| Upper Valley Professional Corporation | |
|
3130 N County Road 25a Troy OH 45373-1337 | |
| (937) 440-7497 | |
| (937) 440-7337 |
| Full Name | Upper Valley Professional Corporation |
|---|---|
| Speciality | Family Medicine |
| Location | 3130 N County Road 25a, Troy, Ohio |
| Authorized Official Name and Position | Darlene F Michel (SYSTEMS SUPPORT ANALYST) |
| Authorized Official Contact | 9374996758 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Upper Valley Professional Corporation Po Box 479 Troy OH 45373-0479 Ph: (937) 440-7497 | Upper Valley Professional Corporation 3130 N County Road 25a Troy OH 45373-1337 Ph: (937) 440-7497 |
| NPI Number | 1407872518 |
|---|---|
| Provider Enumeration Date | 07/14/2006 |
| Last Update Date | 01/15/2026 |
| Certification Date | 01/15/2026 |
| Medicare PECOS PAC ID | 5597658138 |
|---|---|
| Medicare Enrollment ID | O20040206000038 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407872518 | NPI | - | NPPES |
| 2616404 | Medicaid | OH |
| Provider Name | John Green |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518949106 PECOS PAC ID: 0143124727 Enrollment ID: I20031125000308 |
| Provider Name | Aruna Prattipati |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609828367 PECOS PAC ID: 5294637674 Enrollment ID: I20040126000233 |
| Provider Name | Yoichi C Imamura |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679687479 PECOS PAC ID: 5496643868 Enrollment ID: I20040308000662 |
| Provider Name | Kaveri Sivaruban |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801846258 PECOS PAC ID: 2567351273 Enrollment ID: I20040311000955 |
| Provider Name | Darrell Gill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821068990 PECOS PAC ID: 1355333576 Enrollment ID: I20040330001425 |
| Provider Name | Mohamud Si Mohamed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700869377 PECOS PAC ID: 4981697935 Enrollment ID: I20040406000208 |
| Provider Name | Nkoli Anigbogu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184710121 PECOS PAC ID: 8123017266 Enrollment ID: I20040512000594 |
| Provider Name | Kenrick Sylvester Richardson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295736049 PECOS PAC ID: 9436140027 Enrollment ID: I20040521000755 |
| Provider Name | Liping Guan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932167236 PECOS PAC ID: 3072594027 Enrollment ID: I20040526000899 |
| Provider Name | Elie R Ghazal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982657391 PECOS PAC ID: 3375525637 Enrollment ID: I20040602000484 |
| Provider Name | Mohammad a Gad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801891692 PECOS PAC ID: 7315923547 Enrollment ID: I20040628000768 |
| Provider Name | Oshana Alahakoon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285793745 PECOS PAC ID: 9436135316 Enrollment ID: I20040629001737 |
| Provider Name | Seref M Bornovali |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508862244 PECOS PAC ID: 9234126350 Enrollment ID: I20040715000609 |
| Provider Name | Mark Eric Corcoran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740220854 PECOS PAC ID: 5597737403 Enrollment ID: I20040811000467 |
| Provider Name | Tammy Joleen Taylor |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366419350 PECOS PAC ID: 4789657800 Enrollment ID: I20040817000861 |
| Provider Name | Susan Meera Grandhi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073686838 PECOS PAC ID: 6800863747 Enrollment ID: I20040910001274 |
| Provider Name | Linda L Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578510855 PECOS PAC ID: 8123096872 Enrollment ID: I20040920001322 |
| Provider Name | Monica a Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891791026 PECOS PAC ID: 6002701299 Enrollment ID: I20041102001300 |
| Provider Name | Mitchell I Ballin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104866565 PECOS PAC ID: 2668439449 Enrollment ID: I20041214000036 |
| Provider Name | Nneka S Anyanechi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982824207 PECOS PAC ID: 1052363223 Enrollment ID: I20050216000110 |
| Provider Name | Slawomir M Fratczak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124009436 PECOS PAC ID: 2769423466 Enrollment ID: I20050512000506 |
| Provider Name | Gretzel King |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1912990730 PECOS PAC ID: 2264404128 Enrollment ID: I20050614000344 |
| Provider Name | Adam a Levine |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124127063 PECOS PAC ID: 0941244032 Enrollment ID: I20050620000683 |
| Provider Name | Guillermo G Trevino |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184652497 PECOS PAC ID: 0244275022 Enrollment ID: I20050622000709 |
| Provider Name | Michael W Saad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700870664 PECOS PAC ID: 3173554565 Enrollment ID: I20050825000469 |
| Provider Name | Pamela J Acopine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932182961 PECOS PAC ID: 9739110800 Enrollment ID: I20050829000404 |
| Provider Name | Richard Fikes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235176686 PECOS PAC ID: 0648295782 Enrollment ID: I20051007000786 |
| Provider Name | Kavitha Choudary |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023119781 PECOS PAC ID: 8729005475 Enrollment ID: I20051101000540 |
| Provider Name | Shelsea L Johnson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639146822 PECOS PAC ID: 6305852195 Enrollment ID: I20060303000069 |
| Provider Name | Sukaina J Jaffer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568430031 PECOS PAC ID: 5991714404 Enrollment ID: I20060411000706 |
| Provider Name | Augustine Lavelle Tuma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205874815 PECOS PAC ID: 8022041300 Enrollment ID: I20060420000001 |
| Provider Name | Suresh Yadav |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649288465 PECOS PAC ID: 3971506643 Enrollment ID: I20060818000156 |
| Provider Name | Anthony Wetherington |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831177302 PECOS PAC ID: 5991708570 Enrollment ID: I20060822000009 |
| Provider Name | Majid Taj |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295837367 PECOS PAC ID: 1456356831 Enrollment ID: I20060918000265 |
| Provider Name | Johan Worndle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295840833 PECOS PAC ID: 8729083696 Enrollment ID: I20060927000419 |
| Provider Name | Alexandra J Jordan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497781652 PECOS PAC ID: 2365447992 Enrollment ID: I20061003000411 |
| Provider Name | Kombian Gbaruk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235171802 PECOS PAC ID: 3577569342 Enrollment ID: I20061018000584 |
| Provider Name | Aderemi Basit Alli |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447348982 PECOS PAC ID: 2365449535 Enrollment ID: I20061031000479 |
| Provider Name | Robert Rae |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003852070 PECOS PAC ID: 1850399148 Enrollment ID: I20061121000224 |
| Provider Name | Reagan S Norgan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487877999 PECOS PAC ID: 8325149503 Enrollment ID: I20070719000038 |
| Provider Name | Irina a Gendler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114148376 PECOS PAC ID: 4284735465 Enrollment ID: I20070719000086 |
| Provider Name | Aaron Harju |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578559449 PECOS PAC ID: 8628161858 Enrollment ID: I20070905000151 |
| Provider Name | Gretchen Marie Lorenz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710100425 PECOS PAC ID: 5294829065 Enrollment ID: I20070924000743 |
| Provider Name | Amy Hovest |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063547479 PECOS PAC ID: 4981793213 Enrollment ID: I20071210000075 |
| Provider Name | Charles Oppong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902080922 PECOS PAC ID: 4486739448 Enrollment ID: I20080314000342 |
| Provider Name | Arshad Ali Shah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578583605 PECOS PAC ID: 9436154945 Enrollment ID: I20080409000290 |
| Provider Name | Nenuka D Reddy |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1013032184 PECOS PAC ID: 9234216516 Enrollment ID: I20080410000710 |
| Provider Name | Shunaid M Pathan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477726743 PECOS PAC ID: 1951473941 Enrollment ID: I20080708000614 |
| Provider Name | Jacob Conklin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588842314 PECOS PAC ID: 0244303881 Enrollment ID: I20080715000941 |
| Provider Name | Cuneyd a Tolek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174514590 PECOS PAC ID: 9234202656 Enrollment ID: I20080718000124 |
| Provider Name | Tresa P Pasam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497963532 PECOS PAC ID: 6305911892 Enrollment ID: I20080819000009 |
| Provider Name | Valerie a Aliu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073692042 PECOS PAC ID: 3577638733 Enrollment ID: I20080822000137 |
| Provider Name | Shelden C Wical |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821040007 PECOS PAC ID: 9335216035 Enrollment ID: I20080923000084 |
| Provider Name | Kathryn Goeke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003019043 PECOS PAC ID: 0143397588 Enrollment ID: I20080926000067 |
| Provider Name | Jon D Girard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922198019 PECOS PAC ID: 4385703867 Enrollment ID: I20081113000077 |
| Provider Name | Holly Papanek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245303932 PECOS PAC ID: 6103987227 Enrollment ID: I20081209000034 |
| Provider Name | Helen Gwendolyn Gerhard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750547345 PECOS PAC ID: 7416010111 Enrollment ID: I20090107000026 |
| Provider Name | Kathryn a Streb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902077233 PECOS PAC ID: 0648334912 Enrollment ID: I20090131000004 |
| Provider Name | Abdal Rahman Alhyari |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205051570 PECOS PAC ID: 5698831022 Enrollment ID: I20090310000006 |
| Provider Name | Kirshan Lal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316964398 PECOS PAC ID: 7315956323 Enrollment ID: I20090323000320 |
| Provider Name | Glenda Mae Updyke |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1174582597 PECOS PAC ID: 5496805046 Enrollment ID: I20090602000733 |
| Provider Name | Jeffrey G Poulos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871633776 PECOS PAC ID: 1153474663 Enrollment ID: I20090731000212 |
| Provider Name | Satish Gonela |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952561755 PECOS PAC ID: 7618013616 Enrollment ID: I20091006000014 |
| Provider Name | Ajay Sodhi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023258381 PECOS PAC ID: 4688712482 Enrollment ID: I20091116000625 |
| Provider Name | Paul W Weber |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942278940 PECOS PAC ID: 4688715428 Enrollment ID: I20091231000002 |
| Provider Name | Daniel J Elshoff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003883646 PECOS PAC ID: 2668513748 Enrollment ID: I20100112000242 |
| Provider Name | Anupama S Kulkarni |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285601765 PECOS PAC ID: 3577604529 Enrollment ID: I20100113000007 |
| Provider Name | Kathryn E Lorenz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770798340 PECOS PAC ID: 7214070564 Enrollment ID: I20100209000107 |
| Provider Name | Becky Jo Woodard Blackton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922076926 PECOS PAC ID: 5991849671 Enrollment ID: I20100218000469 |
| Provider Name | Emmanuel a Chukwunyere |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821235540 PECOS PAC ID: 2860521804 Enrollment ID: I20100601000016 |
| Provider Name | Jay M Wallin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528090768 PECOS PAC ID: 3577543404 Enrollment ID: I20100602000450 |
| Provider Name | Kamal N Yoakim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447415641 PECOS PAC ID: 8820129950 Enrollment ID: I20100706000244 |
| Provider Name | Atul Kutwal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902136153 PECOS PAC ID: 5799819439 Enrollment ID: I20100817000129 |
| Provider Name | Pradip M Vyas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023129103 PECOS PAC ID: 7911021217 Enrollment ID: I20100824000034 |
| Provider Name | Abdul-mannan M Masood |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033397617 PECOS PAC ID: 1254457716 Enrollment ID: I20100922000544 |
| Provider Name | Miriam Emile |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831209923 PECOS PAC ID: 2668577453 Enrollment ID: I20101005000739 |
| Provider Name | Durgarani Chadalawada |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639164437 PECOS PAC ID: 3274550389 Enrollment ID: I20101008000808 |
| Provider Name | Fraol Adugna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134386519 PECOS PAC ID: 6709071129 Enrollment ID: I20101111000540 |
| Provider Name | Allyson a Woerndle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104127182 PECOS PAC ID: 2264611177 Enrollment ID: I20110125000416 |
| Provider Name | Ronal D Manis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376557231 PECOS PAC ID: 6800075425 Enrollment ID: I20110128000274 |
| Provider Name | Deann L Osterman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1942503628 PECOS PAC ID: 4183804099 Enrollment ID: I20110210000179 |
| Provider Name | Tammy Susan Alverson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760558092 PECOS PAC ID: 2860673969 Enrollment ID: I20110223000214 |
| Provider Name | Dmitri Gagarin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114109089 PECOS PAC ID: 6608058672 Enrollment ID: I20110311000596 |
| Provider Name | Sana Siddiqui |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417100694 PECOS PAC ID: 9436331444 Enrollment ID: I20110314000072 |
| Provider Name | Robert Bruce Elson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174825244 PECOS PAC ID: 9830373992 Enrollment ID: I20110414000079 |
| Provider Name | Kenechi Anikwe Obetta |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831495266 PECOS PAC ID: 0749458800 Enrollment ID: I20110718000240 |
| Provider Name | Piyush Gupta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275618803 PECOS PAC ID: 9830369040 Enrollment ID: I20110825000645 |
| Provider Name | Julio C Soto |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689883860 PECOS PAC ID: 5991975898 Enrollment ID: I20110901000555 |
| Provider Name | Sreevani Gollamudi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053572057 PECOS PAC ID: 1052508702 Enrollment ID: I20110902000298 |
| Provider Name | Jamie a Rhodes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619120276 PECOS PAC ID: 4880865898 Enrollment ID: I20110923000314 |
| Provider Name | Jignesh Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366619280 PECOS PAC ID: 4587840210 Enrollment ID: I20111005000915 |
| Provider Name | Darren Sommer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578512356 PECOS PAC ID: 4486677192 Enrollment ID: I20111010000520 |
| Provider Name | Jahanzeb Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336353929 PECOS PAC ID: 3870675374 Enrollment ID: I20111115000581 |
| Provider Name | Prakash Chand |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275812497 PECOS PAC ID: 8527232891 Enrollment ID: I20111122000930 |
| Provider Name | Mohammed M Abdelaziz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831326701 PECOS PAC ID: 6406021849 Enrollment ID: I20111213000464 |
| Provider Name | Vinaya Ajit Bhagwat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699839159 PECOS PAC ID: 4284669706 Enrollment ID: I20111229000587 |
| Provider Name | Aderonke Oninku |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962631465 PECOS PAC ID: 0547447161 Enrollment ID: I20111229000766 |
| Provider Name | Joyce a Tebbe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881967271 PECOS PAC ID: 1254594559 Enrollment ID: I20120524000368 |
| Provider Name | Tammy M Kaiser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881965259 PECOS PAC ID: 3678737723 Enrollment ID: I20120621000138 |
| Provider Name | Jon B Silk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720277486 PECOS PAC ID: 3870758048 Enrollment ID: I20120713000382 |
| Provider Name | Yousif SM Shareef |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922235811 PECOS PAC ID: 4789840547 Enrollment ID: I20120723000631 |
| Provider Name | Adedoyin O Adetoro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215260930 PECOS PAC ID: 8820254311 Enrollment ID: I20120727000571 |
| Provider Name | Ivan David Ongom |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659502433 PECOS PAC ID: 5193981686 Enrollment ID: I20120727000580 |
| Provider Name | Meredith L Prenger |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881823326 PECOS PAC ID: 0143476176 Enrollment ID: I20120807000902 |
| Provider Name | Amith Parekh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750510715 PECOS PAC ID: 7113194531 Enrollment ID: I20120815000836 |
| Provider Name | Motaz B H a Hossein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922377977 PECOS PAC ID: 5597912956 Enrollment ID: I20120821000180 |
| Provider Name | Abidemi B Akande |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518281690 PECOS PAC ID: 7416106869 Enrollment ID: I20121001000045 |
| Provider Name | Lindsey R Bowen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1033462833 PECOS PAC ID: 0446403885 Enrollment ID: I20130114000389 |
| Provider Name | Nabila Bibawy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417182106 PECOS PAC ID: 6608021464 Enrollment ID: I20130227000404 |
| Provider Name | Amish a Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083938906 PECOS PAC ID: 3870748445 Enrollment ID: I20130305000364 |
| Provider Name | Ginny French |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770731911 PECOS PAC ID: 8325219728 Enrollment ID: I20130409000522 |
| Provider Name | Eucharia C Akusoba-davis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053545269 PECOS PAC ID: 5890931059 Enrollment ID: I20130415000275 |
| Provider Name | Milinda Nimmo Zabramba |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821316787 PECOS PAC ID: 4688810278 Enrollment ID: I20130426000680 |
| Provider Name | Amie Ogunsakin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952533580 PECOS PAC ID: 2163661729 Enrollment ID: I20130612000400 |
| Provider Name | Anirban Biswas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871891614 PECOS PAC ID: 1355584004 Enrollment ID: I20130827000790 |
| Provider Name | Heather M Marshall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710228606 PECOS PAC ID: 0840434544 Enrollment ID: I20130919000360 |
| Provider Name | Kyle M Le |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1659703544 PECOS PAC ID: 3779717665 Enrollment ID: I20131008001649 |
| Provider Name | Ali T Jaffery |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649489105 PECOS PAC ID: 4688809049 Enrollment ID: I20131021001510 |
| Provider Name | Shannon Shafer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1952738148 PECOS PAC ID: 4082849385 Enrollment ID: I20131022001118 |
| Provider Name | Leelmohan Ravikumar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881903656 PECOS PAC ID: 4587890603 Enrollment ID: I20131120000981 |
| Provider Name | Cindy Lou Mays |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659792745 PECOS PAC ID: 2860622768 Enrollment ID: I20140219002112 |
| Provider Name | Vijay Jayanti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003112657 PECOS PAC ID: 4688828742 Enrollment ID: I20140404000583 |
| Provider Name | Jabulani Sidile |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164650743 PECOS PAC ID: 9830312842 Enrollment ID: I20140520001952 |
| Provider Name | Erica N Wood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174948376 PECOS PAC ID: 2860615697 Enrollment ID: I20140524000054 |
| Provider Name | Erin K Binner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043630544 PECOS PAC ID: 5698998375 Enrollment ID: I20140527002007 |
| Provider Name | Sravya Surapaneni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932405297 PECOS PAC ID: 5799913265 Enrollment ID: I20140610002473 |
| Provider Name | Jennifer Phlipot |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497167274 PECOS PAC ID: 0749405751 Enrollment ID: I20140708001009 |
| Provider Name | Diane Speelman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952637241 PECOS PAC ID: 7911122940 Enrollment ID: I20140708001728 |
| Provider Name | Lawrence O Harvey |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376820639 PECOS PAC ID: 3971720624 Enrollment ID: I20140804002305 |
| Provider Name | Yacin Zawam |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215239553 PECOS PAC ID: 1153558234 Enrollment ID: I20140827001765 |
| Provider Name | Charles Janssens |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740448489 PECOS PAC ID: 0244386613 Enrollment ID: I20140831000011 |
| Provider Name | Juan Camilo Rojas-gomez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578839304 PECOS PAC ID: 7012145618 Enrollment ID: I20141001001680 |
| Provider Name | Justin Leeman Maxwell Henderson |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1588869861 PECOS PAC ID: 7911145453 Enrollment ID: I20141031001394 |
| Provider Name | Willie Craft |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992092696 PECOS PAC ID: 2961624408 Enrollment ID: I20141117001378 |
| Provider Name | Marian Gaber Saad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750608725 PECOS PAC ID: 6002086774 Enrollment ID: I20150213001931 |
| Provider Name | Madhusudhan Tarigopula |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235340621 PECOS PAC ID: 5890880371 Enrollment ID: I20150310001946 |
| Provider Name | Effiok S Ekpenyong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225392053 PECOS PAC ID: 4284695065 Enrollment ID: I20150406000347 |
| Provider Name | Babar Sanaullah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376593806 PECOS PAC ID: 8820004104 Enrollment ID: I20150408002044 |
| Provider Name | Asif Mustafa Jan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366798217 PECOS PAC ID: 8729200035 Enrollment ID: I20150615001403 |
| Provider Name | Gaurang P Mavani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306862909 PECOS PAC ID: 6901820554 Enrollment ID: I20150624003139 |
| Provider Name | Eseoghene Ayisire |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639434145 PECOS PAC ID: 1153633243 Enrollment ID: I20150701002916 |
| Provider Name | Ugochukwu Ozumba |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699033571 PECOS PAC ID: 5890007843 Enrollment ID: I20150702002146 |
| Provider Name | Imad Ayyar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073515268 PECOS PAC ID: 0042105173 Enrollment ID: I20150804003353 |
| Provider Name | Tamara Jean Scott |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1871852863 PECOS PAC ID: 1153640602 Enrollment ID: I20150813011497 |
| Provider Name | Samvel Nersisyan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184982357 PECOS PAC ID: 7810148764 Enrollment ID: I20150824001531 |
| Provider Name | Motaz Baibars |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1104121193 PECOS PAC ID: 7315105814 Enrollment ID: I20150827000971 |
| Provider Name | Emmanuel Ofungwu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669812921 PECOS PAC ID: 8123334646 Enrollment ID: I20150828001924 |
| Provider Name | Summiyah Nasir |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962692103 PECOS PAC ID: 7911194030 Enrollment ID: I20150901000510 |
| Provider Name | Venkata Vajrala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346598943 PECOS PAC ID: 6204145634 Enrollment ID: I20151026000422 |
| Provider Name | Cecelia M Vest |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134592678 PECOS PAC ID: 7911207170 Enrollment ID: I20151120000442 |
| Provider Name | Christine V Guenther |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891132155 PECOS PAC ID: 5395046387 Enrollment ID: I20151216001496 |
| Provider Name | Saheed Ojo-oniyun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649333071 PECOS PAC ID: 1355433343 Enrollment ID: I20151218001991 |
| Provider Name | Michael N Fomenky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053781575 PECOS PAC ID: 1850693789 Enrollment ID: I20160108000576 |
| Provider Name | Sara Marietta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235500646 PECOS PAC ID: 3870895519 Enrollment ID: I20160112001732 |
| Provider Name | Olanrewaju T Ishola |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639500606 PECOS PAC ID: 9133411903 Enrollment ID: I20160714001949 |
| Provider Name | Jasminder Singh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851731525 PECOS PAC ID: 8628372158 Enrollment ID: I20160715001307 |
| Provider Name | Amber L Richardson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063850089 PECOS PAC ID: 8325279201 Enrollment ID: I20160719002654 |
| Provider Name | Kirti Sanders |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700227113 PECOS PAC ID: 4284957465 Enrollment ID: I20160728001209 |
| Provider Name | Taraq a Attumi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962847186 PECOS PAC ID: 7012219165 Enrollment ID: I20160809001129 |
| Provider Name | Nyi Nyi Tun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831444132 PECOS PAC ID: 8921393901 Enrollment ID: I20160830001826 |
| Provider Name | Sumit Bassi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326314352 PECOS PAC ID: 4486873833 Enrollment ID: I20160916002379 |
| Provider Name | Brian Perkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679913594 PECOS PAC ID: 9436440120 Enrollment ID: I20160922002908 |
| Provider Name | Jackilyn Elise Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811440092 PECOS PAC ID: 3476840984 Enrollment ID: I20160927003229 |
| Provider Name | Michelle Akiko |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114285624 PECOS PAC ID: 8224269774 Enrollment ID: I20160930002190 |
| Provider Name | Manjinder Pannu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1396091062 PECOS PAC ID: 5991018095 Enrollment ID: I20161005000848 |
| Provider Name | Tommie T Easley |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336395003 PECOS PAC ID: 4789591595 Enrollment ID: I20161116001760 |
| Provider Name | Kathryn Cunin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831364587 PECOS PAC ID: 8426118860 Enrollment ID: I20161116003027 |
| Provider Name | Lynn M Warren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194177477 PECOS PAC ID: 7911287297 Enrollment ID: I20161201002400 |
| Provider Name | Francis Chikadibia Nwanyanwu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871932970 PECOS PAC ID: 5991086258 Enrollment ID: I20161227001898 |
| Provider Name | Jenny Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497907042 PECOS PAC ID: 7810278090 Enrollment ID: I20161230000034 |
| Provider Name | Christie Lynnette Schmitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689027302 PECOS PAC ID: 1658668520 Enrollment ID: I20170208002991 |
| Provider Name | Arthur Macneill Horton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225474331 PECOS PAC ID: 8426288192 Enrollment ID: I20170215001869 |
| Provider Name | Lindsey Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629524863 PECOS PAC ID: 3678857604 Enrollment ID: I20170310001530 |
| Provider Name | Chelsea Warner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073055984 PECOS PAC ID: 5294010229 Enrollment ID: I20170314000757 |
| Provider Name | Riana Rhoden |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720412745 PECOS PAC ID: 6608098280 Enrollment ID: I20170330002639 |
| Provider Name | Teresa Siefke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245699453 PECOS PAC ID: 8921384645 Enrollment ID: I20170412001845 |
| Provider Name | Jigar P Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528401767 PECOS PAC ID: 9931335692 Enrollment ID: I20170412002261 |
| Provider Name | Viviane D Kamdem |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922541382 PECOS PAC ID: 7810278124 Enrollment ID: I20170413001655 |
| Provider Name | Waqas Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376876078 PECOS PAC ID: 2466601349 Enrollment ID: I20170428001617 |
| Provider Name | Sarah J Neal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144770454 PECOS PAC ID: 3375820640 Enrollment ID: I20170516000634 |
| Provider Name | Kelly Ann Stumbo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245626092 PECOS PAC ID: 9931429560 Enrollment ID: I20170516001788 |
| Provider Name | Nonso Ezema |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588075626 PECOS PAC ID: 9537438080 Enrollment ID: I20170627001884 |
| Provider Name | Paul Evens Gregoire Charles |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578974556 PECOS PAC ID: 3971814658 Enrollment ID: I20170815004393 |
| Provider Name | Abdul Ghanem |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780096081 PECOS PAC ID: 7113299207 Enrollment ID: I20170824001474 |
| Provider Name | Timothy Lockso |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144647413 PECOS PAC ID: 2668771668 Enrollment ID: I20170905003233 |
| Provider Name | John Muriithi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528486453 PECOS PAC ID: 4789803131 Enrollment ID: I20170908002020 |
| Provider Name | Olga Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780047274 PECOS PAC ID: 9032482245 Enrollment ID: I20170911002207 |
| Provider Name | Seth C Foote |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1821519687 PECOS PAC ID: 3072887686 Enrollment ID: I20170920003538 |
| Provider Name | Ifeoma Sylvia Ekeh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841631884 PECOS PAC ID: 5698063949 Enrollment ID: I20170921003170 |
| Provider Name | Erin L Mckibben |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093235111 PECOS PAC ID: 9638442619 Enrollment ID: I20170921003875 |
| Provider Name | Gabriel Asumeng |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447644695 PECOS PAC ID: 8426362385 Enrollment ID: I20170929001445 |
| Provider Name | Mohammad M Losta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619394665 PECOS PAC ID: 2264658194 Enrollment ID: I20171102000533 |
| Provider Name | Michele Lois Josefovsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891215224 PECOS PAC ID: 7315204468 Enrollment ID: I20171128003666 |
| Provider Name | Laura Bridge |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952625295 PECOS PAC ID: 9537305628 Enrollment ID: I20180116001641 |
| Provider Name | Amjad Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598739617 PECOS PAC ID: 6305855958 Enrollment ID: I20180122001445 |
| Provider Name | Edward S Roberto |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356736268 PECOS PAC ID: 2365756137 Enrollment ID: I20180212001627 |
| Provider Name | Leah Rochelle Gale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700388527 PECOS PAC ID: 2668735143 Enrollment ID: I20180416000616 |
| Provider Name | George Thomas Matic |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376930537 PECOS PAC ID: 8325352289 Enrollment ID: I20180625001540 |
| Provider Name | Pranav Tayal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043557630 PECOS PAC ID: 0547402034 Enrollment ID: I20180705000627 |
| Provider Name | Bolivar Yohanser Contreras Mora |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205217734 PECOS PAC ID: 7618223413 Enrollment ID: I20180710001154 |
| Provider Name | Ankit Dwivedi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710361514 PECOS PAC ID: 4688921711 Enrollment ID: I20180720001523 |
| Provider Name | Omar Saleh Abu-romeh |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1184805681 PECOS PAC ID: 5597892026 Enrollment ID: I20180725001288 |
| Provider Name | Willard Palustre |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124402383 PECOS PAC ID: 4486901287 Enrollment ID: I20180725002160 |
| Provider Name | Shamsuddin Chowdhry Pracha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104872779 PECOS PAC ID: 3779525936 Enrollment ID: I20180731004199 |
| Provider Name | Tiba Alwardi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619396843 PECOS PAC ID: 2466755632 Enrollment ID: I20180816001853 |
| Provider Name | Hafeezuddin Ahmed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568849560 PECOS PAC ID: 7012267396 Enrollment ID: I20180906003226 |
| Provider Name | Danial Rashid |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1407098882 PECOS PAC ID: 9537323803 Enrollment ID: I20180907001421 |
| Provider Name | Madiha Fyyaz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528350592 PECOS PAC ID: 0042454225 Enrollment ID: I20180913001188 |
| Provider Name | Madhavi Inturi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225515216 PECOS PAC ID: 8921350836 Enrollment ID: I20181003003262 |
| Provider Name | Abraham O Kuranga |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821418237 PECOS PAC ID: 0749579878 Enrollment ID: I20181010003436 |
| Provider Name | Angela Marie Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669996963 PECOS PAC ID: 1052663531 Enrollment ID: I20181010003843 |
| Provider Name | Ehsan Shabbir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518309616 PECOS PAC ID: 2062707797 Enrollment ID: I20181029001647 |
| Provider Name | Charles Joseph Uhl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235632589 PECOS PAC ID: 7012261571 Enrollment ID: I20181119003437 |
| Provider Name | Kelsey Rose Girard |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1538648241 PECOS PAC ID: 1456695295 Enrollment ID: I20181204003819 |
| Provider Name | Emem Idem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063741221 PECOS PAC ID: 5991957144 Enrollment ID: I20190123003554 |
| Provider Name | Heather Nichole Combs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659855195 PECOS PAC ID: 2668719907 Enrollment ID: I20190124003157 |
| Provider Name | Roselyne Murugu Knopf |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033406715 PECOS PAC ID: 7618199480 Enrollment ID: I20190215002721 |
| Provider Name | Sayeed Farrukh Siddicky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124479241 PECOS PAC ID: 0143574913 Enrollment ID: I20190603002213 |
| Provider Name | Mohamed Mansour |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790938868 PECOS PAC ID: 2860660495 Enrollment ID: I20190618000612 |
| Provider Name | Suchitha Bheemreddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083908172 PECOS PAC ID: 1153630447 Enrollment ID: I20190621002110 |
| Provider Name | Akua Domfe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922453166 PECOS PAC ID: 6002141603 Enrollment ID: I20190717004056 |
| Provider Name | Obinna Obiekezie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861844201 PECOS PAC ID: 7618203852 Enrollment ID: I20190725003505 |
| Provider Name | Danielle Morgan Wheeler |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386203966 PECOS PAC ID: 2769719939 Enrollment ID: I20190809002706 |
| Provider Name | Ashley Nichole Hughes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366002388 PECOS PAC ID: 8022345248 Enrollment ID: I20190812001340 |
| Provider Name | Nurul Haque |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720410566 PECOS PAC ID: 0042598054 Enrollment ID: I20190812004032 |
| Provider Name | Akaolisa Eziokwu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265884100 PECOS PAC ID: 0547553570 Enrollment ID: I20190828001747 |
| Provider Name | Yousef Ba Mohamed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851755623 PECOS PAC ID: 1052656329 Enrollment ID: I20191003002344 |
| Provider Name | Ashley Marie Wetzel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104476456 PECOS PAC ID: 7315279643 Enrollment ID: I20191105003201 |
| Provider Name | Cody Andrews |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568811008 PECOS PAC ID: 6507116787 Enrollment ID: I20191126001494 |
| Provider Name | Hani Al Salti Al Krad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013203827 PECOS PAC ID: 0547589194 Enrollment ID: I20191205002457 |
| Provider Name | Abdirahim Mohamed Rashid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255713871 PECOS PAC ID: 3375857196 Enrollment ID: I20200110002478 |
| Provider Name | Sidrah Saleem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821524794 PECOS PAC ID: 1850726266 Enrollment ID: I20200113002195 |
| Provider Name | Amber Dawn Geiman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518436120 PECOS PAC ID: 4880020262 Enrollment ID: I20200203001523 |
| Provider Name | Misty Manuel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811536378 PECOS PAC ID: 5991132607 Enrollment ID: I20200218003128 |
| Provider Name | Syed Tariq Ahsan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831571009 PECOS PAC ID: 0547511222 Enrollment ID: I20200316002283 |
| Provider Name | Roxanne K Robbins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942835426 PECOS PAC ID: 6002245156 Enrollment ID: I20200410002131 |
| Provider Name | Matthew Ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447890066 PECOS PAC ID: 0749610418 Enrollment ID: I20200420003328 |
| Provider Name | Damynus Nyakoe Gekonde |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134653645 PECOS PAC ID: 3476974734 Enrollment ID: I20200522001633 |
| Provider Name | Arunbabu Sankaranarayanan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407376031 PECOS PAC ID: 7416378187 Enrollment ID: I20200604001825 |
| Provider Name | Chinedu Charles Ukemenam |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265960124 PECOS PAC ID: 5395166805 Enrollment ID: I20200608002827 |
| Provider Name | Iffat Shaheen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568853844 PECOS PAC ID: 7113349572 Enrollment ID: I20200612001606 |
| Provider Name | Walkens Desir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760904494 PECOS PAC ID: 9436571809 Enrollment ID: I20200612002409 |
| Provider Name | Brandon Lee Mosely |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225669690 PECOS PAC ID: 3779905617 Enrollment ID: I20200622002208 |
| Provider Name | Ashok Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215458229 PECOS PAC ID: 4789006313 Enrollment ID: I20200626001365 |
| Provider Name | Chanda Sethi-dihenia |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326036450 PECOS PAC ID: 6800867284 Enrollment ID: I20200714002149 |
| Provider Name | Erin Chung |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922528504 PECOS PAC ID: 9739445149 Enrollment ID: I20200721002178 |
| Provider Name | Priyeshkumar Patel |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1407139256 PECOS PAC ID: 7618144312 Enrollment ID: I20200728002016 |
| Provider Name | Hafiz M Hassan Shoukat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881128411 PECOS PAC ID: 4385060342 Enrollment ID: I20200820002676 |
| Provider Name | Rebecca J Helfrich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720214141 PECOS PAC ID: 9931352168 Enrollment ID: I20200924003323 |
| Provider Name | Kamalini Sundaram |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528135951 PECOS PAC ID: 6608804455 Enrollment ID: I20200929003541 |
| Provider Name | Kelsey R Wilson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073051306 PECOS PAC ID: 0244502730 Enrollment ID: I20201022002575 |
| Provider Name | Basil Chang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831175942 PECOS PAC ID: 6103847074 Enrollment ID: I20201201000860 |
| Provider Name | Neil Rohan Mehta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629505094 PECOS PAC ID: 2062823768 Enrollment ID: I20201202000692 |
| Provider Name | Akpezi Oshobe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407376809 PECOS PAC ID: 6507277175 Enrollment ID: I20201203000879 |
| Provider Name | Piam Shanehsaz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538312228 PECOS PAC ID: 4284802653 Enrollment ID: I20201208002922 |
| Provider Name | Stella Ofori-sampong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275064834 PECOS PAC ID: 9537431911 Enrollment ID: I20210105002166 |
| Provider Name | Mahmoud Mostafavi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508856774 PECOS PAC ID: 9931201134 Enrollment ID: I20210107001023 |
| Provider Name | Megan Jeanne Cotner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407465636 PECOS PAC ID: 5395159099 Enrollment ID: I20210120001873 |
| Provider Name | Douglas Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184277857 PECOS PAC ID: 9032445853 Enrollment ID: I20210202001241 |
| Provider Name | Erika Jayne Watamaniuk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972184976 PECOS PAC ID: 9830508498 Enrollment ID: I20210511002223 |
| Provider Name | Darian Borchers |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1316524788 PECOS PAC ID: 0840690038 Enrollment ID: I20210609001996 |
| Provider Name | Kimberly M Shroyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962087304 PECOS PAC ID: 9234539446 Enrollment ID: I20210609002811 |
| Provider Name | Steven Young |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063917805 PECOS PAC ID: 5395092993 Enrollment ID: I20210615003134 |
| Provider Name | Divya Nallapuram |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730533373 PECOS PAC ID: 7113219122 Enrollment ID: I20210616003682 |
| Provider Name | Rebekah Lantz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770088692 PECOS PAC ID: 3274883483 Enrollment ID: I20210622002432 |
| Provider Name | Khadijatou Njimoluh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043742299 PECOS PAC ID: 4183991383 Enrollment ID: I20210623003161 |
| Provider Name | Daniel C Dekoski |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841794823 PECOS PAC ID: 2264780964 Enrollment ID: I20210712003284 |
| Provider Name | Benedict T Awo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366980559 PECOS PAC ID: 1052681434 Enrollment ID: I20210714000975 |
| Provider Name | Cody Hedrick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326546052 PECOS PAC ID: 9335497338 Enrollment ID: I20210715003536 |
| Provider Name | Tochukwu Nzeako |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982107595 PECOS PAC ID: 6305249798 Enrollment ID: I20210722002145 |
| Provider Name | David Heidrich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003303009 PECOS PAC ID: 2769732973 Enrollment ID: I20210727004043 |
| Provider Name | Karen Tuneev |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467881318 PECOS PAC ID: 1557605524 Enrollment ID: I20210809003423 |
| Provider Name | Mohammad Kamran Zaheer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376032268 PECOS PAC ID: 8325443104 Enrollment ID: I20210817000914 |
| Provider Name | Laura a Corrodi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841861044 PECOS PAC ID: 7517362353 Enrollment ID: I20210817003757 |
| Provider Name | Tyra D Onyedumekwu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831769447 PECOS PAC ID: 7810392495 Enrollment ID: I20210819001580 |
| Provider Name | Maria Del Carmen Milanes Marino |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457857302 PECOS PAC ID: 8224436431 Enrollment ID: I20211001001160 |
| Provider Name | Eric R Karr |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629576079 PECOS PAC ID: 6709136583 Enrollment ID: I20211011002932 |
| Provider Name | Yousuf Sohail |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1396240248 PECOS PAC ID: 4385994169 Enrollment ID: I20211018002693 |
| Provider Name | Denyelle Renee Willis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427724913 PECOS PAC ID: 0042609216 Enrollment ID: I20211109000934 |
| Provider Name | Nikhil Tej Kurapati |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013405406 PECOS PAC ID: 4789939174 Enrollment ID: I20211111002468 |
| Provider Name | Nikesh M Jani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073278800 PECOS PAC ID: 3870983182 Enrollment ID: I20211130003041 |
| Provider Name | Raneka Lee Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386216992 PECOS PAC ID: 2264823624 Enrollment ID: I20211220002590 |
| Provider Name | Ronald J Phelps |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477216521 PECOS PAC ID: 0244621225 Enrollment ID: I20211230000528 |
| Provider Name | Irfan Saddique |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164787297 PECOS PAC ID: 0244543981 Enrollment ID: I20220202000776 |
| Provider Name | Rani Hanna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205104247 PECOS PAC ID: 3375763568 Enrollment ID: I20220211001703 |
| Provider Name | Emmanuel Aguh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588058549 PECOS PAC ID: 3971864497 Enrollment ID: I20220223002454 |
| Provider Name | Renu Weiss |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841411824 PECOS PAC ID: 8325084551 Enrollment ID: I20220331001803 |
| Provider Name | David Cha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477014694 PECOS PAC ID: 2466785118 Enrollment ID: I20220413002527 |
| Provider Name | Shannon Douglas Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215602628 PECOS PAC ID: 8325434624 Enrollment ID: I20220414000741 |
| Provider Name | Ammar Ahmad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366905390 PECOS PAC ID: 0345574331 Enrollment ID: I20220518000426 |
| Provider Name | Lauren Gin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457812646 PECOS PAC ID: 7416281308 Enrollment ID: I20220519001753 |
| Provider Name | Luke Pohlman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730810102 PECOS PAC ID: 8224418900 Enrollment ID: I20220712002457 |
| Provider Name | Jasmin Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720527880 PECOS PAC ID: 7810264223 Enrollment ID: I20220809003339 |
| Provider Name | Samip J Parikh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518288729 PECOS PAC ID: 9133368780 Enrollment ID: I20220810001990 |
| Provider Name | Gabriel Nikolaus Duda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356804660 PECOS PAC ID: 0547643496 Enrollment ID: I20220810002424 |
| Provider Name | Rawan Aljaras |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588227425 PECOS PAC ID: 0244573640 Enrollment ID: I20220816000719 |
| Provider Name | Benson Wekesa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225462815 PECOS PAC ID: 5193000701 Enrollment ID: I20220823002161 |
| Provider Name | Kristin Elizabeth Lescalleet |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366070724 PECOS PAC ID: 7719309749 Enrollment ID: I20220826001393 |
| Provider Name | Lamrot Shenkutie Greffie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548720543 PECOS PAC ID: 0042694887 Enrollment ID: I20220829001864 |
| Provider Name | Mohammed Jundi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588126452 PECOS PAC ID: 9739418708 Enrollment ID: I20220919000918 |
| Provider Name | Jaykumar Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326401647 PECOS PAC ID: 3072842830 Enrollment ID: I20221003002458 |
| Provider Name | Kathleen Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477292431 PECOS PAC ID: 3274919725 Enrollment ID: I20221006000816 |
| Provider Name | Olaoye J Jegede |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629634753 PECOS PAC ID: 1254665334 Enrollment ID: I20221018001987 |
| Provider Name | Varun Yadav |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457774044 PECOS PAC ID: 0345534665 Enrollment ID: I20221019003273 |
| Provider Name | Alexander Everitt Link |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164148540 PECOS PAC ID: 7810366572 Enrollment ID: I20221220001058 |
| Provider Name | Maurice Hinson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205221199 PECOS PAC ID: 1658626783 Enrollment ID: I20230113001558 |
| Provider Name | Sherry Lynn Ashburn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821711995 PECOS PAC ID: 2163894098 Enrollment ID: I20230202001042 |
| Provider Name | Tyler Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215650783 PECOS PAC ID: 8729450705 Enrollment ID: I20230221002508 |
| Provider Name | Manoj Gupta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295141810 PECOS PAC ID: 6608167614 Enrollment ID: I20230309002392 |
| Provider Name | Jonathan Lafond |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205281219 PECOS PAC ID: 1355619032 Enrollment ID: I20230313002634 |
| Provider Name | Timothy Cook |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1821704636 PECOS PAC ID: 7719351592 Enrollment ID: I20230317000378 |
| Provider Name | Ann E Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417283011 PECOS PAC ID: 5294109575 Enrollment ID: I20230328002823 |
| Provider Name | Alison Anne Swelbar |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1487350286 PECOS PAC ID: 3577938760 Enrollment ID: I20230330002259 |
| Provider Name | Tayler Allen Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053027029 PECOS PAC ID: 7315312840 Enrollment ID: I20230413002529 |
| Provider Name | Chelsea Cierra Sawyer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1518606748 PECOS PAC ID: 1456726991 Enrollment ID: I20230413002850 |
| Provider Name | Daniel Nwankwo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639526007 PECOS PAC ID: 2860735248 Enrollment ID: I20230505001309 |
| Provider Name | Oluwakemi Fagbami |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609005453 PECOS PAC ID: 6002063294 Enrollment ID: I20230523001135 |
| Provider Name | Oluwaseun B Samuel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316333040 PECOS PAC ID: 3173876489 Enrollment ID: I20230605003243 |
| Provider Name | Emily Ann Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164125068 PECOS PAC ID: 3971960998 Enrollment ID: I20230607001182 |
| Provider Name | Clarice Montecalvo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457840068 PECOS PAC ID: 8628325222 Enrollment ID: I20230614002937 |
| Provider Name | Amie Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043847262 PECOS PAC ID: 0042631764 Enrollment ID: I20230616000208 |
| Provider Name | Akruti P Prabhakar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184251209 PECOS PAC ID: 8921429614 Enrollment ID: I20230616001812 |
| Provider Name | Laura Elizabeth Dunlevy Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760009971 PECOS PAC ID: 0840617726 Enrollment ID: I20230630001391 |
| Provider Name | Kenneth Son |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831194992 PECOS PAC ID: 1658307954 Enrollment ID: I20230712003383 |
| Provider Name | Mohammed Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811540800 PECOS PAC ID: 5991126401 Enrollment ID: I20230719001082 |
| Provider Name | Hundaol S Yadeta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598384307 PECOS PAC ID: 2860852068 Enrollment ID: I20230719003950 |
| Provider Name | Teresa Vinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841863156 PECOS PAC ID: 9931564085 Enrollment ID: I20230725002833 |
| Provider Name | Nadeem Jaffer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427302025 PECOS PAC ID: 9830314640 Enrollment ID: I20230728001803 |
| Provider Name | Jyothsna Dasarathula |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104225713 PECOS PAC ID: 6709155203 Enrollment ID: I20230801000962 |
| Provider Name | Ruben Gonzales |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609974922 PECOS PAC ID: 8022105550 Enrollment ID: I20230801002612 |
| Provider Name | Gregory Carbonella |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073132460 PECOS PAC ID: 7012334238 Enrollment ID: I20230804002090 |
| Provider Name | Smit Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770043838 PECOS PAC ID: 9436488996 Enrollment ID: I20230809003776 |
| Provider Name | Heather Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013602622 PECOS PAC ID: 0345602017 Enrollment ID: I20230811001073 |
| Provider Name | Moiz Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174803357 PECOS PAC ID: 8123245792 Enrollment ID: I20230818000575 |
| Provider Name | Paula Pacurari |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043848419 PECOS PAC ID: 9436580974 Enrollment ID: I20230821002580 |
| Provider Name | George Gad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811144678 PECOS PAC ID: 1658530357 Enrollment ID: I20230822002177 |
| Provider Name | Eun Joo Park |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447563366 PECOS PAC ID: 0244542835 Enrollment ID: I20230901003624 |
| Provider Name | Jessica Gaynor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538849385 PECOS PAC ID: 2567826787 Enrollment ID: I20230906003326 |
| Provider Name | Anna C Bergman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386344851 PECOS PAC ID: 7618331836 Enrollment ID: I20230906003497 |
| Provider Name | Megan Sue Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114611449 PECOS PAC ID: 4880058007 Enrollment ID: I20230906003571 |
| Provider Name | Jessica Beebe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992368708 PECOS PAC ID: 7416290093 Enrollment ID: I20230906003923 |
| Provider Name | Dhruv Panchal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417214693 PECOS PAC ID: 3072827930 Enrollment ID: I20230912000719 |
| Provider Name | Ahmad S Khatri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033568316 PECOS PAC ID: 6901197631 Enrollment ID: I20230914001074 |
| Provider Name | Kristen D Bruce |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487283628 PECOS PAC ID: 0143674218 Enrollment ID: I20230922001140 |
| Provider Name | Priya Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225741267 PECOS PAC ID: 7315391273 Enrollment ID: I20230926002196 |
| Provider Name | Kathleen Nicole Calderon Morales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740963420 PECOS PAC ID: 0042664682 Enrollment ID: I20230929002361 |
| Provider Name | Spencer Clay Stockard |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1922887603 PECOS PAC ID: 9638525553 Enrollment ID: I20231030002292 |
| Provider Name | Amy N Whitaker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508327271 PECOS PAC ID: 3375972524 Enrollment ID: I20231107003715 |
| Provider Name | Nabih Ali Hammoud |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568968535 PECOS PAC ID: 8820344799 Enrollment ID: I20231115000415 |
| Provider Name | Avneil Singh Yashpal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265975155 PECOS PAC ID: 0648604389 Enrollment ID: I20231116001920 |
| Provider Name | Mandeep Singh Malik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639609597 PECOS PAC ID: 8426327545 Enrollment ID: I20231117000152 |
| Provider Name | Huda Khanzada |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144858192 PECOS PAC ID: 0042631145 Enrollment ID: I20231130003326 |
| Provider Name | Anuja Y Trivedi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144847963 PECOS PAC ID: 6204285703 Enrollment ID: I20231208002706 |
| Provider Name | Kimberly Renee Eberle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457944704 PECOS PAC ID: 9133512783 Enrollment ID: I20240122001725 |
| Provider Name | Amy Michelle Yuhas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093344111 PECOS PAC ID: 7719388669 Enrollment ID: I20240122002765 |
| Provider Name | Jessica Nichole Penny |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093588626 PECOS PAC ID: 9739532292 Enrollment ID: I20240131003075 |
| Provider Name | Mohammed Rassim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699397331 PECOS PAC ID: 3870936107 Enrollment ID: I20240203000045 |
| Provider Name | Vikram Sharma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235792680 PECOS PAC ID: 3577895093 Enrollment ID: I20240213001114 |
| Provider Name | Stephanie Marie Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295597086 PECOS PAC ID: 6507201944 Enrollment ID: I20240226002135 |
| Provider Name | Ashley Marie Barr |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1871350926 PECOS PAC ID: 8921447293 Enrollment ID: I20240418004112 |
| Provider Name | Mehdi Shadmand |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497332456 PECOS PAC ID: 0547660979 Enrollment ID: I20240515000567 |
| Provider Name | Stephen Noftz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275113995 PECOS PAC ID: 2567861040 Enrollment ID: I20240903002434 |
| Provider Name | Zane Chaudhry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962086421 PECOS PAC ID: 0547679979 Enrollment ID: I20240905003748 |
| Provider Name | Zachary Hayes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629688890 PECOS PAC ID: 6103244694 Enrollment ID: I20240910002624 |
| Provider Name | Brittany Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194565671 PECOS PAC ID: 2961933197 Enrollment ID: I20240930000894 |
| Provider Name | Cindy R Pogue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376388058 PECOS PAC ID: 1052843380 Enrollment ID: I20241011001739 |
| Provider Name | Abeth Job Baskar |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750136776 PECOS PAC ID: 8921531260 Enrollment ID: I20241025000526 |
| Provider Name | Tabitha Tarter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508694118 PECOS PAC ID: 4880127976 Enrollment ID: I20241028003632 |
| Provider Name | Kenny Garcia Ramiu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366019788 PECOS PAC ID: 7810398021 Enrollment ID: I20241029002002 |
| Provider Name | Nathaniel E Quinn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063049005 PECOS PAC ID: 1254792625 Enrollment ID: I20241111001439 |
| Provider Name | Ciandra D'souza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184043408 PECOS PAC ID: 9133474976 Enrollment ID: I20241114003969 |
| Provider Name | Janell Marie Meyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194544262 PECOS PAC ID: 9234664251 Enrollment ID: I20241127000289 |
| Provider Name | Abdelfatah Shaban Abou Issa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245814037 PECOS PAC ID: 8820523798 Enrollment ID: I20241202001738 |
| Provider Name | Shauna Christine Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427875707 PECOS PAC ID: 0345573531 Enrollment ID: I20241203001179 |
| Provider Name | Riad Al Natour |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891059077 PECOS PAC ID: 2365680600 Enrollment ID: I20241218001379 |
| Provider Name | Christina C Wenzell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346701232 PECOS PAC ID: 7810319639 Enrollment ID: I20250115001053 |
| Provider Name | Van Thanh Dang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639993074 PECOS PAC ID: 8527598341 Enrollment ID: I20250210001564 |
| Provider Name | Garret Homan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699593020 PECOS PAC ID: 7416487160 Enrollment ID: I20250210002929 |
| Provider Name | Ian Michael Delvalle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427682962 PECOS PAC ID: 1951718428 Enrollment ID: I20250311002192 |
| Provider Name | Suneeth Choudary |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184366726 PECOS PAC ID: 0244619989 Enrollment ID: I20250530001042 |
| Provider Name | Benjamin a Clouse |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194466516 PECOS PAC ID: 2264810548 Enrollment ID: I20250623002677 |
| Provider Name | Daniel Zarrate |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780324715 PECOS PAC ID: 0648658195 Enrollment ID: I20250624002312 |
| Provider Name | Nicolas Farenwald |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427636034 PECOS PAC ID: 4385048008 Enrollment ID: I20250709002626 |
| Provider Name | Harry Pham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639756604 PECOS PAC ID: 2062955495 Enrollment ID: I20250717001853 |
| Provider Name | Dylan J Crowell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518608462 PECOS PAC ID: 5597144501 Enrollment ID: I20250718004156 |
| Provider Name | Urmimala Chaudhuri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295476984 PECOS PAC ID: 0941689269 Enrollment ID: I20250723003897 |
| Provider Name | Henrietta O Cautin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275283467 PECOS PAC ID: 5395123772 Enrollment ID: I20250805002903 |
| Provider Name | Ryan Fox |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659017481 PECOS PAC ID: 3375080625 Enrollment ID: I20250807004408 |
| Provider Name | Henry Egbuchiem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801531140 PECOS PAC ID: 3173024858 Enrollment ID: I20250903001764 |
| Provider Name | Sowmya Dandu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750029633 PECOS PAC ID: 0345742318 Enrollment ID: I20250908003934 |
| Provider Name | Melanie Bainter |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1619573771 PECOS PAC ID: 3274948880 Enrollment ID: I20250917002405 |
| Provider Name | David Andrew Abood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275282071 PECOS PAC ID: 6507243946 Enrollment ID: I20250918002940 |
| Provider Name | Zarmina Hashmi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730826108 PECOS PAC ID: 6103205869 Enrollment ID: I20250919004212 |
| Provider Name | Kanchen Loganathan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902548993 PECOS PAC ID: 2163808387 Enrollment ID: I20251001002499 |
| Provider Name | Sean-patrick Alexander Prince |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992266423 PECOS PAC ID: 8426437666 Enrollment ID: I20251002000650 |
| Provider Name | Shivani Ambani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891439246 PECOS PAC ID: 1759766637 Enrollment ID: I20251013003039 |
| Provider Name | Artem Tkachenko |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316688740 PECOS PAC ID: 6204214604 Enrollment ID: I20251107002479 |
| Provider Name | Hannah Grace Bowron |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1699651604 PECOS PAC ID: 6002306941 Enrollment ID: I20251107003245 |
| Provider Name | Matthew Hagen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295231017 PECOS PAC ID: 2961734173 Enrollment ID: I20251118003097 |
| Provider Name | Pranav Chalasani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366944746 PECOS PAC ID: 5597257345 Enrollment ID: I20251119004740 |
| Provider Name | Madison Alaina Duhl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245119585 PECOS PAC ID: 1456839893 Enrollment ID: I20260128001908 |
| Provider Name | Emily M Buerschen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659958478 PECOS PAC ID: 8426459843 Enrollment ID: I20260129002664 |
| Provider Name | Huma Qazi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265174528 PECOS PAC ID: 9436533965 Enrollment ID: I20260302001652 |
| Provider Name | Krishna Nimmagadda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801176805 PECOS PAC ID: 8022238260 Enrollment ID: I20260529002661 |
Life Medical Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 80 Troy Town Dr, Troy, OH 45373 Phone: 937-681-5740 |
Miami Family Physicians Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 998 Dorset, Suite 207, Troy, OH 45373 Phone: 937-335-5727 |
Ellenbogen Eye Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 700 S Stanfield Rd, Suite B, Troy, OH 45373 Phone: 937-335-7121 Fax: 937-335-7124 |
Health Partners Free Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1300 N County Road 25a, Troy, OH 45373 Phone: 937-332-0894 Fax: 937-339-7084 |
Troy Chiropractic and Physical Medicine Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 51 S Stanfield Rd, Troy, OH 45373 Phone: 937-335-2722 |
Troy Physical Medicine and Rehab, LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1001 S Dorset Rd Ste C, Troy, OH 45373 Phone: 937-335-2722 Fax: 937-339-6775 |