| University Of South Alabama | |
|
5870 Alumni Cir Mobile AL 36688-0001 | |
| (251) 460-7151 | |
| (251) 414-8227 |
| Full Name | University Of South Alabama |
|---|---|
| Speciality | Family Medicine |
| Location | 5870 Alumni Cir, Mobile, Alabama |
| Authorized Official Name and Position | Beverly Kellen (PRACTICE DIRECTOR) |
| Authorized Official Contact | 2514607681 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| University Of South Alabama 5870 Alumni Cir Mobile AL 36688-0001 Ph: (251) 460-7151 | University Of South Alabama 5870 Alumni Cir Mobile AL 36688-0001 Ph: (251) 460-7151 |
| NPI Number | 1992746838 |
|---|---|
| Provider Enumeration Date | 06/10/2006 |
| Last Update Date | 08/23/2016 |
| Medicare PECOS PAC ID | 3072425149 |
|---|---|
| Medicare Enrollment ID | O20040115000773 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992746838 | NPI | - | NPPES |
| 529928530 | Medicaid | AL | |
| W531 | Other | AL | BCBS |
| Provider Name | Thaddeus A Beeker |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1780637579 PECOS PAC ID: 7214837327 Enrollment ID: I20040113000432 |
| Provider Name | Rose A Wells |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437102795 PECOS PAC ID: 5395646327 Enrollment ID: I20040114000210 |
| Provider Name | Jorge I Lopez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1982652657 PECOS PAC ID: 8224931332 Enrollment ID: I20040128000168 |
| Provider Name | Hector Caballero |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1780674762 PECOS PAC ID: 0345143194 Enrollment ID: I20040129000211 |
| Provider Name | Michael R Ambrose |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427023696 PECOS PAC ID: 3971406729 Enrollment ID: I20040129000215 |
| Provider Name | Larry R Lockhart |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043243991 PECOS PAC ID: 2264328780 Enrollment ID: I20040223000961 |
| Provider Name | Alan Edward Heins |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093727174 PECOS PAC ID: 2769370394 Enrollment ID: I20040305001003 |
| Provider Name | John Alan Vande Waa |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1447290630 PECOS PAC ID: 8527971191 Enrollment ID: I20040312000145 |
| Provider Name | Sameer Bhatia |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1477507416 PECOS PAC ID: 7911992037 Enrollment ID: I20040419000315 |
| Provider Name | Hercules Panayiotou |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1609822162 PECOS PAC ID: 1456346212 Enrollment ID: I20040420000266 |
| Provider Name | Stephen T Varner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306883624 PECOS PAC ID: 1052300662 Enrollment ID: I20040510000455 |
| Provider Name | Elis Yngve Olson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285629923 PECOS PAC ID: 0648269282 Enrollment ID: I20040510000749 |
| Provider Name | Ian G Malcolm |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649224874 PECOS PAC ID: 9335036730 Enrollment ID: I20040519000923 |
| Provider Name | William Hixson |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1932183217 PECOS PAC ID: 8022090687 Enrollment ID: I20040609000675 |
| Provider Name | Darrell A Murphy |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1932188075 PECOS PAC ID: 0345224366 Enrollment ID: I20040616001481 |
| Provider Name | Christen M Altermatt |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508200478 PECOS PAC ID: 9638154719 Enrollment ID: I20040622001436 |
| Provider Name | Daniel G Cameron |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1558353987 PECOS PAC ID: 1759360985 Enrollment ID: I20040720000366 |
| Provider Name | Rodney P Rocconi |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1730131210 PECOS PAC ID: 4082687108 Enrollment ID: I20040817000902 |
| Provider Name | Brian W Fouty |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1740234327 PECOS PAC ID: 6406828524 Enrollment ID: I20040825000605 |
| Provider Name | Shannon K Tyler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205883154 PECOS PAC ID: 6103892575 Enrollment ID: I20040907001223 |
| Provider Name | Susan V Jones |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1659309573 PECOS PAC ID: 6507833597 Enrollment ID: I20040910000138 |
| Provider Name | Ghulam Awan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1760431662 PECOS PAC ID: 6103893490 Enrollment ID: I20040915000926 |
| Provider Name | Gregg Delgado |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1629059175 PECOS PAC ID: 2365410099 Enrollment ID: I20040921000667 |
| Provider Name | Scott B Patterson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1003904970 PECOS PAC ID: 7416914346 Enrollment ID: I20041213000728 |
| Provider Name | Marirose C Trimmier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083669006 PECOS PAC ID: 6103883970 Enrollment ID: I20041213001071 |
| Provider Name | Albert W Pearsall |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1407801483 PECOS PAC ID: 5799742466 Enrollment ID: I20041214000721 |
| Provider Name | Prasit Nimityongskul |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1922053560 PECOS PAC ID: 4385601053 Enrollment ID: I20041214000767 |
| Provider Name | Roy M Culpepper |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1760433767 PECOS PAC ID: 6709837818 Enrollment ID: I20050207000431 |
| Provider Name | Kathryn C Peilen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457390064 PECOS PAC ID: 6204889918 Enrollment ID: I20050222000954 |
| Provider Name | Anthony M Martino |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1841238011 PECOS PAC ID: 4385548106 Enrollment ID: I20050329000653 |
| Provider Name | Sheila F Vial |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1235211988 PECOS PAC ID: 6305893090 Enrollment ID: I20050405000676 |
| Provider Name | John M Odowd |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1821089038 PECOS PAC ID: 0547208639 Enrollment ID: I20050421000840 |
| Provider Name | Tangela C Atkinson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659320786 PECOS PAC ID: 7214977701 Enrollment ID: I20050504000359 |
| Provider Name | Reynaldo L Rodriguez |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1023055340 PECOS PAC ID: 3375583099 Enrollment ID: I20050511000842 |
| Provider Name | Errol D Crook |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1235181181 PECOS PAC ID: 7214965755 Enrollment ID: I20050727000302 |
| Provider Name | David C Muscat |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1184689374 PECOS PAC ID: 9436187523 Enrollment ID: I20050729000957 |
| Provider Name | Jason M Richerson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952475980 PECOS PAC ID: 7810926987 Enrollment ID: I20050809000516 |
| Provider Name | Angela P Gillis |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1871533190 PECOS PAC ID: 2365471109 Enrollment ID: I20050811000498 |
| Provider Name | George A Eyrich |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1962493171 PECOS PAC ID: 3173553252 Enrollment ID: I20050818000183 |
| Provider Name | Patrick L Murphy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1336130541 PECOS PAC ID: 3577593664 Enrollment ID: I20050818000231 |
| Provider Name | George E Ngando |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063471589 PECOS PAC ID: 2365473253 Enrollment ID: I20050831000087 |
| Provider Name | Samuel A Mcquiston |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649223462 PECOS PAC ID: 4981636479 Enrollment ID: I20050906000692 |
| Provider Name | William Michael Asher |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1952385551 PECOS PAC ID: 6901838952 Enrollment ID: I20050909000926 |
| Provider Name | Michael A Finan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508813825 PECOS PAC ID: 6305879701 Enrollment ID: I20050915000975 |
| Provider Name | Bassam A Omar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1073568895 PECOS PAC ID: 2365477569 Enrollment ID: I20050927000653 |
| Provider Name | Robert L Duffy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245285956 PECOS PAC ID: 0840215620 Enrollment ID: I20051011000435 |
| Provider Name | Tracey M Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134171887 PECOS PAC ID: 4880610872 Enrollment ID: I20051019000485 |
| Provider Name | Robert V Morgan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1679527329 PECOS PAC ID: 5092732842 Enrollment ID: I20051101000135 |
| Provider Name | Michael L Sternberg |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376633636 PECOS PAC ID: 3173541166 Enrollment ID: I20051108000882 |
| Provider Name | John C Schultz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215975545 PECOS PAC ID: 9638198245 Enrollment ID: I20051114000245 |
| Provider Name | Karen E Parsell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063467397 PECOS PAC ID: 5294757118 Enrollment ID: I20051220000566 |
| Provider Name | James L West |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1679521785 PECOS PAC ID: 0840204624 Enrollment ID: I20060131000917 |
| Provider Name | Antonio L Pacheco |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609888783 PECOS PAC ID: 3971517442 Enrollment ID: I20060203000558 |
| Provider Name | Carol P Motley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003866112 PECOS PAC ID: 0345256731 Enrollment ID: I20060222000277 |
| Provider Name | Robert A Perkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184663296 PECOS PAC ID: 8325054372 Enrollment ID: I20060228000382 |
| Provider Name | Riley F Trimm |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912953019 PECOS PAC ID: 0143236018 Enrollment ID: I20060301000687 |
| Provider Name | Kenneth R Rettig |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1861431587 PECOS PAC ID: 8123034097 Enrollment ID: I20060301000703 |
| Provider Name | David M Shaw |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1336120419 PECOS PAC ID: 1153339767 Enrollment ID: I20060323000375 |
| Provider Name | Frederick M Silver |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1053350710 PECOS PAC ID: 8022026285 Enrollment ID: I20060329000547 |
| Provider Name | Jennifer G Cole |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558312348 PECOS PAC ID: 6709896566 Enrollment ID: I20060425000443 |
| Provider Name | Sheryl Falkos |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215981923 PECOS PAC ID: 3971513300 Enrollment ID: I20060501000354 |
| Provider Name | Lane M Price |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1366493777 PECOS PAC ID: 3577525468 Enrollment ID: I20060609000035 |
| Provider Name | Mark B Leflore |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154375376 PECOS PAC ID: 1951313675 Enrollment ID: I20060621000263 |
| Provider Name | Joan N Friedlander |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417996778 PECOS PAC ID: 4587676135 Enrollment ID: I20060622000197 |
| Provider Name | Rebecca M Sugg |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982656773 PECOS PAC ID: 0143232652 Enrollment ID: I20060628000054 |
| Provider Name | Shikha Gupta |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1235189085 PECOS PAC ID: 6406868793 Enrollment ID: I20060705000267 |
| Provider Name | Maria S Figarola |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730133570 PECOS PAC ID: 0547263311 Enrollment ID: I20060816000423 |
| Provider Name | Brad A Steffler |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265486708 PECOS PAC ID: 1153324934 Enrollment ID: I20060816000549 |
| Provider Name | Paula K Mcphail |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295790756 PECOS PAC ID: 1557364163 Enrollment ID: I20060822000297 |
| Provider Name | John C Lafleur |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316989486 PECOS PAC ID: 5597769968 Enrollment ID: I20060828000324 |
| Provider Name | Sheri J Kovaleski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225082407 PECOS PAC ID: 8921002981 Enrollment ID: I20060905000445 |
| Provider Name | Hamayun Imran |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1821074147 PECOS PAC ID: 5799789590 Enrollment ID: I20060911000254 |
| Provider Name | Margaret H Mowry |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770537318 PECOS PAC ID: 7214932540 Enrollment ID: I20060920000298 |
| Provider Name | Robert D Watson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1467432906 PECOS PAC ID: 6901801166 Enrollment ID: I20060921000163 |
| Provider Name | Mina A Jacob |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1730132556 PECOS PAC ID: 7315942166 Enrollment ID: I20060929000000 |
| Provider Name | Andrea G Kahn |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1568576254 PECOS PAC ID: 1951307552 Enrollment ID: I20061004000324 |
| Provider Name | Todd Standley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275644510 PECOS PAC ID: 8921005422 Enrollment ID: I20061108000504 |
| Provider Name | Frankie L Bodie |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568405066 PECOS PAC ID: 6305842220 Enrollment ID: I20061109000213 |
| Provider Name | Eduardo G Calderon |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1952379109 PECOS PAC ID: 1052212198 Enrollment ID: I20061128000377 |
| Provider Name | Melissa D Huff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538243894 PECOS PAC ID: 7911926787 Enrollment ID: I20070111000546 |
| Provider Name | Mary Jane Hancock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417028903 PECOS PAC ID: 1658372057 Enrollment ID: I20070129000169 |
| Provider Name | Kelly J Stauter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801822374 PECOS PAC ID: 5597767434 Enrollment ID: I20070206000686 |
| Provider Name | David R Clarkson |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1588656920 PECOS PAC ID: 7911001003 Enrollment ID: I20070329000335 |
| Provider Name | Gary A Moore |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306888300 PECOS PAC ID: 6305812033 Enrollment ID: I20070404000585 |
| Provider Name | Thomas W Butler |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1396787230 PECOS PAC ID: 3274514351 Enrollment ID: I20070425000447 |
| Provider Name | Hanes M Swingle |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710055223 PECOS PAC ID: 1052419348 Enrollment ID: I20070611000368 |
| Provider Name | Katrina L Roberson-trammell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972558328 PECOS PAC ID: 9739288333 Enrollment ID: I20070622000153 |
| Provider Name | James Carter |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1215988696 PECOS PAC ID: 9234239666 Enrollment ID: I20070713000285 |
| Provider Name | Jacek M Polski |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1760437727 PECOS PAC ID: 0547361909 Enrollment ID: I20070730000214 |
| Provider Name | Laura E Minto |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1386791259 PECOS PAC ID: 4486745890 Enrollment ID: I20070814000228 |
| Provider Name | Warren G Tyon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114010121 PECOS PAC ID: 7416048806 Enrollment ID: I20070814000877 |
| Provider Name | Wilma D Baliem |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871706978 PECOS PAC ID: 2860584828 Enrollment ID: I20070822000629 |
| Provider Name | Terry J Hundley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992855886 PECOS PAC ID: 1153413802 Enrollment ID: I20070825000049 |
| Provider Name | Craig D Sherman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063450252 PECOS PAC ID: 0547353039 Enrollment ID: I20070829000336 |
| Provider Name | Mark Perry |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1437114402 PECOS PAC ID: 8325131873 Enrollment ID: I20070829000833 |
| Provider Name | Ananthasekar Ponnambalam |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1063459592 PECOS PAC ID: 0244202653 Enrollment ID: I20080211000493 |
| Provider Name | Jacqueline Gonner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144344698 PECOS PAC ID: 9133210412 Enrollment ID: I20080311000388 |
| Provider Name | Austin R Trippe |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578761201 PECOS PAC ID: 8729164629 Enrollment ID: I20080318000285 |
| Provider Name | Karen Fagan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1053401737 PECOS PAC ID: 2163493941 Enrollment ID: I20080512000431 |
| Provider Name | Jeffery S Mccollum |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1942238498 PECOS PAC ID: 0547230468 Enrollment ID: I20080520000031 |
| Provider Name | Robert D Vincent |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1538179494 PECOS PAC ID: 1355414665 Enrollment ID: I20080721000180 |
| Provider Name | Elizabeth H Clemens |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1851513717 PECOS PAC ID: 0648344499 Enrollment ID: I20080729000079 |
| Provider Name | Kimberly A Cole |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1932311917 PECOS PAC ID: 7113091893 Enrollment ID: I20080729000431 |
| Provider Name | Jeffrey W Bauman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1609819853 PECOS PAC ID: 4284709122 Enrollment ID: I20080812000635 |
| Provider Name | Olivette T Hundley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427199470 PECOS PAC ID: 4981771045 Enrollment ID: I20080916000399 |
| Provider Name | Dennis Hutchens |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1366533366 PECOS PAC ID: 3577621937 Enrollment ID: I20081029000356 |
| Provider Name | Shannon N Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669645784 PECOS PAC ID: 8820157035 Enrollment ID: I20081103000504 |
| Provider Name | Dean K Naritoku |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1386625507 PECOS PAC ID: 9335201094 Enrollment ID: I20081215000645 |
| Provider Name | Jessica L Kirk |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699817536 PECOS PAC ID: 0547322315 Enrollment ID: I20090105000186 |
| Provider Name | Pamela Camp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396982427 PECOS PAC ID: 9638234743 Enrollment ID: I20090224000193 |
| Provider Name | Lori A Myers |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639398019 PECOS PAC ID: 6305902214 Enrollment ID: I20090302000269 |
| Provider Name | Aref Rifai |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1265428270 PECOS PAC ID: 4486637808 Enrollment ID: I20090508000394 |
| Provider Name | William Taylor |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1114166139 PECOS PAC ID: 9931257490 Enrollment ID: I20090511000494 |
| Provider Name | Karen D Crissinger |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225089220 PECOS PAC ID: 9133272016 Enrollment ID: I20090727000137 |
| Provider Name | Eddrice M Mcmullan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1801988464 PECOS PAC ID: 0749331098 Enrollment ID: I20090728000529 |
| Provider Name | Christopher M Malozzi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1356409320 PECOS PAC ID: 7810040912 Enrollment ID: I20090807000259 |
| Provider Name | Brenda D Rigsby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609006972 PECOS PAC ID: 0042364887 Enrollment ID: I20090813000490 |
| Provider Name | Cristina E Gavrilita |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1245492453 PECOS PAC ID: 2567516206 Enrollment ID: I20090814000624 |
| Provider Name | William O Richards |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1548368491 PECOS PAC ID: 7810922184 Enrollment ID: I20090922000429 |
| Provider Name | Paul F Rider |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1538329446 PECOS PAC ID: 1557407681 Enrollment ID: I20091005000060 |
| Provider Name | Stephanie J Anderson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053501049 PECOS PAC ID: 9638215395 Enrollment ID: I20091009000320 |
| Provider Name | Anne Marie D Kaulfers |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1639386733 PECOS PAC ID: 8224175484 Enrollment ID: I20091021000491 |
| Provider Name | Elizabeth Manci |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1073567293 PECOS PAC ID: 2668507872 Enrollment ID: I20100312000729 |
| Provider Name | Cherie L Revere |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356396659 PECOS PAC ID: 6305971953 Enrollment ID: I20100322000145 |
| Provider Name | Robert Andrew Gilbert |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1770597353 PECOS PAC ID: 5698801462 Enrollment ID: I20100331000495 |
| Provider Name | Ardie Pack Mabien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891740981 PECOS PAC ID: 4789719998 Enrollment ID: I20100422000542 |
| Provider Name | Susan Baker |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538118997 PECOS PAC ID: 6002943628 Enrollment ID: I20100429000772 |
| Provider Name | Paul A Maertens |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1912951195 PECOS PAC ID: 5294864989 Enrollment ID: I20100518000405 |
| Provider Name | Jack A Dipalma |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1598702805 PECOS PAC ID: 9739218439 Enrollment ID: I20100518000552 |
| Provider Name | Richard Whitehurst |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336189745 PECOS PAC ID: 2062541683 Enrollment ID: I20100520000088 |
| Provider Name | William Broughton |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1609827104 PECOS PAC ID: 5092844639 Enrollment ID: I20100520000324 |
| Provider Name | Ladonna Crews |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003866005 PECOS PAC ID: 8527197185 Enrollment ID: I20100520000581 |
| Provider Name | Lynn A Batten |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1518914803 PECOS PAC ID: 0749319150 Enrollment ID: I20100524000468 |
| Provider Name | Michael M Zayek |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710932041 PECOS PAC ID: 4385773795 Enrollment ID: I20100524000471 |
| Provider Name | Botros R.m.b. Rizk |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851346183 PECOS PAC ID: 0143359554 Enrollment ID: I20100524000533 |
| Provider Name | Ehab A Molokhia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295780161 PECOS PAC ID: 5092844431 Enrollment ID: I20100524000878 |
| Provider Name | Bassam A Bassam |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851340806 PECOS PAC ID: 2769511070 Enrollment ID: I20100525000809 |
| Provider Name | Donna L Dyess |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1528012226 PECOS PAC ID: 3274662598 Enrollment ID: I20100525000983 |
| Provider Name | Benjamin Estrada |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659325116 PECOS PAC ID: 5496884645 Enrollment ID: I20100526000339 |
| Provider Name | Clara V Massey |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1790723971 PECOS PAC ID: 8628107885 Enrollment ID: I20100526000408 |
| Provider Name | Keith J Peevy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992740153 PECOS PAC ID: 2163551391 Enrollment ID: I20100527000062 |
| Provider Name | Ronald C Allison |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1316996861 PECOS PAC ID: 8628107752 Enrollment ID: I20100527000182 |
| Provider Name | Jose E Martinez-cebal |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1063450211 PECOS PAC ID: 4284764846 Enrollment ID: I20100609000430 |
| Provider Name | Jorge Herrera |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1316986193 PECOS PAC ID: 7810027372 Enrollment ID: I20100609000565 |
| Provider Name | Judy V Blair-elortegui |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487603437 PECOS PAC ID: 0547390791 Enrollment ID: I20100614000828 |
| Provider Name | Felicia M Wilson |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1114966694 PECOS PAC ID: 4183754377 Enrollment ID: I20100615000377 |
| Provider Name | Regina A Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629301692 PECOS PAC ID: 4183755697 Enrollment ID: I20100628000559 |
| Provider Name | Ralph L Irvin |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1760482111 PECOS PAC ID: 5092601948 Enrollment ID: I20100719000492 |
| Provider Name | Fabien Eyal |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396799805 PECOS PAC ID: 3375675804 Enrollment ID: I20100720000458 |
| Provider Name | Kevin Everett |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1104890532 PECOS PAC ID: 4587724075 Enrollment ID: I20100722000319 |
| Provider Name | Stephen E Bowden |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891777173 PECOS PAC ID: 8224091988 Enrollment ID: I20100907000859 |
| Provider Name | Sterling Wayne Mccolgin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760513204 PECOS PAC ID: 4981666484 Enrollment ID: I20100922000707 |
| Provider Name | Percy Vandorn Crocker |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1811990765 PECOS PAC ID: 2163548587 Enrollment ID: I20100923000079 |
| Provider Name | Sidney B Brevard |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1487675740 PECOS PAC ID: 4587766407 Enrollment ID: I20100928001314 |
| Provider Name | Juan G Ochoa |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1013986041 PECOS PAC ID: 2769576578 Enrollment ID: I20101004000972 |
| Provider Name | Suzanne M Russo |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1063437515 PECOS PAC ID: 8729003157 Enrollment ID: I20101021000347 |
| Provider Name | Gregory R Myrick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972786960 PECOS PAC ID: 9335335942 Enrollment ID: I20101122000963 |
| Provider Name | Phillip K Henderson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1144450792 PECOS PAC ID: 1153517560 Enrollment ID: I20101124000962 |
| Provider Name | Abdul Siddiqui |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225203078 PECOS PAC ID: 4385831007 Enrollment ID: I20101207001196 |
| Provider Name | Elias G Chalhub |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1922043421 PECOS PAC ID: 7719078138 Enrollment ID: I20101208000904 |
| Provider Name | Leigh A Minchew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265732994 PECOS PAC ID: 9931397684 Enrollment ID: I20101221001075 |
| Provider Name | John A Self |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1053632638 PECOS PAC ID: 4284823170 Enrollment ID: I20110107000220 |
| Provider Name | Amanda H Hunt |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386974780 PECOS PAC ID: 1557406683 Enrollment ID: I20110107000309 |
| Provider Name | James W Portier |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1699875856 PECOS PAC ID: 4082803366 Enrollment ID: I20110118001346 |
| Provider Name | Jennifer Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003122318 PECOS PAC ID: 6709075971 Enrollment ID: I20110119001224 |
| Provider Name | Michael C Boudreaux |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1306810759 PECOS PAC ID: 8527247253 Enrollment ID: I20110126000706 |
| Provider Name | John M Mcmahon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639126741 PECOS PAC ID: 6305899543 Enrollment ID: I20110201000716 |
| Provider Name | Wiley Justice |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1083619332 PECOS PAC ID: 1355458613 Enrollment ID: I20110207000152 |
| Provider Name | James E Mckinley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023278116 PECOS PAC ID: 9335329309 Enrollment ID: I20110208000602 |
| Provider Name | Elisabeth Dunning Tucker |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497742977 PECOS PAC ID: 9830117589 Enrollment ID: I20110209000606 |
| Provider Name | George H Mckean |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710194071 PECOS PAC ID: 3779620810 Enrollment ID: I20110217000603 |
| Provider Name | Jerry G Arnold |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700043114 PECOS PAC ID: 2668653452 Enrollment ID: I20110228000348 |
| Provider Name | Jason M Reed |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1891099206 PECOS PAC ID: 6608058839 Enrollment ID: I20110309000897 |
| Provider Name | Wilburn D Bolton |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1225267289 PECOS PAC ID: 3375725120 Enrollment ID: I20110315000747 |
| Provider Name | Carrie N Sims |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1124056890 PECOS PAC ID: 6608059290 Enrollment ID: I20110318000570 |
| Provider Name | Kendra D Hudson |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1629138664 PECOS PAC ID: 8820271489 Enrollment ID: I20110321000416 |
| Provider Name | Lewis G Coumanis |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1184831471 PECOS PAC ID: 8123211869 Enrollment ID: I20110428000665 |
| Provider Name | Leslie Neese |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922306232 PECOS PAC ID: 1355528183 Enrollment ID: I20110603000585 |
| Provider Name | Susanna Elizabeth Pitruzzello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811293087 PECOS PAC ID: 5092992263 Enrollment ID: I20110616000087 |
| Provider Name | Kari Bradham |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194987503 PECOS PAC ID: 0941488282 Enrollment ID: I20110711000110 |
| Provider Name | Haidee T Custodio |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720247075 PECOS PAC ID: 2860660438 Enrollment ID: I20110726000627 |
| Provider Name | Steve M Cordina |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972777290 PECOS PAC ID: 6002084498 Enrollment ID: I20110801000224 |
| Provider Name | Amit Pant |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285880799 PECOS PAC ID: 2264601897 Enrollment ID: I20110816000239 |
| Provider Name | Donald Okeakpu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740366400 PECOS PAC ID: 9638196215 Enrollment ID: I20110822000457 |
| Provider Name | Jon D Simmons |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1376715755 PECOS PAC ID: 0345386363 Enrollment ID: I20110912000402 |
| Provider Name | Marshall Walker |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619295441 PECOS PAC ID: 6002088689 Enrollment ID: I20111003000606 |
| Provider Name | Zhiqing Xing |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1417129339 PECOS PAC ID: 0345412730 Enrollment ID: I20111006000613 |
| Provider Name | Jennifer M. Tullis |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1184710576 PECOS PAC ID: 2668646506 Enrollment ID: I20111110000797 |
| Provider Name | Lynne Mcdonnell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538172879 PECOS PAC ID: 0749454684 Enrollment ID: I20111110000808 |
| Provider Name | Sabrina Bessette |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1194855114 PECOS PAC ID: 1850492257 Enrollment ID: I20120117000776 |
| Provider Name | Tracey L Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518945245 PECOS PAC ID: 9335156009 Enrollment ID: I20120228000125 |
| Provider Name | M Jason R Davis |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1164793584 PECOS PAC ID: 3678731171 Enrollment ID: I20120229000448 |
| Provider Name | Anna C Panter |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1659641173 PECOS PAC ID: 2860651437 Enrollment ID: I20120319000087 |
| Provider Name | David Albert Gremse |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1750369468 PECOS PAC ID: 7315838646 Enrollment ID: I20120607000035 |
| Provider Name | Mina A Jacob |
|---|---|
| Provider Type | Practitioner - Peripheral Vascular Disease |
| Provider Identifiers | NPI Number: 1730132556 PECOS PAC ID: 7315942166 Enrollment ID: I20120625000485 |
| Provider Name | Kimberly A Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962781518 PECOS PAC ID: 9032375282 Enrollment ID: I20120717000038 |
| Provider Name | Jennifer Michelle Scalici |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1639325590 PECOS PAC ID: 7012163546 Enrollment ID: I20120815000661 |
| Provider Name | Daniel D Dees |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1700066677 PECOS PAC ID: 4082861265 Enrollment ID: I20120822000606 |
| Provider Name | Mary L Mattei |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619251568 PECOS PAC ID: 6002064334 Enrollment ID: I20120912000102 |
| Provider Name | Paola J Maurtua-neumann |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073757092 PECOS PAC ID: 7719136076 Enrollment ID: I20121001000268 |
| Provider Name | Cassidy J Koonce |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1376854976 PECOS PAC ID: 6608025325 Enrollment ID: I20121012000213 |
| Provider Name | Hari K Sivanandam |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356571400 PECOS PAC ID: 4789834250 Enrollment ID: I20121017000852 |
| Provider Name | Jessica H King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548529167 PECOS PAC ID: 3375794753 Enrollment ID: I20121112000467 |
| Provider Name | Jacquise L Taliaferro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275888455 PECOS PAC ID: 1557515350 Enrollment ID: I20130201000352 |
| Provider Name | Barbara Lou Swartz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083966345 PECOS PAC ID: 3870747397 Enrollment ID: I20130211000357 |
| Provider Name | Lindsey Dodson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1245577816 PECOS PAC ID: 0941446280 Enrollment ID: I20130411000371 |
| Provider Name | Brandon Woodfin Nichols |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1457549891 PECOS PAC ID: 2668632027 Enrollment ID: I20130502000323 |
| Provider Name | Stephen R Snypes |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1245261700 PECOS PAC ID: 9537298716 Enrollment ID: I20130613000482 |
| Provider Name | John D Hunter |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1780845040 PECOS PAC ID: 9830336221 Enrollment ID: I20130619000656 |
| Provider Name | Haley H Ballard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427377209 PECOS PAC ID: 9032357173 Enrollment ID: I20130803000149 |
| Provider Name | Rachel T Seaman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306157904 PECOS PAC ID: 5395983431 Enrollment ID: I20130803000170 |
| Provider Name | Ghazanfar Husein Qureshi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1821252081 PECOS PAC ID: 3375609142 Enrollment ID: I20130812000745 |
| Provider Name | Marcus C Tan |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1467518266 PECOS PAC ID: 1456593904 Enrollment ID: I20130812000807 |
| Provider Name | Donald E Johnson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1841639283 PECOS PAC ID: 7214170935 Enrollment ID: I20130828000696 |
| Provider Name | Sophia M Goslings |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215160189 PECOS PAC ID: 7719120369 Enrollment ID: I20130829000104 |
| Provider Name | Leander M Grimm |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1720281819 PECOS PAC ID: 0840442349 Enrollment ID: I20130910000460 |
| Provider Name | Nicolette P Holliday |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285863670 PECOS PAC ID: 9436397692 Enrollment ID: I20131010001378 |
| Provider Name | Omar A Sanchez Villanueva |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710021266 PECOS PAC ID: 3375777915 Enrollment ID: I20131014001313 |
| Provider Name | Brandy E Merritt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427279579 PECOS PAC ID: 8325296924 Enrollment ID: I20131029000371 |
| Provider Name | Maria R Roca Garcia |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104173186 PECOS PAC ID: 9335374040 Enrollment ID: I20131106000322 |
| Provider Name | Catharine Aune |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437573086 PECOS PAC ID: 6002039997 Enrollment ID: I20140521002508 |
| Provider Name | Eric D Lucas |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639220270 PECOS PAC ID: 6507770336 Enrollment ID: I20140529001352 |
| Provider Name | Danielle N Chason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548686660 PECOS PAC ID: 7214151521 Enrollment ID: I20140606000655 |
| Provider Name | Candace E Huffmaster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124445960 PECOS PAC ID: 0345465365 Enrollment ID: I20140708001522 |
| Provider Name | Sanjyot S Bhadkamkar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457778961 PECOS PAC ID: 9335364264 Enrollment ID: I20140708001920 |
| Provider Name | Jared L Burkett |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1417114570 PECOS PAC ID: 1355580085 Enrollment ID: I20140730002485 |
| Provider Name | Andrew C Bright |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1760524250 PECOS PAC ID: 3577703032 Enrollment ID: I20140811000260 |
| Provider Name | William W Scott |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1922178656 PECOS PAC ID: 3476771031 Enrollment ID: I20140825000946 |
| Provider Name | Alyssa B Gaudet |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1497950042 PECOS PAC ID: 3375623879 Enrollment ID: I20140904000135 |
| Provider Name | Preethi Reddy Marri |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497918395 PECOS PAC ID: 4789855339 Enrollment ID: I20140916002468 |
| Provider Name | Cailey Scruggs Koonce |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265762454 PECOS PAC ID: 5991848434 Enrollment ID: I20140929001408 |
| Provider Name | Brian Emanuel Brocato |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538385703 PECOS PAC ID: 7911143904 Enrollment ID: I20140929001928 |
| Provider Name | Joel E. Lightner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1760659684 PECOS PAC ID: 6608010764 Enrollment ID: I20141020002681 |
| Provider Name | Ramachandra Bhat |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104059260 PECOS PAC ID: 0840411211 Enrollment ID: I20141028002158 |
| Provider Name | James G Glasser |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1568432250 PECOS PAC ID: 7517099922 Enrollment ID: I20141104000838 |
| Provider Name | Emily C Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689074668 PECOS PAC ID: 1153543079 Enrollment ID: I20141110001222 |
| Provider Name | Grayson Hill |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1336408277 PECOS PAC ID: 2567684996 Enrollment ID: I20141119000904 |
| Provider Name | William H Barber |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1689756314 PECOS PAC ID: 1456441583 Enrollment ID: I20141202001557 |
| Provider Name | Julie W Seals |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972922847 PECOS PAC ID: 1951623958 Enrollment ID: I20141202001599 |
| Provider Name | Laura A Wright-sexton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336437136 PECOS PAC ID: 2062651433 Enrollment ID: I20141203001213 |
| Provider Name | Marion C Berg |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639266752 PECOS PAC ID: 8729023999 Enrollment ID: I20141231001960 |
| Provider Name | Vanessa L Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710388509 PECOS PAC ID: 4486978384 Enrollment ID: I20150126000596 |
| Provider Name | Ali M. Shropshire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609185701 PECOS PAC ID: 6901072396 Enrollment ID: I20150302000980 |
| Provider Name | Melody L Petty |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902198385 PECOS PAC ID: 7810136280 Enrollment ID: I20150311001980 |
| Provider Name | Isaac C Payne |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1902168552 PECOS PAC ID: 8527206804 Enrollment ID: I20150318001297 |
| Provider Name | Kathleen J Ferguson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104216845 PECOS PAC ID: 6204154719 Enrollment ID: I20150414000414 |
| Provider Name | Ashley J Patel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1609265388 PECOS PAC ID: 6305165135 Enrollment ID: I20150429001436 |
| Provider Name | Charles Caleb Butts |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1710244835 PECOS PAC ID: 1254578834 Enrollment ID: I20150603001866 |
| Provider Name | Shauna Crenshaw |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972907194 PECOS PAC ID: 7911228440 Enrollment ID: I20150609000850 |
| Provider Name | William Allison Barret |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1891012696 PECOS PAC ID: 2668618315 Enrollment ID: I20150617002748 |
| Provider Name | Celeste M Hollands |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1720004971 PECOS PAC ID: 5193761252 Enrollment ID: I20150708001543 |
| Provider Name | Edward A Panacek |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871577049 PECOS PAC ID: 3870654239 Enrollment ID: I20150715001246 |
| Provider Name | Mary B Hunter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336531300 PECOS PAC ID: 0446563381 Enrollment ID: I20150721001123 |
| Provider Name | Shani T Lampley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568723955 PECOS PAC ID: 3476795204 Enrollment ID: I20150728004465 |
| Provider Name | Katie Christiansen Neese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891175428 PECOS PAC ID: 3971817693 Enrollment ID: I20150807014711 |
| Provider Name | Tyler Dean Sexton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356607857 PECOS PAC ID: 5799925129 Enrollment ID: I20150825003874 |
| Provider Name | Joshua Taylor |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1114164787 PECOS PAC ID: 1355657529 Enrollment ID: I20150902001841 |
| Provider Name | Ashleigh D Butts-wilkerson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609136787 PECOS PAC ID: 2961640271 Enrollment ID: I20150908002515 |
| Provider Name | Rashmi Gulati |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619233129 PECOS PAC ID: 6103064159 Enrollment ID: I20150910002484 |
| Provider Name | Suneet Wander Dullet |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346509734 PECOS PAC ID: 9537476577 Enrollment ID: I20150923001913 |
| Provider Name | Joe Spencer Liles |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1306050109 PECOS PAC ID: 6608012786 Enrollment ID: I20151001003123 |
| Provider Name | Amanda M Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255738332 PECOS PAC ID: 9537477864 Enrollment ID: I20151006000765 |
| Provider Name | Oganes Ashikyan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326218629 PECOS PAC ID: 8224102496 Enrollment ID: I20151014002033 |
| Provider Name | Philip Almalouf |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1407976129 PECOS PAC ID: 5991956864 Enrollment ID: I20151016002297 |
| Provider Name | Om Jha |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114176237 PECOS PAC ID: 9234448044 Enrollment ID: I20151019000903 |
| Provider Name | Brian J Gelpi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1982921979 PECOS PAC ID: 4284943028 Enrollment ID: I20151019001909 |
| Provider Name | Steven Kahn |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1932218500 PECOS PAC ID: 4880756139 Enrollment ID: I20151022002868 |
| Provider Name | Robin Beth Garelick |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194745588 PECOS PAC ID: 0840470613 Enrollment ID: I20151027000640 |
| Provider Name | Jeffrey Brewer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1841432614 PECOS PAC ID: 7719297670 Enrollment ID: I20151104001427 |
| Provider Name | Christopher M Kinnard |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1740461292 PECOS PAC ID: 4981856184 Enrollment ID: I20151109002188 |
| Provider Name | Abhijin Das |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1578870929 PECOS PAC ID: 2062652837 Enrollment ID: I20151112001576 |
| Provider Name | Ronald M Brooks |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1952568750 PECOS PAC ID: 4284944778 Enrollment ID: I20151112003108 |
| Provider Name | Amy C Nichols |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1487052957 PECOS PAC ID: 4082914312 Enrollment ID: I20151118001562 |
| Provider Name | Kane Loux Schaphorst |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1518901248 PECOS PAC ID: 8224081757 Enrollment ID: I20151203001076 |
| Provider Name | Tracy Y Roth |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1891047056 PECOS PAC ID: 6204136781 Enrollment ID: I20151207000509 |
| Provider Name | Dahye Choi |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1659760270 PECOS PAC ID: 8426350430 Enrollment ID: I20160107003065 |
| Provider Name | Charles Musselwhite |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1598875767 PECOS PAC ID: 3577462928 Enrollment ID: I20160113001175 |
| Provider Name | John Howell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871518225 PECOS PAC ID: 6103060223 Enrollment ID: I20160122001228 |
| Provider Name | Manoj Kumar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1730371196 PECOS PAC ID: 4880719293 Enrollment ID: I20160125000166 |
| Provider Name | Tanya E Rowell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841661329 PECOS PAC ID: 9830492826 Enrollment ID: I20160126000603 |
| Provider Name | Elizabeth A Park |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740438183 PECOS PAC ID: 8325193287 Enrollment ID: I20160302001896 |
| Provider Name | Mary L Barros |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922464288 PECOS PAC ID: 0840596987 Enrollment ID: I20160315002793 |
| Provider Name | William Timothy Dudley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235502238 PECOS PAC ID: 9234436296 Enrollment ID: I20160318001303 |
| Provider Name | Lindsey L Parrish |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508227570 PECOS PAC ID: 9335432046 Enrollment ID: I20160718002102 |
| Provider Name | Lisa Mabry Smith |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912298498 PECOS PAC ID: 6406092295 Enrollment ID: I20160721002260 |
| Provider Name | Hani Sabahi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1710299847 PECOS PAC ID: 8820237506 Enrollment ID: I20160727003077 |
| Provider Name | Wilder Roberts |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1770643793 PECOS PAC ID: 6406140086 Enrollment ID: I20160804000428 |
| Provider Name | Emile Kleyn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427496744 PECOS PAC ID: 6305069477 Enrollment ID: I20160804001677 |
| Provider Name | Curtis W Turner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598797706 PECOS PAC ID: 2466459219 Enrollment ID: I20160805001143 |
| Provider Name | Alicia Lintner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568819787 PECOS PAC ID: 9032403522 Enrollment ID: I20160805001290 |
| Provider Name | Jessica Jensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629427406 PECOS PAC ID: 5991099343 Enrollment ID: I20160808000510 |
| Provider Name | Weisi Yan |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1649405028 PECOS PAC ID: 1658596721 Enrollment ID: I20160808001367 |
| Provider Name | Charles Hartin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1497829337 PECOS PAC ID: 4880886118 Enrollment ID: I20160822002682 |
| Provider Name | Osama Abdul Rahim |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1568774065 PECOS PAC ID: 8022303452 Enrollment ID: I20160824003075 |
| Provider Name | Markus Lammle |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720101199 PECOS PAC ID: 9032405543 Enrollment ID: I20160909001069 |
| Provider Name | Linda Ding |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1902123094 PECOS PAC ID: 3072809508 Enrollment ID: I20160909001676 |
| Provider Name | Jeremy Pfeil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174971543 PECOS PAC ID: 5799071080 Enrollment ID: I20160913001969 |
| Provider Name | Kelly Davis |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831540640 PECOS PAC ID: 9638465883 Enrollment ID: I20160914001349 |
| Provider Name | Zachary Houle |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215383617 PECOS PAC ID: 8123315660 Enrollment ID: I20160927000742 |
| Provider Name | Wadad Sami Mneimneh |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1053611293 PECOS PAC ID: 7214156520 Enrollment ID: I20161005003163 |
| Provider Name | Scott Blair |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851688923 PECOS PAC ID: 6002055449 Enrollment ID: I20161006001247 |
| Provider Name | Antwan Jerrod Hogue |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639432644 PECOS PAC ID: 1052625316 Enrollment ID: I20161012001439 |
| Provider Name | Jennifer Firestone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376091967 PECOS PAC ID: 5395033641 Enrollment ID: I20161019001714 |
| Provider Name | Andrew George Waldhelm |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912955501 PECOS PAC ID: 0648175190 Enrollment ID: I20161117002274 |
| Provider Name | Tiffany Griffin Peace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114388113 PECOS PAC ID: 1658650890 Enrollment ID: I20161213000069 |
| Provider Name | Ashleigh A Bowman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679921704 PECOS PAC ID: 5698055416 Enrollment ID: I20161213000228 |
| Provider Name | Brandi L Parlee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447792973 PECOS PAC ID: 5092096701 Enrollment ID: I20170111000527 |
| Provider Name | Jennifer Chalam |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992092431 PECOS PAC ID: 1456663939 Enrollment ID: I20170120001247 |
| Provider Name | Ji Young Lee |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1235461930 PECOS PAC ID: 9335378397 Enrollment ID: I20170123001578 |
| Provider Name | Laura Addison Sykora |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700322898 PECOS PAC ID: 2264716158 Enrollment ID: I20170221000054 |
| Provider Name | Mackenzie Krebsbach Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003351727 PECOS PAC ID: 0143505032 Enrollment ID: I20170315001638 |
| Provider Name | Raymond C Decesare |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720058597 PECOS PAC ID: 8628044849 Enrollment ID: I20170501001852 |
| Provider Name | Sachin G Pai |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1942512637 PECOS PAC ID: 9335364413 Enrollment ID: I20170524001194 |
| Provider Name | William Kilgo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760829907 PECOS PAC ID: 0941431985 Enrollment ID: I20170627001510 |
| Provider Name | Kamal Prasad Sharma |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1295084291 PECOS PAC ID: 5395961304 Enrollment ID: I20170703000619 |
| Provider Name | Supatida Tengsupakul |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1154648210 PECOS PAC ID: 0446529663 Enrollment ID: I20170703000868 |
| Provider Name | Brittany H Case |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033537154 PECOS PAC ID: 7810215829 Enrollment ID: I20170726001562 |
| Provider Name | Greire H Iliff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750820346 PECOS PAC ID: 7416229687 Enrollment ID: I20170823000993 |
| Provider Name | Benton M Cason |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1871912139 PECOS PAC ID: 8325367204 Enrollment ID: I20170823001582 |
| Provider Name | Gifty Susan Abraham |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881039279 PECOS PAC ID: 3072746031 Enrollment ID: I20170823002063 |
| Provider Name | Meir Mizrahi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1881054161 PECOS PAC ID: 1355614298 Enrollment ID: I20170829001463 |
| Provider Name | Jenna Mclean Fowlkes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982124822 PECOS PAC ID: 1153694286 Enrollment ID: I20170912000276 |
| Provider Name | Felicia Quick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083152987 PECOS PAC ID: 1951674027 Enrollment ID: I20170912001689 |
| Provider Name | Michael Polcari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568807378 PECOS PAC ID: 2668795931 Enrollment ID: I20170913002789 |
| Provider Name | Leslie Tynes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447786801 PECOS PAC ID: 0840563839 Enrollment ID: I20170913004032 |
| Provider Name | Karen S Anderson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1306216940 PECOS PAC ID: 4486955770 Enrollment ID: I20170926000652 |
| Provider Name | Stephanie S Christensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972993194 PECOS PAC ID: 4284959313 Enrollment ID: I20170926001144 |
| Provider Name | Melissa R Cochran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225558323 PECOS PAC ID: 2163796475 Enrollment ID: I20170926002119 |
| Provider Name | Kendrea L Garand |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1356571665 PECOS PAC ID: 3476828492 Enrollment ID: I20171002000732 |
| Provider Name | Robin Normand |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720291636 PECOS PAC ID: 4385892736 Enrollment ID: I20171002001535 |
| Provider Name | Charles M Harmon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982922217 PECOS PAC ID: 5193961761 Enrollment ID: I20171013002315 |
| Provider Name | Charlotte S Macdonell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013327097 PECOS PAC ID: 1254643802 Enrollment ID: I20171016001547 |
| Provider Name | Amy Parks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063644433 PECOS PAC ID: 2264579218 Enrollment ID: I20171016002115 |
| Provider Name | Anna C Foust |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285077784 PECOS PAC ID: 1355645151 Enrollment ID: I20171017000070 |
| Provider Name | Amelia R Hewes |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780020206 PECOS PAC ID: 4789814898 Enrollment ID: I20171017001558 |
| Provider Name | Lisa Spiryda |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1891715504 PECOS PAC ID: 1456315001 Enrollment ID: I20171024001159 |
| Provider Name | Bryce Lawrence Willen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013337716 PECOS PAC ID: 2365754918 Enrollment ID: I20171024002129 |
| Provider Name | Nathaniel L Jones |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1255645594 PECOS PAC ID: 9739338104 Enrollment ID: I20171101002436 |
| Provider Name | Christy Fassbender |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902334170 PECOS PAC ID: 5597022731 Enrollment ID: I20171127001559 |
| Provider Name | Rebecca Susan Sollie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407241136 PECOS PAC ID: 7719283068 Enrollment ID: I20171128000600 |
| Provider Name | Erin B Cunningham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942720834 PECOS PAC ID: 2567729312 Enrollment ID: I20171202000101 |
| Provider Name | Nicholas Robert Paul Ludvik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255726832 PECOS PAC ID: 9830496819 Enrollment ID: I20171212001661 |
| Provider Name | Clinton D Leonard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952706046 PECOS PAC ID: 4183941859 Enrollment ID: I20171213001126 |
| Provider Name | Richard Marks |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1023061769 PECOS PAC ID: 7517090228 Enrollment ID: I20171227001217 |
| Provider Name | Jada E Vierling Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699157487 PECOS PAC ID: 8123338654 Enrollment ID: I20180109001943 |
| Provider Name | Jennifer Y Pierce |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1508078577 PECOS PAC ID: 0648326900 Enrollment ID: I20180425002204 |
| Provider Name | Bassam Husam Rimawi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437436854 PECOS PAC ID: 5890953871 Enrollment ID: I20180508002170 |
| Provider Name | Liliana Simon |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1194708313 PECOS PAC ID: 8325146665 Enrollment ID: I20180509001208 |
| Provider Name | Kaci D Sims |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1275976557 PECOS PAC ID: 2961624150 Enrollment ID: I20180521002419 |
| Provider Name | Katrina Lee Weaver |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1689804759 PECOS PAC ID: 5698912277 Enrollment ID: I20180523003028 |
| Provider Name | Phyllus Justice |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1134539455 PECOS PAC ID: 3072878743 Enrollment ID: I20180530000662 |
| Provider Name | Dustin Lee Yontz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326275694 PECOS PAC ID: 1759540958 Enrollment ID: I20180606002708 |
| Provider Name | Emily F Mcgowin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053829556 PECOS PAC ID: 7911252150 Enrollment ID: I20180612002154 |
| Provider Name | Lauren Boss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518460922 PECOS PAC ID: 3173878147 Enrollment ID: I20180614001699 |
| Provider Name | Tina G Higgins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396259768 PECOS PAC ID: 5193070571 Enrollment ID: I20180626003520 |
| Provider Name | Myria Mack-williams |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245253814 PECOS PAC ID: 6709913858 Enrollment ID: I20180702002632 |
| Provider Name | Jennifer Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265949200 PECOS PAC ID: 3779839840 Enrollment ID: I20180702003448 |
| Provider Name | David S Dinhofer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770576589 PECOS PAC ID: 3971599226 Enrollment ID: I20180705002669 |
| Provider Name | Amanpreet Kaur Bath |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780926154 PECOS PAC ID: 7517248578 Enrollment ID: I20180710002851 |
| Provider Name | Ronald Pritchard |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417998774 PECOS PAC ID: 2668426578 Enrollment ID: I20180711003158 |
| Provider Name | Ninh Ba Doan |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1477852739 PECOS PAC ID: 9335468727 Enrollment ID: I20180716002510 |
| Provider Name | Jonathan M Holmes |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063770709 PECOS PAC ID: 6204076821 Enrollment ID: I20180803002993 |
| Provider Name | Jason B Crowder |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114988086 PECOS PAC ID: 6800960790 Enrollment ID: I20180807001808 |
| Provider Name | Valeria Laura Dal Zotto |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1356774368 PECOS PAC ID: 3476778523 Enrollment ID: I20180813002689 |
| Provider Name | Mark Burnette Wall |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053447268 PECOS PAC ID: 5193883569 Enrollment ID: I20180815000444 |
| Provider Name | Kaitlin O Brantley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316430739 PECOS PAC ID: 7012266455 Enrollment ID: I20180820000413 |
| Provider Name | Robert O Rausch |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245390756 PECOS PAC ID: 5294822896 Enrollment ID: I20180820001155 |
| Provider Name | Brett S Martin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730445339 PECOS PAC ID: 2769602804 Enrollment ID: I20180824000711 |
| Provider Name | Christine Choquette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851894943 PECOS PAC ID: 6800145749 Enrollment ID: I20180825000042 |
| Provider Name | Christopher John Blewett |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1477524502 PECOS PAC ID: 1850490459 Enrollment ID: I20180906001437 |
| Provider Name | John Dinsmore |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1275501231 PECOS PAC ID: 0244236297 Enrollment ID: I20180906002471 |
| Provider Name | Robert Kobelja |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851737746 PECOS PAC ID: 5597068544 Enrollment ID: I20180907000313 |
| Provider Name | Alyson N Buckley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598121816 PECOS PAC ID: 9436409554 Enrollment ID: I20180911000027 |
| Provider Name | Hanna Alemayehu |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1578903480 PECOS PAC ID: 2466746730 Enrollment ID: I20180912000217 |
| Provider Name | Omar Alkharabsheh |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1306124813 PECOS PAC ID: 3375774920 Enrollment ID: I20180912002980 |
| Provider Name | Jamira N Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700334711 PECOS PAC ID: 2163772096 Enrollment ID: I20180913001960 |
| Provider Name | John H Howard |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1952515736 PECOS PAC ID: 6901087303 Enrollment ID: I20181001002180 |
| Provider Name | Devin W Hudson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366936296 PECOS PAC ID: 0446501472 Enrollment ID: I20181001002205 |
| Provider Name | Carey L Winkler |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669434395 PECOS PAC ID: 1658363031 Enrollment ID: I20181001002406 |
| Provider Name | Keith Douglas Balderston |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871525337 PECOS PAC ID: 0143398982 Enrollment ID: I20181002000349 |
| Provider Name | Osama R Mohamed A M Elkadi |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1710292941 PECOS PAC ID: 4880917814 Enrollment ID: I20181008002865 |
| Provider Name | Terry Bradly Clay |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1215376041 PECOS PAC ID: 6406081728 Enrollment ID: I20181009000687 |
| Provider Name | Emad Khaled Al Jaber |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1477920528 PECOS PAC ID: 5698053130 Enrollment ID: I20181011002148 |
| Provider Name | Sarathi Kalra |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538540208 PECOS PAC ID: 6002168481 Enrollment ID: I20181012001115 |
| Provider Name | Brent L. Wiles |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1174985089 PECOS PAC ID: 2264784594 Enrollment ID: I20181015000745 |
| Provider Name | Paul Rosebuck Henning |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679581813 PECOS PAC ID: 7012963739 Enrollment ID: I20181017000512 |
| Provider Name | Jeffrey King |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1962508218 PECOS PAC ID: 8729072277 Enrollment ID: I20181017002099 |
| Provider Name | Sasha M Davidson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407992167 PECOS PAC ID: 7911071022 Enrollment ID: I20181022002641 |
| Provider Name | Michael C Chang |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1477538510 PECOS PAC ID: 9234117763 Enrollment ID: I20181023000426 |
| Provider Name | Richard Parmley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073586707 PECOS PAC ID: 6305742578 Enrollment ID: I20181101003345 |
| Provider Name | Teja Poosarla |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1932467792 PECOS PAC ID: 3173747920 Enrollment ID: I20181102000417 |
| Provider Name | Erin Sheppard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528548898 PECOS PAC ID: 0446504385 Enrollment ID: I20181113002250 |
| Provider Name | Shengfu Wang |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1518183300 PECOS PAC ID: 8921261355 Enrollment ID: I20181115002937 |
| Provider Name | Rachel Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396225462 PECOS PAC ID: 2062766587 Enrollment ID: I20181119001865 |
| Provider Name | William Preston Sonnier |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1386089001 PECOS PAC ID: 1355581703 Enrollment ID: I20181119003331 |
| Provider Name | Zeiad Hussain |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1689101297 PECOS PAC ID: 7911241138 Enrollment ID: I20181129000000 |
| Provider Name | Brian Gavan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871987875 PECOS PAC ID: 7719263912 Enrollment ID: I20181210003506 |
| Provider Name | Elba A Turbat-herrera |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1992715080 PECOS PAC ID: 3779592514 Enrollment ID: I20181218000805 |
| Provider Name | Rufaat Mando |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205242591 PECOS PAC ID: 3072869262 Enrollment ID: I20181220001613 |
| Provider Name | Stephen Beasley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568897668 PECOS PAC ID: 4789934589 Enrollment ID: I20181226002483 |
| Provider Name | Guillermo Herrera |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1558375220 PECOS PAC ID: 0042226979 Enrollment ID: I20190107000923 |
| Provider Name | Annabelle L Fonseca |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1073765269 PECOS PAC ID: 1951690700 Enrollment ID: I20190110000836 |
| Provider Name | Kimberly Litwiller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679056527 PECOS PAC ID: 9638415771 Enrollment ID: I20190110003569 |
| Provider Name | Rajasekhar Mulyala |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922255868 PECOS PAC ID: 2567630163 Enrollment ID: I20190115003341 |
| Provider Name | Stacy Mccullough Powell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144704875 PECOS PAC ID: 2769728542 Enrollment ID: I20190116000157 |
| Provider Name | Thomas Riney |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457341307 PECOS PAC ID: 6901863307 Enrollment ID: I20190117002281 |
| Provider Name | Amanda Lee Wood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568946101 PECOS PAC ID: 6002153830 Enrollment ID: I20190131002085 |
| Provider Name | Jacqueline D Pettaway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841695954 PECOS PAC ID: 9537407440 Enrollment ID: I20190218002518 |
| Provider Name | Amanda J Toris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225501836 PECOS PAC ID: 8426397266 Enrollment ID: I20190222000729 |
| Provider Name | Kerry Jo Yancy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952490260 PECOS PAC ID: 3577523927 Enrollment ID: I20190306003630 |
| Provider Name | Annette Brenner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215031729 PECOS PAC ID: 7618998568 Enrollment ID: I20190320001374 |
| Provider Name | Michael P Barker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750701355 PECOS PAC ID: 0345546313 Enrollment ID: I20190328001314 |
| Provider Name | Nita Davis |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1669768008 PECOS PAC ID: 0749521979 Enrollment ID: I20190416001477 |
| Provider Name | Masoud Mark Taslimi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1689739054 PECOS PAC ID: 7315977816 Enrollment ID: I20190426002210 |
| Provider Name | Laurie Mccann |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326432410 PECOS PAC ID: 2769789585 Enrollment ID: I20190528001007 |
| Provider Name | Akiko I Makino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508322231 PECOS PAC ID: 2567705825 Enrollment ID: I20190530000870 |
| Provider Name | Tracy Bartel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063979953 PECOS PAC ID: 5698008696 Enrollment ID: I20190606000817 |
| Provider Name | Esther Morrison |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1972629392 PECOS PAC ID: 1850472663 Enrollment ID: I20190611003763 |
| Provider Name | Devonn L Bourg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467919928 PECOS PAC ID: 1759615651 Enrollment ID: I20190718002243 |
| Provider Name | Benjamin Ross Niland |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1346689163 PECOS PAC ID: 1759503634 Enrollment ID: I20190719002588 |
| Provider Name | Kurt J Knowles |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1811011448 PECOS PAC ID: 7517037104 Enrollment ID: I20190724002636 |
| Provider Name | Melanie J Giambrone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700341195 PECOS PAC ID: 7113254962 Enrollment ID: I20190816000386 |
| Provider Name | Adanna Amanze |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871516294 PECOS PAC ID: 2668361924 Enrollment ID: I20190819003779 |
| Provider Name | Patrick Patten |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063731628 PECOS PAC ID: 9537301379 Enrollment ID: I20190822001331 |
| Provider Name | Nadine Symons |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245417013 PECOS PAC ID: 2365502762 Enrollment ID: I20190823000808 |
| Provider Name | Holley L Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629531181 PECOS PAC ID: 9739417031 Enrollment ID: I20190824000007 |
| Provider Name | Colbert Parker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952765059 PECOS PAC ID: 5294017778 Enrollment ID: I20190826001460 |
| Provider Name | Mukul Sehgal |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932596913 PECOS PAC ID: 5991033961 Enrollment ID: I20190829000443 |
| Provider Name | Phillip Edwin Nehls |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497118954 PECOS PAC ID: 5991081192 Enrollment ID: I20190910001083 |
| Provider Name | Alison Rudd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417513995 PECOS PAC ID: 6002145174 Enrollment ID: I20190916001215 |
| Provider Name | Yann-leei Larry Lee |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1477868610 PECOS PAC ID: 6901124031 Enrollment ID: I20190916001341 |
| Provider Name | Victoria Henbest |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1467014019 PECOS PAC ID: 4183953193 Enrollment ID: I20190916003050 |
| Provider Name | Kalsang Dolma |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023455847 PECOS PAC ID: 7719274109 Enrollment ID: I20190919000428 |
| Provider Name | Mingxia M Shi |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1669764072 PECOS PAC ID: 1658674429 Enrollment ID: I20190925002430 |
| Provider Name | Mary Benfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083267967 PECOS PAC ID: 5698005932 Enrollment ID: I20190930000433 |
| Provider Name | Randall Drew Madison |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1427491281 PECOS PAC ID: 6507196847 Enrollment ID: I20190930000441 |
| Provider Name | Richard P Menger |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1205128790 PECOS PAC ID: 7618273194 Enrollment ID: I20191001003432 |
| Provider Name | Allison M Bolton |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245544550 PECOS PAC ID: 6709025646 Enrollment ID: I20191004000461 |
| Provider Name | Richard F Garri |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770551293 PECOS PAC ID: 8921037987 Enrollment ID: I20191004001365 |
| Provider Name | Mary B Munn |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558423756 PECOS PAC ID: 1658279278 Enrollment ID: I20191020000019 |
| Provider Name | Siva Prasad Parcha |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144517996 PECOS PAC ID: 8224257787 Enrollment ID: I20191101001199 |
| Provider Name | William A Mcmurray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366004350 PECOS PAC ID: 4385076686 Enrollment ID: I20191106003359 |
| Provider Name | Lindsey Shae Merritt |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1760825004 PECOS PAC ID: 6406143577 Enrollment ID: I20191119003379 |
| Provider Name | Cornetta L Mosley |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1093368466 PECOS PAC ID: 0446683759 Enrollment ID: I20191127000330 |
| Provider Name | Pamela L Pickens-taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669016713 PECOS PAC ID: 0840629713 Enrollment ID: I20200330001093 |
Sunbelt Patient Solutions Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5901 Airport Blvd Ste 203, Mobile, AL 36608 Phone: 504-648-7924 | |
University Of South Alabama Health Services Foundation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1504 Springhill Avenue, Suite 1600, Mobile, AL 36604 Phone: 251-434-3915 Fax: 251-434-3802 | |
Mobile County Board Of Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 251 N Bayou St, Mobile, AL 36603 Phone: 251-690-8158 Fax: 251-690-8852 | |
Franklin Primary Health Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1904 Bishop Ave, Mobile, AL 36610 Phone: 251-452-1010 Fax: 251-436-7765 | |
University Of South Alabama Mitchell Cancer Institute Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1660 Springhill Ave, Mobile, AL 36604 Phone: 251-665-8000 Fax: 251-665-8010 | |
Midtown Health And Wellness Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 602 Bel Air Blvd Ste 9, Mobile, AL 36606 Phone: 251-533-3143 Fax: 251-650-1525 | |
Franklin Primary Health Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1201 Springhill Ave, Mobile, AL 36604 Phone: 251-694-1801 Fax: 251-694-1890 |