| Usacs Integrated Acute Care Services Of Ohio, Llc | |
|
100 Medical Center Dr Springfield OH 45504-2687 | |
| (330) 994-4409 | |
| Not Available |
| Full Name | Usacs Integrated Acute Care Services Of Ohio, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 100 Medical Center Dr, Springfield, Ohio |
| Authorized Official Name and Position | Dominic Bagnoli (CHIEF CHAIR) |
| Authorized Official Contact | 3309944409 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Usacs Integrated Acute Care Services Of Ohio, Llc 4535 Dressler Rd Nw Canton OH 44718-2545 Ph: (330) 994-4409 | Usacs Integrated Acute Care Services Of Ohio, Llc 100 Medical Center Dr Springfield OH 45504-2687 Ph: (330) 994-4409 |
| NPI Number | 1043805690 |
|---|---|
| Provider Enumeration Date | 03/05/2021 |
| Last Update Date | 03/28/2024 |
| Medicare PECOS PAC ID | 9032527221 |
|---|---|
| Medicare Enrollment ID | O20210428002191 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043805690 | NPI | - | NPPES |
| Provider Name | Shwetal Desai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083687248 PECOS PAC ID: 6709790884 Enrollment ID: I20031113000505 |
| Provider Name | Osama G Mitri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174532071 PECOS PAC ID: 1153227475 Enrollment ID: I20031209000256 |
| Provider Name | Kaveri Sivaruban |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801846258 PECOS PAC ID: 2567351273 Enrollment ID: I20040311000955 |
| Provider Name | Geeta Srivastava |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447230065 PECOS PAC ID: 5698666246 Enrollment ID: I20040323000645 |
| Provider Name | Mohammed A Baig |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164545190 PECOS PAC ID: 7618961145 Enrollment ID: I20040408001106 |
| Provider Name | Chowdry Mujahid Bashir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881685840 PECOS PAC ID: 8426046442 Enrollment ID: I20040506000096 |
| Provider Name | Nkoli Anigbogu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184710121 PECOS PAC ID: 8123017266 Enrollment ID: I20040512000594 |
| Provider Name | Charles Setser |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629024112 PECOS PAC ID: 9638150022 Enrollment ID: I20040601000778 |
| Provider Name | Elie R Ghazal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982657391 PECOS PAC ID: 3375525637 Enrollment ID: I20040602000484 |
| Provider Name | Kristine Marie Ross |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528034279 PECOS PAC ID: 0042293391 Enrollment ID: I20040609000469 |
| Provider Name | Toye G C Williams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083710370 PECOS PAC ID: 9537143607 Enrollment ID: I20040616000331 |
| Provider Name | Muhammad Riaz Ahmad |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255355319 PECOS PAC ID: 6901881226 Enrollment ID: I20040621002000 |
| Provider Name | Shefali N Jhaveri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841239571 PECOS PAC ID: 8325018609 Enrollment ID: I20040727000167 |
| Provider Name | Frederick Tanzer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750349023 PECOS PAC ID: 2264406727 Enrollment ID: I20040822000005 |
| Provider Name | Tariq Sultan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639126204 PECOS PAC ID: 0345226684 Enrollment ID: I20041105000000 |
| Provider Name | Joseph Anigbogu |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1972583508 PECOS PAC ID: 9133015894 Enrollment ID: I20050510000546 |
| Provider Name | Richard A Fikes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235176686 PECOS PAC ID: 0648295782 Enrollment ID: I20051007000786 |
| Provider Name | Douglas Cifuentes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689677544 PECOS PAC ID: 8224059969 Enrollment ID: I20051209000418 |
| Provider Name | Suresh Yadav |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649288465 PECOS PAC ID: 3971506643 Enrollment ID: I20060818000156 |
| Provider Name | Arshad Javed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306895842 PECOS PAC ID: 6204811722 Enrollment ID: I20061011000027 |
| Provider Name | Aderemi Basit Alli |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447348982 PECOS PAC ID: 2365449535 Enrollment ID: I20061031000479 |
| Provider Name | Hassan Golchini |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497846935 PECOS PAC ID: 0345249025 Enrollment ID: I20061206000280 |
| Provider Name | Naveen Kumar Reddy Bekkam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225196371 PECOS PAC ID: 7911909817 Enrollment ID: I20070206000347 |
| Provider Name | Ngozi Nwankwo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477680783 PECOS PAC ID: 9638273378 Enrollment ID: I20070405000097 |
| Provider Name | Madonna L Dechristopher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023169323 PECOS PAC ID: 6800991522 Enrollment ID: I20070424000694 |
| Provider Name | Brian F Webster |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366567372 PECOS PAC ID: 6608974860 Enrollment ID: I20070612000259 |
| Provider Name | Gregory S Mangen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386856581 PECOS PAC ID: 9931293321 Enrollment ID: I20070917000036 |
| Provider Name | Charles Oppong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902080922 PECOS PAC ID: 4486739448 Enrollment ID: I20080314000342 |
| Provider Name | Arshad Ali Shah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578583605 PECOS PAC ID: 9436154945 Enrollment ID: I20080409000290 |
| Provider Name | Arinze Echezona Akusoba |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366517591 PECOS PAC ID: 5092886374 Enrollment ID: I20080613000031 |
| Provider Name | Muhannad Samaan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477725109 PECOS PAC ID: 8325110885 Enrollment ID: I20080630000001 |
| Provider Name | Shunaid M Pathan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477726743 PECOS PAC ID: 1951473941 Enrollment ID: I20080708000614 |
| Provider Name | Valerie A Aliu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073692042 PECOS PAC ID: 3577638733 Enrollment ID: I20080822000137 |
| Provider Name | Jamelle R Bowers |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275532251 PECOS PAC ID: 3274586524 Enrollment ID: I20090611000792 |
| Provider Name | Paras S Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295973766 PECOS PAC ID: 2163573908 Enrollment ID: I20090707000764 |
| Provider Name | Patricia Ann Back |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932351483 PECOS PAC ID: 0446304018 Enrollment ID: I20090817000180 |
| Provider Name | Shazia Chaudhry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336115039 PECOS PAC ID: 2062447519 Enrollment ID: I20091027000423 |
| Provider Name | David Kenneth Mckeen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902991912 PECOS PAC ID: 3274671060 Enrollment ID: I20091116000585 |
| Provider Name | Ajay Sodhi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023258381 PECOS PAC ID: 4688712482 Enrollment ID: I20091116000625 |
| Provider Name | Imran R Naqvi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902926199 PECOS PAC ID: 6002957461 Enrollment ID: I20100107000122 |
| Provider Name | Stephen Feagins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265423941 PECOS PAC ID: 0547320681 Enrollment ID: I20100126000286 |
| Provider Name | Edward Michael Cordasco |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164428090 PECOS PAC ID: 5799718201 Enrollment ID: I20100304000221 |
| Provider Name | Brian J Keegan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225156045 PECOS PAC ID: 3678618030 Enrollment ID: I20100310000116 |
| Provider Name | Caleb Gray Mackey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104085000 PECOS PAC ID: 4981749280 Enrollment ID: I20100310000617 |
| Provider Name | Aamir Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295824746 PECOS PAC ID: 6901827781 Enrollment ID: I20100325000025 |
| Provider Name | Bernice A Hawley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811219108 PECOS PAC ID: 9638209372 Enrollment ID: I20100607000836 |
| Provider Name | Farzan H Irani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376709857 PECOS PAC ID: 4880724939 Enrollment ID: I20100616000288 |
| Provider Name | Mahaveer Mukkamalla |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689866543 PECOS PAC ID: 3870625148 Enrollment ID: I20100722000171 |
| Provider Name | Atul Kutwal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902136153 PECOS PAC ID: 5799819439 Enrollment ID: I20100817000129 |
| Provider Name | Courtney L Zartman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124227624 PECOS PAC ID: 0749314110 Enrollment ID: I20100820000387 |
| Provider Name | Kimberlee Slusher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053647438 PECOS PAC ID: 4082739479 Enrollment ID: I20100908000598 |
| Provider Name | Siddharth K Mushrif |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447455159 PECOS PAC ID: 8224188370 Enrollment ID: I20100910000984 |
| Provider Name | Chalana U Gunawardena |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023276821 PECOS PAC ID: 0749306504 Enrollment ID: I20100929000785 |
| Provider Name | Parasram Ramdeo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821246125 PECOS PAC ID: 5294888517 Enrollment ID: I20101012000896 |
| Provider Name | Melinda A Cole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770885337 PECOS PAC ID: 6406037084 Enrollment ID: I20110302000575 |
| Provider Name | Saranda D Manning |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760789598 PECOS PAC ID: 3274715925 Enrollment ID: I20110316000893 |
| Provider Name | George N Mwandia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457664344 PECOS PAC ID: 9739357096 Enrollment ID: I20110713000193 |
| Provider Name | Kenechi Anikwe Obetta |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831495266 PECOS PAC ID: 0749458800 Enrollment ID: I20110718000240 |
| Provider Name | Kalki Bommaraju |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609029511 PECOS PAC ID: 9638347032 Enrollment ID: I20110728000584 |
| Provider Name | George E Ilodi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225291883 PECOS PAC ID: 4789854118 Enrollment ID: I20110823000363 |
| Provider Name | William J Forton |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902067853 PECOS PAC ID: 7810167020 Enrollment ID: I20110825000669 |
| Provider Name | Erhan Erdeger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477888139 PECOS PAC ID: 7113197880 Enrollment ID: I20110907001276 |
| Provider Name | Jignesh Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366619280 PECOS PAC ID: 4587840210 Enrollment ID: I20111005000915 |
| Provider Name | Mary E Dumouchelle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568744753 PECOS PAC ID: 0446423172 Enrollment ID: I20111025000677 |
| Provider Name | Robert Komron Montazemi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184692238 PECOS PAC ID: 6800985276 Enrollment ID: I20120131000486 |
| Provider Name | Trecia Lynn Narcelles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174624043 PECOS PAC ID: 1153328778 Enrollment ID: I20120409000616 |
| Provider Name | Akosua G Afful |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184981193 PECOS PAC ID: 6406011139 Enrollment ID: I20120703000314 |
| Provider Name | Yousif Sm Shareef |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922235811 PECOS PAC ID: 4789840547 Enrollment ID: I20120723000631 |
| Provider Name | Adedoyin O Adetoro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215260930 PECOS PAC ID: 8820254311 Enrollment ID: I20120727000571 |
| Provider Name | Ivan David Ongom |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659502433 PECOS PAC ID: 5193981686 Enrollment ID: I20120727000580 |
| Provider Name | Rana K Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518131085 PECOS PAC ID: 2264629237 Enrollment ID: I20120904000751 |
| Provider Name | Abidemi B Akande |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518281690 PECOS PAC ID: 7416106869 Enrollment ID: I20121001000045 |
| Provider Name | Vidhya Murukesan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003047564 PECOS PAC ID: 6507015542 Enrollment ID: I20121005000511 |
| Provider Name | Muhammad Akbar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295062099 PECOS PAC ID: 1052562113 Enrollment ID: I20121119000474 |
| Provider Name | Delinda S Puthoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952652257 PECOS PAC ID: 3779735204 Enrollment ID: I20121211000012 |
| Provider Name | Khaled Almoselli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346497823 PECOS PAC ID: 7517135924 Enrollment ID: I20121226000437 |
| Provider Name | Ngozika Ugonwa Anusionwu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003043787 PECOS PAC ID: 6709030679 Enrollment ID: I20130129000666 |
| Provider Name | Carolyn M Whatley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487750022 PECOS PAC ID: 9335030154 Enrollment ID: I20130207000491 |
| Provider Name | Austin G Al-kazaz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679803290 PECOS PAC ID: 0244499721 Enrollment ID: I20130223000085 |
| Provider Name | Scott Matthew Rawlings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811140452 PECOS PAC ID: 1850546458 Enrollment ID: I20130305000630 |
| Provider Name | Madhavi Saxena |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730424433 PECOS PAC ID: 2769637040 Enrollment ID: I20130313000298 |
| Provider Name | Eucharia C Akusoba-davis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053545269 PECOS PAC ID: 5890931059 Enrollment ID: I20130415000275 |
| Provider Name | Chinedu O Ejike |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831415637 PECOS PAC ID: 6709025216 Enrollment ID: I20130613000239 |
| Provider Name | Muhammad Shahid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023329786 PECOS PAC ID: 3375783830 Enrollment ID: I20130703000383 |
| Provider Name | Gretchen Suarez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003117383 PECOS PAC ID: 9234379728 Enrollment ID: I20130705000003 |
| Provider Name | Jigar D Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497064323 PECOS PAC ID: 6305088444 Enrollment ID: I20130820000399 |
| Provider Name | Marc Palagallo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154580132 PECOS PAC ID: 1951556034 Enrollment ID: I20130820000703 |
| Provider Name | Deepthi Singam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235444159 PECOS PAC ID: 6002050853 Enrollment ID: I20130917000241 |
| Provider Name | Nawaz Ahmed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154634798 PECOS PAC ID: 9739314287 Enrollment ID: I20131108001299 |
| Provider Name | Smitha Chandra |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891016119 PECOS PAC ID: 4981830338 Enrollment ID: I20131113002150 |
| Provider Name | Alex Cynl Albuquerque |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356651780 PECOS PAC ID: 5698902104 Enrollment ID: I20131207000320 |
| Provider Name | Samer Mohandes |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1356640171 PECOS PAC ID: 8527297175 Enrollment ID: I20140613001161 |
| Provider Name | Syed Omar Masood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518981455 PECOS PAC ID: 4688678253 Enrollment ID: I20140616000961 |
| Provider Name | Tasha L Vann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700201860 PECOS PAC ID: 0749404465 Enrollment ID: I20140618001950 |
| Provider Name | Ifijen M Oleghe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851661995 PECOS PAC ID: 9335364090 Enrollment ID: I20140714001188 |
| Provider Name | Mohammad Annaba |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962481168 PECOS PAC ID: 1658385638 Enrollment ID: I20140813002242 |
| Provider Name | Senai Negassi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255604609 PECOS PAC ID: 8820216542 Enrollment ID: I20140821001470 |
| Provider Name | Olga Alexandrovna Melzer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740414283 PECOS PAC ID: 8820230220 Enrollment ID: I20140905001133 |
| Provider Name | Yan Zhu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518389287 PECOS PAC ID: 9436378783 Enrollment ID: I20140918000454 |
| Provider Name | David Moh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295026607 PECOS PAC ID: 8224275979 Enrollment ID: I20140922001072 |
| Provider Name | Justin Leeman Maxwell Henderson |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1588869861 PECOS PAC ID: 7911145453 Enrollment ID: I20141031001394 |
| Provider Name | Beth A Seymour |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669878534 PECOS PAC ID: 9739401258 Enrollment ID: I20141211000409 |
| Provider Name | Amy Michelle Thornton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134520315 PECOS PAC ID: 9436471919 Enrollment ID: I20141212000259 |
| Provider Name | Karen L Helferich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699173278 PECOS PAC ID: 9830412741 Enrollment ID: I20141230000774 |
| Provider Name | George Kallingal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871869214 PECOS PAC ID: 6709024557 Enrollment ID: I20150106002141 |
| Provider Name | Andrew J. Silz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164828893 PECOS PAC ID: 8527382142 Enrollment ID: I20150130000114 |
| Provider Name | Ali R Imani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285921858 PECOS PAC ID: 8325290760 Enrollment ID: I20150209002158 |
| Provider Name | Joseph Messina |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629034020 PECOS PAC ID: 6002893468 Enrollment ID: I20150424001148 |
| Provider Name | Misam F Zawit |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861757494 PECOS PAC ID: 6204155344 Enrollment ID: I20150512001009 |
| Provider Name | Jeffrey T Hausfeld |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023374220 PECOS PAC ID: 1759510670 Enrollment ID: I20150608001913 |
| Provider Name | Eseoghene Ayisire |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639434145 PECOS PAC ID: 1153633243 Enrollment ID: I20150701002916 |
| Provider Name | Traci Poppaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992190037 PECOS PAC ID: 5294048021 Enrollment ID: I20150722004487 |
| Provider Name | Asghar Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932475696 PECOS PAC ID: 8426286071 Enrollment ID: I20150724010242 |
| Provider Name | Stacy Anne Nagel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295119931 PECOS PAC ID: 8224341821 Enrollment ID: I20150724010429 |
| Provider Name | Ann L Pope |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649659871 PECOS PAC ID: 6103131438 Enrollment ID: I20150817000937 |
| Provider Name | Kelly Lawrence |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396041679 PECOS PAC ID: 4082859459 Enrollment ID: I20150824002271 |
| Provider Name | Motaz Baibars |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1104121193 PECOS PAC ID: 7315105814 Enrollment ID: I20150827000971 |
| Provider Name | Kristen S Frazier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477944155 PECOS PAC ID: 4486960036 Enrollment ID: I20150827002880 |
| Provider Name | Macie Elizabeth Roetting |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477934594 PECOS PAC ID: 7315254323 Enrollment ID: I20150923000798 |
| Provider Name | Angela D Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811379589 PECOS PAC ID: 7214245497 Enrollment ID: I20151008000546 |
| Provider Name | Ebele C Odonwodo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336331891 PECOS PAC ID: 4688861925 Enrollment ID: I20151013001057 |
| Provider Name | Catherine F Frank |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144519513 PECOS PAC ID: 1153630827 Enrollment ID: I20151020001008 |
| Provider Name | Simmi Sharma |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356699946 PECOS PAC ID: 7911139712 Enrollment ID: I20160125002594 |
| Provider Name | Chinedu J Akaeze |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154568566 PECOS PAC ID: 3577867001 Enrollment ID: I20160203002447 |
| Provider Name | Greggory Augustin Beckley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225325905 PECOS PAC ID: 1951532522 Enrollment ID: I20160325000516 |
| Provider Name | Thach Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043614860 PECOS PAC ID: 6507181534 Enrollment ID: I20160328001051 |
| Provider Name | Sameer Qamar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457514051 PECOS PAC ID: 8921159765 Enrollment ID: I20160412002767 |
| Provider Name | Jasminder Singh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851731525 PECOS PAC ID: 8628372158 Enrollment ID: I20160715001307 |
| Provider Name | Rebecca M Dessez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306294236 PECOS PAC ID: 5799078838 Enrollment ID: I20160726003150 |
| Provider Name | Bhumit A Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114269222 PECOS PAC ID: 7517106362 Enrollment ID: I20160802002410 |
| Provider Name | Amanda Y Bensman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144674854 PECOS PAC ID: 8426342114 Enrollment ID: I20160803000668 |
| Provider Name | Deepinder S Grewal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396187522 PECOS PAC ID: 9032417563 Enrollment ID: I20160815000189 |
| Provider Name | Narsimha R Kodakandla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376966184 PECOS PAC ID: 2769776756 Enrollment ID: I20160815001373 |
| Provider Name | Jill S Mayrer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154770246 PECOS PAC ID: 5597052563 Enrollment ID: I20160920001500 |
| Provider Name | Vamsi V Nagineni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932542826 PECOS PAC ID: 9638488323 Enrollment ID: I20161004001458 |
| Provider Name | Kathryn Cunin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831364587 PECOS PAC ID: 8426118860 Enrollment ID: I20161116003027 |
| Provider Name | Kristy J Jakeway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902255169 PECOS PAC ID: 1456630219 Enrollment ID: I20161117002670 |
| Provider Name | Cecilia Dapilah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477090009 PECOS PAC ID: 3173808169 Enrollment ID: I20170313001597 |
| Provider Name | Sylvie I Sibomana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841746120 PECOS PAC ID: 8224313440 Enrollment ID: I20170329002992 |
| Provider Name | Janaya V Burke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801327945 PECOS PAC ID: 7315223161 Enrollment ID: I20170411001370 |
| Provider Name | Lisa S Knabb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235674219 PECOS PAC ID: 8628354883 Enrollment ID: I20170425000194 |
| Provider Name | Waqas Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376876078 PECOS PAC ID: 2466601349 Enrollment ID: I20170428001617 |
| Provider Name | Ryan Mcquillen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770826612 PECOS PAC ID: 4486931441 Enrollment ID: I20170501002035 |
| Provider Name | Houssam Ali Marwany |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649599218 PECOS PAC ID: 9335327824 Enrollment ID: I20170526002030 |
| Provider Name | John Kalasky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962829119 PECOS PAC ID: 8527289594 Enrollment ID: I20170613000556 |
| Provider Name | Hassan A Al-shammaa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497173850 PECOS PAC ID: 1951600030 Enrollment ID: I20170626002212 |
| Provider Name | Nonso Andrew Ezema |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588075626 PECOS PAC ID: 9537438080 Enrollment ID: I20170627001884 |
| Provider Name | William Casmir Dailey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962812974 PECOS PAC ID: 8325260474 Enrollment ID: I20170719002182 |
| Provider Name | Okechukwu Ebiem |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376959544 PECOS PAC ID: 1254602311 Enrollment ID: I20170808001123 |
| Provider Name | Paul Evens Gregoire Charles |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578974556 PECOS PAC ID: 3971814658 Enrollment ID: I20170815004393 |
| Provider Name | Laura Skidmore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689198566 PECOS PAC ID: 1254341282 Enrollment ID: I20170818002302 |
| Provider Name | Jared E Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730617820 PECOS PAC ID: 3274805684 Enrollment ID: I20170821000536 |
| Provider Name | Arundhati Sharma |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790103026 PECOS PAC ID: 7810299583 Enrollment ID: I20170822002018 |
| Provider Name | Chika Amuche Ezigbo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952666257 PECOS PAC ID: 2961620737 Enrollment ID: I20170829003639 |
| Provider Name | Vivekananda Adike |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689961278 PECOS PAC ID: 1254550908 Enrollment ID: I20170920003709 |
| Provider Name | Ifeoma Ekeh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841631884 PECOS PAC ID: 5698063949 Enrollment ID: I20170921003170 |
| Provider Name | Mohammad M Losta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619394665 PECOS PAC ID: 2264658194 Enrollment ID: I20171102000533 |
| Provider Name | Sarah Campos-monell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316010853 PECOS PAC ID: 6709921166 Enrollment ID: I20171115003710 |
| Provider Name | Jessamine Sothard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245769033 PECOS PAC ID: 0042578981 Enrollment ID: I20171221002402 |
| Provider Name | Mompoloki B Nkhumane |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144553553 PECOS PAC ID: 5698923282 Enrollment ID: I20180322002417 |
| Provider Name | Joseph B Agyepong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164817003 PECOS PAC ID: 7315247681 Enrollment ID: I20180515002057 |
| Provider Name | Francis Idemudia Ukpokolo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881080620 PECOS PAC ID: 1658636535 Enrollment ID: I20180523002959 |
| Provider Name | Branden W Luna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518231927 PECOS PAC ID: 7012155252 Enrollment ID: I20180525000614 |
| Provider Name | Gurmail Singh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639529951 PECOS PAC ID: 6103145339 Enrollment ID: I20180611000826 |
| Provider Name | Onyinyechi Joy Okike |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114287380 PECOS PAC ID: 5395901789 Enrollment ID: I20180619002152 |
| Provider Name | Irtsam Shahid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356727093 PECOS PAC ID: 8628379823 Enrollment ID: I20180621002004 |
| Provider Name | Keith R Glenn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487044608 PECOS PAC ID: 2062727373 Enrollment ID: I20180625001653 |
| Provider Name | Pranav Tayal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043557630 PECOS PAC ID: 0547402034 Enrollment ID: I20180705000627 |
| Provider Name | Willard Palustre |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124402383 PECOS PAC ID: 4486901287 Enrollment ID: I20180725002160 |
| Provider Name | Abdul Haseeb Shehzad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184007957 PECOS PAC ID: 1052613270 Enrollment ID: I20180726003099 |
| Provider Name | Jason Douglas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346620564 PECOS PAC ID: 7113275330 Enrollment ID: I20180803002984 |
| Provider Name | Immaculate W Foy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841644069 PECOS PAC ID: 8224320429 Enrollment ID: I20180821002160 |
| Provider Name | Madiha Fyyaz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528350592 PECOS PAC ID: 0042454225 Enrollment ID: I20180913001188 |
| Provider Name | Abraham Kuranga |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821418237 PECOS PAC ID: 0749579878 Enrollment ID: I20181010003436 |
| Provider Name | Brian Joseph Pope |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063990208 PECOS PAC ID: 4486907185 Enrollment ID: I20181026000301 |
| Provider Name | Thomas Gainey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457734949 PECOS PAC ID: 1759683758 Enrollment ID: I20181026001562 |
| Provider Name | Ehsan Shabbir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518309616 PECOS PAC ID: 2062707797 Enrollment ID: I20181029001647 |
| Provider Name | Faysal A Abdille |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629431010 PECOS PAC ID: 2466744438 Enrollment ID: I20190116003710 |
| Provider Name | Olaseni Alexander Shoroye |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053376509 PECOS PAC ID: 1557346418 Enrollment ID: I20190418001340 |
| Provider Name | Mayank Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700263134 PECOS PAC ID: 2769724699 Enrollment ID: I20190425000533 |
| Provider Name | Jaime Emmons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366842627 PECOS PAC ID: 2163643776 Enrollment ID: I20190429001848 |
| Provider Name | Ali Sahlieh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710362603 PECOS PAC ID: 2264734409 Enrollment ID: I20190619002168 |
| Provider Name | Bindhu Sajay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134655350 PECOS PAC ID: 7012241227 Enrollment ID: I20190621001390 |
| Provider Name | Suchitha Bheemreddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083908172 PECOS PAC ID: 1153630447 Enrollment ID: I20190621002110 |
| Provider Name | Khaled Mohamed Abou El-ezz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174802201 PECOS PAC ID: 0143448639 Enrollment ID: I20190626003438 |
| Provider Name | Tahir Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629431374 PECOS PAC ID: 3375812746 Enrollment ID: I20190703001778 |
| Provider Name | Asif N Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144530023 PECOS PAC ID: 8921250713 Enrollment ID: I20190709002177 |
| Provider Name | Fahad Nasir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740633247 PECOS PAC ID: 5496040404 Enrollment ID: I20190717002850 |
| Provider Name | Amer Aldamouk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083060404 PECOS PAC ID: 9739415076 Enrollment ID: I20190724004040 |
| Provider Name | Obinna Victor Obiekezie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861844201 PECOS PAC ID: 7618203852 Enrollment ID: I20190725003505 |
| Provider Name | Yi Xiong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538513866 PECOS PAC ID: 6103151030 Enrollment ID: I20190807001495 |
| Provider Name | Ahmad Hijazi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497118244 PECOS PAC ID: 5597052852 Enrollment ID: I20190808004117 |
| Provider Name | Nurul Haque |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720410566 PECOS PAC ID: 0042598054 Enrollment ID: I20190812004032 |
| Provider Name | Tuyet Nhu Thi Hearn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417500398 PECOS PAC ID: 6800125014 Enrollment ID: I20190913001715 |
| Provider Name | Jordan M Kunish |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902251176 PECOS PAC ID: 7911236989 Enrollment ID: I20190917002155 |
| Provider Name | Ashley M Luster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093360471 PECOS PAC ID: 3779813217 Enrollment ID: I20190925002241 |
| Provider Name | Adrien J Brutus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740634963 PECOS PAC ID: 5496048597 Enrollment ID: I20191025002056 |
| Provider Name | Angela A Shay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619535150 PECOS PAC ID: 3870926207 Enrollment ID: I20191125003137 |
| Provider Name | Cody Andrews |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568811008 PECOS PAC ID: 6507116787 Enrollment ID: I20191126001494 |
| Provider Name | Julie Ann Gallagher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861044158 PECOS PAC ID: 9234563370 Enrollment ID: I20191226001883 |
| Provider Name | Farah A Jama |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881056034 PECOS PAC ID: 3870883572 Enrollment ID: I20200117002300 |
| Provider Name | Yamuna K Abhayawardhane |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104881580 PECOS PAC ID: 6204903255 Enrollment ID: I20200218003262 |
| Provider Name | Syed Tariq Ahsan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831571009 PECOS PAC ID: 0547511222 Enrollment ID: I20200316002283 |
| Provider Name | Mary Harpen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366897738 PECOS PAC ID: 2668765850 Enrollment ID: I20200320002081 |
| Provider Name | Curtis Ingold |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487153185 PECOS PAC ID: 3274881313 Enrollment ID: I20200421000945 |
| Provider Name | Adham M Karim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184140410 PECOS PAC ID: 7416206164 Enrollment ID: I20200516000327 |
| Provider Name | Randall L Kent |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518453083 PECOS PAC ID: 9830425990 Enrollment ID: I20200529000666 |
| Provider Name | Natosha E. Minick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992954986 PECOS PAC ID: 3274693445 Enrollment ID: I20200624003319 |
| Provider Name | Akram Alkrekshi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124507074 PECOS PAC ID: 7315297058 Enrollment ID: I20200706002803 |
| Provider Name | Shazia Durrani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578926705 PECOS PAC ID: 4981981214 Enrollment ID: I20200710002366 |
| Provider Name | Priyeshkumar Patel |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1407139256 PECOS PAC ID: 7618144312 Enrollment ID: I20200728002016 |
| Provider Name | Angelo M Manuele |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164959656 PECOS PAC ID: 3870856099 Enrollment ID: I20200810003495 |
| Provider Name | Anmol Wadhwani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386177061 PECOS PAC ID: 3577836873 Enrollment ID: I20200819001740 |
| Provider Name | Deborah Ann Volk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174574081 PECOS PAC ID: 4880596311 Enrollment ID: I20200903000319 |
| Provider Name | Peyman Adeli Sardo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609300961 PECOS PAC ID: 1052682770 Enrollment ID: I20201013003587 |
| Provider Name | Sabinah Sayeed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750812616 PECOS PAC ID: 0648540500 Enrollment ID: I20201016000892 |
| Provider Name | Erin Schellenberger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063027076 PECOS PAC ID: 8820418494 Enrollment ID: I20201020002413 |
| Provider Name | Chizoba Emmanuel Ugwummadu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700174232 PECOS PAC ID: 0547486722 Enrollment ID: I20201229002363 |
| Provider Name | Eleanor R Shaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417519943 PECOS PAC ID: 9739592809 Enrollment ID: I20210108002150 |
| Provider Name | Salvatore Bernardo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770550147 PECOS PAC ID: 5294836094 Enrollment ID: I20210505000413 |
| Provider Name | Angela O Aboutalib |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215248984 PECOS PAC ID: 6406082858 Enrollment ID: I20210506001085 |
| Provider Name | Kareem A Hinedi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245276633 PECOS PAC ID: 8527015544 Enrollment ID: I20210506001633 |
| Provider Name | Robert Grover |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962810937 PECOS PAC ID: 8527331305 Enrollment ID: I20210512000453 |
| Provider Name | Andrea Nicole Naegele |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972182863 PECOS PAC ID: 3577962729 Enrollment ID: I20210520002118 |
| Provider Name | Hassan H Kassem |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073017075 PECOS PAC ID: 3577984384 Enrollment ID: I20210608002179 |
| Provider Name | Rebekah Lantz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770088692 PECOS PAC ID: 3274883483 Enrollment ID: I20210622002432 |
| Provider Name | Mohammad Kamran Zaheer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376032268 PECOS PAC ID: 8325443104 Enrollment ID: I20210817000914 |
| Provider Name | Tyra D Onyedumekwu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831769447 PECOS PAC ID: 7810392495 Enrollment ID: I20210819001580 |
| Provider Name | Louis S Strauss |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669641155 PECOS PAC ID: 1557417490 Enrollment ID: I20210820002422 |
| Provider Name | Hassan Al-battah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275029282 PECOS PAC ID: 2163772278 Enrollment ID: I20210826001767 |
| Provider Name | Sher N Baig |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558899708 PECOS PAC ID: 1254744964 Enrollment ID: I20210826002685 |
| Provider Name | Monica Anne Ribeiro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881941870 PECOS PAC ID: 9638486376 Enrollment ID: I20210827002995 |
| Provider Name | Imran Ehsan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881961563 PECOS PAC ID: 4587818273 Enrollment ID: I20211006002723 |
| Provider Name | Yan Jiang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265812747 PECOS PAC ID: 9133498058 Enrollment ID: I20211011000627 |
| Provider Name | Nikesh M Jani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073278800 PECOS PAC ID: 3870983182 Enrollment ID: I20211130003041 |
| Provider Name | Amelia E Rivers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154332112 PECOS PAC ID: 6608267299 Enrollment ID: I20211215000241 |
| Provider Name | Chuck Venable |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265849129 PECOS PAC ID: 5597985374 Enrollment ID: I20211216000491 |
| Provider Name | Amir Naderi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245736115 PECOS PAC ID: 2860883824 Enrollment ID: I20211229002270 |
| Provider Name | Kafi B Thomas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376064246 PECOS PAC ID: 0446673867 Enrollment ID: I20220113000211 |
| Provider Name | Irfan Saddique |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164787297 PECOS PAC ID: 0244543981 Enrollment ID: I20220202000776 |
| Provider Name | Kendall Matthew Des Vignes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235698168 PECOS PAC ID: 9931434800 Enrollment ID: I20220215002400 |
| Provider Name | Kellen R Fessler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093466252 PECOS PAC ID: 9537553011 Enrollment ID: I20220225002088 |
| Provider Name | Asad Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053386938 PECOS PAC ID: 2567445059 Enrollment ID: I20220303000282 |
| Provider Name | John Botsis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972683407 PECOS PAC ID: 6507840592 Enrollment ID: I20220318001264 |
| Provider Name | Muayad Alzamara |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578127320 PECOS PAC ID: 3274867544 Enrollment ID: I20220408001633 |
| Provider Name | Vivian Nchinda Kenmoe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265694921 PECOS PAC ID: 2668648387 Enrollment ID: I20220418000686 |
| Provider Name | Nervana Talaat Mahmoud |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659682110 PECOS PAC ID: 8224257258 Enrollment ID: I20220418000743 |
| Provider Name | Munsif Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881973147 PECOS PAC ID: 2668628371 Enrollment ID: I20220520002083 |
| Provider Name | Christina Beattie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710417159 PECOS PAC ID: 8628348620 Enrollment ID: I20220610002128 |
| Provider Name | Bismark Tetteh Kodji |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114415460 PECOS PAC ID: 4183974470 Enrollment ID: I20220614000570 |
| Provider Name | Muhammad Azam |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710947254 PECOS PAC ID: 8921907684 Enrollment ID: I20220701002587 |
| Provider Name | Ayesha Mallick Imam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306280094 PECOS PAC ID: 4284014424 Enrollment ID: I20220706003160 |
| Provider Name | Emily Danielle Mcqueen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568120533 PECOS PAC ID: 1759761745 Enrollment ID: I20220708000296 |
| Provider Name | Hussain Almusawi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477040962 PECOS PAC ID: 0042558975 Enrollment ID: I20220708001300 |
| Provider Name | Munis M Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790346302 PECOS PAC ID: 9234460544 Enrollment ID: I20220714001401 |
| Provider Name | Azeez Ciba |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1235792235 PECOS PAC ID: 5092196451 Enrollment ID: I20220715001504 |
| Provider Name | Munish Adhikari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801357884 PECOS PAC ID: 8729318134 Enrollment ID: I20220718001908 |
| Provider Name | Kabir Kunwar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285298422 PECOS PAC ID: 8224445036 Enrollment ID: I20220718002045 |
| Provider Name | Muhammad A Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295399400 PECOS PAC ID: 6709114853 Enrollment ID: I20220719000300 |
| Provider Name | Irfan U Parkar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609007301 PECOS PAC ID: 7517012974 Enrollment ID: I20220719002713 |
| Provider Name | Vibhuti Parimoo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225692585 PECOS PAC ID: 5092196279 Enrollment ID: I20220719002725 |
| Provider Name | Kamran Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447747803 PECOS PAC ID: 8123409315 Enrollment ID: I20220719002987 |
| Provider Name | Rajeswar Kunchakuri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811557390 PECOS PAC ID: 6608209846 Enrollment ID: I20220720000549 |
| Provider Name | Triyug Malla Thakuri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124680897 PECOS PAC ID: 0042691271 Enrollment ID: I20220720000719 |
| Provider Name | Aakash Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134682941 PECOS PAC ID: 7618358755 Enrollment ID: I20220720001425 |
| Provider Name | Kasopefoluwa O Akinbamijo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093374134 PECOS PAC ID: 1557742624 Enrollment ID: I20220720002685 |
| Provider Name | Pratibha Acharya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912560327 PECOS PAC ID: 4688081490 Enrollment ID: I20220721000977 |
| Provider Name | Nicholas T D'entremont |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205497633 PECOS PAC ID: 4183005143 Enrollment ID: I20220721002820 |
| Provider Name | Bhavini Tailor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992350532 PECOS PAC ID: 3274931118 Enrollment ID: I20220726000463 |
| Provider Name | Ehsen Z Rao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659626026 PECOS PAC ID: 4082096540 Enrollment ID: I20220729001882 |
| Provider Name | Love S Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114582145 PECOS PAC ID: 8426430687 Enrollment ID: I20220804000526 |
| Provider Name | Harsh Babbar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114105418 PECOS PAC ID: 5799856621 Enrollment ID: I20220804002172 |
| Provider Name | Rohit Khirbat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194926063 PECOS PAC ID: 7517043987 Enrollment ID: I20220804002472 |
| Provider Name | Muhammad Hadi Shibli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376656413 PECOS PAC ID: 8729976840 Enrollment ID: I20220805000844 |
| Provider Name | Shantanu S Naik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942362520 PECOS PAC ID: 3375583529 Enrollment ID: I20220805001006 |
| Provider Name | Pavan G Reddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689024945 PECOS PAC ID: 3971986845 Enrollment ID: I20220810003051 |
| Provider Name | Nidhi Nikhanj |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1275589285 PECOS PAC ID: 9032115738 Enrollment ID: I20220810003397 |
| Provider Name | Massoud G Kazzi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073846283 PECOS PAC ID: 9537380050 Enrollment ID: I20220812000145 |
| Provider Name | Jourdan Paige Harkless |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194384990 PECOS PAC ID: 4688907009 Enrollment ID: I20220812000457 |
| Provider Name | Rawan Aljaras |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588227425 PECOS PAC ID: 0244573640 Enrollment ID: I20220816000719 |
| Provider Name | Said Hassane Soubra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548219751 PECOS PAC ID: 1850386020 Enrollment ID: I20220816002150 |
| Provider Name | Sara Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902326218 PECOS PAC ID: 4789009366 Enrollment ID: I20220818002526 |
| Provider Name | Jehad Almasri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154826550 PECOS PAC ID: 1759794134 Enrollment ID: I20220819001174 |
| Provider Name | Ankit Doshi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447657820 PECOS PAC ID: 6204106198 Enrollment ID: I20220830003849 |
| Provider Name | Najeeb U Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467757195 PECOS PAC ID: 4789861592 Enrollment ID: I20220910000154 |
| Provider Name | Mohammed Jundi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588126452 PECOS PAC ID: 9739418708 Enrollment ID: I20220919000918 |
| Provider Name | Riad Akkari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326572280 PECOS PAC ID: 1658757489 Enrollment ID: I20221003001442 |
| Provider Name | Olaoye J Jegede |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629634753 PECOS PAC ID: 1254665334 Enrollment ID: I20221018001987 |
| Provider Name | Thomas Terlep |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780141382 PECOS PAC ID: 3072856798 Enrollment ID: I20221021001494 |
| Provider Name | Ningjing Li |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629457809 PECOS PAC ID: 3870898463 Enrollment ID: I20221024000397 |
| Provider Name | Cristina Murgiuc |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154314946 PECOS PAC ID: 9436159993 Enrollment ID: I20221025001311 |
| Provider Name | Abubaker Hassan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568846822 PECOS PAC ID: 7214229483 Enrollment ID: I20221101002730 |
| Provider Name | Nizam Din |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861659625 PECOS PAC ID: 4587721352 Enrollment ID: I20221108003083 |
| Provider Name | Bruna Zanolini |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801282843 PECOS PAC ID: 9739468281 Enrollment ID: I20221129003360 |
| Provider Name | Noel Lucas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184676090 PECOS PAC ID: 1759317316 Enrollment ID: I20221130002681 |
| Provider Name | John Stoll |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134625080 PECOS PAC ID: 2264822311 Enrollment ID: I20230131002911 |
| Provider Name | Anthony Jackson Baraga |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629206800 PECOS PAC ID: 7113179730 Enrollment ID: I20230303000444 |
| Provider Name | Manoj Gupta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295141810 PECOS PAC ID: 6608167614 Enrollment ID: I20230309002392 |
| Provider Name | Kathryn G Mcdonald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467199166 PECOS PAC ID: 6800278953 Enrollment ID: I20230421002220 |
| Provider Name | Anas Alakkam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972036630 PECOS PAC ID: 0345519419 Enrollment ID: I20230505001937 |
| Provider Name | Willie E Hester |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730354002 PECOS PAC ID: 9335115054 Enrollment ID: I20230614000092 |
| Provider Name | Theodora Adadzewa Fynn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205093804 PECOS PAC ID: 4880759653 Enrollment ID: I20230622000256 |
| Provider Name | Rami Hussain |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215554316 PECOS PAC ID: 7315354610 Enrollment ID: I20230810000501 |
| Provider Name | James Dang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568091890 PECOS PAC ID: 9234552217 Enrollment ID: I20230818002377 |
| Provider Name | Faridoon Wahid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932738598 PECOS PAC ID: 4082076211 Enrollment ID: I20230818002480 |
| Provider Name | Naushaba Hasan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942298559 PECOS PAC ID: 1456359306 Enrollment ID: I20230821001175 |
| Provider Name | Sanjeev Karki |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528588852 PECOS PAC ID: 8325462203 Enrollment ID: I20230825002990 |
| Provider Name | Yonatan Ghiwot |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982164141 PECOS PAC ID: 7113251117 Enrollment ID: I20230829000499 |
| Provider Name | Jamal Dodin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609294081 PECOS PAC ID: 5799902748 Enrollment ID: I20230831002101 |
| Provider Name | Nkiru K Mills |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881213312 PECOS PAC ID: 8820411440 Enrollment ID: I20230913001751 |
| Provider Name | Sima Nourani Zenuz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740362904 PECOS PAC ID: 9638199565 Enrollment ID: I20230913001892 |
| Provider Name | Ahmad Khatri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033568316 PECOS PAC ID: 6901197631 Enrollment ID: I20230914001074 |
| Provider Name | Laurie L Lavery |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275507402 PECOS PAC ID: 2769427251 Enrollment ID: I20230914002950 |
| Provider Name | Rashid Ehsan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720284805 PECOS PAC ID: 9931275518 Enrollment ID: I20230915002793 |
| Provider Name | David Ashwal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841604071 PECOS PAC ID: 3173847407 Enrollment ID: I20230920001595 |
| Provider Name | Christina Mendenhall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578124244 PECOS PAC ID: 3173854403 Enrollment ID: I20230925002695 |
| Provider Name | Zaynab Amin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336776053 PECOS PAC ID: 9133573785 Enrollment ID: I20230929002917 |
| Provider Name | Kofi N Ansah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538798525 PECOS PAC ID: 3173978079 Enrollment ID: I20231012002783 |
| Provider Name | Chukwuemeka Okafor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104389196 PECOS PAC ID: 1557698826 Enrollment ID: I20231012003492 |
| Provider Name | Kareem Saleh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588292635 PECOS PAC ID: 1759738594 Enrollment ID: I20231115003203 |
| Provider Name | Osama Omar Hallak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154852614 PECOS PAC ID: 9234400268 Enrollment ID: I20231214002683 |
| Provider Name | Anayet L Thakur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467453936 PECOS PAC ID: 6103983101 Enrollment ID: I20240104004510 |
| Provider Name | Luis M Rodriguez Galli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770112930 PECOS PAC ID: 7719338664 Enrollment ID: I20240104004588 |
| Provider Name | Haider A Sarraf |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619045564 PECOS PAC ID: 7113901349 Enrollment ID: I20240110003803 |
| Provider Name | Jason Isaac Mullane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033887088 PECOS PAC ID: 6103278783 Enrollment ID: I20240118004327 |
| Provider Name | Osama Abid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699161877 PECOS PAC ID: 0648527325 Enrollment ID: I20240119003721 |
| Provider Name | Nathan Dang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073191433 PECOS PAC ID: 1052710373 Enrollment ID: I20240122003970 |
| Provider Name | Graham N Purdy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033732078 PECOS PAC ID: 5799128906 Enrollment ID: I20240205002601 |
| Provider Name | Serena N Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003339912 PECOS PAC ID: 0143655357 Enrollment ID: I20240221004251 |
Jyothi Puram, M.d., Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1176 E Home Rd, Springfield, OH 45503 Phone: 937-342-9861 Fax: 380-203-1298 | |
Rocking Horse Center Chiropractic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 651 S Limestone St, Springfield, OH 45505 Phone: 937-324-1111 Fax: 937-525-4543 | |
Ajaz Umerani, M.d. Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2121 E High St, Springfield, OH 45505 Phone: 937-325-3830 Fax: 937-325-3780 | |
Springfield Neurosurgical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2200 N Limestone St, Suite 100, Springfield, OH 45503 Phone: 937-328-8018 Fax: 937-328-6203 | |
Rodney Family Practice Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2057 S Limestone St, Springfield, OH 45505 Phone: 937-323-4003 Fax: 937-323-4023 | |
Kenneth L. Reed, D.o., Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2330 E High St, Suite B, Springfield, OH 45505 Phone: 937-325-3696 Fax: 937-325-3713 |