| Velocitycare | |
|
1906 Belleview Ave Se Dept Of Emergency Medicine Roanoke VA 24014-1838 | |
| (540) 266-6800 | |
| (540) 981-9550 |
| Full Name | Velocitycare |
|---|---|
| Speciality | Clinic/Center |
| Location | 1906 Belleview Ave Se, Roanoke, Virginia |
| Authorized Official Name and Position | Eleanor Prescott (DIRECTOR OF PAYER CONTRACT ADMIN.) |
| Authorized Official Contact | 5402245379 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Velocitycare 213 S Jefferson St Ste 1006 Roanoke VA 24011-1713 Ph: (540) 224-5452 | Velocitycare 1906 Belleview Ave Se Dept Of Emergency Medicine Roanoke VA 24014-1838 Ph: (540) 266-6800 |
| NPI Number | 1255602694 |
|---|---|
| Provider Enumeration Date | 01/17/2012 |
| Last Update Date | 02/27/2026 |
| Certification Date | 02/27/2026 |
| Medicare PECOS PAC ID | 7012820889 |
|---|---|
| Medicare Enrollment ID | O20031107000339 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255602694 | NPI | - | NPPES |
| C06951 | Other | VA | MEDICARE PTAN |
| Provider Name | Robert M Dums |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134102619 PECOS PAC ID: 5395643167 Enrollment ID: I20031230000785 |
| Provider Name | Greg Leland Potter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326105669 PECOS PAC ID: 6103726773 Enrollment ID: I20040110000083 |
| Provider Name | Douglas S Hayes |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528040060 PECOS PAC ID: 5597668566 Enrollment ID: I20040128000500 |
| Provider Name | Michael D Rorrer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518036664 PECOS PAC ID: 8123921970 Enrollment ID: I20040129000232 |
| Provider Name | William G Pearlman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144292053 PECOS PAC ID: 0749174506 Enrollment ID: I20040211001232 |
| Provider Name | Susan C Hill |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1194707125 PECOS PAC ID: 6901797778 Enrollment ID: I20040322001230 |
| Provider Name | Kevin E Broyles |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073555348 PECOS PAC ID: 7315838927 Enrollment ID: I20040323001018 |
| Provider Name | Bradley Ward Williams |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1851379655 PECOS PAC ID: 6406748664 Enrollment ID: I20040325000295 |
| Provider Name | Marcia a Harris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003898826 PECOS PAC ID: 0749273217 Enrollment ID: I20040408000562 |
| Provider Name | Robert C Barksdale |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467497404 PECOS PAC ID: 6608862362 Enrollment ID: I20040420001798 |
| Provider Name | Paul a Haskins |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477656627 PECOS PAC ID: 3375539935 Enrollment ID: I20040421000579 |
| Provider Name | Michael L Jones |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922050913 PECOS PAC ID: 2062306814 Enrollment ID: I20040427000580 |
| Provider Name | Stephen J Kellam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689659930 PECOS PAC ID: 3072591510 Enrollment ID: I20040710000243 |
| Provider Name | Ashley B Amos |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1639135403 PECOS PAC ID: 5698753929 Enrollment ID: I20040712001406 |
| Provider Name | Chand Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962459206 PECOS PAC ID: 7315926375 Enrollment ID: I20040714001368 |
| Provider Name | Karol L Gordon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407836000 PECOS PAC ID: 4789604794 Enrollment ID: I20051205000656 |
| Provider Name | Christina E Gardner |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1609839687 PECOS PAC ID: 1850312323 Enrollment ID: I20051212000770 |
| Provider Name | Jennifer T Adkins |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1962581322 PECOS PAC ID: 7719991439 Enrollment ID: I20060202000340 |
| Provider Name | Andrew M B Cook |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902852700 PECOS PAC ID: 7719990258 Enrollment ID: I20060728000196 |
| Provider Name | Jared Scott Campbell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1104923986 PECOS PAC ID: 3577561976 Enrollment ID: I20061120000092 |
| Provider Name | Karen Nolan Kuehl |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518993179 PECOS PAC ID: 0042283699 Enrollment ID: I20070302000083 |
| Provider Name | Damon Kuehl |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215957782 PECOS PAC ID: 0840261145 Enrollment ID: I20070319000125 |
| Provider Name | Joseph R Howell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1649271461 PECOS PAC ID: 0244208932 Enrollment ID: I20070327000308 |
| Provider Name | Stephen Ausband |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1306855002 PECOS PAC ID: 1850484411 Enrollment ID: I20070912000642 |
| Provider Name | Robert E Salters |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619028610 PECOS PAC ID: 4284729856 Enrollment ID: I20070927000937 |
| Provider Name | Kimberly L Abel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447453980 PECOS PAC ID: 1254427891 Enrollment ID: I20071012000439 |
| Provider Name | Garth Allen Mills |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1225223704 PECOS PAC ID: 7911094065 Enrollment ID: I20071106000462 |
| Provider Name | Ethan R Freeborn |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336338656 PECOS PAC ID: 4688754757 Enrollment ID: I20071231000574 |
| Provider Name | Electra C Martin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588681118 PECOS PAC ID: 9234038134 Enrollment ID: I20080201000223 |
| Provider Name | Robert L Amick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902878051 PECOS PAC ID: 6305911074 Enrollment ID: I20080814000181 |
| Provider Name | Joel Daniel Bashore |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750352845 PECOS PAC ID: 4688749054 Enrollment ID: I20080819000842 |
| Provider Name | Sandra K Hayes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447213988 PECOS PAC ID: 3971679820 Enrollment ID: I20080829000377 |
| Provider Name | Nancy Harvey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104898246 PECOS PAC ID: 6901972454 Enrollment ID: I20080905000599 |
| Provider Name | Christine Young |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598980013 PECOS PAC ID: 2163517020 Enrollment ID: I20080927000205 |
| Provider Name | Wesley Young |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962628552 PECOS PAC ID: 8820183791 Enrollment ID: I20081028000183 |
| Provider Name | Chris L Howard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467469775 PECOS PAC ID: 5698719722 Enrollment ID: I20081106000407 |
| Provider Name | Adrienne M Kinsey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871792515 PECOS PAC ID: 1355405234 Enrollment ID: I20090122000301 |
| Provider Name | Benjamin M Philpott |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053364455 PECOS PAC ID: 0749347698 Enrollment ID: I20090320000580 |
| Provider Name | Michael S Szilagyi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518049709 PECOS PAC ID: 7315004181 Enrollment ID: I20090323000176 |
| Provider Name | Joseph B Coates |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811108913 PECOS PAC ID: 9638222607 Enrollment ID: I20090810000140 |
| Provider Name | Julie R King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164652004 PECOS PAC ID: 3577619923 Enrollment ID: I20090925000504 |
| Provider Name | Sharon Andrews |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1104159359 PECOS PAC ID: 0547316929 Enrollment ID: I20090928000135 |
| Provider Name | Adam Lunnie |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063749984 PECOS PAC ID: 8022153121 Enrollment ID: I20100301000392 |
| Provider Name | Saima Sadiq |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861603789 PECOS PAC ID: 9032244173 Enrollment ID: I20100315000945 |
| Provider Name | John H Burton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528080017 PECOS PAC ID: 9133157787 Enrollment ID: I20100628000827 |
| Provider Name | Bethany F Casey |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1578572772 PECOS PAC ID: 3476567884 Enrollment ID: I20100728000337 |
| Provider Name | Sarah Klemencic |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275722514 PECOS PAC ID: 9931225323 Enrollment ID: I20100922001018 |
| Provider Name | Christopher W Allen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386964294 PECOS PAC ID: 0244356103 Enrollment ID: I20100928001303 |
| Provider Name | Timothy J Fortuna |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093717712 PECOS PAC ID: 3971653767 Enrollment ID: I20101202000814 |
| Provider Name | Eric K Stanley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285892026 PECOS PAC ID: 9830369115 Enrollment ID: I20110823001081 |
| Provider Name | Robert G Lucas |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1154372514 PECOS PAC ID: 7214902998 Enrollment ID: I20120225000181 |
| Provider Name | Misty Basham-leedy |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1467724591 PECOS PAC ID: 5799946935 Enrollment ID: I20120413000568 |
| Provider Name | Amber a Bales |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881967081 PECOS PAC ID: 5395908131 Enrollment ID: I20120515000418 |
| Provider Name | Philip W Furrow |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1043555022 PECOS PAC ID: 4688828676 Enrollment ID: I20130128000397 |
| Provider Name | Crystal Lynn Chrisley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1144489097 PECOS PAC ID: 9739252859 Enrollment ID: I20130423000097 |
| Provider Name | Ilona E Parks |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1750515896 PECOS PAC ID: 9133360753 Enrollment ID: I20130724000666 |
| Provider Name | Khalief E Hamden |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740592005 PECOS PAC ID: 4981841475 Enrollment ID: I20130807000746 |
| Provider Name | Caroline Hollis Cox |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699909218 PECOS PAC ID: 0941460182 Enrollment ID: I20130910000383 |
| Provider Name | Stephanie Ann Lareau |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063654879 PECOS PAC ID: 8123205812 Enrollment ID: I20130910000868 |
| Provider Name | Michelle E Clinton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982831442 PECOS PAC ID: 7113173972 Enrollment ID: I20130910000981 |
| Provider Name | Danielle N Ogle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942623913 PECOS PAC ID: 9032342076 Enrollment ID: I20140429000462 |
| Provider Name | Megan N Forster-hill |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467751651 PECOS PAC ID: 9133362957 Enrollment ID: I20140821002884 |
| Provider Name | Betina Nakoda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528474376 PECOS PAC ID: 4183843667 Enrollment ID: I20140916000020 |
| Provider Name | Leonard B Galvan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1659347474 PECOS PAC ID: 6204737208 Enrollment ID: I20140922002409 |
| Provider Name | Brandi L Tomlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861792400 PECOS PAC ID: 6901089044 Enrollment ID: I20141104000789 |
| Provider Name | Angela W Bowman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1699908574 PECOS PAC ID: 6305169228 Enrollment ID: I20141230001183 |
| Provider Name | Rachel P Helems |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1871991745 PECOS PAC ID: 3072838101 Enrollment ID: I20150213000097 |
| Provider Name | Carrie S Goodrich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962813246 PECOS PAC ID: 5890012793 Enrollment ID: I20150401002003 |
| Provider Name | Hayley H Rose-inman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053678797 PECOS PAC ID: 1951620921 Enrollment ID: I20150425000341 |
| Provider Name | Puja R Ganjwala |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790188266 PECOS PAC ID: 7416269790 Enrollment ID: I20150629001842 |
| Provider Name | Keith P Madsen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184884439 PECOS PAC ID: 8820302920 Enrollment ID: I20150803002430 |
| Provider Name | Wendy L Woolley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891710281 PECOS PAC ID: 2466558515 Enrollment ID: I20150914003118 |
| Provider Name | Jiwei Chen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1790049369 PECOS PAC ID: 4183872393 Enrollment ID: I20150921000538 |
| Provider Name | Robert Steven Childers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588600761 PECOS PAC ID: 3375579568 Enrollment ID: I20160107002793 |
| Provider Name | Michael L Bailey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760827323 PECOS PAC ID: 8022258276 Enrollment ID: I20160510000999 |
| Provider Name | Jessica Gehner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346685559 PECOS PAC ID: 9638304629 Enrollment ID: I20160705001697 |
| Provider Name | Patrick E Robinson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770903262 PECOS PAC ID: 0840410692 Enrollment ID: I20161219001053 |
| Provider Name | Joshua C Nichols |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366852436 PECOS PAC ID: 7719107689 Enrollment ID: I20161228001619 |
| Provider Name | Kate Humphrey Funk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942743265 PECOS PAC ID: 2961783725 Enrollment ID: I20170110002000 |
| Provider Name | Alexandra J Nassif |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1548706252 PECOS PAC ID: 1355626698 Enrollment ID: I20170328002202 |
| Provider Name | William a Ferrell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285166777 PECOS PAC ID: 7517235203 Enrollment ID: I20170621002805 |
| Provider Name | Inna K Massaro |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629203617 PECOS PAC ID: 2769648351 Enrollment ID: I20170822002539 |
| Provider Name | Stephanie C Cash |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598292864 PECOS PAC ID: 2860765914 Enrollment ID: I20170912001206 |
| Provider Name | Mark W Mossey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841228863 PECOS PAC ID: 6507894367 Enrollment ID: I20171010001213 |
| Provider Name | Jonathan K Nogueira |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598175341 PECOS PAC ID: 7315167178 Enrollment ID: I20171030001240 |
| Provider Name | Joseph B Eddins |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285611269 PECOS PAC ID: 6709143118 Enrollment ID: I20171120001368 |
| Provider Name | Carol a Bernier |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063711596 PECOS PAC ID: 2163653353 Enrollment ID: I20171215001074 |
| Provider Name | Crystal J Poff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275045197 PECOS PAC ID: 9032470281 Enrollment ID: I20180302001595 |
| Provider Name | Savannah E Wright |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1275040305 PECOS PAC ID: 2668734526 Enrollment ID: I20180313001757 |
| Provider Name | Violet R Wender |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861994022 PECOS PAC ID: 0143584268 Enrollment ID: I20180425002493 |
| Provider Name | Brijesh Bharatbhai Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528367349 PECOS PAC ID: 9335383074 Enrollment ID: I20180713000249 |
| Provider Name | Michael J Green |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396131124 PECOS PAC ID: 4082920921 Enrollment ID: I20180730000715 |
| Provider Name | Lindsay Mary Searle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215485966 PECOS PAC ID: 7517241730 Enrollment ID: I20180730001228 |
| Provider Name | Hannah Goodman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477891091 PECOS PAC ID: 9830334630 Enrollment ID: I20181016002136 |
| Provider Name | Amanda Belanger Luby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083138150 PECOS PAC ID: 3173889763 Enrollment ID: I20181016003012 |
| Provider Name | Daniel C Terrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124511738 PECOS PAC ID: 6901150838 Enrollment ID: I20181113001780 |
| Provider Name | Sylvia Sok Le |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154717700 PECOS PAC ID: 8022322643 Enrollment ID: I20181203000020 |
| Provider Name | Jaimie Nichole Ball |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093281461 PECOS PAC ID: 6608112735 Enrollment ID: I20190110002918 |
| Provider Name | Claire Wilsey |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1194259192 PECOS PAC ID: 2264709708 Enrollment ID: I20190129000596 |
| Provider Name | Derick Stackpole |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396217485 PECOS PAC ID: 7911247119 Enrollment ID: I20190326002432 |
| Provider Name | Briana M Beach |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891181228 PECOS PAC ID: 0941517874 Enrollment ID: I20190403002962 |
| Provider Name | Amy a Hartman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932668456 PECOS PAC ID: 2567705015 Enrollment ID: I20190523002592 |
| Provider Name | Jessica Maerz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295268001 PECOS PAC ID: 3870866213 Enrollment ID: I20190528001176 |
| Provider Name | Jessica Pope Flinchum |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467770552 PECOS PAC ID: 9133382757 Enrollment ID: I20190618001567 |
| Provider Name | Christopher Paul Waasdorp |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699189720 PECOS PAC ID: 6204123730 Enrollment ID: I20190626001002 |
| Provider Name | Ashley Rose Dudden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790072254 PECOS PAC ID: 8729257100 Enrollment ID: I20190911001169 |
| Provider Name | Ronald Anderson Cople |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1215589221 PECOS PAC ID: 7719219575 Enrollment ID: I20191028001439 |
| Provider Name | Jackson Thomas May |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1831755297 PECOS PAC ID: 8426487265 Enrollment ID: I20200331000930 |
| Provider Name | Roberta Pritchard |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699903518 PECOS PAC ID: 9931472370 Enrollment ID: I20200427000223 |
| Provider Name | Andrew B Moore |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578981049 PECOS PAC ID: 5193020089 Enrollment ID: I20200610002278 |
| Provider Name | Jacob Smith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659763290 PECOS PAC ID: 1658647979 Enrollment ID: I20200811002784 |
| Provider Name | Raven M Parke |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1114545928 PECOS PAC ID: 0840609855 Enrollment ID: I20210504000642 |
| Provider Name | Jenny Y Watson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932722253 PECOS PAC ID: 5092124990 Enrollment ID: I20210505001934 |
| Provider Name | Natasha Vietz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1841816683 PECOS PAC ID: 9931500832 Enrollment ID: I20210629003911 |
| Provider Name | Olumide Ojeifo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407116932 PECOS PAC ID: 1658628433 Enrollment ID: I20210827000006 |
| Provider Name | Carver Haines |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639674526 PECOS PAC ID: 3375807720 Enrollment ID: I20210930002480 |
| Provider Name | Henry Weigle |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710305479 PECOS PAC ID: 3678793379 Enrollment ID: I20211029000347 |
| Provider Name | Shannen Elaine Plaster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477226975 PECOS PAC ID: 1658760590 Enrollment ID: I20211115000699 |
| Provider Name | Heather Bright Sadler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669820684 PECOS PAC ID: 6103111612 Enrollment ID: I20220311000111 |
| Provider Name | Alyssa Erin Whited |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1699345223 PECOS PAC ID: 4587059449 Enrollment ID: I20220311002216 |
| Provider Name | Emily Margaret Pierson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1134793599 PECOS PAC ID: 3375938145 Enrollment ID: I20220314000511 |
| Provider Name | Anne Ickes |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912460494 PECOS PAC ID: 8729315635 Enrollment ID: I20220321000087 |
| Provider Name | Gabrielle Leigh Lewis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1083289292 PECOS PAC ID: 5496140618 Enrollment ID: I20220324001365 |
| Provider Name | Summer Elizabeth Richardson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1689244253 PECOS PAC ID: 7810383262 Enrollment ID: I20220412000076 |
| Provider Name | Jazmin Mecarra Gray |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1275107633 PECOS PAC ID: 9739575119 Enrollment ID: I20220412001476 |
| Provider Name | Dustie Lynn Wiser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225799521 PECOS PAC ID: 3779979174 Enrollment ID: I20220412002283 |
| Provider Name | Katelyn Ann Seay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619620309 PECOS PAC ID: 9133516263 Enrollment ID: I20220420001076 |
| Provider Name | Jared Griffin Williamson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285208553 PECOS PAC ID: 5294122263 Enrollment ID: I20220420003132 |
| Provider Name | Shefali Shah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962961060 PECOS PAC ID: 4789917923 Enrollment ID: I20220721001445 |
| Provider Name | Marc J Kalin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1326041781 PECOS PAC ID: 0143252395 Enrollment ID: I20220817000464 |
| Provider Name | Stephanie Nicole May |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952928764 PECOS PAC ID: 2769888098 Enrollment ID: I20220827000155 |
| Provider Name | Jordan B Mccoy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194457465 PECOS PAC ID: 5799169405 Enrollment ID: I20220830002032 |
| Provider Name | Mary Ann Cladis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518386283 PECOS PAC ID: 1254556012 Enrollment ID: I20221228001567 |
| Provider Name | Kristen Ross |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1548547276 PECOS PAC ID: 2769647767 Enrollment ID: I20230105002518 |
| Provider Name | Jenice Palachick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922336452 PECOS PAC ID: 1557404076 Enrollment ID: I20230120000370 |
| Provider Name | Andrea Faith Goodrum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720799935 PECOS PAC ID: 0446622369 Enrollment ID: I20230202000533 |
| Provider Name | Kate Kitson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1679227060 PECOS PAC ID: 8426421470 Enrollment ID: I20230222002543 |
| Provider Name | James Richard Durnan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265148019 PECOS PAC ID: 8527431840 Enrollment ID: I20230307000354 |
| Provider Name | Garrett Anderson Vass |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629726641 PECOS PAC ID: 3476928144 Enrollment ID: I20230411001344 |
| Provider Name | Amber Jones Clary |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912669086 PECOS PAC ID: 6002272218 Enrollment ID: I20230512002535 |
| Provider Name | Jessica Dillon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053011841 PECOS PAC ID: 3274992391 Enrollment ID: I20230707002713 |
| Provider Name | Kelsey Norris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124657283 PECOS PAC ID: 9537582283 Enrollment ID: I20230731002092 |
| Provider Name | Katherine a Yakuboff |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1831885490 PECOS PAC ID: 9436510765 Enrollment ID: I20230802001493 |
| Provider Name | Lerena Lee Barrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396420303 PECOS PAC ID: 2062866643 Enrollment ID: I20231001000083 |
| Provider Name | Luisa Fernanda Oster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447931639 PECOS PAC ID: 2668828716 Enrollment ID: I20231025001777 |
| Provider Name | Tracy Jenkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457134991 PECOS PAC ID: 9032565940 Enrollment ID: I20231031001843 |
| Provider Name | Rawle Seupaul |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508975491 PECOS PAC ID: 3476644261 Enrollment ID: I20231220000983 |
| Provider Name | Brian Fuquay |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912584517 PECOS PAC ID: 1355743733 Enrollment ID: I20240102002894 |
| Provider Name | Lauren Stanley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831879469 PECOS PAC ID: 3274985247 Enrollment ID: I20240116002666 |
| Provider Name | Benjamin Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154199370 PECOS PAC ID: 5597103556 Enrollment ID: I20240410000341 |
| Provider Name | Kelley Lynn Busam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336902113 PECOS PAC ID: 4981042843 Enrollment ID: I20240411000124 |
| Provider Name | Jessica L Atkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215691563 PECOS PAC ID: 0446640619 Enrollment ID: I20240508003088 |
| Provider Name | Winston Wu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487236022 PECOS PAC ID: 0143621201 Enrollment ID: I20240520001505 |
| Provider Name | Julia Wadolowska |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1407598113 PECOS PAC ID: 0345783270 Enrollment ID: I20240620002068 |
| Provider Name | Katherine Dickerson Mayes |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437787470 PECOS PAC ID: 0941746176 Enrollment ID: I20240724002995 |
| Provider Name | Michael Andrew Samarasinghe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184474587 PECOS PAC ID: 2264973874 Enrollment ID: I20240924000347 |
| Provider Name | Arman Darbani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841023355 PECOS PAC ID: 7810423530 Enrollment ID: I20241204004544 |
| Provider Name | Zena P Marashi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477380509 PECOS PAC ID: 1658807193 Enrollment ID: I20241209000502 |
| Provider Name | Gabrielle Ammaturo |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811727621 PECOS PAC ID: 8628504636 Enrollment ID: I20241212003763 |
| Provider Name | Madison K Rigdon |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1134961428 PECOS PAC ID: 0840727079 Enrollment ID: I20241230000199 |
| Provider Name | Matthew Elledge |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922678820 PECOS PAC ID: 6103287073 Enrollment ID: I20250102000931 |
| Provider Name | Thomas Lilley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1639560907 PECOS PAC ID: 0749659225 Enrollment ID: I20250113001539 |
| Provider Name | Brenna H Ponton |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1932939014 PECOS PAC ID: 9830619279 Enrollment ID: I20250228000200 |
| Provider Name | Naun Eduardo Gutierrez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588470256 PECOS PAC ID: 4981125432 Enrollment ID: I20250312003932 |
| Provider Name | Morgan Lynn Cianciolo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013732023 PECOS PAC ID: 7810419025 Enrollment ID: I20250318000376 |
| Provider Name | Joel D Watson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1588491518 PECOS PAC ID: 6709308786 Enrollment ID: I20250319002212 |
| Provider Name | Jack Cabel Yoder |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1225859713 PECOS PAC ID: 8628591187 Enrollment ID: I20250326001067 |
| Provider Name | Daniel Ross Simon |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1417793894 PECOS PAC ID: 3779006986 Enrollment ID: I20250328001008 |
| Provider Name | Kaitlyn Janette Schwend |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1215754585 PECOS PAC ID: 3577086685 Enrollment ID: I20250331000523 |
| Provider Name | Kaicey Pritts |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1669283370 PECOS PAC ID: 5597289249 Enrollment ID: I20250403002943 |
| Provider Name | Madelyn Onesti |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1083446017 PECOS PAC ID: 6507381324 Enrollment ID: I20250415000678 |
| Provider Name | Morgan Webb |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891439279 PECOS PAC ID: 5799169280 Enrollment ID: I20250521001405 |
| Provider Name | Andrew Blair |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992382550 PECOS PAC ID: 8628479003 Enrollment ID: I20250523002077 |
| Provider Name | Trent Parry |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861133555 PECOS PAC ID: 6901293331 Enrollment ID: I20250527000416 |
| Provider Name | Emily Schaeffer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649912205 PECOS PAC ID: 3173905577 Enrollment ID: I20250604004157 |
| Provider Name | Suzanne Sproul |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1467756502 PECOS PAC ID: 4284886615 Enrollment ID: I20250808003403 |
| Provider Name | Allison Mildred Schilling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598657439 PECOS PAC ID: 8123524550 Enrollment ID: I20251003000827 |
| Provider Name | Beatrice S Byrne |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699416933 PECOS PAC ID: 1557742772 Enrollment ID: I20251014003269 |
| Provider Name | Jessica Harvey |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1407161698 PECOS PAC ID: 7517155963 Enrollment ID: I20251024002883 |
| Provider Name | Audrey Elizabeth Mason |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1992686596 PECOS PAC ID: 9234620204 Enrollment ID: I20251118001613 |
| Provider Name | Jonathan Sloop |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1831087550 PECOS PAC ID: 5698266500 Enrollment ID: I20251118002438 |
| Provider Name | Jennifer Larson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912512856 PECOS PAC ID: 3476049883 Enrollment ID: I20260106000317 |
| Provider Name | Anna Ovcharova Penland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053282061 PECOS PAC ID: 9234618877 Enrollment ID: I20260204002747 |
| Provider Name | Ananya Mishra |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467191395 PECOS PAC ID: 5193106318 Enrollment ID: I20260209000852 |
| Provider Name | Vittario Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295600377 PECOS PAC ID: 4486133352 Enrollment ID: I20260210003684 |
| Provider Name | Michael Angerbauer |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1326788050 PECOS PAC ID: 2961881883 Enrollment ID: I20260221000016 |
| Provider Name | Jordyn Kennedy Rose |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1932079738 PECOS PAC ID: 1759863889 Enrollment ID: I20260306001492 |
| Provider Name | Arelis Esther Avila-marrero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730040924 PECOS PAC ID: 1951884899 Enrollment ID: I20260310001876 |
| Provider Name | Kaylie Christensen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1831054774 PECOS PAC ID: 7113400672 Enrollment ID: I20260312001867 |
| Provider Name | Bailey Grace Bennett |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1699575787 PECOS PAC ID: 9133602386 Enrollment ID: I20260316001985 |
| Provider Name | Joshua Luke Garza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306715677 PECOS PAC ID: 2961985098 Enrollment ID: I20260317001020 |
| Provider Name | Josiah Ezekiel Mathieu |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1235027707 PECOS PAC ID: 8224511399 Enrollment ID: I20260317001825 |
| Provider Name | Brittany Ann Kendrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023745817 PECOS PAC ID: 7911482161 Enrollment ID: I20260326001281 |
| Provider Name | Benjamin Van Camp |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1316806334 PECOS PAC ID: 7719462704 Enrollment ID: I20260327001761 |
| Provider Name | Ann Marie Hutchens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073475638 PECOS PAC ID: 0345725891 Enrollment ID: I20260401003398 |
| Provider Name | Jessica Lee |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1083598841 PECOS PAC ID: 3173098126 Enrollment ID: I20260408000848 |
| Provider Name | Mark Risen Otstot |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1225998271 PECOS PAC ID: 8729556089 Enrollment ID: I20260505002244 |
| Provider Name | Madison Greco |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992408967 PECOS PAC ID: 6901264878 Enrollment ID: I20260519003737 |
Valley Gericare Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2917 Penn Forest Blvd, Ste 518, Roanoke, VA 24018 Phone: 540-989-3613 |
The Center for Ultra Health LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4235 Colonial Ave, First Floor, Roanoke, VA 24018 Phone: 540-312-5595 |
Jefferson Internal Medicine Associates, Ltd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1111 S Jefferson St, Suite B, Roanoke, VA 24016 Phone: 540-342-1007 Fax: 540-345-4643 |
Roanoke Partners in Health, PC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3239 Electric Rd, Suite A, Roanoke, VA 24018 Phone: 540-904-7912 Fax: 540-904-7926 |
Carilion Tazewell Community Hospital - Locum Tenen Hospitalist Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 213 S Jefferson St Ste 1006, Roanoke, VA 24011 Phone: 540-224-5681 |
Hiren B Parikh, MD PLLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3338 Circle Brook Dr, Roanoke, VA 24018 Phone: 609-781-8818 |