name | Krissa Leanne Hendricks Nordblad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386374833 PECOS PAC ID: 2163865627 Enrollment ID: I20240212003003 |
| Provider Name | Richard A King |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1033522107 PECOS PAC ID: 1557661287 Enrollment ID: I20240212004134 |
| Provider Name | Natosha L Tullos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053182980 PECOS PAC ID: 2264877976 Enrollment ID: I20240304001057 |
| Provider Name | John Debevits |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003203324 PECOS PAC ID: 5294047403 Enrollment ID: I20240304003287 |
| Provider Name | Chidiebere Iheanacho |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598549370 PECOS PAC ID: 0345685970 Enrollment ID: I20240305001640 |
| Provider Name | Lydia M Hoover |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629843818 PECOS PAC ID: 3274979869 Enrollment ID: I20240305004511 |
| Provider Name | Ramsey Raymond Hachem |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1891711016 PECOS PAC ID: 1658402292 Enrollment ID: I20240306001606 |
| Provider Name | Lisa Guertin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184933871 PECOS PAC ID: 1153594866 Enrollment ID: I20240306003841 |
Ted R Schultz Md Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 866 Padley St, Salt Lake City, UT 84108 Phone: 801-202-4892 | |
Intermountain Healthcare Flu Shot Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 776 N Terminal Dr, Salt Lake City, UT 84122 Phone: 801-292-6100 | |
U-u Pulmonary Division Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 50 N Medical Dr, Salt Lake City, UT 84132 Phone: 801-581-2121 | |
Ldsh Cancer Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 370 9th Ave, Salt Lake City, UT 84103 Phone: 801-442-1400 | |
Bmt Division Department Of University Of Utah Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1950 Circle Of Hope Dr, Salt Lake City, UT 84112 Phone: 801-581-2121 | |
All For Women Healthcare, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2605 E 3300 S, Salt Lake City, UT 84109 Phone: 801-746-7467 Fax: 801-746-7469 | |
University Of Utah Hospital Infectious Disease Division Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 50 N Medical Dr, Salt Lake City, UT 84132 Phone: 801-587-6336 |