| Usacs Integrated Acute Care Services Of Texas, Pllc | |
|
1401 Medical Pkwy Cedar Park TX 78613-7763 | |
| (330) 493-4443 | |
| Not Available |
| Full Name | Usacs Integrated Acute Care Services Of Texas, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1401 Medical Pkwy, Cedar Park, Texas |
| Authorized Official Name and Position | David Johnson (COO) |
| Authorized Official Contact | 3304934443 |
| 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 Texas, Pllc 4535 Dressler Rd Nw Canton OH 44718-2545 Ph: (330) 493-4443 | Usacs Integrated Acute Care Services Of Texas, Pllc 1401 Medical Pkwy Cedar Park TX 78613-7763 Ph: (330) 493-4443 |
| NPI Number | 1801300322 |
|---|---|
| Provider Enumeration Date | 11/20/2017 |
| Last Update Date | 03/01/2018 |
| Medicare PECOS PAC ID | 7618237264 |
|---|---|
| Medicare Enrollment ID | O20180131000478 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801300322 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Anthony D Amoroso |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043274756 PECOS PAC ID: 7618860487 Enrollment ID: I20040205000324 |
| Provider Name | Edward Houser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366435133 PECOS PAC ID: 7214824812 Enrollment ID: I20040228000493 |
| Provider Name | Jack A Nuszen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154402188 PECOS PAC ID: 3375526676 Enrollment ID: I20040609000058 |
| Provider Name | Jeremy P Finkelstein |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700967080 PECOS PAC ID: 8921081019 Enrollment ID: I20040610000146 |
| Provider Name | Pamela Hammond |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205812955 PECOS PAC ID: 7911980859 Enrollment ID: I20040610001470 |
| Provider Name | Rajeev S Pethe |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114965233 PECOS PAC ID: 6800782111 Enrollment ID: I20040612000786 |
| Provider Name | Scott R Rivenes |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225118623 PECOS PAC ID: 6507849130 Enrollment ID: I20040614000276 |
| Provider Name | Michael R Cantu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558387407 PECOS PAC ID: 9335123082 Enrollment ID: I20040617001731 |
| Provider Name | Paul R Mercier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669464228 PECOS PAC ID: 9133199094 Enrollment ID: I20040728000746 |
| Provider Name | Robert Benjamin Saldana |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063593002 PECOS PAC ID: 5991776403 Enrollment ID: I20040806001040 |
| Provider Name | Thomas R Lindsay |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255317525 PECOS PAC ID: 9335116938 Enrollment ID: I20040914000149 |
| Provider Name | Donovan H Sigerfoos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497760565 PECOS PAC ID: 0143286765 Enrollment ID: I20041206000797 |
| Provider Name | David A Rodriguez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285727206 PECOS PAC ID: 3577514538 Enrollment ID: I20050207000890 |
| Provider Name | Sanober Khan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275549529 PECOS PAC ID: 8729031620 Enrollment ID: I20050302000702 |
| Provider Name | Christopher Fedoruk |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790899953 PECOS PAC ID: 6800881764 Enrollment ID: I20050316000425 |
| Provider Name | Swapan Dubey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497756175 PECOS PAC ID: 7618918624 Enrollment ID: I20050519001021 |
| Provider Name | Shawn A Baichoo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922008101 PECOS PAC ID: 7315990694 Enrollment ID: I20050608000381 |
| Provider Name | Daniel Y Levesque |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033125307 PECOS PAC ID: 4082659552 Enrollment ID: I20050624000433 |
| Provider Name | Jesus M Arroyo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114956463 PECOS PAC ID: 6204863889 Enrollment ID: I20050726000251 |
| Provider Name | Asma Nuri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720180870 PECOS PAC ID: 8224066626 Enrollment ID: I20050727000878 |
| Provider Name | Mark Sanchez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124046784 PECOS PAC ID: 6800825308 Enrollment ID: I20050804001018 |
| Provider Name | Hanzy Bustamante |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508828641 PECOS PAC ID: 5496786691 Enrollment ID: I20050827000065 |
| Provider Name | Parin Shah |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538139647 PECOS PAC ID: 1557313228 Enrollment ID: I20050913001343 |
| Provider Name | Aman A Shah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033132758 PECOS PAC ID: 3870527054 Enrollment ID: I20050927000380 |
| Provider Name | Brandon J Lewis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710950696 PECOS PAC ID: 5698797264 Enrollment ID: I20061006000076 |
| Provider Name | Darnell Dewan Pettway |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275513426 PECOS PAC ID: 1759389901 Enrollment ID: I20061122000122 |
| Provider Name | Michelle Mowad |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356453641 PECOS PAC ID: 0547245599 Enrollment ID: I20070130000371 |
| Provider Name | Leanne T Lam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285657072 PECOS PAC ID: 2860594884 Enrollment ID: I20070222000192 |
| Provider Name | Rajeeb K Guharoy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235128422 PECOS PAC ID: 2668411315 Enrollment ID: I20070724000796 |
| Provider Name | Audra H Velleca |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871603274 PECOS PAC ID: 7416058110 Enrollment ID: I20070725000365 |
| Provider Name | Suma S Gowda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174558605 PECOS PAC ID: 7517051600 Enrollment ID: I20070920000173 |
| Provider Name | Richard W Cole |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124068416 PECOS PAC ID: 4082689054 Enrollment ID: I20071115000424 |
| Provider Name | Jennifer D Cameron |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891751327 PECOS PAC ID: 6800846551 Enrollment ID: I20071126000261 |
| Provider Name | Robert K Seiler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588670848 PECOS PAC ID: 2668552555 Enrollment ID: I20080104000235 |
| Provider Name | Christopher M Ziebell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033162672 PECOS PAC ID: 4183705627 Enrollment ID: I20080122000727 |
| Provider Name | Inayat A Momin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710964895 PECOS PAC ID: 1658379755 Enrollment ID: I20080213000161 |
| Provider Name | Saleem M Oza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265443451 PECOS PAC ID: 8820176456 Enrollment ID: I20080423000406 |
| Provider Name | Patrick C Charbonneau |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720020373 PECOS PAC ID: 8729056387 Enrollment ID: I20080528000250 |
| Provider Name | Raja Pathapati |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1083669501 PECOS PAC ID: 3779522081 Enrollment ID: I20080605000872 |
| Provider Name | David Dmitry Boltan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447468624 PECOS PAC ID: 5698846194 Enrollment ID: I20080611000057 |
| Provider Name | Barrington Obinna Iruke |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861607962 PECOS PAC ID: 9638240179 Enrollment ID: I20080611000407 |
| Provider Name | Lilian Sanchez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811026214 PECOS PAC ID: 6800967639 Enrollment ID: I20080620000516 |
| Provider Name | Scott T Wiesenborn |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851582464 PECOS PAC ID: 2365513967 Enrollment ID: I20080625000059 |
| Provider Name | Hajra Madani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255515516 PECOS PAC ID: 6305917923 Enrollment ID: I20080625000180 |
| Provider Name | Usha Gujja |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750578779 PECOS PAC ID: 6800984766 Enrollment ID: I20080729000351 |
| Provider Name | Bradley J Spartz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376660118 PECOS PAC ID: 0446358576 Enrollment ID: I20080805000734 |
| Provider Name | Venkata Lakshmi S K Achanta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487689303 PECOS PAC ID: 0446255301 Enrollment ID: I20080818000490 |
| Provider Name | Michelle Marie Armada |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245499235 PECOS PAC ID: 2860567328 Enrollment ID: I20080818000529 |
| Provider Name | Manuel A Estrada |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740451517 PECOS PAC ID: 2961578109 Enrollment ID: I20080911000531 |
| Provider Name | Ricardo Cruz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164438446 PECOS PAC ID: 5092883272 Enrollment ID: I20081002000035 |
| Provider Name | Ruben D Salinas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154515252 PECOS PAC ID: 8123196623 Enrollment ID: I20081010000499 |
| Provider Name | Latha Tatineni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487844957 PECOS PAC ID: 4486714235 Enrollment ID: I20081124000400 |
| Provider Name | Eric Malsam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134316060 PECOS PAC ID: 6204999873 Enrollment ID: I20090107000612 |
| Provider Name | Elizabeth W Fomby |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306805783 PECOS PAC ID: 5193872646 Enrollment ID: I20090420000623 |
| Provider Name | Lindsay Boltan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538379433 PECOS PAC ID: 1254480577 Enrollment ID: I20090515000501 |
| Provider Name | Michael T Mann |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356592893 PECOS PAC ID: 0042360455 Enrollment ID: I20090605000275 |
| Provider Name | Vinoop Daggubati |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376771915 PECOS PAC ID: 5890849145 Enrollment ID: I20090820000486 |
| Provider Name | Hasan K Gokal |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710090329 PECOS PAC ID: 4789586967 Enrollment ID: I20090914000280 |
| Provider Name | Bhushan K Kukkalli |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871579276 PECOS PAC ID: 7315093754 Enrollment ID: I20090925000474 |
| Provider Name | Zainab Abdulla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861622979 PECOS PAC ID: 0547306813 Enrollment ID: I20090930000577 |
| Provider Name | Carlos Castaneda |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053368878 PECOS PAC ID: 4385746924 Enrollment ID: I20091104000133 |
| Provider Name | Bodie Correll |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518125731 PECOS PAC ID: 5890833263 Enrollment ID: I20091105000450 |
| Provider Name | Martha Flagg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689908832 PECOS PAC ID: 7517006067 Enrollment ID: I20091123000614 |
| Provider Name | Arthur Lim |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326360223 PECOS PAC ID: 5597893248 Enrollment ID: I20100517000793 |
| Provider Name | Stephen D Shields |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548480858 PECOS PAC ID: 1254418254 Enrollment ID: I20100609000625 |
| Provider Name | Matthew S Brice |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306854732 PECOS PAC ID: 2466582507 Enrollment ID: I20100616000101 |
| Provider Name | Zubaid Reza Rafique |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730386343 PECOS PAC ID: 9739212507 Enrollment ID: I20100730000078 |
| Provider Name | Nicholas P Steinour |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396911426 PECOS PAC ID: 3779616180 Enrollment ID: I20100805000878 |
| Provider Name | Neil Ashok Gandhi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457571804 PECOS PAC ID: 6002989878 Enrollment ID: I20100909000622 |
| Provider Name | Kausik Roy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538377478 PECOS PAC ID: 4789729476 Enrollment ID: I20100910000070 |
| Provider Name | Jasmine B Bookert |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083883821 PECOS PAC ID: 0648396515 Enrollment ID: I20100928001391 |
| Provider Name | Natacha Isadora Qureshi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770772832 PECOS PAC ID: 1052437944 Enrollment ID: I20100928001712 |
| Provider Name | Joshua Egly |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518166404 PECOS PAC ID: 6709902612 Enrollment ID: I20100929000197 |
| Provider Name | Yen-te Tu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306061262 PECOS PAC ID: 4880787431 Enrollment ID: I20101006000561 |
| Provider Name | Johany A Herrera |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982861050 PECOS PAC ID: 8426242199 Enrollment ID: I20101027000720 |
| Provider Name | Clayton A Mccuan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235321126 PECOS PAC ID: 3274727573 Enrollment ID: I20101101000481 |
| Provider Name | Mauricio A Sardan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902005523 PECOS PAC ID: 9931271509 Enrollment ID: I20101115000375 |
| Provider Name | Ekene Ifeanyi Okolo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528372729 PECOS PAC ID: 5395933212 Enrollment ID: I20101220000503 |
| Provider Name | Stephen A Kim |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720226707 PECOS PAC ID: 3173711645 Enrollment ID: I20101228000345 |
| Provider Name | Esther Seoanes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730498213 PECOS PAC ID: 4981887569 Enrollment ID: I20110318000413 |
| Provider Name | Steven Mark Walters |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306887070 PECOS PAC ID: 1355525833 Enrollment ID: I20110407000124 |
| Provider Name | Jennifer Punnoose |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124228622 PECOS PAC ID: 4183808348 Enrollment ID: I20110412000937 |
| Provider Name | Rakhi S Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891983771 PECOS PAC ID: 5698951754 Enrollment ID: I20110525000716 |
| Provider Name | Monica M Gomez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1821289000 PECOS PAC ID: 4587841226 Enrollment ID: I20110607000461 |
| Provider Name | Lakshmi Ramasahayam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497985238 PECOS PAC ID: 0446381990 Enrollment ID: I20110613000767 |
| Provider Name | Ziad A Rouhana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669407995 PECOS PAC ID: 7911904339 Enrollment ID: I20110615000691 |
| Provider Name | Bryan Pickett |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790928083 PECOS PAC ID: 5092993253 Enrollment ID: I20110617000409 |
| Provider Name | Myles C Mcclelland |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336449180 PECOS PAC ID: 9739357146 Enrollment ID: I20110729000050 |
| Provider Name | Sandra K Strickland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497040943 PECOS PAC ID: 9830368414 Enrollment ID: I20110816000852 |
| Provider Name | Jason M Martin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003077058 PECOS PAC ID: 1254520893 Enrollment ID: I20110825000094 |
| Provider Name | Ernesto Hernandez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235460080 PECOS PAC ID: 6901076652 Enrollment ID: I20110907001057 |
| Provider Name | Erin Koval |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598976763 PECOS PAC ID: 1557494184 Enrollment ID: I20110929000337 |
| Provider Name | Alan J Vaught |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396989026 PECOS PAC ID: 1658545579 Enrollment ID: I20111110000523 |
| Provider Name | Jeremy L Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144557679 PECOS PAC ID: 2769656628 Enrollment ID: I20111111000114 |
| Provider Name | Ayanava Majumdar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407152747 PECOS PAC ID: 2769656438 Enrollment ID: I20111114000854 |
| Provider Name | Nabanita Basu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417118522 PECOS PAC ID: 6103090816 Enrollment ID: I20111115000389 |
| Provider Name | David B Blomstrom |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497929236 PECOS PAC ID: 4587831474 Enrollment ID: I20120117000759 |
| Provider Name | Neelima Gowrigari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205097318 PECOS PAC ID: 8527224757 Enrollment ID: I20120716000493 |
| Provider Name | Amanda G Allensworth |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841420916 PECOS PAC ID: 8921255324 Enrollment ID: I20120820000772 |
| Provider Name | Joseph Anthony Destefano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508841032 PECOS PAC ID: 4688669526 Enrollment ID: I20120827000610 |
| Provider Name | Raeeda M Gheewala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851507115 PECOS PAC ID: 8022275346 Enrollment ID: I20120906000430 |
| Provider Name | Pedro Alberto Mendoza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861769598 PECOS PAC ID: 2961650205 Enrollment ID: I20120912000169 |
| Provider Name | Anita Anil Bangale |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710154109 PECOS PAC ID: 5799816070 Enrollment ID: I20120924000592 |
| Provider Name | Glen Vo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932458080 PECOS PAC ID: 0749439982 Enrollment ID: I20121004000153 |
| Provider Name | Mamta Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679707988 PECOS PAC ID: 9436308517 Enrollment ID: I20121004000641 |
| Provider Name | Rasmey Long |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467614008 PECOS PAC ID: 3577734201 Enrollment ID: I20130111000458 |
| Provider Name | Robert D Mccauley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144569450 PECOS PAC ID: 2163667684 Enrollment ID: I20130403000352 |
| Provider Name | Elizabeth Catherine Vasser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487861076 PECOS PAC ID: 2062536956 Enrollment ID: I20130429000295 |
| Provider Name | Lorraine S Go |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679811673 PECOS PAC ID: 5799922795 Enrollment ID: I20130511000014 |
| Provider Name | Tejaswi Bhari Thippeswamy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811189269 PECOS PAC ID: 1456521509 Enrollment ID: I20130624000298 |
| Provider Name | Margarita Bentley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255673307 PECOS PAC ID: 4688814957 Enrollment ID: I20130710000105 |
| Provider Name | Brandon W Vidrine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053540187 PECOS PAC ID: 7416003991 Enrollment ID: I20130716000123 |
| Provider Name | Chrystan M Skefos |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538485784 PECOS PAC ID: 7012158413 Enrollment ID: I20130727000235 |
| Provider Name | Andres Arboleda |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659528594 PECOS PAC ID: 3577600865 Enrollment ID: I20130730000277 |
| Provider Name | Edozie J Akunyili |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104052208 PECOS PAC ID: 1254572399 Enrollment ID: I20130801000136 |
| Provider Name | Benyam G Alemu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154646560 PECOS PAC ID: 9537301197 Enrollment ID: I20130809000529 |
| Provider Name | Quoc V Pham |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992016885 PECOS PAC ID: 5991947491 Enrollment ID: I20130813000603 |
| Provider Name | Jennifer R Werner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306157334 PECOS PAC ID: 0749439990 Enrollment ID: I20130828000079 |
| Provider Name | Abhishek Vedavalli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942536164 PECOS PAC ID: 4284877549 Enrollment ID: I20130905000609 |
| Provider Name | Bo Wang |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750694196 PECOS PAC ID: 8820232531 Enrollment ID: I20130919000511 |
| Provider Name | Eric E. Robinson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922324359 PECOS PAC ID: 2860626538 Enrollment ID: I20131011001051 |
| Provider Name | Christina T. Doan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447576087 PECOS PAC ID: 3375778525 Enrollment ID: I20131024001730 |
| Provider Name | Benjamin R Godfrey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508002312 PECOS PAC ID: 4789872888 Enrollment ID: I20131025001279 |
| Provider Name | Oluwaseun Akinwale Ajibade |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316243868 PECOS PAC ID: 0446422364 Enrollment ID: I20131113000618 |
| Provider Name | Jonathan Guerra Rodriguez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265745335 PECOS PAC ID: 0042446486 Enrollment ID: I20131113001542 |
| Provider Name | Preeti Venkatraman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003040544 PECOS PAC ID: 5395971667 Enrollment ID: I20131114000704 |
| Provider Name | Linda Chibuzor Esuzor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346566973 PECOS PAC ID: 6305092875 Enrollment ID: I20131115001347 |
| Provider Name | Jason W Mcmahan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811147820 PECOS PAC ID: 5294963393 Enrollment ID: I20140117001118 |
| Provider Name | Wilfredo Cordero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427487115 PECOS PAC ID: 1153550835 Enrollment ID: I20140128001528 |
| Provider Name | Dustin J Herschap |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134540834 PECOS PAC ID: 2769612001 Enrollment ID: I20140305001788 |
| Provider Name | Claudia R Szych |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275858284 PECOS PAC ID: 7810127099 Enrollment ID: I20140310000523 |
| Provider Name | Moira J Pyle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043577463 PECOS PAC ID: 6406087493 Enrollment ID: I20140314000392 |
| Provider Name | Eric R Lopez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952551145 PECOS PAC ID: 8224260013 Enrollment ID: I20140409001718 |
| Provider Name | Queen A Idowu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780946608 PECOS PAC ID: 6800043084 Enrollment ID: I20140507001152 |
| Provider Name | Kavitha Bagadi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871782961 PECOS PAC ID: 8921295981 Enrollment ID: I20140515000707 |
| Provider Name | Paul B Gravel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689834319 PECOS PAC ID: 2860665569 Enrollment ID: I20140602001382 |
| Provider Name | Ee Sing Angela Ong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336577287 PECOS PAC ID: 6800010208 Enrollment ID: I20140604001476 |
| Provider Name | Ngoc Anh A Nguyen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346534534 PECOS PAC ID: 3971728148 Enrollment ID: I20140701001480 |
| Provider Name | Alok D Desh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780979823 PECOS PAC ID: 7618193194 Enrollment ID: I20140717002137 |
| Provider Name | Katia Castillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487079968 PECOS PAC ID: 1951527183 Enrollment ID: I20140724001648 |
| Provider Name | Gniewomira P Swaldek |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316194533 PECOS PAC ID: 0042487167 Enrollment ID: I20140801000498 |
| Provider Name | Jason R May |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649680554 PECOS PAC ID: 7012134331 Enrollment ID: I20140811001634 |
| Provider Name | Michael Joseph Gutierrez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174810048 PECOS PAC ID: 4688892276 Enrollment ID: I20140822001670 |
| Provider Name | Foad Kiamanesh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790073674 PECOS PAC ID: 4789802786 Enrollment ID: I20140904002766 |
| Provider Name | Boi P Tran |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376701904 PECOS PAC ID: 9133303365 Enrollment ID: I20140910001653 |
| Provider Name | Theodore C Klem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063702876 PECOS PAC ID: 1254550734 Enrollment ID: I20140916000061 |
| Provider Name | Hawkins Bassey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629362132 PECOS PAC ID: 3779703707 Enrollment ID: I20140925001424 |
| Provider Name | Vivek K Verma |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104089945 PECOS PAC ID: 8527230119 Enrollment ID: I20140925001877 |
| Provider Name | Hassan M Chaudhary |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073755773 PECOS PAC ID: 6800044140 Enrollment ID: I20141015000639 |
| Provider Name | Kevin Williams |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669630067 PECOS PAC ID: 1052565470 Enrollment ID: I20141030001020 |
| Provider Name | Emem Idem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063741221 PECOS PAC ID: 5991957144 Enrollment ID: I20141105000133 |
| Provider Name | Naga Maruthi Perisetti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922238922 PECOS PAC ID: 8729254883 Enrollment ID: I20141112000116 |
| Provider Name | Tolulope O Olade |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568758308 PECOS PAC ID: 8729201348 Enrollment ID: I20141204001096 |
| Provider Name | Madhusudhana R Mudduluru |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346472230 PECOS PAC ID: 1456508787 Enrollment ID: I20150127000725 |
| Provider Name | Samatha Eppakayala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841581683 PECOS PAC ID: 0143545350 Enrollment ID: I20150211000467 |
| Provider Name | Sarah E Wilson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275976425 PECOS PAC ID: 8729204102 Enrollment ID: I20150316001311 |
| Provider Name | Alfred R Coats |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831581099 PECOS PAC ID: 5092032698 Enrollment ID: I20150319000466 |
| Provider Name | Mary A Norris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407287162 PECOS PAC ID: 3870810401 Enrollment ID: I20150319001966 |
| Provider Name | Tracy N Willis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891196259 PECOS PAC ID: 8123347887 Enrollment ID: I20150430000393 |
| Provider Name | Jason R Knight |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154378297 PECOS PAC ID: 4082605688 Enrollment ID: I20150506000849 |
| Provider Name | Lindsey Stermole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316330400 PECOS PAC ID: 4789904558 Enrollment ID: I20150519000101 |
| Provider Name | Folusho F Ibikunle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043605017 PECOS PAC ID: 5597756270 Enrollment ID: I20150624001247 |
| Provider Name | Aatif Hassan Tirmizi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134485808 PECOS PAC ID: 8729390075 Enrollment ID: I20150630001041 |
| Provider Name | Prasanthi K Arety |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528333713 PECOS PAC ID: 3274845938 Enrollment ID: I20150709000066 |
| Provider Name | Aric G Bakshy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457523326 PECOS PAC ID: 5294895470 Enrollment ID: I20150710000369 |
| Provider Name | John C Liu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023377165 PECOS PAC ID: 5698088938 Enrollment ID: I20150716000295 |
| Provider Name | Robert P Gemignani |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740555853 PECOS PAC ID: 3072826197 Enrollment ID: I20150720000644 |
| Provider Name | Seth Justin Rehrer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124373519 PECOS PAC ID: 2264745397 Enrollment ID: I20150720000952 |
| Provider Name | Ming Wang |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821363136 PECOS PAC ID: 2567692213 Enrollment ID: I20150723007009 |
| Provider Name | Adeleke T Adesina |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295091072 PECOS PAC ID: 6507179157 Enrollment ID: I20150724012269 |
| Provider Name | Jefferson Rabanzo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760863609 PECOS PAC ID: 5294049318 Enrollment ID: I20150804003263 |
| Provider Name | Sunil Aradhya |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902164163 PECOS PAC ID: 0547575250 Enrollment ID: I20150810002095 |
| Provider Name | Troy K Son |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245541986 PECOS PAC ID: 8628215662 Enrollment ID: I20150811004493 |
| Provider Name | Navin Dhingra |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1518212984 PECOS PAC ID: 0042525644 Enrollment ID: I20150811005296 |
| Provider Name | Jonathan N Posey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922366145 PECOS PAC ID: 0244547677 Enrollment ID: I20150917002182 |
| Provider Name | Arjina Pradhan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821479320 PECOS PAC ID: 5890002935 Enrollment ID: I20150922001327 |
| Provider Name | Debra L Bayliss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326424763 PECOS PAC ID: 0042527046 Enrollment ID: I20150923000440 |
| Provider Name | Oscar D Martinez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316248594 PECOS PAC ID: 2860622966 Enrollment ID: I20150925000637 |
| Provider Name | Zoya Chittireddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659631117 PECOS PAC ID: 1052629938 Enrollment ID: I20150925000649 |
| Provider Name | Hilmi Alam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205196243 PECOS PAC ID: 6103134408 Enrollment ID: I20151007000603 |
| Provider Name | Samira Shahnaz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134495575 PECOS PAC ID: 9830407097 Enrollment ID: I20151007003142 |
| Provider Name | Patrick W Rombs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740678036 PECOS PAC ID: 6305155185 Enrollment ID: I20151016002213 |
| Provider Name | Victor Obijuru Njoku |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104175009 PECOS PAC ID: 3274758610 Enrollment ID: I20151019000089 |
| Provider Name | Renato Lacurom Delos Santos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457635559 PECOS PAC ID: 1355596446 Enrollment ID: I20151105001352 |
| Provider Name | Lauren Tada |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730558636 PECOS PAC ID: 2062712060 Enrollment ID: I20151124000290 |
| Provider Name | John S Rajkumar |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063677490 PECOS PAC ID: 8628193984 Enrollment ID: I20151210000618 |
| Provider Name | Christopher Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881065357 PECOS PAC ID: 2860793197 Enrollment ID: I20151210001992 |
| Provider Name | Kalif A Kendig |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952697658 PECOS PAC ID: 9436396975 Enrollment ID: I20151229001955 |
| Provider Name | Jordan M Cherry |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1053782235 PECOS PAC ID: 3870895378 Enrollment ID: I20151230000073 |
| Provider Name | Yogita Mantena |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659358794 PECOS PAC ID: 1658357207 Enrollment ID: I20151230000802 |
| Provider Name | Magdiel R. De La Rosa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669845186 PECOS PAC ID: 1254633399 Enrollment ID: I20160107000218 |
| Provider Name | Hanna Eadeh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083850176 PECOS PAC ID: 9436337508 Enrollment ID: I20160212000787 |
| Provider Name | Sarah Kamara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619371846 PECOS PAC ID: 7113216268 Enrollment ID: I20160513000318 |
| Provider Name | Annette A Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881070563 PECOS PAC ID: 7810286846 Enrollment ID: I20160516000652 |
| Provider Name | Sylvia A Akonnor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982093183 PECOS PAC ID: 7214226174 Enrollment ID: I20160516001786 |
| Provider Name | Brett Aldon Tracy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134580251 PECOS PAC ID: 5092005835 Enrollment ID: I20160607000086 |
| Provider Name | Justin Elliot Shepard |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245675693 PECOS PAC ID: 0345530028 Enrollment ID: I20160608002101 |
| Provider Name | Ranjit K Dhelaria |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386891315 PECOS PAC ID: 1456539915 Enrollment ID: I20160614002276 |
| Provider Name | Lael Hubbard |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467895086 PECOS PAC ID: 0648578302 Enrollment ID: I20160623000755 |
| Provider Name | Audra J Sunderland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134575103 PECOS PAC ID: 2567754963 Enrollment ID: I20160705001664 |
| Provider Name | Jonathan G Rogg |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366683393 PECOS PAC ID: 0840458659 Enrollment ID: I20160707000911 |
| Provider Name | Ambica Sandhir |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114205705 PECOS PAC ID: 7517259203 Enrollment ID: I20160718001141 |
| Provider Name | Eyitemi O Oghogho |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356786651 PECOS PAC ID: 7315230992 Enrollment ID: I20160719002068 |
| Provider Name | Anil R Tahiliani |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194080507 PECOS PAC ID: 2769701341 Enrollment ID: I20160720002753 |
| Provider Name | Jigneshkumar D Patel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730324054 PECOS PAC ID: 0143447995 Enrollment ID: I20160722001476 |
| Provider Name | Michelle E Banister |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619210929 PECOS PAC ID: 9537454939 Enrollment ID: I20160824002156 |
| Provider Name | Anand Alexander |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205233970 PECOS PAC ID: 2961797378 Enrollment ID: I20160824002273 |
| Provider Name | Miguel Antonio Alvarado |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083058358 PECOS PAC ID: 8022303361 Enrollment ID: I20160825000386 |
| Provider Name | Kathleen N Henry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073967253 PECOS PAC ID: 2163718263 Enrollment ID: I20160915000284 |
| Provider Name | Mudassir U Khan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396080305 PECOS PAC ID: 0345557443 Enrollment ID: I20160917000155 |
| Provider Name | Mathew T Martinez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245596337 PECOS PAC ID: 3678702974 Enrollment ID: I20160920000603 |
| Provider Name | Jacob Towns |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215296017 PECOS PAC ID: 9931348042 Enrollment ID: I20161020002398 |
| Provider Name | Ngozi C Nweze |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871869537 PECOS PAC ID: 8426207374 Enrollment ID: I20161215000640 |
| Provider Name | Elizabeth Simonson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437596723 PECOS PAC ID: 3870812522 Enrollment ID: I20170213000375 |
| Provider Name | Bridgette F Ty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750825741 PECOS PAC ID: 9638453764 Enrollment ID: I20170308002083 |
| Provider Name | Heather Nicole Parks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205371739 PECOS PAC ID: 3274818844 Enrollment ID: I20170322000246 |
| Provider Name | Leatha D Tampke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578007191 PECOS PAC ID: 8022393461 Enrollment ID: I20170327000653 |
| Provider Name | Roberto M Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497291736 PECOS PAC ID: 7012293848 Enrollment ID: I20170411000575 |
| Provider Name | Denise C Ryan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144772138 PECOS PAC ID: 5890071500 Enrollment ID: I20170412001550 |
| Provider Name | Amaan Haq Siddiqi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881083798 PECOS PAC ID: 0345560256 Enrollment ID: I20170413002091 |
| Provider Name | Ernest C Nwachukwu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831503168 PECOS PAC ID: 7214230507 Enrollment ID: I20170627001461 |
| Provider Name | Christopher J De Ochoa |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619387396 PECOS PAC ID: 4183994106 Enrollment ID: I20170725002051 |
| Provider Name | Susan E Conway |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871913798 PECOS PAC ID: 5496025215 Enrollment ID: I20170726002748 |
| Provider Name | Daniel S Frank |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730506007 PECOS PAC ID: 4486924206 Enrollment ID: I20170726002828 |
| Provider Name | Neil-jeremy G Wingkun |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124448097 PECOS PAC ID: 6800166570 Enrollment ID: I20170728000809 |
| Provider Name | Derek L Marcantel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144640418 PECOS PAC ID: 5991003550 Enrollment ID: I20170731001170 |
| Provider Name | Amr Badawy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225391295 PECOS PAC ID: 4486943651 Enrollment ID: I20170810000627 |
| Provider Name | Michael Joseph Aterno |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407276173 PECOS PAC ID: 6800168022 Enrollment ID: I20170823003190 |
| Provider Name | Sharon Ince |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245641786 PECOS PAC ID: 3173804093 Enrollment ID: I20170907002844 |
| Provider Name | William M Allen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821060369 PECOS PAC ID: 9234186776 Enrollment ID: I20170914000706 |
| Provider Name | Kris Mehta |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437560646 PECOS PAC ID: 0042512592 Enrollment ID: I20171004002400 |
| Provider Name | Neil D Manus |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548609365 PECOS PAC ID: 5799051884 Enrollment ID: I20171017002165 |
| Provider Name | Wael A Alnajjar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669890489 PECOS PAC ID: 0547536955 Enrollment ID: I20171030001003 |
| Provider Name | Malory Calderon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952825275 PECOS PAC ID: 6608132444 Enrollment ID: I20171109003079 |
| Provider Name | Steven Lee Ellis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043354269 PECOS PAC ID: 4981927027 Enrollment ID: I20171130000045 |
| Provider Name | Zubair Siddiqui |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144640822 PECOS PAC ID: 1153693700 Enrollment ID: I20171205001286 |
| Provider Name | Michael P Maruska |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659669018 PECOS PAC ID: 5799902417 Enrollment ID: I20171212001878 |
| Provider Name | Megan Hattaway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366961724 PECOS PAC ID: 1951669050 Enrollment ID: I20171219001919 |
| Provider Name | Qing Liu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295178507 PECOS PAC ID: 0547541807 Enrollment ID: I20171219002964 |
| Provider Name | Sumair Chaudry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720591159 PECOS PAC ID: 8628336682 Enrollment ID: I20171220001400 |
| Provider Name | Elaine D Kincaid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104330422 PECOS PAC ID: 7113286790 Enrollment ID: I20180108001114 |
| Provider Name | Samuel S Lee |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871947143 PECOS PAC ID: 5890057236 Enrollment ID: I20180322000840 |
| Provider Name | Kenneth K Kaiser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346748001 PECOS PAC ID: 0749542132 Enrollment ID: I20180323000081 |
| Provider Name | Omurkan Mira Finley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538676838 PECOS PAC ID: 1153683289 Enrollment ID: I20180329000699 |
| Provider Name | Kelle Gordon Goranson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831584341 PECOS PAC ID: 9537422027 Enrollment ID: I20180416001278 |
| Provider Name | Laura R Tesorieri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821590217 PECOS PAC ID: 3375806508 Enrollment ID: I20180420001183 |
| Provider Name | Brian M Karst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710483490 PECOS PAC ID: 1052675519 Enrollment ID: I20180509000592 |
| Provider Name | Peter A. Kwayu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013406503 PECOS PAC ID: 0244595338 Enrollment ID: I20180518001785 |
| Provider Name | Phoebe Lee |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376837021 PECOS PAC ID: 4385866276 Enrollment ID: I20180530002249 |
| Provider Name | Joshua Pozos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689060048 PECOS PAC ID: 8123318854 Enrollment ID: I20180604000763 |
| Provider Name | Mary E Sharer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336559624 PECOS PAC ID: 9830480557 Enrollment ID: I20180605002248 |
| Provider Name | Elliana Wiesner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699156273 PECOS PAC ID: 1355631706 Enrollment ID: I20180620001050 |
| Provider Name | Kristin M Schmidt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407190572 PECOS PAC ID: 2567696214 Enrollment ID: I20180620002865 |
| Provider Name | Shiva Bhattarai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194013573 PECOS PAC ID: 3274753140 Enrollment ID: I20180628002532 |
| Provider Name | Dinh Boi Vuong |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396109609 PECOS PAC ID: 8820385982 Enrollment ID: I20180706000819 |
| Provider Name | Alejandro Pacheco |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528322476 PECOS PAC ID: 1759697303 Enrollment ID: I20180712001253 |
| Provider Name | Hammad Salim Sattar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528452505 PECOS PAC ID: 0244541753 Enrollment ID: I20180712002573 |
| Provider Name | Klever C Uleanya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497266977 PECOS PAC ID: 3375890239 Enrollment ID: I20180724000397 |
| Provider Name | Kimberley Golden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053818831 PECOS PAC ID: 5991052532 Enrollment ID: I20180727000959 |
| Provider Name | Aviral C Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669852273 PECOS PAC ID: 0941599567 Enrollment ID: I20180731002646 |
| Provider Name | Carlos D Vences |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346620598 PECOS PAC ID: 0244588622 Enrollment ID: I20180801000765 |
| Provider Name | Kristen A Weibel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649666249 PECOS PAC ID: 9032467220 Enrollment ID: I20180803001961 |
| Provider Name | Yasin I Huque |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336527761 PECOS PAC ID: 6800144007 Enrollment ID: I20180803002192 |
| Provider Name | Nayan B Patel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124412267 PECOS PAC ID: 0749538957 Enrollment ID: I20180803002505 |
| Provider Name | Matthew S Delacruz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144617960 PECOS PAC ID: 4183972243 Enrollment ID: I20180806001915 |
| Provider Name | Austin P Potter |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124477948 PECOS PAC ID: 1052669835 Enrollment ID: I20180810000808 |
| Provider Name | Krishan B Amin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710398615 PECOS PAC ID: 3274854518 Enrollment ID: I20180821000854 |
| Provider Name | Thao Tran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003203662 PECOS PAC ID: 8921310913 Enrollment ID: I20180829001141 |
| Provider Name | Nadeem Jaffer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427302025 PECOS PAC ID: 9830314640 Enrollment ID: I20180904001576 |
| Provider Name | Sarah Ahmed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952797557 PECOS PAC ID: 9638478720 Enrollment ID: I20181009002025 |
| Provider Name | John Edward Moran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023499100 PECOS PAC ID: 0547512816 Enrollment ID: I20181015002476 |
| Provider Name | Sayf Yassin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043605371 PECOS PAC ID: 8224334677 Enrollment ID: I20181017000479 |
| Provider Name | Kathryn Figer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760865505 PECOS PAC ID: 8820341290 Enrollment ID: I20181101000746 |
| Provider Name | Zachary Thomas-alan Taliaferro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568947505 PECOS PAC ID: 7315281185 Enrollment ID: I20181205001001 |
| Provider Name | Samantha Y Jih |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508331422 PECOS PAC ID: 7012253800 Enrollment ID: I20190116000570 |
| Provider Name | Giri Ghimire |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366767048 PECOS PAC ID: 0042466898 Enrollment ID: I20190301002239 |
| Provider Name | Hussain Shabbir Malbari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306228150 PECOS PAC ID: 0042566432 Enrollment ID: I20190328000018 |
| Provider Name | Lily B Wang-kerrigan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952839086 PECOS PAC ID: 6800169582 Enrollment ID: I20190409000775 |
| Provider Name | Juan Pablo Torres |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003298175 PECOS PAC ID: 6305187824 Enrollment ID: I20190410002686 |
| Provider Name | Jose A Michel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619397742 PECOS PAC ID: 7719285220 Enrollment ID: I20190604001444 |
| Provider Name | Lowell G Rollins |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053766048 PECOS PAC ID: 1052603735 Enrollment ID: I20190605003073 |
| Provider Name | Camille Ayoub |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851746077 PECOS PAC ID: 7113253667 Enrollment ID: I20190723000125 |
| Provider Name | Ilona Nekhayeva |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093169203 PECOS PAC ID: 8022303122 Enrollment ID: I20190812000241 |
| Provider Name | Ebony N Raymond |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609230812 PECOS PAC ID: 1759678295 Enrollment ID: I20190822002634 |
| Provider Name | Omar Akhter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144630856 PECOS PAC ID: 2365716321 Enrollment ID: I20190822002818 |
| Provider Name | Joyce Jackson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558716142 PECOS PAC ID: 7315239258 Enrollment ID: I20190924003100 |
| Provider Name | Tarah L Romanski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164996492 PECOS PAC ID: 0941530562 Enrollment ID: I20190925000917 |
| Provider Name | Megan R Svach |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477086676 PECOS PAC ID: 2961734843 Enrollment ID: I20191025000764 |
| Provider Name | Belinda Benavidez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346899879 PECOS PAC ID: 3274865936 Enrollment ID: I20191029003147 |
| Provider Name | Mohammed Zawahiri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639508542 PECOS PAC ID: 7517237324 Enrollment ID: I20191118000675 |
| Provider Name | Adam Thomas Huval |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992254809 PECOS PAC ID: 9133403132 Enrollment ID: I20191212001554 |
| Provider Name | Zarintaj M Ali |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760024038 PECOS PAC ID: 4385078583 Enrollment ID: I20191220002185 |
| Provider Name | Matthew V Pipitone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003459108 PECOS PAC ID: 4284069824 Enrollment ID: I20200108002975 |
| Provider Name | Maliha Beg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790171643 PECOS PAC ID: 2668778929 Enrollment ID: I20200123000456 |
| Provider Name | Soumya Mohanan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255971214 PECOS PAC ID: 6406283233 Enrollment ID: I20200217003418 |
| Provider Name | Hui Gao |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093158933 PECOS PAC ID: 3779879770 Enrollment ID: I20200304001151 |
| Provider Name | Basil Z Khalaf |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285924142 PECOS PAC ID: 2163652389 Enrollment ID: I20200317000792 |
| Provider Name | Jake G Halvorsen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497015002 PECOS PAC ID: 9436456969 Enrollment ID: I20200324000105 |
| Provider Name | Kyle Bieschke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750929832 PECOS PAC ID: 3072942796 Enrollment ID: I20200401001313 |
| Provider Name | Mohamed A Sheta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457666570 PECOS PAC ID: 7517279805 Enrollment ID: I20200422000214 |
| Provider Name | Cheng-yen C Chen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386179968 PECOS PAC ID: 2769757996 Enrollment ID: I20200505001198 |
| Provider Name | Faraz Saifi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053844555 PECOS PAC ID: 8224469325 Enrollment ID: I20200505001374 |
| Provider Name | Emilio Roberto Narvaez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316488026 PECOS PAC ID: 9739510744 Enrollment ID: I20200507000338 |
| Provider Name | Alan Shum |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669904389 PECOS PAC ID: 1254762834 Enrollment ID: I20200514002497 |
| Provider Name | Kerollos Shaker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285167320 PECOS PAC ID: 1850722463 Enrollment ID: I20200515000481 |
| Provider Name | Laura Rocchi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518595180 PECOS PAC ID: 1355762592 Enrollment ID: I20200526003144 |
| Provider Name | Jacob Ling |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467983890 PECOS PAC ID: 0042585069 Enrollment ID: I20200714000964 |
| Provider Name | Cindy Usher |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699065300 PECOS PAC ID: 7113146796 Enrollment ID: I20200715001566 |
| Provider Name | Brian Yu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366962193 PECOS PAC ID: 5698045649 Enrollment ID: I20200728003588 |
| Provider Name | Kim Phung Le Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609253202 PECOS PAC ID: 0345665287 Enrollment ID: I20200810000630 |
| Provider Name | Gary Trewick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336482850 PECOS PAC ID: 6608179858 Enrollment ID: I20200812000527 |
| Provider Name | Dane S Moran |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407279482 PECOS PAC ID: 3678999323 Enrollment ID: I20200812002737 |
| Provider Name | Khalid Soliman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659875938 PECOS PAC ID: 4688092042 Enrollment ID: I20200916002428 |
| Provider Name | Matthew L Applebaum |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184155897 PECOS PAC ID: 1658644026 Enrollment ID: I20200930000306 |
| Provider Name | Samir Musleh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033157110 PECOS PAC ID: 2163465675 Enrollment ID: I20200930002049 |
| Provider Name | Henry M Selke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730272535 PECOS PAC ID: 5193899649 Enrollment ID: I20201118001287 |
| Provider Name | Michael P Bibler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780047035 PECOS PAC ID: 0042507782 Enrollment ID: I20201123000048 |
| Provider Name | Anita Helen Cervantes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457989998 PECOS PAC ID: 3779994306 Enrollment ID: I20201202002549 |
| Provider Name | Michael Park |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043659956 PECOS PAC ID: 3274828173 Enrollment ID: I20201207000134 |
| Provider Name | Lisa Marie Gleitmann |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952643678 PECOS PAC ID: 9830469683 Enrollment ID: I20201214002798 |
| Provider Name | Donte Mcclary |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689647497 PECOS PAC ID: 9436063179 Enrollment ID: I20210112000986 |
| Provider Name | Naushaba Hasan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942298559 PECOS PAC ID: 1456359306 Enrollment ID: I20210121002204 |
| Provider Name | Keagan Glyn Mouret |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265082358 PECOS PAC ID: 6507270493 Enrollment ID: I20210204002378 |
| Provider Name | Kenneth B Howard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952878811 PECOS PAC ID: 0941543128 Enrollment ID: I20210210002686 |
| Provider Name | Chi-tam Paul Nguyen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639630031 PECOS PAC ID: 9638403520 Enrollment ID: I20210216000071 |
| Provider Name | Tyfanie Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437768520 PECOS PAC ID: 0941616031 Enrollment ID: I20210316001167 |
| Provider Name | Lindsey Karka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174133268 PECOS PAC ID: 5597172361 Enrollment ID: I20210323000005 |
| Provider Name | Laura J Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144811712 PECOS PAC ID: 7911314455 Enrollment ID: I20210329001364 |
| Provider Name | Laeeq Butt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841684735 PECOS PAC ID: 2264719335 Enrollment ID: I20210330002608 |
| Provider Name | Naimeh Tashakkorinia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336535772 PECOS PAC ID: 3971854589 Enrollment ID: I20210331000800 |
| Provider Name | Damien Jackson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275997298 PECOS PAC ID: 0244510626 Enrollment ID: I20210428000422 |
| Provider Name | Abdulhamid Al-douri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093205197 PECOS PAC ID: 5890104624 Enrollment ID: I20210507001985 |
| Provider Name | Poushali Bhattacharjee |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811200629 PECOS PAC ID: 9335383470 Enrollment ID: I20210511000079 |
| Provider Name | Joseph Messina |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629034020 PECOS PAC ID: 6002893468 Enrollment ID: I20210526003101 |
| Provider Name | James Lyons |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992297642 PECOS PAC ID: 4183970940 Enrollment ID: I20210528000558 |
| Provider Name | Adianes Zobeida Feliciano-lockett |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114415619 PECOS PAC ID: 2668872581 Enrollment ID: I20210615001955 |
| Provider Name | Abiola A Oso |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114423225 PECOS PAC ID: 4880094358 Enrollment ID: I20210621002895 |
| Provider Name | Luis Alberto Landeros |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831774694 PECOS PAC ID: 1254732761 Enrollment ID: I20210622000920 |
| Provider Name | Lee Walter Mcchesney |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760917892 PECOS PAC ID: 3173924511 Enrollment ID: I20210623002067 |
| Provider Name | Alyssa Marie Thomas |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417452897 PECOS PAC ID: 6305193145 Enrollment ID: I20210623002383 |
| Provider Name | Tarrell Coley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780180273 PECOS PAC ID: 0042558025 Enrollment ID: I20210624000083 |
| Provider Name | Sheena R Kodavaluru |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033470919 PECOS PAC ID: 0244453454 Enrollment ID: I20210702002612 |
| Provider Name | Chioma E Ojiaku |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285139055 PECOS PAC ID: 3870846462 Enrollment ID: I20210706000187 |
| Provider Name | Jonathan Wells Harding |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932639416 PECOS PAC ID: 3678995636 Enrollment ID: I20210708000806 |
| Provider Name | Michael E Ip |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952805483 PECOS PAC ID: 9537417266 Enrollment ID: I20210714002249 |
| Provider Name | Katherine V Luu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801390679 PECOS PAC ID: 4981950318 Enrollment ID: I20210719003009 |
| Provider Name | Jasmine R Hopkins |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164927422 PECOS PAC ID: 5092118331 Enrollment ID: I20210726000584 |
| Provider Name | Hamza Muhammad Tola |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154818342 PECOS PAC ID: 6406259373 Enrollment ID: I20210729002252 |
| Provider Name | Courtney P Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487227708 PECOS PAC ID: 5395148191 Enrollment ID: I20210729004043 |
| Provider Name | Pragati Banda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649567298 PECOS PAC ID: 4486816287 Enrollment ID: I20210730001147 |
| Provider Name | Bradley A Egbers |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093212896 PECOS PAC ID: 3870997646 Enrollment ID: I20210802002822 |
| Provider Name | Mark Nicholas Ziats |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356790091 PECOS PAC ID: 5597050005 Enrollment ID: I20210805002578 |
| Provider Name | Collin J Sabatini |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356861454 PECOS PAC ID: 1557630092 Enrollment ID: I20210820001164 |
| Provider Name | Michael Thomas Sellechio |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851753982 PECOS PAC ID: 1557634458 Enrollment ID: I20210903001564 |
| Provider Name | Jonathan Grant Mondragon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124523121 PECOS PAC ID: 8921355298 Enrollment ID: I20210903001615 |
| Provider Name | Ahsan Hafeez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669807244 PECOS PAC ID: 9931470960 Enrollment ID: I20210914000613 |
| Provider Name | Betty Adankwah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942760855 PECOS PAC ID: 8820322506 Enrollment ID: I20210921004007 |
| Provider Name | Eziuche Nwakanma |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225290091 PECOS PAC ID: 0840459012 Enrollment ID: I20210927001346 |
| Provider Name | Merrick Bautista |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952807729 PECOS PAC ID: 9032465372 Enrollment ID: I20211020000145 |
| Provider Name | Allison Weed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972048551 PECOS PAC ID: 4981987922 Enrollment ID: I20211108001467 |
| Provider Name | Osama G Mitri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174532071 PECOS PAC ID: 1153227475 Enrollment ID: I20211130000072 |
| Provider Name | Darren Harrison |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124517172 PECOS PAC ID: 3375933740 Enrollment ID: I20211130001030 |
| Provider Name | Suganya Chandramohan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770088148 PECOS PAC ID: 5395000103 Enrollment ID: I20211208002944 |
| Provider Name | Chidozie H Odigwe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447611579 PECOS PAC ID: 6507157856 Enrollment ID: I20211214000526 |
| Provider Name | Oluwaseyi Segun Balasire |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003235243 PECOS PAC ID: 5799045316 Enrollment ID: I20211222000859 |
| Provider Name | Jenna Whylings Hoffman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942627575 PECOS PAC ID: 7012200041 Enrollment ID: I20211223001315 |
| Provider Name | Sarah C Hunter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629663968 PECOS PAC ID: 5799176665 Enrollment ID: I20220104000354 |
| Provider Name | Charles Ayanleke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255573960 PECOS PAC ID: 0749336329 Enrollment ID: I20220202000770 |
| Provider Name | Alphonsus Wing Kung |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205064540 PECOS PAC ID: 2668628041 Enrollment ID: I20220207002055 |
| Provider Name | Kyina C Miles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376004317 PECOS PAC ID: 1759719743 Enrollment ID: I20220224000354 |
| Provider Name | Kimberly L Eustache |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821479221 PECOS PAC ID: 4082909346 Enrollment ID: I20220224001616 |
| Provider Name | Jason Bavarian |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518344530 PECOS PAC ID: 6800181249 Enrollment ID: I20220304000276 |
| Provider Name | Ivan Young Park |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154076099 PECOS PAC ID: 0345635439 Enrollment ID: I20220329000262 |
| Provider Name | Mia Wynn Guzman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295141570 PECOS PAC ID: 0042508913 Enrollment ID: I20220329001994 |
| Provider Name | Amir Ali |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225693963 PECOS PAC ID: 1355753005 Enrollment ID: I20220503000372 |
| Provider Name | John W Burger |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205958220 PECOS PAC ID: 2668506817 Enrollment ID: I20220511001079 |
| Provider Name | Katherine Stell Foster |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528599578 PECOS PAC ID: 1254603657 Enrollment ID: I20220511001497 |
| Provider Name | Syed Zia Uddin Alvi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962884338 PECOS PAC ID: 6305152463 Enrollment ID: I20220514000037 |
| Provider Name | Hasitha D Manohar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255810693 PECOS PAC ID: 9133520109 Enrollment ID: I20220516002613 |
| Provider Name | Duy Cong Hoang |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992369763 PECOS PAC ID: 6800273632 Enrollment ID: I20220518000126 |
| Provider Name | Jonathan Michael Eisen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730648049 PECOS PAC ID: 4688900566 Enrollment ID: I20220518002393 |
| Provider Name | Daniel Lino Harbison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235771775 PECOS PAC ID: 9931533296 Enrollment ID: I20220519000015 |
| Provider Name | Ali S Mirab |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538722913 PECOS PAC ID: 7719364215 Enrollment ID: I20220524000198 |
| Provider Name | David R Foreman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952862740 PECOS PAC ID: 3476931817 Enrollment ID: I20220526000093 |
| Provider Name | Camila A Calderon Molestina |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174058366 PECOS PAC ID: 8224416565 Enrollment ID: I20220527001313 |
| Provider Name | Huy Hoang |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295399533 PECOS PAC ID: 0648658732 Enrollment ID: I20220601002219 |
| Provider Name | Jonathan Michael Rebik |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013477553 PECOS PAC ID: 8325426109 Enrollment ID: I20220607002052 |
| Provider Name | Alexander Nicholas Diaz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841751849 PECOS PAC ID: 1759760291 Enrollment ID: I20220614000956 |
| Provider Name | Abigail Ruth Jaeger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104574201 PECOS PAC ID: 7214316546 Enrollment ID: I20220616002109 |
| Provider Name | Joseph Oshoma Iluore |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225599673 PECOS PAC ID: 2062891179 Enrollment ID: I20220621001556 |
| Provider Name | Samuel Jurca |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962069203 PECOS PAC ID: 7911237482 Enrollment ID: I20220621002650 |
| Provider Name | Travis C Mccubbin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538621560 PECOS PAC ID: 9335473610 Enrollment ID: I20220623001117 |
| Provider Name | Elkin Galvis-carvajal |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881155679 PECOS PAC ID: 6204215932 Enrollment ID: I20220627000462 |
| Provider Name | Lakshya U Trivedi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932668977 PECOS PAC ID: 2668852856 Enrollment ID: I20220706000954 |
| Provider Name | Serah Wambui Oyewole |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194286401 PECOS PAC ID: 4587045752 Enrollment ID: I20220719002545 |
| Provider Name | Kathryn G Mcdonald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467199166 PECOS PAC ID: 6800278953 Enrollment ID: I20220805000775 |
| Provider Name | Lesli D Breeding |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588236475 PECOS PAC ID: 7214310994 Enrollment ID: I20220812000786 |
| Provider Name | Jeffrey D Murillo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538484472 PECOS PAC ID: 8729212204 Enrollment ID: I20220820000028 |
| Provider Name | Maritza Pantoja |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306370374 PECOS PAC ID: 8022491117 Enrollment ID: I20220823002076 |
| Provider Name | Travis J Pressley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851851000 PECOS PAC ID: 3476880329 Enrollment ID: I20220831001310 |
| Provider Name | Loretta Foster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497331516 PECOS PAC ID: 6901281559 Enrollment ID: I20220916002630 |
| Provider Name | Daniel Artruo Espinosa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841851383 PECOS PAC ID: 0941685549 Enrollment ID: I20220919000735 |
| Provider Name | Edwin Corral |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235635970 PECOS PAC ID: 6305274226 Enrollment ID: I20220923002720 |
| Provider Name | Erica Paige |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083349724 PECOS PAC ID: 6800272972 Enrollment ID: I20220928000736 |
| Provider Name | Adam Dunstone |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679987267 PECOS PAC ID: 5890910913 Enrollment ID: I20221019000318 |
| Provider Name | Amanda Nicole Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679038921 PECOS PAC ID: 4183091903 Enrollment ID: I20221108003352 |
| Provider Name | John Howard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184358905 PECOS PAC ID: 5698142354 Enrollment ID: I20221109001574 |
| Provider Name | Nader Abdullah H Alhuzali |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538620497 PECOS PAC ID: 0941678833 Enrollment ID: I20221128000720 |
| Provider Name | Steven J Ramdeen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679924781 PECOS PAC ID: 3779876859 Enrollment ID: I20230103000661 |
| Provider Name | Gabriel Lucas Apfel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801424353 PECOS PAC ID: 1951775816 Enrollment ID: I20230316002049 |
| Provider Name | Chikaodili Jumbo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215226246 PECOS PAC ID: 5890169593 Enrollment ID: I20230321000386 |
| Provider Name | Ted Deng |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659900363 PECOS PAC ID: 9830564459 Enrollment ID: I20230413001782 |
| Provider Name | Rommel Cativo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427685932 PECOS PAC ID: 6608231592 Enrollment ID: I20230427003053 |
| Provider Name | Chizite C Iheonunekwu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528695384 PECOS PAC ID: 4789094939 Enrollment ID: I20230503003604 |
| Provider Name | Charles E Brown |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427687334 PECOS PAC ID: 8325404916 Enrollment ID: I20230524002398 |
| Provider Name | Jessecia Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346952173 PECOS PAC ID: 6406213396 Enrollment ID: I20230608000820 |
| Provider Name | Mutinta Bettina Chisowa |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922654557 PECOS PAC ID: 4789042193 Enrollment ID: I20230616001145 |
| Provider Name | Ron Nates |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174152433 PECOS PAC ID: 1052779220 Enrollment ID: I20230620002564 |
| Provider Name | Raza Ali Master |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619504909 PECOS PAC ID: 5799143673 Enrollment ID: I20230626000943 |
| Provider Name | Michelle Brito |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740806157 PECOS PAC ID: 7719303908 Enrollment ID: I20230626001351 |
| Provider Name | Jessica Quach |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760019186 PECOS PAC ID: 7416370358 Enrollment ID: I20230704000118 |
| Provider Name | Peace Irobi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033809041 PECOS PAC ID: 7719347434 Enrollment ID: I20230713000607 |
| Provider Name | Daniel Wei Yiu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336768589 PECOS PAC ID: 9133589666 Enrollment ID: I20230717000327 |
| Provider Name | Kurt Isaac-elder |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922623446 PECOS PAC ID: 6103288105 Enrollment ID: I20230808001665 |
| Provider Name | Michael Taylor Almquist |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891323531 PECOS PAC ID: 3678996626 Enrollment ID: I20230809003463 |
| Provider Name | Priya Alexandra Iyer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164926143 PECOS PAC ID: 8426410820 Enrollment ID: I20230817000525 |
| Provider Name | Edwin Ivan Valdez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215575568 PECOS PAC ID: 5890158547 Enrollment ID: I20230828002915 |
| Provider Name | Kyle G Thomas |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861070583 PECOS PAC ID: 7810350188 Enrollment ID: I20230905000976 |
| Provider Name | Jacob Freudenberger |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346821741 PECOS PAC ID: 4789047986 Enrollment ID: I20230905002578 |
| Provider Name | Stephanie Shirey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265051361 PECOS PAC ID: 5092179655 Enrollment ID: I20230914002801 |
| Provider Name | Jack M Mcdaniel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023692183 PECOS PAC ID: 8527422146 Enrollment ID: I20230915001095 |
| Provider Name | Marsha H Hamner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144357724 PECOS PAC ID: 3476653528 Enrollment ID: I20230927003518 |
| Provider Name | Keyon Shokraneh Kenari |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780181511 PECOS PAC ID: 0547677148 Enrollment ID: I20230928000555 |
| Provider Name | Stephen J Lojewski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841585312 PECOS PAC ID: 6608197280 Enrollment ID: I20230928003871 |
| Provider Name | Christopher Gentle |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740316835 PECOS PAC ID: 5890872428 Enrollment ID: I20230930000087 |
| Provider Name | Karla Avila |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124656442 PECOS PAC ID: 0143643171 Enrollment ID: I20231010004141 |
| Provider Name | Meselle Jeff-eke |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184147621 PECOS PAC ID: 0446605406 Enrollment ID: I20231011000430 |
| Provider Name | Lori Ann Banse-fay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982085700 PECOS PAC ID: 1052612728 Enrollment ID: I20231013000058 |
| Provider Name | Eva Rajha |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649756800 PECOS PAC ID: 9537515960 Enrollment ID: I20231020003129 |
| Provider Name | Katherine Anne Utech |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417537176 PECOS PAC ID: 9638525751 Enrollment ID: I20231026000781 |
| Provider Name | Rizwan Shahid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467854992 PECOS PAC ID: 8123393287 Enrollment ID: I20231026004445 |
| Provider Name | Michael Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992285605 PECOS PAC ID: 7618213240 Enrollment ID: I20231107000113 |
| Provider Name | Patricia Andrea Tan Montierth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083499636 PECOS PAC ID: 6406203801 Enrollment ID: I20231107001177 |
| Provider Name | James B Seipp |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255861647 PECOS PAC ID: 4587086194 Enrollment ID: I20231114001574 |
| Provider Name | Marlee Marie Hunter |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285212373 PECOS PAC ID: 3274942743 Enrollment ID: I20231204002923 |
| Provider Name | Chukwuemeka Okafor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104389196 PECOS PAC ID: 1557698826 Enrollment ID: I20231211003459 |
| Provider Name | Ursula Pandit |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598293292 PECOS PAC ID: 6305183781 Enrollment ID: I20240213000636 |
| Provider Name | Omobolawa Kukoyi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518349133 PECOS PAC ID: 1254634322 Enrollment ID: I20240219002886 |
| Provider Name | Omoyeni Clement |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134700578 PECOS PAC ID: 3678918828 Enrollment ID: I20240228001273 |
| Provider Name | Albert Arthur |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720499668 PECOS PAC ID: 1254655897 Enrollment ID: I20240306000524 |
| Provider Name | Saroj Subedi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942511498 PECOS PAC ID: 1759415508 Enrollment ID: I20240326001044 |
| Provider Name | Phil J Barker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770163628 PECOS PAC ID: 8224475199 Enrollment ID: I20240327002097 |
| Provider Name | Cynthia Wang |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184202376 PECOS PAC ID: 5294173902 Enrollment ID: I20240401001136 |
| Provider Name | Kristina Munoz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427685726 PECOS PAC ID: 5597124610 Enrollment ID: I20240402004097 |
| Provider Name | Michael V Depasquale |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811526270 PECOS PAC ID: 7416379730 Enrollment ID: I20240403000303 |
| Provider Name | Shweta Sharma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225481153 PECOS PAC ID: 6901189752 Enrollment ID: I20240404001020 |
| Provider Name | Sovik De Sirkar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588124739 PECOS PAC ID: 0143664334 Enrollment ID: I20240404002314 |
| Provider Name | Yaw Ansah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699234567 PECOS PAC ID: 6204162167 Enrollment ID: I20240405001598 |
| Provider Name | John Zachary Timmons |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790365765 PECOS PAC ID: 6103264320 Enrollment ID: I20240409000228 |
| Provider Name | Angie G Aceves |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952977753 PECOS PAC ID: 7911346044 Enrollment ID: I20240422001937 |
| Provider Name | Fauniel Alicia Self |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245812486 PECOS PAC ID: 4385084169 Enrollment ID: I20240426000994 |
| Provider Name | Joseph Lawrence Stockhausen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255907598 PECOS PAC ID: 1850731910 Enrollment ID: I20240506004866 |
| Provider Name | Edna Idan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144803990 PECOS PAC ID: 1153762596 Enrollment ID: I20240515004234 |
| Provider Name | Gillydale Villaroman-francisco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316687817 PECOS PAC ID: 1850834276 Enrollment ID: I20240613002979 |
| Provider Name | John F Trentini |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891037347 PECOS PAC ID: 3678703568 Enrollment ID: I20240618002032 |
| Provider Name | Connor Barry |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336713932 PECOS PAC ID: 7113461229 Enrollment ID: I20240701001016 |
| Provider Name | Lawson Ishalaiye |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164008728 PECOS PAC ID: 9335549401 Enrollment ID: I20240701002113 |
| Provider Name | Lauren M Bayliss |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679149066 PECOS PAC ID: 1759825607 Enrollment ID: I20240702002430 |
| Provider Name | Muhaymin S Abdul-moheeth |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689240541 PECOS PAC ID: 5496290124 Enrollment ID: I20240717002462 |
| Provider Name | Anayet U Thakur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467453936 PECOS PAC ID: 6103983101 Enrollment ID: I20240724001706 |
| Provider Name | Mattie Lencinas |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588156889 PECOS PAC ID: 1557612389 Enrollment ID: I20240727000451 |
| Provider Name | Shahid Dodson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841827623 PECOS PAC ID: 2769893742 Enrollment ID: I20240729000376 |
| Provider Name | Matt Saenz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053990481 PECOS PAC ID: 6204237100 Enrollment ID: I20240730004150 |
| Provider Name | Saleem Khawaja |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437656691 PECOS PAC ID: 8022367689 Enrollment ID: I20240817000677 |
| Provider Name | Jennifer Rai Zambales |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316443039 PECOS PAC ID: 3577826130 Enrollment ID: I20240820003626 |
| Provider Name | Diana Padilla |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750919320 PECOS PAC ID: 9032659040 Enrollment ID: I20240905001011 |
| Provider Name | Mark Angel Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992373518 PECOS PAC ID: 9032659842 Enrollment ID: I20240907000260 |
| Provider Name | Emily Branson Leede |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679154967 PECOS PAC ID: 6103367891 Enrollment ID: I20240920003688 |
| Provider Name | Andreia R Pop |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174544787 PECOS PAC ID: 7214934611 Enrollment ID: I20240923000252 |
| Provider Name | Munsif Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881973147 PECOS PAC ID: 2668628371 Enrollment ID: I20241002003398 |
| Provider Name | Richard Fikes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235176686 PECOS PAC ID: 0648295782 Enrollment ID: I20241011001827 |
| Provider Name | Laurie Lavery |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275507402 PECOS PAC ID: 2769427251 Enrollment ID: I20241014004423 |
| Provider Name | Njuggie W Ndeere |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669771887 PECOS PAC ID: 4981136801 Enrollment ID: I20241017000336 |
| Provider Name | Kareem Hinedi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245276633 PECOS PAC ID: 8527015544 Enrollment ID: I20241022000791 |
| Provider Name | Aneisha Crossbourne |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396900882 PECOS PAC ID: 6406025428 Enrollment ID: I20241022002766 |
| Provider Name | Timothy C Leupp |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760760474 PECOS PAC ID: 3072749068 Enrollment ID: I20241023002533 |
| Provider Name | Augusta E. Oladipo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134679392 PECOS PAC ID: 3375829922 Enrollment ID: I20241025002704 |
| Provider Name | Angelo Manuele |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164959656 PECOS PAC ID: 3870856099 Enrollment ID: I20241026000022 |
| Provider Name | Kwadwo Ofori |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124335872 PECOS PAC ID: 3870711765 Enrollment ID: I20241028001986 |
| Provider Name | George Germanos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144858390 PECOS PAC ID: 5991105058 Enrollment ID: I20241106001399 |
| Provider Name | Yessenia Degante |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356178545 PECOS PAC ID: 9133654635 Enrollment ID: I20241120003701 |
| Provider Name | Elizabeth Imathiu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174351878 PECOS PAC ID: 5294260121 Enrollment ID: I20241202000463 |
| Provider Name | Nidal Babaa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396150371 PECOS PAC ID: 6305102468 Enrollment ID: I20241223001303 |
| Provider Name | Salvatore Bernardo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770550147 PECOS PAC ID: 5294836094 Enrollment ID: I20241223003056 |
| Provider Name | Shubhangi Budhi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083060446 PECOS PAC ID: 5092040022 Enrollment ID: I20250102003227 |
| Provider Name | Bryce C Ratliff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306293261 PECOS PAC ID: 8729355078 Enrollment ID: I20250110002711 |
| Provider Name | Kelly Lawrence |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396041679 PECOS PAC ID: 4082859459 Enrollment ID: I20250113001678 |
| Provider Name | Ahmed Salman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437500550 PECOS PAC ID: 6709112139 Enrollment ID: I20250116000867 |
| Provider Name | George Fon Tabi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104180835 PECOS PAC ID: 6800107277 Enrollment ID: I20250116000964 |
| Provider Name | Kelly Hale |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467985648 PECOS PAC ID: 7810265600 Enrollment ID: I20250116001781 |
| Provider Name | Guerdine J Mercy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447609896 PECOS PAC ID: 3971881954 Enrollment ID: I20250116003657 |
| Provider Name | Sameer Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972725083 PECOS PAC ID: 6406921311 Enrollment ID: I20250121002427 |
| Provider Name | Walter Woodruff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235758004 PECOS PAC ID: 7315476249 Enrollment ID: I20250122002394 |
| Provider Name | Muhannad Samaan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477725109 PECOS PAC ID: 8325110885 Enrollment ID: I20250122002889 |
| Provider Name | Adila Chaudhry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518318633 PECOS PAC ID: 4486980794 Enrollment ID: I20250124001258 |
| Provider Name | Subash Subedi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164945077 PECOS PAC ID: 7214203298 Enrollment ID: I20250131000922 |
| Provider Name | Shayla Wahlfeldt-rowle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922733583 PECOS PAC ID: 5991234296 Enrollment ID: I20250131001807 |
| Provider Name | Austin Al-kazaz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679803290 PECOS PAC ID: 0244499721 Enrollment ID: I20250210001648 |
| Provider Name | Kyle Hirsh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356778161 PECOS PAC ID: 4981823580 Enrollment ID: I20250213000407 |
| Provider Name | Vanessa L Mcbride |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023643715 PECOS PAC ID: 4082031927 Enrollment ID: I20250224001967 |
| Provider Name | Lana Akkari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154702082 PECOS PAC ID: 6103178280 Enrollment ID: I20250306000086 |
| Provider Name | Fateeha Tariq |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801425954 PECOS PAC ID: 5193171130 Enrollment ID: I20250307002283 |
Cedar Park Covid Test Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1120 Cottonwood Creek Trl Ste 180b, Cedar Park, TX 78613 Phone: 512-737-2662 | |
Rrcp Medical, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 W Whitestone Blvd, Suite 105, Cedar Park, TX 78613 Phone: 512-918-2225 Fax: 512-918-2229 | |
Texas Cardiac Arrhythmia Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1460 E Whitestone Blvd, Suite 230, Cedar Park, TX 78613 Phone: 512-206-2999 | |
Venkatesh Segu, Md, Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1515 Medical Pkwy Ste 200, Cedar Park, TX 78613 Phone: 512-765-7806 Fax: 512-456-7039 | |
Lone Star Circle Of Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1401 Medical Pkwy Bldg B, Ste 311, Cedar Park, TX 78613 Phone: 877-800-5722 | |
Complete Cure Healthcare Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2800 E Whitestone Blvd Ste 120, Cedar Park, TX 78613 Phone: 512-297-8044 Fax: 512-918-2933 | |
Austin Health Partners Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 345 Cypress Creek Rd Ste 104, Cedar Park, TX 78613 Phone: 512-336-2777 Fax: 512-336-2778 |